Pediatric Endocrinology Milestones 2.0-guide to their implementation.
Adult Learning
Fellowship
Graduate Medical Education
Milestones
Journal
BMC medical education
ISSN: 1472-6920
Titre abrégé: BMC Med Educ
Pays: England
ID NLM: 101088679
Informations de publication
Date de publication:
20 Dec 2023
20 Dec 2023
Historique:
received:
10
07
2023
accepted:
09
11
2023
medline:
21
12
2023
pubmed:
21
12
2023
entrez:
21
12
2023
Statut:
epublish
Résumé
The Milestones were initiated by the Accreditation Council for Graduate Medical Education (ACGME) to provide a framework for monitoring a trainee's progression throughout residency/fellowship. The Milestones describe stepwise skill progression through six core domains of clinical competency: Patient Care, Medical Knowledge, Interpersonal and Communication Skills, Practice-based Learning and Improvement, Professionalism, and Systems-based Practice. Since their introduction in 2013, several barriers to implementation have emerged. Thus, the ACGME launched the Milestones 2.0 project to develop updated specialty-specific milestones. The Pediatric Endocrinology Milestones 2.0 project aimed to improve upon Milestones 1.0 by addressing common limitations, providing resources for faculty to easily incorporate milestones into their assessment of trainees, and adding sub-competencies in health disparities, patient safety, and physician well-being.This paper reviews the development of the Pediatric Endocrinology Milestones 2.0 including the major changes from Milestones 1.0, development of the Supplemental Guide, and how Milestones 2.0 can be applied at the program level. Although use of the Milestones are required only for ACGME programs, the tools provided in Milestones 2.0 are applicable to fellowship programs worldwide.
Identifiants
pubmed: 38124091
doi: 10.1186/s12909-023-04862-5
pii: 10.1186/s12909-023-04862-5
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
985Informations de copyright
© 2023. The Author(s).
Références
Nasca TJ, Philibert I, Brigham T, Flynn TC. The next GME accreditation system — rationale and benefits. N Engl J Med. 2012;366(11):1051–6.
doi: 10.1056/NEJMsr1200117
Batalden P, Leach D, Swing S, Dreyfus H, Dreyfus S. General competencies and accreditation in graduate medical education. Health affairs (Project Hope). 2002;21(5):103–11.
doi: 10.1377/hlthaff.21.5.103
Andolsek KM, Jones MD Jr, Ibrahim H, Edgar L. Introduction to the milestones 2.0: assessment, implementation, and clinical competency committees supplement. J Graduate Med Educ. 2021;13(2s):1–4.
doi: 10.4300/JGME-D-21-00298.1
Dzara K, Huth K, Kesselheim JC, Schumacher DJ. Rising to the challenge: residency programs’ experience with implementing milestones-based assessment. J Grad Med Educ. 2019;11(4):439–46. https://doi.org/10.4300/JGME-D-18-00717.1 . PMID:31440339;PMCID:PMC6699530.
doi: 10.4300/JGME-D-18-00717.1
Li ST. The promise of milestones: are they living up to our expectations? J Grad Med Educ. 2017;9(1):54–7. https://doi.org/10.4300/JGME-D-16-00694.1.PMID:28261394;PMCID:PMC5319628 .
doi: 10.4300/JGME-D-16-00694.1.PMID:28261394;PMCID:PMC5319628
Edgar L, Hogan S, Hamstra S, Holmboe E. The Milestones Guidebook 2020. Chicago: Accreditation Council for Graduate Medical Education; 2020. Available from: https://www.acgme.org/globalassets/milestonesguidebook.pdf .
Hamstra S, Edgar L, Yamazaki K, Holmbe E. Milestones Annual Report 2016.Chicago: Accreditation Council for Graduate Medical Educatio; 2016. Available from: https://www.acgme.org/globalassets/pdfs/milestones/milestonesannualreport2016.pdf .
Edgar L, Roberts S, Holmboe E. Milestones 2.0: a step forward. J Grad Med Educ. 2018;10(3):367–9.
doi: 10.4300/JGME-D-18-00372.1
McLean S, Edgar L, Harsy B. The milestones 2.0 development process. J Graduate Med Educ. 2021;13(2s):4–7.
doi: 10.4300/JGME-D-20-00909.1
Edgar L, Jones MD Jr, Harsy B, Passiment M, Hauer KE. Better decision-making: shared mental models and the clinical competency committee. J Grad Med Educ. 2021;13(2 Suppl):51–8. https://doi.org/10.4300/JGME-D-20-00850.1 . 10.4300/JGME-D-20-00850.1. Epub 2021 Apr 23. PMID: 33936533; PMCID: PMC8078083.
doi: 10.4300/JGME-D-20-00850.1
Richardson D, Kinnear B, Hauer KE, Turner TL, Warm EJ, Hall AK, Ross S, Thoma B, Van Melle E, ICBME Collaborators. Growth mindset in competency-based medical education. Med Teach. 2021;43(7):751–7. https://doi.org/10.1080/0142159X.2021.1928036 . Epub 2021 Jul 10 PMID: 34410891.
doi: 10.1080/0142159X.2021.1928036
Swing SR, Beeson MS, Carraccio C, Coburn M, Iobst W, Selden NR, et al. Educational milestone development in the first 7 specialties to enter the next accreditation system. J Grad Med Educ. 2013;5(1):98–106.
doi: 10.4300/JGME-05-01-33
Vermette D, Doolittle B, Gielissen KA. Assessing well-being in Milestones 2.0: a case for flourishing-focused advising. J Grad Med Educ. 2022;14(4):390–3.
doi: 10.4300/JGME-D-21-00970.1