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Undated draft of an announcement, possibly for publication, by Alden Partridge about the American Literary, Scientific, and Military Academy in Norwich, Vermont, including comments about a recent pedestrian excursion; undated but may date to 1831 based on the students included on the excursion.

The writer (Alden Partridge as "An American Citizen") has endeavored to point out to the people the amount of service to expect from young men educated at their expense at West Point at the rate of $1,600 each. These young men are not of any use in improving the militia or in disseminating military information. Partridge reflects on cadets who leave the Academy by dismissal or resignation. Asks whether these cadets instruct the militia or volunteer corps and states he knows not a single instance of this. Wonders how many of them serve commissions in the militia or volunteer corps and states he knows but a few instances. Believes the volunteer and militia companies would not be likely to select those for commanders who had suffered military disgrace at West Point, either by dismissal or forced resignation. Suppose the number of militia in the country to be one million, divided into companies of 100 each, then this would give 10,000 companies. It would require 161 years to furnish a single officer to each company and would cost the people four million dollars annually. It is absurd to talk about improvement of the militia by means of the present military academy. Partridge makes a few remarks relative to the expense of the buildings at West Point. The tavern, being in the immediate vicinity of the quarters, means the cadets can be more easily detected if they visit it than they would if it were removed. It would be well for Congress to call for an official and full statement of all the expenses of the Academy each year. Query 1: Were not charges of a serious nature made several years ago against the present superintendent of the Academy? Query 2: Has there been any investigation of those charges? Query 3: Did not the superintendent make a false report to the War Department? Query 4: Was not the individual implicated in the report denied a copy? Query 5: Did not 80 cadets resign within a period of 18 months Query 6: Have there not been several serious disturbances amongst the cadets since the present superintendent has led the institution? ; Letter written for publication. There is a series of five letters; this is number five of five.

Competency-based medical education has evolved as an alternative approach in the residency training program. It shows potential to align educational programs with health system priorities through defining the competencies of graduating doctors. Designing and implementing Competency Based Post Graduate (CBPG) training in a resource-limited setting, where most of the trainings are still run in a conventional approach, is a big challenge. Patan Academy of Health Sciences, School of Medicine has taken the competency-based approach in the postgraduate residency training. Defining core competencies and connecting those to teaching methodology and assessment system are important initial steps in implementing the competency-based approach. The institution has implemented Entrustable Professional Activity (EPA), which is a unit of professional practice and helps to measure the trainees' achievements in the form of milestones. This paper describes the process of piloting and implementing the CBPG program at this school.The school launched the CBPG training in 2018 and so far, three batches of residents have been enrolled in nine different subjects/disciplines. The first batch of trainee, having the PAHS Core competencies and the pre-defined discipline-specific EPAs certified, will be completing their training soon. The program is time and resource consuming. Continuous faculty development, commitment, supportive leadership and faculty readiness to adapt to newer approaches are the key to the program's successful implementation.Keywords: Competency based medical education; Nepal; patan academy of health sciences; post graduate training; residency program

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