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Milestones 2.0: an advancement in competency-based assessment for Dermatology

      Abstract

      Background

      : In 2013, Next Accreditation System and Milestones became the competency-based assessment framework required for all specialties accredited by the Accreditation Council for Graduate Medical Education. Dermatology residency programs implemented Milestones 1.0 in the 2013-2014 academic year. The Accreditation Council for Graduate Medical Education committed to review and revise Milestones 1.0 within 3 to 5 years. Subsequently, feedback from key stakeholders influenced the goals for revision, including reducing complexity, enhancing community engagement, and providing additional resources for programs.

      Observations

      In 2019, the Dermatology Milestones 2.0 work group streamlined the specialty-specific patient care and medical knowledge subcompetencies. The harmonized milestones allowed for greater uniformity across specialties in systems-based practice, practice-based learning and improvement, professionalism, and interpersonal communication and skills. The work group developed a Supplemental guide with specialty-specific context to help program directors, clinical competency committe members, and other faculty understand individual milestones. Dermatology Milestones 2.0 reduces the number of subcompetencies from 28 to 21.

      Conclusions

      : Milestones 2.0 represents an advancement in competency-based assessment for Dermatology. The first year of reporting for Dermatology Milestones 2.0 is 2021.

      Keywords

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      References

        • Nasca TJ
        • Philibert I
        • Brigham T
        • Flynn TC.
        The next GME accreditation system–rationale and benefits.
        N Engl J Med. Mar 2012; 366: 1051-1056
        • Batalden P
        • Leach D
        • Swing S
        • Dreyfus H
        • Dreyfus S.
        General competencies and accreditation in graduate medical education.
        Health Aff (Millwood). 2002; 21 (Sep-Oct 2002): 103-111
        • Lee AG
        • Oetting T
        • Beaver HA
        • Carter K
        Ophthalmology 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 (Jul-Aug 2009): 507-517
        • Holmboe ES
        • Edgar L
        • Hamstra S.
        The Milestones Guidebook.
        Chicago, IL: Accreditation Council for Graduate Medical Education, 2016 (acgme.org/Portals/0/MilestonesGuidebook.pdf?ver=2016-05-31-113245-103. Accessed May 8, 2020)
        • Park J.
        Proposal for a Modified Dreyfus and Miller Model with simplified competency level descriptions for performing self-rated surveys.
        J Educ Eval Health Prof. 2015; 12: 54
        • Swing SR
        • Beeson MS
        • Carraccio C
        • et al.
        Educational milestone development in the first 7 specialties to enter the next accreditation system.
        J Grad Med Educ. Mar 2013; 5: 98-106
      1. The Dermatology Milestone Project. Chicago, IL: Accreditation Council for Graduate Medical Education. 2015; acgme.org/Portals/0/PDFs/Milestones/DermatologyMilestones.pdf?ver=2015-11-06-120532-710. Accessed May 8, 2020.

        • Leep Hunderfund AN
        • Reed DA
        • Starr SR
        • Havyer RD
        • Lang TR
        • Norby SM
        Ways to Write a Milestone: Approaches to Operationalizing the Development of Competence in Graduate Medical Education.
        Acad Med. 2017; 92 (09): 1328-1334
        • Edgar L
        • Roberts S
        • Holmboe E.
        Milestones 2.0: A Step Forward.
        J Grad Med Educ. Jun 2018; 10: 367-369
        • Sangha S
        • Hamstra SJ.
        Milestones Bibliography.
        Accreditation Council for Graduate Medical Education, Chicago, IL2019 (.acgme.org/LinkClick.aspx?link=PDFs%2fMilestones%2fMilestonesBibliography_Dec%202019%20Final%2003302020.pdf&articleId=8179. Accessed May 8, 2020)
        • Dermatology Milestones
        Second Revision.
        Accreditation Council for Graduate Medical Education, Chicago, IL2020 (acgme.org/Portals/0/PDFs/Milestones/DermatologyMilestones2.0.pdf?ver=2020-04-16-122310-317. Accessed May 8, 2020)
        • Holmboe ES
        • Yamazaki K
        • Edgar L
        • et al.
        Reflections on the First 2 Years of Milestone Implementation.
        J Grad Med Educ. Sep 2015; 7: 506-511
        • Holmboe ES
        • Call S
        • Ficalora RD.
        Milestones and Competency-Based Medical Education in Internal Medicine.
        JAMA Intern Med. 2016; 11 (176): 1601-1602
        • Edgar L
        • Roberts S
        • Yaghmour NA
        • et al.
        Competency Crosswalk: A Multispecialty Review of the Accreditation Council for Graduate Medical Education Milestones Across Four Competency Domains.
        Acad Med. 2018; 93 (07): 1035-1041
      2. Dermatology Supplemental Guide. Chicago, IL: Accreditation Council for Graduate Medical Education. 2020; acgme.org/Portals/0/PDFs/Milestones/DermatologySupplementalGuide.pdf?ver=2020-04-16-122312-643. Accessed May 8, 2020.