This discussion forum will guide participants through the processes of identifying the requirements of a Competence Committee across structure, function, and process. Participants will also be introduced to a new Competence Committee Checklist and strategies to ensure an efficient deliberation process. Through consideration of the roles of the the Program Administrator, Academic Coach, residents, and (external/internal) members of a Competence Committee, participants will be able to conduct comprehensive review/progression decision-making for all residents.