This current study had two goals: 1. To examine the changes in various performance measures
as residents progress through psychotherapy training
2. To explore correlations among various measures of psychotherapy
competence Conclusions:

• Resident self-assessment does not appear to reflect competence
  as assessed by supervisors, or knowledge as assessed by objective
  tests.
• Global supervisor evaluations do not appear to reliably measure
  competence.
• Standardized supervisor assessment instruments are needed.
• Further work is needed to develop reliable, valid measures of
  competency.