Self-evaluation has gained importance in medical education because it helps trainees in self-reflection and in developing insight into their strengths and weaknesses, two necessary skills for professional life (1). But do trainees really understand their weaknesses or deficiencies? Interestingly, research in self-assessment skills has shown that deficits in the ability to assess one’s own competence are common among subjects who perform poorly (2, 3). This lack of insight about one’s deficits has been ascribed to relatively poor metacognitive skills, leading to lack of understanding about weaknesses and poor training in self-assessment. This could be overcome by providing both earlier knowledge and subsequent feedback regarding the desired competency (3, 4).