Physicians who work in organizational settings can expect to be evaluated at least twice a year. Yet physicians are accustomed to functioning autonomously, and they may resist having their performance measured or become anxious at the thought of it. Several recommendations are made to help physicians survive the ordeal: (1) establish measurable goals and objectives for the year; (2) perform at your very best at all times; (3) obtain feedback about your performance from your colleagues; (4) ask for a mentor if you lack experience; (5) learn to manage upward; (6) let your boss know when other people have praised your work; (7) insist on face-to-face evaluations; and (8) sign your annual performance review and indicate agreement or disagreement.