“…It is logical to assume that expert knowledge may influence perceptions of importance (Clauser et al, 2016), but Burr S, Martin T, Edwards J, Ferguson C, Gilbert K, Gray C, Hill A, Hosking J, Johnstone K, Kisielewska J, Milsom C, Moyes S, Rigby-Jones A, Robinson I, Toms N, Watson H, Zahra D MedEdPublish https://doi.org/10.15694/mep.2021.000032.1 there are several elements of importance that can be considered. Advocacy for the importance of each judge's own area of expertise in content knowledge may be moderated, to some extent by rating each question in more than one element of importance, for example, the links to other concepts, the frequency with which the concept is encountered, and the consequences of not understanding a concept (Neve et al, 2019).…”