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From Theory To Practice: Using the ACGME Clinician Educator Milestones To Support Faculty Growth in Medical Education
Christina Shenvi1, Jessica Fuller2, Seth McKenzie Alexander3,4
1Department of Emergency Medicine, University of North Carolina at Chapel Hill, 170 Manning Dr. CB 7594, Chapel Hill, NC 27599-7594 USA.
Introduction:
In 2022 the Accreditation Council for Graduate Medical Education (ACGME) introduced the Clinician Educator Milestones (CEM). These milestones provide a framework to assess and enhance the educational skills of medical educators. This study applied the ACGME CEM within the implementation of a newly designed Case-Based Learning (CBL) curriculum at a large, public medical school in the Southeastern United States. To facilitate the transition from lecture-based learning to small-group, case-based instruction, we implemented a faculty development program for CBL facilitators, using the CEM as a foundation for assessment and growth.
Methods:
Twenty-six clinician educators participated in the Facilitator Growth Self-Assessment Survey, completed at the beginning and end of their first semester of the curriculum and again after a total of 1.5 years of facilitation. Facilitators evaluated themselves across 14 CEMs spanning competencies such as teaching, feedback, leadership, and well-being. Weekly faculty development sessions were designed to enhance educational knowledge or skills. Facilitators received individual growth reports and participated in reflective exercises to identify strengths and areas for improvement.
Results:
The results revealed statistically significant growth in self-reported competencies across multiple milestones, indicating that the combination of structured faculty development and milestone-based self-assessment supports professional growth. Additionally, the study highlighted the value of the CEM framework in guiding institutional faculty development efforts.
Conclusion:
This study is the first to describe the application of the ACGME CEM to faculty development. We successfully used the CEM to design a faculty development program and demonstrate growth in faculty educators' milestone-based self-assessments. These insights can inform future applications of competency-based frameworks for faculty development in undergraduate and graduate medical education.
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