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Advancing Fellowship Training in Selective Pathology.

Ian S Hagemann1, Robin Elliott2, Alexandra Kalof3

  • 1From the Department of Pathology and Immunology, Washington University School of Medicine, St Louis, Missouri (Hagemann).

Archives of Pathology & Laboratory Medicine
|July 29, 2021
PubMed
Summary

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The Accreditation Council for Graduate Medical Education (ACGME) updated Selective Pathology milestones for improved fellow training. Milestones 2.0 harmonize evaluations across specialties, enhancing pathology education.

Area of Science:

  • Medical Education
  • Pathology
  • Accreditation

Background:

  • The Accreditation Council for Graduate Medical Education (ACGME) established program requirements for Selective Pathology fellowships in 2011.
  • Selective Pathology entered the ACGME's Next Accreditation System in 2015 with Milestones 1.0.
  • A work group was convened in 2019 for a periodic update to the milestones.

Purpose of the Study:

  • To summarize the changes made to the Selective Pathology milestones.
  • To outline the updated benchmarks for evaluating fellow progress in core competencies.
  • To introduce the new supplemental guide for implementing the revised milestones.

Main Methods:

  • Expert opinion and survey were utilized in the study design.
  • A work group analyzed and proposed updates to the existing milestones.

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  • Public comments were solicited and considered for the revisions.
  • Main Results:

    • Patient Care milestones emphasize gross/microscopic examination for anatomic pathology and laboratory assay interpretation for clinical pathology.
    • Non-Patient Care, non-Medical Knowledge competencies feature harmonized milestones across specialties.
    • A supplemental guide with examples, assessment tools, and references is now available to aid implementation.

    Conclusions:

    • The updated Milestones 2.0 are scheduled for implementation in July 2021.
    • These revisions aim to facilitate fellowship training and harmonize evaluation across pathology subspecialties.