Fellows meet with the Program Director on a semi-annual basis to review progress and receive feedback. Evaluations incorporate the six core-competencies and reports are submitted to the ABAI (American Board of Allergy and Immunology) at 6-month intervals. Throughout the year, fellows are evaluated by supervising faculty. Additional evaluations of competencies include simulated chart reviews, conference presentation/teaching evaluations, procedural skills evaluation, in-training examinations, patient surveys, and 360° Evaluations. Fellows are required to evaluate the faculty and the training program on a semi-annual basis. Fellows are required to maintain an accurate and up-to-date ACGME on-line patient and procedure log. Fellows are required to maintain an accurate and up-to-date learning portfolio documenting accomplishments towards achieving competency in the areas of patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism and system-based practice.