Evaluation Resident performance is regularly reviewed to ensure satisfactory progress. Informal feedback from attendings with respect to medical knowledge, reports, diagnostic and therapeutic imaging plans is given. Formal written evaluations are completed by attendings, fellows, and all residents at the completion of each rotation. Each resident meets with the program director at least semiannually to review performance. Participation in the annual American College of Radiology In-Service Examination is required during the first three years of residency. This test provides an external benchmark to guide the Resident in their study.