The residents are expected to document the experience they are getting along the years. The resident will log all the patients s/he is caring for on a log book. By caring for, we mean that the resident wrote at least an admission note and one progress note or cared for the patient at the Emergency Department (ED).

The patients who are chronic cases and have no new events are considered once in the log book and not daily. During the elective, the residents are not supposed to log their patients as they are observers not actively taking care of the patients. The information logged should include case number of the patient, date of birth, admission and discharge date, diagnosis (primary and secondary) and disposition.

For those patients the resident is caring for only during the night call, the admission and discharge dates should be the same. When the resident leaves the rotation, and the patient is not discharged, s/he should mention: "end of care date" rather than discharge date.

Another section in the log book is the procedures section. It is where the resident is supposed to enter all the procedures s/he is performing on her/his patients, including the patient case number, the date the procedure was performed and the physician who supervised them. These procedures will also be logged in the web-based program we will mention later.

A photocopy of the log book should be submitted to the program administrator every Monday morning. No delay is acceptable. A session will be given by the program administrator for orientation about how to fill the log book.

The Department of Pediatrics and Adolescent Medicine at AUBMC offers, as well, the opportunity for the teams to evaluate each other in the aim of improvement. This is done using an electronic program of evaluations. The program can be accessed using the following URL: https//:www.myevaluations.com. Every resident will be given a username and password assigned at the beginning of the year. The evaluations are confidential and anonymous, and only the program director will have access to the confidential comments. The resident will be able to see the evaluations her/his peers wrote her/him, but these can only be read after five evaluations were submitted in order to maintain anonymity. The resident will evaluate the program, the rotation, the attending physicians and the peers working with her/him. S/he will also have the opportunity to evaluate the lectures given by colleagues and other healthcare professionals or by the attending physicians. The latter will also evaluate the resident at their turn.

The evaluations will be assigned monthly to the teams. The program will send an automatic reminder to the teams to their emails informing them that the evaluations have been assigned. The evaluations have to be filled on time and as soon as possible. No delay in evaluation filling will be tolerated.

The program also allows the resident to log in the procedures s/he is performing on her/his patients. There are a minimum number of procedures every resident is supposed to do before graduation. These numbers are available on the same URL. This is why it is very important to document all these procedures, both on the log book and online through myevaluations. These procedures will be reviewed by the attending physician or the certified resident who supervised the procedure to approve it for the resident in question. The new comers will get a session to teach them how to use this program.