Icahn School of Medicine at Mount Sinai supports an atmosphere of reflective practice and a culture of quality and self improvement to promote our rigorous standards of excellence. As a school we use a broad range of learner assessment tools to provide meaningful formative and summative information as well as to provide evidence that students have met program competencies. Written- and computer-based examinations, oral examinations, demonstration of skills, self- and peer- assessments, standardized patient feedback, and faculty evaluations are included so that decisions about competence can be made in an evidence-based manner. The administrative and advising systems within Student Affairs provide support for an early warning approach to students in difficulty, assure appropriate responses to assessment data, and harness resources such as tutoring, faculty guidance, or remedial programs when necessary.