Real Ear Measurements (REM) are a verification method used during hearing aid fittings where a tiny microphone is placed in the ear canal to measure the actual sound levels reaching the eardrum while the hearing aid is in place. This process allows audiologists to precisely program hearing aids according to an individual's specific hearing loss and unique ear canal characteristics, rather than relying on manufacturer software estimates, making it the gold standard for ensuring hearing aids deliver appropriate amplification at each frequency where hearing loss exists.