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Home Research Research Library Stages of Milestones Implementation: A Template Analysis of 16 Programs Across 4 Specialties Stages of Milestones Implementation: A Template Analysis of 16 Programs Across 4 Specialties 2021 Author(s) Yaghmour, Nicholas A, Poulin, Lauren J, Bernabeo, Elizabeth C, Ekpenyong, Andem, Li, Su-Ting T, Eden, Aimee R, Hauer, Karen E, Tichter, Aleksandr M, Hamstra, Stanley J, and Holmboe, Eric S Topic(s) Education & Training Keyword(s) Graduate Medical Education Volume Journal of Graduate Medical Education Source Journal of Graduate Medical Education ABSTRACT Background: Since 2013, US residency programs have used the competency-based framework of the Milestones to report resident progress and to provide feedback to residents. The implementation of Milestones-based assessments, clinical competency committee (CCC) meetings, and processes for providing feedback varies among programs and warrants systematic examination across specialties. Objective: We sought to determine how varying assessment, CCC, and feedback implementation strategies result in different outcomes in resource expenditure and stakeholder engagement, and to explore the contextual forces that moderate these outcomes. Methods: From 2017 to 2018, interviews were conducted of program directors, CCC chairs, and residents in emergency medicine (EM), internal medicine (IM), pediatrics, and family medicine (FM), querying their experiences with Milestone processes in their respective programs. Interview transcripts were coded using template analysis, with the initial template derived from previous research. The research team conducted iterative consensus meetings to ensure that the evolving template accurately represented phenomena described by interviewees. Results: Forty-four individuals were interviewed across 16 programs (5 EM, 4 IM, 5 pediatrics, 3 FM). We identified 3 stages of Milestone-process implementation, including a resource-intensive early stage, an increasingly efficient transition stage, and a final stage for fine-tuning. Conclusions: Residency program leaders can use these findings to place their programs along an implementation continuum and gain an understanding of the strategies that have enabled their peers to progress to improved efficiency and increased resident and faculty engagement. Read More ABFM Research Read all 2020 Changes and Variation in Medicare Graduate Medical Education Payments Go to Changes and Variation in Medicare Graduate Medical Education Payments 2022 Physicians’ Choice of Board Certification Activity Is Unaffected by Baseline Quality of Care: The TRADEMaRQ Study Go to Physicians’ Choice of Board Certification Activity Is Unaffected by Baseline Quality of Care: The TRADEMaRQ Study 2014 A Retrospective Analysis of the Relationship between Medical Student Debt and Primary Care Practice in the United States. Go to A Retrospective Analysis of the Relationship between Medical Student Debt and Primary Care Practice in the United States. 2017 The Effects of Training Institution Practice Costs, Quality, and Other Characteristics on Future Practice Go to The Effects of Training Institution Practice Costs, Quality, and Other Characteristics on Future Practice
Author(s) Yaghmour, Nicholas A, Poulin, Lauren J, Bernabeo, Elizabeth C, Ekpenyong, Andem, Li, Su-Ting T, Eden, Aimee R, Hauer, Karen E, Tichter, Aleksandr M, Hamstra, Stanley J, and Holmboe, Eric S Topic(s) Education & Training Keyword(s) Graduate Medical Education Volume Journal of Graduate Medical Education Source Journal of Graduate Medical Education
ABFM Research Read all 2020 Changes and Variation in Medicare Graduate Medical Education Payments Go to Changes and Variation in Medicare Graduate Medical Education Payments 2022 Physicians’ Choice of Board Certification Activity Is Unaffected by Baseline Quality of Care: The TRADEMaRQ Study Go to Physicians’ Choice of Board Certification Activity Is Unaffected by Baseline Quality of Care: The TRADEMaRQ Study 2014 A Retrospective Analysis of the Relationship between Medical Student Debt and Primary Care Practice in the United States. Go to A Retrospective Analysis of the Relationship between Medical Student Debt and Primary Care Practice in the United States. 2017 The Effects of Training Institution Practice Costs, Quality, and Other Characteristics on Future Practice Go to The Effects of Training Institution Practice Costs, Quality, and Other Characteristics on Future Practice
2020 Changes and Variation in Medicare Graduate Medical Education Payments Go to Changes and Variation in Medicare Graduate Medical Education Payments
2022 Physicians’ Choice of Board Certification Activity Is Unaffected by Baseline Quality of Care: The TRADEMaRQ Study Go to Physicians’ Choice of Board Certification Activity Is Unaffected by Baseline Quality of Care: The TRADEMaRQ Study
2014 A Retrospective Analysis of the Relationship between Medical Student Debt and Primary Care Practice in the United States. Go to A Retrospective Analysis of the Relationship between Medical Student Debt and Primary Care Practice in the United States.
2017 The Effects of Training Institution Practice Costs, Quality, and Other Characteristics on Future Practice Go to The Effects of Training Institution Practice Costs, Quality, and Other Characteristics on Future Practice
