The authors, medical school faculty from Stanford University, reported on a mixed design study of second year medical students (n = 73) using a high fidelity computerized pelvic exam simulator to practice the process of pelvic examination. The authors analyzed computer generated simulator data and written clinical assessments collected from participants. Results of the study include identifying and defining four novel performance indicators of pelvic examination: time to complete exam, number of critical areas touched, maximum pressure of touch, frequency of touching an area. Statistics were calculated for reliability on each of the defined areas and three of the four correlated positively with accuracy on the written assessments. This study demonstrated a new method of analyzing data generated by a computerized simulator as well as deriving performance indicators from the simulator data, and the study also assessed the validity of the indicators derived by comparing participant results with their accuracy on written assessments. The authors concluded and supported with statistics that the new assessment measures used in the study provided an objective, reliable and valid method of assessing studentsâ€™ pelvic exam techniques. Provided documented evidence to support the use of a simulator in assessing medical studentsâ€™ performance on pelvic exam.