The authors describe a new approach towards assessing skills of medical trainees. Based on experiences from previous projects with (i) applying virtual environments for medical training and (ii) competence assessment and personalisation in technology enhanced learning environments, a system for personalised medical training with virtual environments is built. Thus, the practical training of motor skills is connected with the user-oriented view of personalised computer-based testing and training. The results of this integration will be tested using a haptic device for training spinal anaesthesia.