The Office of Curricular Affairs at IU School of Medicine annually gathers assessment data on the performance of graduates during their first year in residency using the PGY-1 Survey, an instrument administered to program directors of graduates. This instrument and the administration process were updated to align core items with IU School of Medicine Core Competencies and the Accreditation Council for Graduate Medical Education (ACGME) competencies. A companion instrument to the PGY-1 Survey was developed and administered to graduates during their first year in residency in order to identify differences in perceptions between graduates and their program directors. And similar competency-based instruments were developed and administered to third-year medical students and preceptors as well as third-year graduates and their program directors. These instruments allow the school to examine the performance of students, differences in perceptions, and self-reported gains over time. Findings are reviewed during annual committee retreats to identify strengths and weaknesses of the current and new curriculum.