Final Recommendations for Promotion and Graduation:
The program director reviews fellow performance providing an overall performance score. The program director makes recommendations for promotion and graduation.
- Outstanding (9): Achieved 9 in all six core competencies; the "Best Fellow" in their class this year.
- Superior (8): Achieved > 8 or more in all three required areas core competencies areas and > 5 in all other areas; performance places Fellow in the top 10 person of their class.
- Very good to superior (7): Achieved > 7 in all core competencies areas and > 5 in all other areas; equivalent to top 25 percent.
- Above Average (6): Achieved > 6 all core competencies areas and > 5 in all other areas; equivalent to the top 30 percent.
- Satisfactory (5): Achieved 5 in all core competencies areas and > 5 in all other areas: Solidly at the center. Constitutes the average fellow. Mid 30 percent.
- Marginal. Performance needs attention (4): Achieved 4 in any core competency. Lower 30 percent. At risk for further problems. Intervention should occur, starting with discussion at the ROC level. Remediation alternatives may include scheduled "one-on-one" with either a CMR or mentor, assignment to a specific individual with proficiency in that area, maintenance of a reading log, or shadowing with an "outstanding" or "superior+" Fellow for a month.
- Unsatisfactory or Failing: Only achieved < 3 in any core competency. No reasonable expectation of ability to handle patient care unsupervised in the next six months.
- Successful completion of each fellowship year.
- 24 months of training.
- Meet all ABIM criteria and standards for training and certification.
- Completion of the research project assigned.