Resident advancement from the R-1 year, the R-2 year, and from the R-3 year to graduation shall be determined by the Residency Director with the advice of the faculty of the department.

The method of evaluation shall consist of direct observation of the resident as well as by indirect observation through media, rotation evaluations, correspondence between departments and written examinations (National Boards, Flex exams, Inservice exams).  It is expected that residents will participate in all aspects of the curriculum, as well as in the periodic evaluation of educational experiences and teachers.  It is further expected that residents will complete all administrative responsibilities of a resident, including licensure, credentialing, etc. in a timely fashion.

The criteria for advancement shall be based upon four parameters, all of which need to be judged as competent for each level of advancement.  There parameters are:

Clinical Competence-fund of knowledge, clinical performance (rotation evaluations), clinical judgment, knowledge of limitations, doctor-patient relationship.

Professional Behavior-working relationship with others, acceptance of responsibility, punctuality, reliability.

Technical Skills-procedural competence and experience, documentation, medical record thoroughness, completeness and timeliness.

Impairment Prevention-absence of impaired function due to mental or emotional illness, personality disorder, or substance abuse.

There are three steps, which shall be evaluated.  The R-1 to R-2, the R-2 to R-3, and the R-3 to graduation steps.  At each level, acceptable progress in the four parameters will need to be documented.  Additionally, the resident must by judged competent to supervise others (R-1s and students), and to act with limited independence.  In the R-3 to graduation step, the resident must be judged competent to act independently.