self-esteem

I'm a fifth year medical student in a six year European-style program. We don't have Board exams and essentially matching is done based on your overall class rank, which is 50% the combined average of your annual class rank for the six years and 50% your rank in a final comprehensive board-style...

Hi all, I'm confused about this question and I guess that means the difference between efficacy and esteem. I thought that efficacy was literally your belief in you competence as an individual and esteem was your self worth/ +/– view of your self. Can anyone clear this up for me? Testing...