Faculty dread the grade appeal; anxiety prevails until the whole process is complete. Much has been written about how to avoid such instances, but the potentially subjective assessments of written essays or clinical skills can be especially troublesome. One common cause of grade appeals is grading ambiguity in which the student and faculty member disagree on the interpretation of required content. Another cause is inequity, whereby the student feels others may have gotten more credit for very similar work or content (Hummel 2010). In the health-care field especially, these disagreements over clinical-skills assessments can actually result in student dismissal from the program and may lead to lawsuits.