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Principles of Rodent Surgery for the New Surgeon

Principles of Rodent Surgery for the New Surgeon

Published on: January 6, 2011

Using ACGME General Surgery Milestones to Define the Competent Foundational Surgical Resident.

Dominique Doster¹, Maya L Hunt¹, Christopher M Thomas¹

¹Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana.

Journal of Surgical Education

|May 15, 2024

Summary

This study defined the competent foundational surgical resident using the Accreditation Council for Graduate Medical Education (ACGME) General Surgery Milestones. The developed standards reflect departmental expectations and can be replicated in other residency programs.

Keywords:

ACGME Competency Milestones Standard setting

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Area of Science:

Surgical Education
Competency-Based Medical Education
Graduate Medical Training

Background:

Transitioning to competency-based surgical training requires clear definitions of resident competence.
The Accreditation Council for Graduate Medical Education (ACGME) General Surgery Milestones provide a framework for defining these competencies.

Purpose of the Study:

To define the well-prepared foundational resident at the end of the first postgraduate year (PGY1).
To utilize the ACGME General Surgery Milestones as a conceptual framework for defining foundational competence.

Main Methods:

Faculty and residents at a large academic general surgery program participated.
Participants assigned milestone levels for General Surgery Milestones 1.0 and 2.0 based on expectations of a PGY1-ready resident.
Competency standards were determined by averaging scores and identifying levels within one standard deviation of group averages.

Main Results:

While some discrepancies existed between resident and faculty scores for Milestones 1.0 (e.g., Practice-Based Learning and Improvement, Interpersonal Communication Skills), scores for Milestones 2.0 were comparable.
Milestone-based competency standards were established through broad agreement.
Descriptive narratives for knowledge, skills, and abilities (KSAs) were created.

Conclusions:

A clear definition of the competent foundational resident was achieved using the ACGME Milestones.
The defined Milestone levels align with the department's specific culture and expectations.
This methodology is replicable for other programs to establish their unique competency standards within the ACGME framework.