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A Standardized Individual Learning Plan for Graduate Medical Education: A Modified Delphi Approach
Charles A Brown1, Kevin R Scott2, Patricio Riquelme3
1is an Assistant Professor, Department of Emergency Medicine, Oregon Health & Science University, Portland, Oregon, USA.
Journal of Graduate Medical Education
|August 15, 2026
Summary
A consensus-based template for individualized learning plans (ILPs) was developed for graduate medical education. This standardized ILP promotes self-reflection and continuous improvement among residents across specialties.
Area of Science:
- Medical Education
- Graduate Medical Education
- Professional Development
Background:
- The Accreditation Council for Graduate Medical Education mandates individualized learning plans (ILPs) for residency programs.
- Lack of a standardized ILP template leads to variable implementation and evaluation across programs.
- Developing ILPs is crucial for resident self-reflection and continuous improvement.
Purpose of the Study:
- To develop a consensus-based template for individualized learning plans (ILPs).
- To create a standardized ILP for use in graduate medical education.
- To enhance resident self-reflection and continuous improvement.
Main Methods:
- A modified Delphi process involving 14 experts in ILPs was conducted from February 2022 to May 2023.
- A literature review informed expert recruitment and item generation for the surveys.
- Three rounds of surveys were used to achieve consensus, defined as >80% agreement.
Main Results:
- Key ILP outcomes identified include self-reflection, needs identification, goal setting, and progress tracking.
- Essential ILP content comprises long-term planning, feedback, strengths/growth areas, personal/career goals, and structured goal planning.
- The final ILP template was refined based on expert recommendations and unanimously endorsed.
Conclusions:
- A consensus-based ILP template was successfully developed through a modified Delphi study.
- The standardized ILP is designed for implementation across all graduate medical education specialties.
- The developed template aims to improve the consistency and effectiveness of ILPs in residency programs.
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