Assessment of a resident's progress is based on monthly evaluations submitted to the program director by the faculty. Other considerations in determination of decisions regarding promotion include clinical evaluation exercises, OSCE simulations, timely completion of medical records, attendance and participation in conferences, performance in the ambulatory clinic and performance on tests and scholarly activities.

Demonstration of scholarly activity is an important component of training. St. Luke's staff expects each resident to become an avid reader of medical literature. Competence searching medical literature and self-directed learning skills are essential elements of a successful medical career. Each PGY-3 is also expected to present a Clinico-Pathological discussion of an unknown case.

All residents are encouraged to identify a topic suitable for presentation in abstract form to the annual Missouri Associate's Poster Competition of the American College of Physicians. St. Luke's is proud of our residents' performance in this annual event where each year we have many high-quality presentations. As our Quality Improvement and Patient Safety Curriculum expands, team poster presentations of clinical research and quality initiative projects have become a major part of our annual exposure at other regional and national meetings as well. St. Luke’s has been a strong advocate of resident scholarly activity and provides support to residents developing and presenting scholarly works.