“…Formally articulated in the ACPE Standards, CPE assessment focuses on curricular objectives, student learning outcomes, and individualized contracts for learning as the basis for training and evaluation. Traditionally CPE outcomes are evaluated qualitatively, using the personal testimony or subjective interpretation by CPE supervisors and students (Fitchett & Gray, 1994;O'Conner et al, 2001;Wilson, 2004). Without standard tools or measurements, assessment lacks inter-rater reliability.…”