“…Five trials reached the highest level of validity evidence for 1 or 2 sources by applying multiple measures of reliability (internal structure), investigating the correlation between assessment scores and relevant training level (relation to other variables), or investigating the influence of the assessment, such as how many residents passed the defined competency level required before training in the operating room (consequences). 114,116,123,127,130 One trial investigated 4 different sources of validity, lacking evidence only for quality control of scoring. 130 Efficacy of Training Models.…”