Workplace-based assessment of clinical competence is essential as an educational tool for residents. The residents in dermatology and venereology at Södersjukhuset, Sweden, reported lack of feedback in an evaluation 2014. Therefore, a project to enhance the use of formative assessment methods was launched in 2018. All dermatologists were educated in formative assessment methods and feedback, certain clinical skills which should be assessed during the education was established, and a requirement to perform at least six formative assessments each year of residency was introduced. After two years, all residents had participated in a median of 7 (range 3-21) formative assessments the past year and reported regular use of assessment tools for clinical skills, good access to clinical teachers, and frequent feedback.