Objective(s): The focus on competency attainment by professional psychology trainees obligates training programs to assess these competencies prior to completion of an internship. However, little is known about how trainees may perceive such testing. This study examines relationships between performance on an Oral Final Competency Examination of a clinical case and trainee perceptions of that examination. Method: Oral Final Competency Examinations were conducted utilizing the California School of Professional Psychology model with 48 interns over five internship years. Trainees presented a case to examiners, were rated in six competency domains by two examiners, and completed a questionnaire regarding their perception of the exam process two weeks later. Results: While all trainees passed the examination, those with lower scores perceived the examination and examiners less favorably. Prior experience with similar tasks and self-reported performance anxiety were surprisingly not related to exam performance. Conclusions: This study found that trainees' perceptions of an end-of-internship oral competency examination were strongly related to their examination performance. It is important that training program faculty reinforce the responsibility trainees have for their own performance, rather than re-evaluating the examinations themselves based on student feedback, which may be influenced by student performance.