Every year of training has incremental competency-based learning objectives, which are distributed at the start of each year.  Every rotation has its own learning objectives as well.  Residents are expected to achieve milestones in each of the competencies appropriate to their level of training.  Attendings submit written evaluations on resident performance at the completion of each rotation, and continuity clinic attendings complete evaluations every 3 months.  Additional evaluations are solicited from nursing, staff, patients, students, and peers (360˚ evaluations).  All evaluations are reviewed by the Clinical Competency Committee (CCC) and the Program Director. The CCC completes a milestones evaluation on each resident every six months to ensure each resident is making satisfactory progress, and the Program Director discusses their findings with each resident.  Each resident also takes the Neurology RITE examination (Resident In-Training Examination) annually, which provides feedback to the resident on his or her knowledge as compared to others nationwide at the same level of training.  Our residents are expected to score no lower than 50th percentile on the RITE examination.  A professional learning plan will be developed by the CCC and the Program Director together with each resident every six months to aid in the resident’s achievement of competence in each of the six competencies.  It is hoped that with proper attention to our feedback and guidance, each resident should attain the skills necessary to practice neurology independently upon completion of our three-year residency training program.