This paper describes an approach to assessment aimed at developing critical
skills in the production of arguments concerning contemporary issues in he
alth. It is demonstrated that, in teaching from a constructivist position o
f knowledge, students can be cautious in producing assignments because of t
he relativist characteristic of constructivism. It is proposed that student
s could be more open and flexible in their approach to assessment and the u
se of cooperative working through the creation of narratives. it is suggest
ed that narratives can provide an accessible and heuristic process from whi
ch academic accounts may be built. The use of narratives in taking the stud
ents from their everyday thinking to academic accounts is presented in rela
tion to four teaching sessions. The use of this approach is in turn evaluat
ed by students' narratives of their teaming experience. Of 30 narratives ob
tained from students, analysis demonstrated that 21 accounts expressed aspe
cts associated with the development of critical thinking. Nine students voi
ced some dissatisfaction with the assessment process, and further work to r
emedy these problems is outlined. (C) 2000 Harcourt Publishers Ltd.