“…As they gain deeper, more integrated knowledge of the competency domains through clinical practice and supervision, trainees are believed to become more effective in self-assessing their professional competence (Hatcher & Lassiter, 2007). Further, significant anxieties and self-doubt early in training may further impair trainee self-assessment and reflective abilities (Knight, Sperlinger, & Maltby, 2010;Stoltenberg, Bailey, Cruzan, Hart, & Ukuku, 2014). With clinical experience, trainees may become more confident and effective in their reflective self-assessment (Laitila & Oranen, 2013).…”