Fellow’s performances are evaluated by their respective attending physicians at the end of each clinical rotation. The attending physician discusses the evaluation with the fellow and fills out the evaluation form online (on New Innovations). The evaluation forms enable evaluation of ACGME competencies and overall clinical competence. Similar evaluation forms are filled out by attending physicians in the outpatient setting semi-annually. Research supervisors fill out a different form semi-annually. Evaluations include an assessment of the trainee’s procedural abilities and verify their technical proficiency in addition to the logbooks kept for the procedures. The log books are reviewed quarterly by the program director. The attending physician who supervised the bronchoscopy fills out an evaluation form for each procedure. The University ICU nurses evaluate the fellows annually for communication skills, teaching, responsiveness, patient interaction and leadership. These evaluations are filed in the fellows’ files after being reviewed by the program director. The fellows receive a copy of an evaluation summary that is kept in their file. These are discussed with the fellow at the semi-annual interview and performance review. All lectures are evaluated both by a evaluation sheet that is given to the lecturer and as required by CME.

The associate program director annually observes a fellow interviewing and examining a patient. She goes over this patient encounter with the fellow and then fills out an ACGME competency-based report. The associate program director also reviews a chart of a patient selected by the fellow. The chart must contain the record of the initial visit and one follow-up visit. She also discusses these with the fellow and reports this evaluation in writing.

The program director, who receives the evaluations before they are placed in the fellows’ files, discusses any significant problem with the trainees immediately. The fellows meet with the program director individually twice yearly when their performance and future plans are discussed. The program director and section chief also meet with the fellows as a group quarterly to hear the fellows’ evaluations of their rotations, problems, and suggestions for improvement.

The section of Pulmonary, Critical Care and Sleep Medicine’s Education Committee meets monthly, and any problem that may have arisen is discussed. Each quarter, the performance of every fellow is reviewed; steps are brought up that could be taken to improve performance. The fellows’ development and procedural skills are discussed in these quarterly meetings.

The program director and faculty evaluate and suggest corrective action to the fellows at any time in any of the teaching settings that includes Pulmonary and Critical Care Medicine case conferences, at which fellows present interesting or problem patients along with relevant literature.