Milestones 2.0: An advancement in competency-based assessment for dermatology

Area of Science:

• Medical Education
• Graduate Medical Education
• Dermatology Training

Background:

• The Accreditation Council for Graduate Medical Education mandated the Next Accreditation System and Milestones framework in 2013.
• Dermatology residency programs adopted Milestones 1.0 during the 2013-2014 academic year.
• A review of Milestones 1.0 was planned within 3-5 years, incorporating stakeholder feedback.

Purpose of the Study:

• To revise and improve the competency-based assessment framework for dermatology residency programs.
• To address stakeholder feedback regarding complexity, engagement, and resource provision.
• To streamline subcompetencies and enhance uniformity across medical specialties.

Main Methods:

• A Dermatology Milestones 2.0 work group was formed in 2019.
• Streamlined specialty-specific patient care and medical knowledge subcompetencies.
• Developed a supplemental guide for program directors and faculty.

Main Results:

• Dermatology Milestones 2.0 reduced the number of subcompetencies from 28 to 21.
• Achieved greater uniformity in systems-based practice, learning and improvement, professionalism, and communication skills.
• Milestones 2.0 reporting began in 2021.

Conclusions:

• Dermatology Milestones 2.0 represents a significant advancement in competency-based assessment.
• The revised framework offers a more streamlined and uniform approach to evaluating dermatology residents.
• The supplemental guide aids in the effective implementation and understanding of Milestones 2.0.