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The Accreditation Council for Graduate Medical Education (ACGME) updated its Anesthesiology Milestones to improve competency-based medical education. Milestones 2.0 addresses limitations of the initial version for better assessment and training.

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Area of Science:

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

Background:

  • Medical education is transitioning from time-based to competency-based systems.
  • The Accreditation Council for Graduate Medical Education (ACGME) uses the Milestones Project for this transition.
  • Anesthesiology Milestones 1.0 revealed challenges in aligning subcompetencies with clinical practice and assessment.

Purpose of the Study:

  • To describe the development and improvements in the Anesthesiology Milestones 2.0.
  • To outline the rationale for changes based on Anesthesiology Milestones 1.0 data.
  • To introduce new tools accompanying the Anesthesiology Milestones 2.0 iteration.

Main Methods:

  • Review of foundational data from Anesthesiology Milestones 1.0.
  • Collaboration with Anesthesiology stakeholder groups.
  • Iterative development process for Milestones 2.0.

Main Results:

  • Identification of mismatches between Anesthesiology Milestones 1.0 subcompetencies and clinical practice.
  • Recognition of assessment and evaluation challenges for learners.
  • Development of Anesthesiology Milestones 2.0 with revised subcompetencies and progression levels.

Conclusions:

  • Anesthesiology Milestones 2.0 represents an iterative improvement in competency-based medical education.
  • The revised milestones aim to better align training with current and future clinical needs.
  • Enhanced faculty development tools are provided to support the implementation of Milestones 2.0.