“…This pattern indicates that the evaluators have not given the assessment much thought or are uncommitted because the benefits of their evaluation are unclear to them. Whatever the underlying cause may be, the information provided by a monotonic response is likely to be of limited or no value (26). Although data-driven educational evaluation has the potential to advance learning in radiology residency, the authors believe that the weaknesses mentioned previously must be adequately mitigated through employment of evaluation methods which rest on broad statistical foundations.…”