The fellow is evaluated after each clinical rotation by the attending faculty. Appropriate areas of weaknesses and strengths are identified. The fellow meets bi-annually with the fellowship director to review his/her performance and to identify areas of improvement. The fellowship director works with each fellow to devise individual means to aid in improving his/her performance when necessary. The fellow will also get an opportunity to evaluate each faculty member as to the effectiveness of his or her teaching, research, and clinical skills. The information will be provided to the department chairman for staff development purposes.