The authors focus on the critical role of assessment within a flipped classroom environment where instruction is based on constructivist learning theory and where desired student outcomes are at the higher levels of Bloom's Taxonomy. While assessment is typically thought of in terms of providing summative measures of performance or achievement, it can also serve as a powerful tool for guiding both teaching and learning if it is artfully incorporated into the teaching/learning process; the authors refer to this as "integrated assessment." This integrated assessment/constructivist learning approach is described within the context of a flipped classroom environment and is consistent with student-centered teaching, less reliance on direct instruction, and the attainment of higher-level or deep learning.