Pediatric surgery milestones 2.0: A primer

Area of Science:

• Medical Education
• Surgical Training
• Competency-Based Assessment

Background:

• Graduate medical education transitioned to competency-based frameworks over 20 years ago.
• The Milestones assessment tool was implemented across specialties, including pediatric surgery, by 2015.
• The Milestones framework has undergone iterative improvements, evolving from 1.0 to 2.0.

Purpose of the Study:

• To detail the development and implementation of Pediatric Surgery Milestones 2.0.
• To describe the key changes and improvements in the Milestones 2.0 framework.
• To highlight the goals of enhancing patient care and maintaining public trust in medical education.

Main Methods:

• Development of Pediatric Surgery Milestones 2.0 occurred between 2019 and 2021.
• Incorporation of harmonized milestones and standardized subcompetencies across specialties.
• Creation of a Supplemental Guide with resources for each subcompetency.

Main Results:

• Milestones 2.0 features fewer, more straightforward competency statements.
• Harmonized subcompetencies ensure consistency across medical and surgical specialties.
• A new Supplemental Guide provides assessment examples and resources.

Conclusions:

• Milestones 2.0 represents an ongoing refinement of graduate medical education assessment.
• The updated framework aims to improve patient care and uphold public trust.
• This revision reflects a commitment to evidence-based practice and continuous quality improvement in surgical training.