Determining competency in procedural skills is a challenge in resident education, recently brought into prominence by the New Accreditation System and 2014 program requirements. To ensure readiness for safe and responsible independent practice, residents' technical performance needs to be assessed during each observation, in addition to their cognitive understanding. To truly determine competence, consistency over time and between patient encounters must be demonstrated. We describe the comprehensive system for tracking and evaluation of procedural competency developed at the Montana Family Medicine Residency. Our additional resources include our Procedures Passport as well as several of the Basic Skills Qualification (BSQ) forms we have developed, adapted from the Providence St. Peter Family Medicine Residency Program (with them giving credit to the Tufts University FMR at Cambridge Health Alliance). FMDRL_ID: 5633#2015 #Conferences #STFMAnnualSpringConference