The fellows will be periodically evaluated to assess their continuous learning and incorporation of the emergency medicine knowledge and skills.  They will also be given an opportunity to provide feedback and assessments of the fellowship program and the instructors on periodic basis.  The fellows will take monthly pre-tests and post-tests for each module topic, and they will be evaluated by the instructors monthly regarding their clinical performance in the emergency department.  In addition the faculty will conduct an annual written and oral exam that covers the 12 modules within that year. In addition, a final exam covering all 24 modules will be given at the end of the fellowship program.