This paper brings together approaches from the fields of NLP and psychometric measurement to address the problem of predicting examinee proficiency from responses to short-answer questions (SAQs). While previous approaches train on manually labeled data to predict the human-ratings assigned to SAQ responses, the approach presented here models examinee proficiency directly and does not require manually labeled data to train on. We use data from a large medical exam where experimental SAQ items are embedded alongside 106 scored multiple-choice questions (MCQs). First, the latent trait of examinee proficiency is measured using the scored MCQs and then a model is trained on the experimental SAQ responses as input, aiming to predict proficiency as its target variable. The predicted value is then used as a “score” for the SAQ response and evaluated in terms of its contribution to the precision of proficiency estimation.