Background: Under Competence by Design (CBD), there are required training experiences (TEs) and entrustable professional activities (EPAs) in the Transition to Practice (TTP) stage. Limited literature exists to support an evidence-based approach to its implementation and evaluation. We created a novel outpatient rotation for PGY5 neurology residents, simulating independent practice and addressing the TTP TEs. Methods: We conducted a needs assessment with informal interviews of senior residents, the program director, and program administrator of our neurology residency program. Guided by Royal College requirements, and available TTP-focused literature, we designed a general neurology clinic run by PGY5 neurology residents. Focuses included increased independence and efficiency, longitudinal follow-up, and applied principles of practice management. Results: Go-live was August 1, 2024. Eight PGY5 residents completed one block, with a second scheduled later in the academic year. Eleven supervisors participated across two sites. Surveys and structured interviews will be used for both groups to evaluate the program, based on the Kirkpatrick Model. Conclusions: Development of a dedicated clinic addressing the TTP TEs in CBD is feasible. Iterative evaluation of the structure, delivery and outcomes of this required TE is critical to ensure that objectives are met and value is added to the residency curriculum.