The conscientious preceptor continuously reviews the program content and structure in light of established goals. Ongoing appraisal is necessary for good program direction and for evaluation of the fellow’s growth. It also helps to measure fulfillment of predetermined objectives and to select an appropriate administrative position after completion of the fellowship.

Performance planning
One method for ongoing evaluation involves performance planning. The fellow and the preceptor identify areas of responsibility, objectives, measurement criteria, and priorities before the postgraduate training experience and during its various phases. The preceptor then supervises through a “management objectives” format. Regular evaluations are scheduled between the preceptor and the fellow, with evaluation based on the fulfillment (both qualitatively and quantitatively) of the predetermined objectives.

Principles involved:

• The performance planning and evaluation process is primarily designed to assist individuals in reaching their optimal level of contribution to the organization, while maximizing their job satisfaction.
• The performance planning and evaluation program is an ongoing process of preceptor/fellow communication.
• The fellow will play an integral part in the development, review, and finalization of a predetermined performance plan. Included in such a plan will be: (1) major areas of responsibility; (2) objectives; and (3) measurement criteria and priorities.
• A performance plan will be developed for each individual. The fellow prepares the plan, the preceptor serves as counselor/consultant, and both agree on the final product.
• One of the major responsibilities of the preceptor is to use this process to assist fellows in assessing their strengths as well as their weaknesses and to help them establish and achieve realistic career goals.
• While the organization can offer the fellow guidance in reaching career goals, the primary responsibility for career development and self-development is that of the fellow.

Peer review of individual fellowship experiences and of preceptors is also imperative. This review will ensure that the fellowship maintains its timeliness and validity and improves in quality. Further development in this area could feature a qualitative review of content. Validation of the fellowship by practicing managers in the field enhances the value of the experience for fellows and ensures the organization’s contribution. The ability of graduate fellows to secure challenging employment opportunities is also useful feedback for the program.