Residency in O&P has garnered much discussion since its inception in 1993. Topics ranging from resident selection to the ideal learning environment serve as the backdrop for this educational paradigm that is now mandatory in our profession. Residency is the next logical step in the progression of O&P educational training. Where classroom training ends, residency picks up and training continues in the clinic arena. While much discussion lies in how residents are shaped, little discussion has taken place about how residency has shaped practices—in this case, how residency has shaped our orthotic/prosthetic practice at Children’s Memorial Hospital, Chicago, Illinois.