What is so important about a rubric? We are familiar with competencies, milestones, benchmarks, and metrics as these terms are ubiquitous to health care clinical and learning environments. Simply put, a rubric is a tool or guide used to assess performance. A thoughtful rubric should start with a clear, meaningful goal at the forefront. It should be used to align expectations, measure skills, foster reflection, and improve opportunity for correction and less-biased feedback. Further, the best rubrics are intermittently updated based on how well they serve their intended purpose. With Accreditation Council for Graduate Medical Education (ACGME) changes to program requirements for family medicine residency programs enacted in July 2023 many are creating or revamping curricula that will include a rubric for evaluators and learners to understand when objectives are met. 1