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Orthopaedic Surgery Residency Milestones: Initial Formulation and Future Directions.
S Elizabeth Ames1, Brent A Ponce, J Lawrence Marsh
1From the Department of Orthopaedics and Rehabilitation, College of Medicine, University of Vermont, Burlington, Vermont (Dr. Ames), the Department of Orthopaedic Surgery, University of Alabama, Birmingham, AL (Dr. Ponce), Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IA (Dr. Marsh), Milestones Research and Evaluation, Accreditation Council for Graduate Medical Education, Chicago, IL (Dr. Hamstra), Faculty of Education, University of Ottawa, Ottawa, ON, Canada (Dr. Hamstra), and Department of Medical Education, Feinberg School of Medicine, Northwestern University, Chicago, IL (Dr. Hamstra).
Orthopaedic surgical training milestones track resident skill development for program improvement. Data analysis informs educational quality and future assessment tools in surgical education.
Area of Science:
- Medical Education
- Surgical Training
- Orthopaedics
Background:
- Milestones are crucial for assessing resident progress in orthopaedic surgery.
- They facilitate communication between supervisors, residents, and Clinical Competency Committees.
- Developed jointly by ACGME and ABOS, milestones were implemented in 2013.
Purpose of the Study:
- To provide a historical perspective on orthopaedic milestone development.
- To review current implementation, validity, and challenges of the milestones.
- To discuss the development of next-generation assessment tools for surgical training.
Main Methods:
- Longitudinal data analysis from orthopaedic residency programs.
- Review of historical development and implementation strategies.
- Examination of validity studies and identified challenges.
Main Results:
- The first comprehensive longitudinal dataset on orthopaedic milestones is now available.
- Milestones are integral to assessing competence and improving educational quality.
- Challenges in implementation and validity have been identified.
Conclusions:
- Orthopaedic milestones are essential for structured surgical training and competency assessment.
- Ongoing evaluation and development of assessment tools are necessary.
- Future research should focus on refining milestones and enhancing resident education.
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