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Closing the Communication Gap: Assessing the Alignment Between UME and GME Competencies.

Anita M Wilson1,2, Katherine Berg3, Aaron Douglas4

  • 1Student Assessment Office, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
|June 12, 2025
PubMed
Summary
This summary is machine-generated.

This study developed a method to align medical education learning objectives with graduate competencies. A modified Delphi approach found 57% alignment, improving communication of student skills.

Keywords:
ACGME harmonized milestonesUME competenciesalignment studymodified Delphi approach

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Area of Science:

  • Medical Education
  • Competency Assessment
  • Curriculum Alignment

Background:

  • Aligning undergraduate medical education (UME) learning objectives with graduate medical education (GME) competencies is crucial for seamless physician training.
  • Existing gaps in communication hinder the effective progression of student competencies.
  • Standardized frameworks are needed to bridge the UME-GME transition.

Purpose of the Study:

  • To identify and assess the alignment between UME learning objectives and GME competencies.
  • To establish a systematic method for evaluating this alignment.
  • To inform curriculum development and competency-based medical education.

Main Methods:

  • A modified Delphi approach was employed over three rounds.
  • Panelists reached consensus through 70% agreement on alignment decisions.
  • Forty-six specific alignment decisions were made regarding UME objectives and Accreditation Council for Graduate Medical Education (ACGME) Harmonized Milestones subcompetencies.

Main Results:

  • Approximately 57% (26 out of 46) of the assessed items reached consensus for alignment.
  • The study successfully applied a structured method to evaluate UME-GME objective-competency alignment.
  • Identified specific areas of alignment and potential discrepancies between the two educational levels.

Conclusions:

  • The developed method provides a valuable tool for assessing UME-GME alignment.
  • Achieving alignment is a critical first step in enhancing the communication of student competencies.
  • This work supports efforts to create a more cohesive and effective medical training continuum.