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Pediatric Anesthesiology Milestones 2.0: An Update, Rationale, and Plan Forward
Jamey J Snell1,2, Justin L Lockman3,4, Santhanam Suresh5
1From the Department of Anesthesiology, Wayne State University School of Medicine, Detroit, Michigan.
Anesthesia and Analgesia
|February 13, 2023
Summary
Pediatric anesthesiology training has evolved to a competency-based model. This study details the revision of milestones for pediatric anesthesiology fellows, enhancing clarity and assessment resources.
Area of Science:
- Medical Education
- Anesthesiology
- Pediatric Care
Background:
- Pediatric anesthesiology training has a long history, with a consistent mission to produce competent physicians.
- Accreditation Council on Graduate Medical Education (ACGME) guidance since 1997 has increased accountability.
- The field has transitioned from time-based to competency-based medical education.
Purpose of the Study:
- To revise the pediatric anesthesiology milestones based on 5 years of implementation data.
- To enhance clarity and brevity in the developmental trajectories for fellows.
- To provide improved resources for assessment and faculty development.
Main Methods:
- Convened a working group of pediatric anesthesiology education leaders in 2014.
- Utilized the ACGME framework of 6 core competencies for milestone development.
- Incorporated community feedback and implementation data for iterative improvement.
Main Results:
- A revised version of the pediatric anesthesiology milestones has been developed.
- The updated milestones offer greater brevity and clarity.
- Additional resources for assessment and faculty development are proposed.
Conclusions:
- Iterative improvement of educational frameworks is essential in evolving medical specialties.
- The revised milestones aim to better support the education and assessment of pediatric anesthesiology fellows.
- Collaboration and effective implementation strategies are key to successful fellowship training.
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