The growth of simulation as a method of measuring clinical
performance in recent decades has offered new opportunities
and needs for the development of self-assessment
skills. Although much of the earlier research on self-assessment
cited previously was based on written examinations
and supervisors’ ratings of trainee performance, the
development of new measures such as simulated patients’
checklist reports, number of errors, and elapsed time and
motion analysis in the context of simulation call for renewed
emphasis on self-assessment. Some recent studies using
simulated patients, task trainers, and other simulation
devices have shown much more promising positive relationships
between clinicians’ self-assessments and more objective
measures of performance.