Health professionals require skills and attitudes beyond medical knowledge and pre-clerkship faculty play an early role in developing these attributes in students. However, because of the heavy focus on medical knowledge during pre-clerkship training, programs often struggle to incorporate experiences and assessments that prepare students for all aspects of clinical work. One approach to addressing this issue is to incorporate competency-based formative and summative feedback schemes into the pre-clerkship curriculum that are compatible with established small group learning modalities. Competency-based feedback strategies allow a holistic view of student development and can be used to coach learners in a variety of domains, such as medical knowledge, practice-based learning and improvement, systems-based practice, interpersonal skills and communication, and professionalism. They also provide students with rich feedback across all aspects of their performance and establish a roadmap that encourages learner development and sustainability. This interactive focus session will provide practical information and a framework that participants can use to implement milestone-based feedback strategies that include multiple competency domains at their institutions. After completing this focus session, participants will be able to: 1. Describe qualitative formats of feedback and how they can be used to equip students with a diverse set of competencies during pre-clerkship medical education. 2. Design different team-based learning environments that can be used to observe student behavior and provide formative and summative feedback. 3. Discuss how oral and written feedback differ in their use and design. 4. Discuss how feedback from these sessions can be used to identify previously undetected competency challenges and allow opportunities for coaching and remediation before students enter the clinical workplace.