Abstract: Medical training and performance assessment instruments, methods, and systems are disclosed. Training and/or assessment systems may include an augmented medical instrument for use by a student to examine a patient. A system in accordance with one aspect of the invention includes a first augmented medical instrument configured to sense a first physical parameter during examination of a subject and produce a first examination data and a second augmented medical instrument configured to sense a second physical parameter during examination of the subject and produce a second examination data. The system is configured to generate at least one simulated physical parameter based on the first examination data and present the at least one simulated physical parameter to the student on the second augmented medical instrument.