Objectives: To describe the views, concerns and mental representations about evaluation methods for different anesthesia training programs from the Residents and program Academic Directors perspective. Design: Qualitative epistemological study, using speech analysis from the program director and residents in two different programs of anesthesia specialization. Results: There exist a difference between an evaluation objectives and how are they interpreted by the evaluator and the resident. Despite theoretical limits for hard and soft skills, in the real-life scenario both of them are evaluated using the same tools, giving a mayor role to the former than the later. Evaluation is used almost exclusively as a grading method, ignoring the other uses of evaluation. Evaluation has academic and non-academic effects on residents and program directors. Conclusion: There exist a lack of medical education literature in Colombia. The evaluation and qualification methods must change and become similar between universities. The state must play a role in those changes.