“…In the absence of effective feedback, impediments in reaching competencies should be expected [5,6,16,18,27,38,39,43,45,46]. Without effective feedback, mistakes/omissions are not corrected and good competency is not recognized and reinforced, ultimately slowing down the development of the learner [15,16,26,39,43,45,47,48]. Additionally, without effective feedback, some learners may be self-delusional regarding their competencies [38,49].…”