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Putting the pediatrics milestones into practice: a consensus roadmap and resource analysis.

Daniel J Schumacher1, Nancy D Spector2, Sharon Calaman2

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The Milestone Project shifts residency assessment to competency-based milestones. This framework guides pediatric residents

Keywords:
competency-based assessmentpediatrics milestonesresidency training

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Area of Science:

  • Medical Education
  • Graduate Medical Training
  • Competency-Based Assessment

Background:

  • The Accreditation Council for Graduate Medical Education is advancing competency-based assessment in residency programs.
  • The Milestone Project requires pediatrics residency programs to report resident progression on developmental performance levels semi-annually.
  • This initiative represents a significant shift from traditional assessment methods.

Purpose of the Study:

  • To outline the essential components for implementing and sustaining the Milestone Project.
  • To provide resource estimates for successful transition to milestones-based assessment.
  • To offer a framework for collaboration among leaders to secure necessary resources.

Main Methods:

  • Consensus view from residency program leaders.
  • Identification of four key domains for implementation: Stakeholder Engagement, Assessment Methods, Data Systems, and Feedback.
  • Resource estimation for successful transition.

Main Results:

  • Four critical domains identified for successful implementation: Program Review and Stakeholder Development, Assessment Methods and Validation, Data and Assessment System Development, and Summative Assessment and Feedback.
  • Resource estimates provided for program leaders.
  • A framework for collaboration and resource identification is proposed.

Conclusions:

  • The Milestone Project promises improved training outcomes aligned with patient needs and provides a clear learning roadmap for residents.
  • Successful implementation requires significant resources and collaborative planning at multiple levels.
  • The proposed framework serves as a starting point for institutions to plan and secure resources for this paradigm shift in medical education.