By the end of the training year, the resident is expected to be prepared for competent, independent clinical practice. To this end, evaluation procedures are instituted to ensure the resident's progress throughout the year, to provide feedback when changes are necessary, and to give the resident a clear idea whether or not he or she is proceeding satisfactorily and if there will be any difficulty in finishing the residency successfully. Evaluations are conducted three times per year, at three months, six months, and twelve months into the residency. The first evaluation is informal, with the resident, Program Coordinator, and the Director of Clinical Training exchanging information, face-to-face, in verbal, and sometimes written, format. The second and third evaluations are more formal in that all supervising faculty are required to complete a written evaluation of the resident's progress. In addition to face-to-face encounters, these evaluations are summarized in an overall evaluation report which is sent to the resident's university clinical training director.

At each evaluation period, the resident is asked to comment on his or her own experiences and to evaluate the program itself. These comments are used to address specific resident needs as they change through the year. At the end of the training year, written evaluations of the program and of the supervisors are required from the resident. These are compiled by the Director of Clinical Training and, together with earlier resident comments, used to modify training policies.