Rheumatology Milestones 2.0: A Roadmap for Competency-Based Medical Training of Rheumatology Fellows in the 21st...

Area of Science:

• Medical Education
• Rheumatology Training
• Competency-Based Assessment

Background:

• Current rheumatology fellow assessments use Accreditation Council of Graduate Medical Education (ACGME) milestones.
• A need for greater context validity and subspecialty relevance in assessments was identified.
• Existing milestones required adaptation for rheumatology's specific needs.

Purpose of the Study:

• To develop Rheumatology Milestones 2.0.
• To create a supplemental guide for implementing the new milestones.
• To enhance the evaluation of rheumatology fellows' competencies.

Main Methods:

• A working group comprising rheumatology program directors, division directors, a practicing rheumatologist, a fellow, and a patient was formed.
• The group met in three intensive sessions to develop the milestones and guide.
• The process involved revising and adapting the ACGME Internal Medicine subspecialty reporting milestones.

Main Results:

• Rheumatology Milestones 2.0 were created, tailored specifically for the specialty.
• A supplemental guide to aid in the implementation of these milestones was developed.
• The revised milestones address the need for improved context validity and subspecialty relevance.

Conclusions:

• Rheumatology Milestones 2.0 offer a specialty-specific evaluation tool.
• This tool assists program directors and committees in assessing fellow competencies.
• The milestones help determine rheumatology fellows' readiness for independent practice.