Emergency medical services Milestones 2.0: What has changed?

Area of Science:

• Medical Education
• Graduate Medical Education
• Emergency Medical Services (EMS)

Background:

• The Accreditation Council for Graduate Medical Education (ACGME) established EMS Milestones 1.0 in 2015 for evaluating fellow competency.
• User feedback and assessment data highlighted the need to revise the initial EMS Milestones.
• A working group was convened in May 2021 to update the specialty-specific assessment tool.

Purpose of the Study:

• To revise the existing EMS Milestones based on user feedback and collected data.
• To develop an updated competency assessment framework for Emergency Medical Services (EMS) fellowship programs.
• To create a supplemental guide to improve the usability of the revised milestones.

Main Methods:

• A working group with representatives from key organizations (American Board of Emergency Medicine, ACGME Milestones Committee) was formed.
• The revision process utilized a virtual platform due to the COVID-19 pandemic.
• Data from milestone reporting, working group discussions, stakeholder input, and public commentary informed the revisions.

Main Results:

• The revised EMS Milestones 2.0 were developed, incorporating feedback and data.
• A supplemental guide was created to enhance milestone usability and provide resource materials.
• The updated framework aims to support competency development for independent practice.

Conclusions:

• The EMS Milestones 2.0 and supplemental guide offer an improved framework for evaluating EMS fellow competencies.
• This updated tool assists fellowship programs in developing physicians ready for independent practice.
• The revisions align with the ACGME's requirements for formal, competency-based trainee evaluation.