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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. ABFM Research Read all 2024 Performance Evaluation of the Generative Pre-trained Transformer (GPT-4) on the Family Medicine In-Training Examination Go to Performance Evaluation of the Generative Pre-trained Transformer (GPT-4) on the Family Medicine In-Training Examination 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 2013 The redistribution of graduate medical education positions in 2005 failed to boost primary care or rural training Go to The redistribution of graduate medical education positions in 2005 failed to boost primary care or rural training 2013 Do residents who train in safety net settings return for practice? Go to Do residents who train in safety net settings return for practice?
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 2024 Performance Evaluation of the Generative Pre-trained Transformer (GPT-4) on the Family Medicine In-Training Examination Go to Performance Evaluation of the Generative Pre-trained Transformer (GPT-4) on the Family Medicine In-Training Examination 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 2013 The redistribution of graduate medical education positions in 2005 failed to boost primary care or rural training Go to The redistribution of graduate medical education positions in 2005 failed to boost primary care or rural training 2013 Do residents who train in safety net settings return for practice? Go to Do residents who train in safety net settings return for practice?
2024 Performance Evaluation of the Generative Pre-trained Transformer (GPT-4) on the Family Medicine In-Training Examination Go to Performance Evaluation of the Generative Pre-trained Transformer (GPT-4) on the Family Medicine In-Training Examination
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
2013 The redistribution of graduate medical education positions in 2005 failed to boost primary care or rural training Go to The redistribution of graduate medical education positions in 2005 failed to boost primary care or rural training
2013 Do residents who train in safety net settings return for practice? Go to Do residents who train in safety net settings return for practice?
