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Related Experiment Video

Updated: Jun 28, 2026

Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
11:29

Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools

Published on: June 20, 2020

Investigating a Model to Predict Milestones From Entrustable Professional Activity Levels for Medicine-Pediatrics

Daniel J Schumacher1, Benjamin Kinnear2, Colby Feeney3

  • 1pediatrics at Cincinnati Children's Hospital Medical Center/University of Cincinnati College of Medicine, Cincinnati, Ohio.

Academic Pediatrics
|June 26, 2026
PubMed

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Summary

A new model accurately predicts Accreditation Council for Graduate Medical Education (ACGME) milestone levels from entrustable professional activities (EPAs) for internal medicine-pediatrics residents. This method aids in optimizing resident assessments by aligning EPA entrustment with milestone achievement.

Area of Science:

  • Medical Education
  • Graduate Medical Education
  • Pediatrics

Background:

  • Residency programs face dual assessment requirements from the Accreditation Council for Graduate Medical Education (ACGME) using milestones and entrustable professional activities (EPAs).
  • Optimizing assessment strategies that integrate both ACGME milestones and EPAs is crucial for meeting accreditation and board certification standards.
  • A predictive model for milestone levels based on EPA entrustment-supervision levels was previously developed for categorical pediatrics residents.

Purpose of the Study:

  • To apply and validate a model for predicting Accreditation Council for Graduate Medical Education (ACGME) milestone levels from entrustable professional activities (EPAs) in internal medicine-pediatrics residency programs.
  • To assess the accuracy of predicted milestone levels compared to actual reported milestones within this specific resident cohort.
Keywords:
ACGME milestonescompetency-based medical educationentrustable professional activitiesresident assessment

Related Experiment Videos

Last Updated: Jun 28, 2026

Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
11:29

Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools

Published on: June 20, 2020

  • To inform strategies for optimizing resident assessment by leveraging the relationship between EPAs and milestones.

    • Main Methods:

    • A multi-site prospective cohort study was conducted across 8 internal medicine-pediatrics residency programs over three academic years (2021-2024).
    • Predictions for 22 ACGME pediatrics milestones were generated from 17 general pediatrics EPAs using a validated model.
    • Predicted milestones were compared against actual ACGME-reported milestones, with statistical analyses including partial correlation and mixed-effects regressions.

    Main Results:

    • Data from 378 internal medicine-pediatrics residents included 6101 EPA entrustment-supervision levels and 7784 ACGME milestone levels.
    • The model achieved a 38% exact match probability between predicted and reported milestone levels across all competencies.
    • High accuracy was observed with 93% likelihood of being within 0.5 level and over 99% likelihood of being within 1 level.

    Conclusions:

    • A viable method exists for predicting ACGME milestone levels using entrustable professional activity (EPA) data.
    • The model demonstrates strong predictive capability, suggesting its utility in streamlining resident assessments.
    • It is recommended that predicted milestone levels be reviewed and vetted by program clinical competency committees (CCCs).