Resident performance is evaluated by attending physicians on each service at the end of each rotation. The evaluations utilize a grading system with components from the areas of: core competency criteria; medical knowledge, patient care, interpersonal and communication skills, practice based learning and improvement, professionalism and system based learning; as well as section for comments.  These evaluations are discussed with each resident and kept on file for resident and institutional review.
Mock Oral Evaluations
Each resident is tested in an oral examination format twice yearly utilizing the model of the American Board of Surgery Certifying Examination. The results of this examination are discussed with all members of the teaching staff. Additionally, the Surgery Residency Advisory Committee meets on a monthly basis and discusses the progress and performance of each resident within the program.

ABSITE Examination
The American Board of Surgery In-Training Examination (ABSITE) is administered annually to each resident. The results of this examination are used to identify areas of weakness and the need for further study. Although the examination is compulsory, the results of the examination are not used as a requirement to progress within the residency program.

Program Director Semi-annual Evaluations
The Surgical Residency Program Director meets with each resident individually twice annually to discuss the resident's overall progress within the residency program.  Topics discussed will include: rotation evaluations, oral examination results and in-service exam results.

Evaluation of Faculty, Services and Program
Resident input concerning the curriculum and the teaching staff is welcome on an informal basis and may be shared with the Program Director at any time. In addition, each resident annually completes a detailed evaluation of the curriculum, conference schedule, oral examination and procedures of the program. On either an annual or quarterly basis, each resident evaluates the individual rotations and faculty at Swedish, Harborview and Children's. Teaching faculty are evaluated on effectiveness of teaching, directness of communication, and resident participation and responsibility, as well as the attendings feedback to the residents. There is a section for open-ended commentary.  These evaluations are compiled in a confidential manner so that the Program Director and attending staff do not know the source of individual grades or comments, and are discussed annually during the Annual Program Evaluation Meeting in June.

Surgery Residency Advisory Committee (SRAC)
The Surgery Residency Advisory Committee determines the composition of the surgical attending staff and work to modify other components of the residency program.  The annual evaluations of the program, faculty and services are utilized by the Program Director and SRAC members for development of the program, resident, faculty and services.

Graduate Medical Education Committee (GMEC)
The General Surgery Residency Training Program is monitored by the GMEC of Swedish Medical Center. This committee meets quarterly and reviews ongoing events and changes within the surgical residency program. In addition, a formal written report is presented to this committee annually for approval by the committee. This report and other ongoing events within the Surgery Residency Program are presented to the Department of Surgery and the SRAC.