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In practice, it is often assumed that admissions test scores constitute valid and fair measures of individual differences in the latent traits such tests are designed to measure. The present article discusses facets of fairness relevant to admissions testing and describes how these challenges can be met, using studies on the fairness of the Austrian medical school admission test (MedAT) as an example. In doing so, the article also underscores the relevance of a more theory-based construction of admissions tests using current models of automatic item generation (AIG) to meet the various challenges of modern admissions testing.

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