Most emergency medicine educators are familiar with the Milestones,  the current evaluation system for emergency medicine residents, and these have been shown to be imperfect and highly subjective. Ath the same time, EM residents need to achieve competency in patient safety and quality improvement processes, Today we’re talking about a recent paper in AEM Education and training journal, “Implementation of a Pilot Novel Objective Peer comparison evaluation system in an emergency medicine residency program.” First author Dr Kraftin Schreyer, MD MBA is here to discuss it with us.