Diplomate Spotlight Opening Doors with Board Certification: A Conversation with Long Standing Diplomate Joseph Cook Read Opening Doors with Board Certification: A Conversation with Long Standing Diplomate Joseph Cook
Phoenix Newsletter - July 2025 Available Now: 2026 5-Year Cycle Registration Read Available Now: 2026 5-Year Cycle Registration
Home Research Research Library Competency Assessment in Family Medicine Residency: Observations, Knowledge-Based Examinations, and Advancement Competency Assessment in Family Medicine Residency: Observations, Knowledge-Based Examinations, and Advancement 2017 Author(s) Mainous, Arch G III, Fang, Bo, and Peterson, Lars E Topic(s) Education & Training Keyword(s) Graduate Medical Education, In-Training Examination, and Visiting Scholar/Fellow Volume Journal of Graduate Medical Education Source Journal of Graduate Medical Education Background The Family Medicine (FM) Milestones are competency-based assessments of residents in key dimensions relevant to practice in the specialty. Residency programs use the milestones in semiannual reviews of resident performance from the time of entry into the program to graduation. Objective Using a national sample, we investigated the relationship of FM competency-based assessments to resident progress and the complementarity of milestones with knowledge-based assessments in FM residencies. Methods We used midyear and end-of-year milestone ratings for all FM residents in Accreditation Council for Graduate Medical Education-accredited programs during academic years 2014-2015 and 2015-2016. The milestones contain 22 items across 6 competencies. We created a summative index across the milestones. The American Board of Family Medicine database provided resident demographics and in-training examination (ITE) scores. We linked information to the milestone data. Results The sample encompassed 6630 FM residents. The summative milestone index increased, on average, for each cohort (postgraduate year 1 [PGY-1] to PGY-2 and PGY-2 to PGY-3) at each assessment. The correlation between the milestone index that excluded the medical knowledge milestone and ITE scores was r = .195 (P < .001) for PGY-1 to PGY-2 cohort and r = .254 (P < .001) for PGY-2 to PGY-3 cohort. For both cohorts, ITE scores and composite milestone assessments were higher for residents who advanced than for those who did not. Conclusions Competency-based assessment using the milestones for FM residents seems to be a viable multidimensional tool to assess the successful progression of residents. Read More ABFM Research Read all 2015 The Predictive Validity of the ABFM’s In-Training Examination Go to The Predictive Validity of the ABFM’s In-Training Examination 2017 Factors Associated With Interest in Pursuing a Fourth Year of Family Medicine Residency Training Go to Factors Associated With Interest in Pursuing a Fourth Year of Family Medicine Residency Training 2019 The Current State of Research Capacity in US Family Medicine Departments Go to The Current State of Research Capacity in US Family Medicine Departments 2021 Integrating primary care and public health to enhance response to a pandemic Go to Integrating primary care and public health to enhance response to a pandemic
Author(s) Mainous, Arch G III, Fang, Bo, and Peterson, Lars E Topic(s) Education & Training Keyword(s) Graduate Medical Education, In-Training Examination, and Visiting Scholar/Fellow Volume Journal of Graduate Medical Education Source Journal of Graduate Medical Education
ABFM Research Read all 2015 The Predictive Validity of the ABFM’s In-Training Examination Go to The Predictive Validity of the ABFM’s In-Training Examination 2017 Factors Associated With Interest in Pursuing a Fourth Year of Family Medicine Residency Training Go to Factors Associated With Interest in Pursuing a Fourth Year of Family Medicine Residency Training 2019 The Current State of Research Capacity in US Family Medicine Departments Go to The Current State of Research Capacity in US Family Medicine Departments 2021 Integrating primary care and public health to enhance response to a pandemic Go to Integrating primary care and public health to enhance response to a pandemic
2015 The Predictive Validity of the ABFM’s In-Training Examination Go to The Predictive Validity of the ABFM’s In-Training Examination
2017 Factors Associated With Interest in Pursuing a Fourth Year of Family Medicine Residency Training Go to Factors Associated With Interest in Pursuing a Fourth Year of Family Medicine Residency Training
2019 The Current State of Research Capacity in US Family Medicine Departments Go to The Current State of Research Capacity in US Family Medicine Departments
2021 Integrating primary care and public health to enhance response to a pandemic Go to Integrating primary care and public health to enhance response to a pandemic
