Evidence based medicine (EBM) skills are important to foster throughout medical training, as EBM principles aim to promote the conscientious, explicit, and judicious use of the current best evidence for the care of individual patients. As medical complexity and the volume of scientific literature increases, EBM skills are made more essential to guide clinical practice. Through the process of curriculum development, this project aims to improve perceptions of the EBM learning environment at OHSU, EBM skills during residency, and congruency between resident desires in an EBM curriculum and the demands of modern clinical practice.