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Related Experiment Videos

Rising to the Challenge: Residency Programs' Experience With Implementing Milestones-Based Assessment.

Kristina Dzara, Kathleen Huth, Jennifer C Kesselheim

    Journal of Graduate Medical Education
    |August 24, 2019
    PubMed
    Summary

    Residency programs adapted to milestones-based assessment despite challenges, finding value in the new system. Lessons learned can optimize future implementation of this ACGME Next Accreditation System change.

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    Area of Science:

    • Medical Education
    • Accreditation Systems
    • Assessment Strategies

    Background:

    • The ACGME Next Accreditation System mandated a shift to milestones-based assessment.
    • The specific changes and impacts on assessment practices remain incompletely understood.

    Purpose of the Study:

    • To characterize initial themes in milestones-based assessment practices.
    • To inform the ongoing implementation and optimization of milestones-based assessment.

    Main Methods:

    • Semistructured interviews with 15 residency program leaders across 6 specialties and 8 academic medical centers.
    • Exploration of retained, added, and changed assessment elements compared to pre-milestones efforts.
    • Thematic analysis of interview data to identify key themes and strategies.

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    Main Results:

    • Program leaders encountered implementation challenges but focused on adaptability.
    • Despite difficulties, leaders perceived value and utility in milestones-based assessment.
    • Successful transition strategies and acknowledged benefits were identified.

    Conclusions:

    • Adaptation to milestones has occurred, with noted benefits, but challenges persist.
    • Lack of implementation guidance and faculty development resources remain significant hurdles.
    • Formative use of implementation experiences is crucial for improving curricula and assessment.