This lesson is divided into two parts. Part one will provide an overview of the use of simulation to assess and evaluate competencies in simulation by learners from various healthcare settings and levels of expertise. The lesson is intended to provide the basics of embedding assessment and evaluation into simulation experiences. The focus of the second lesson will be the selection of a method and tool for either assessment or evaluation appropriate to the simulation desired outcomes. In addition, developing a remediation plan and addressing factors related to language and culture will be reviewed briefly. An unfolding case study will be used to illustrate these concepts.