ACGME Milestones Within Subspecialty Training Programs: One Institution's Experience.

Journal of Graduate Medical Education
Janae K Heath, C Jessica Dine

Abstract

The Accreditation Council for Graduate Medical Education Milestones were created as a criterion-based framework to promote competency-based education during graduate medical education. Despite widespread implementation across subspecialty programs, extensive validity evidence supporting the use of milestones within fellowship training is lacking. We assessed the construct and response process validity of milestones in subspecialty fellowship programs in an academic medical center. From 2014-2016, we performed a single center retrospective cohort analysis of milestone data from fellows across 5 programs. We analyzed summary statistics and performed multivariable linear regression to assess change in milestone ratings by training year and variability in ratings across fellowship programs. Finally, we examined a subset of Professionalism and Interpersonal and Communication Skills subcompetencies from the first 6 months of training to identify the proportion of fellows deemed "ready for independent practice" in these domains. Milestone data were available for 68 fellows, with 75 933 unique subcompetency ratings. Multivariable linear regression, adjusted for subcompetency and subspecialty, revealed an increase of 0.17 (0.16-0.19) in...Continue Reading

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Citations

Jul 18, 2019·Archives of Pathology & Laboratory Medicine·Candice C Black, Amy Motta
Aug 26, 2020·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Emily HinchcliffDiane C Bodurka
Feb 15, 2020·Clinical Rheumatology·Karina D TorralbaJames D Katz
Jan 16, 2021·Annals of Plastic Surgery·Peter J TaubLester Silver
Jun 29, 2021·Journal of Graduate Medical Education·Taylor SawyerHeather French
Aug 7, 2021·Cancer Cytopathology·Jeffrey S LaRochelle
Sep 11, 2021·BMC Medical Education·Xiu Hui TanLalit Kumar Radha Krishna

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