Abstract
Purpose of Review
One of the major functions of the Accreditation Council for Graduate Medical Education (ACGME) is to accredit all approved residency programs. This accreditation system is based on both common and program-specific requirements that form the foundation of all ACGME-accredited training programs. Embedded within the program requirements are the essential elements of the Competencies and Milestones. In this review article, we hope to provide the reader with an overview of the current Milestones and a preview of what lies ahead.
Recent Findings
Milestones for resident education were implemented approximately 7 years ago. The milestones were intended to create a logical trajectory of professional growth which could be measured and tracked for each sub-specialty. However, substantial variability in both content and developmental progression was seen in many specialties. The ACGME has been actively reviewing the Milestones to insure that there exists harmony across all specialties.
Summary
Much has been learned about the milestones since their implementation. As educators, we need to provide a robust and reproducible system for all to use. The future of resident education, Milestones 2.0, will provide the necessary groundwork for a more user friendly system that will allow adequate evaluation of our trainees.
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References
Nasca TJ, Philibert I, Brigham T, Flynn TC. The Next ACGME accreditation system - rationale and benefits. N Engl J Med. 2012;366(11):1051–6.
Batalden P, Leach D, Swing S, Dreyfus H, Dreyfus S. General competencies and accreditation in GME. Health Aff. 2002;21:103–11.
Lee AG, Oetting T, Beaver HA, Carter K, Task Force on the ACGME Competencies at the University of Iowa Department of Ophthalmology. The ACGME Outcome Project in Ophthalmology. Practical recommendations for overcoming the barriers to local implementation of the national mandate. Surv Ophthalmol. 2009;54:507–17.
Dreyfus S, Dreyfus H. A five-stage model of the mental activities involved in directed skill acquisition. California University Berkeley Operations Research Center [monograph on the Internet]; 1980. Available from : http://www.dtic.mil/dtic/index.html
Holmboe ES, Yamazaki K, Edgar L, Conforti L, Yaghmour N, Miller RS, et al. Reflections of the first 2 years of milestone implementation. J Grad Med Educ. 2015;7:506–11.
Schumacher DJ, Lewis KO, Burke AE, Smith ML, Schumacher JB, Pitman MA, et al. The pediatrics milestones: initial evidence for their use as learning road maps for residents. Acad Pediatr. 2013;13:40–7.
Korte RC, Beeson MS, Russ CM, Carter WA. Reisdorff EJ; Emergency Medicine Milestones Working Group. The emergency medicine milestones: a validation study. Acad Emerg Med. 2013;20:730–5.
Edgar L, Roberts S, Holmboe E. Milestones 2.0 - a step forward. JGME. 2018;6:367–9.
Green ML, Aagaard EM, Caverzagie KJ, et al. Charting the road to competence: developmental milestones for internal medicine residency training. The Milestones Guidebook Holmbom ES , Edgar, L Version 2015
Hunderfund AL, Reed DA, Starr SR, et al. Ways to write a milestone: approaches to operationalizing the development of competence in graduate medical education. Acad Med. 2017;92(9):1328–34.
Society of Academic Urology Executive Committee Taskforce Report. Winter 2019 SAU meeting, Sorensen M, Coburn, M
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Karim J. Hamawy and Laura Edgar each declare no potential conflicts of interest.
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Hamawy, K.J., Edgar, L. Urology Milestones 2.0: The Future Looks Bright. Curr Urol Rep 20, 85 (2019). https://doi.org/10.1007/s11934-019-0946-9
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DOI: https://doi.org/10.1007/s11934-019-0946-9