 The ACGME mandates an annual evaluation of all its accredited residency and fellowship programs to ensure their quality. To do so, we have developed a metric-based report card that assesses various aspects of the program's performance, such as success in obtaining ABA certification, performance on the annual ABA ASA in training examination, performance on mock oral ABA certification exams, trainee scholarly activities, accreditation site visits and internal reviews, ACGME and alumni survey results, NIMP results, exit interviews, diversity data, an extensive program, rotation, and faculty evaluations. These metrics provide a comprehensive overview of the program's performance and can be used to identify areas for improvement and track progress from one year to the next. This article was authored by Long Timothy R and Roe Stephen H.