Once the conditions of your academic discipline have been explained to you and you have signed your discipline letter, it is your responsibility to do what you have been instructed to do and provide detailed documentation. In addition, maintain a paper trail that shows how you are improving, including any positive feedback you receive from attendings. You are strongly urged to talk to your attendings about the specific areas where you are trying to improve so that they can help you in these areas and provide constructive feedback. Make sure that this feedback is included in writing in your end-of-rotation evaluations. Be proactive about identifying additional ways to prove that you are completing the requirements noted in your disciplinary letter.