, Volume 38, Issue 3, pp 249-252
Date: 24 Apr 2014

The Psychiatry Milestones: New Developments and Challenges

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The special cluster of articles in this issue of Academic Psychiatry [19] on the Psychiatry Milestones introduces and overviews the accomplishments of the Psychiatry Milestones Working Group and allows us to appreciate the trajectory of the Next Accreditation System (NAS) of the Accreditation Council for Graduate Medical Education (ACGME) [10], as it applies to general psychiatry.

Psychiatric education is evolving. In 1997, the ACGME initiated the Outcome Project for Graduate Medical Education (GME) following the Institute of Medicine’s attention to safety and quality. The Outcome Project began a developmental approach to residency and fellowship training, with emphasis on trainee, and program performance [11]. The ACGME established a competency-based education and required assessment of individual proficiency within each of the six core competencies [12].

The competency movement began as a developmental, conceptual framework largely grounded on the Dreyfus and Dreyfus model (from novic ...