Am J Orthop (Belle Mead NJ). 2013 Dec;42(12):E109-10.
Will the new milestone requirements improve residency training?
Author information
- Temple University, Department of Orthopaedic Surgery and Sports Medicine.
Abstract
Education
in orthopedic surgery is evolving. Recently, the Accreditation Council
for Graduate Medical Education (ACGME) and the American Board of
Orthopaedic Surgery (ABOS) have implemented a set of clinical
"milestones" by which training programs will use as progressive
benchmarks to evaluate each resident's acquisition of medical knowledge and patient care skills. The milestones are a step toward standardizing resident
education based on a progression model, which is already being used by
European and Asian countries. The evaluations are disease-specific and
graded from Level I (incoming resident)
to Level V (career specialist). Contrary to many residents' first
impressions, the milestone levels do not correspond to post-graduate
year; the recommended target for graduates is actually Level IV.
Although these milestones are not intended to supersede the program's
decision to graduate an individual, program directors are now encouraged
to complete these evaluations, with co-faculty, at the semi-annual
review in order to identify possible weaknesses in either the resident
or in the institution's teaching methods. Several pros and cons have
been identified with the current paradigm shift in orthopedic education,
and the following article will discuss those controversies from one resident's perspective.
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