Beyond the Clinic Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals Read Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals
Phoenix Newsletter - March 2025 President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty Read President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty
Home Research Research Library Examining the Functioning and Reliability of the Family Medicine Milestones Examining the Functioning and Reliability of the Family Medicine Milestones 2017 Author(s) Peabody, Michael R, O’Neill, Thomas R, and Peterson, Lars E Topic(s) Education & Training Keyword(s) Graduate Medical Education, and Psychometrics Volume Journal of Graduate Medical Education Source Journal of Graduate Medical Education BACKGROUND : The Family Medicine (FM) Milestones are a framework designed to assess development of residents in key dimensions of physician competency. Residency programs use the milestones in semiannual reviews of resident performance from entry toward graduation. OBJECTIVE : To examine the functioning and reliability of the FM Milestones and to determine whether they measure the amount of a latent trait (eg, knowledge or ability) possessed by a resident or simply indicate where a resident falls along the training sequence. METHODS : This study utilized the Rasch Partial Credit model to examine academic year 2014-2015 ratings for 10 563 residents from 476 residency programs (postgraduate year [PGY] 1 = 3639; PGY-2 = 3562; PGY-3 = 3351; PGY-4 = 11). RESULTS Reliability was exceptionally high at 0.99. Mean scores were 3.2 (SD = 1.3) for PGY-1; 5.0 (SD = 1.3) for PGY-2; 6.7 (SD = 1.2) for PGY-3; and 7.4 (SD = 1.0) for PGY-4. Keyform analysis showed a rating on 1 item was likely to be similar for all other items. CONCLUSIONS : Our findings suggest that FM Milestones seem to largely function as intended. Lack of spread in item difficulty and lack of variation in category probabilities show that FM Milestones do not measure the amount of a latent trait possessed by a resident, but rather describe where a resident falls along the training sequence. High reliability indicates residents are being rated in a stable manner as they progress through residency, and individual residents deviating from this rating structure warrant consideration by program leaders. Read More ABFM Research Read all 2017 Increased Public Accountability for Hospital Nonprofit Status: Potential Impacts on Residency Positions Go to Increased Public Accountability for Hospital Nonprofit Status: Potential Impacts on Residency Positions 2013 A small percentage of family physicians report time devoted to research Go to A small percentage of family physicians report time devoted to research 2024 US Primary Care Workforce Growth: A Decade of Limited Progress, and Projected Needs Through 2040 Go to US Primary Care Workforce Growth: A Decade of Limited Progress, and Projected Needs Through 2040 2017 Impact of Residency Training Redesign on Residents’ Clinical Knowledge Go to Impact of Residency Training Redesign on Residents’ Clinical Knowledge
Author(s) Peabody, Michael R, O’Neill, Thomas R, and Peterson, Lars E Topic(s) Education & Training Keyword(s) Graduate Medical Education, and Psychometrics Volume Journal of Graduate Medical Education Source Journal of Graduate Medical Education
ABFM Research Read all 2017 Increased Public Accountability for Hospital Nonprofit Status: Potential Impacts on Residency Positions Go to Increased Public Accountability for Hospital Nonprofit Status: Potential Impacts on Residency Positions 2013 A small percentage of family physicians report time devoted to research Go to A small percentage of family physicians report time devoted to research 2024 US Primary Care Workforce Growth: A Decade of Limited Progress, and Projected Needs Through 2040 Go to US Primary Care Workforce Growth: A Decade of Limited Progress, and Projected Needs Through 2040 2017 Impact of Residency Training Redesign on Residents’ Clinical Knowledge Go to Impact of Residency Training Redesign on Residents’ Clinical Knowledge
2017 Increased Public Accountability for Hospital Nonprofit Status: Potential Impacts on Residency Positions Go to Increased Public Accountability for Hospital Nonprofit Status: Potential Impacts on Residency Positions
2013 A small percentage of family physicians report time devoted to research Go to A small percentage of family physicians report time devoted to research
2024 US Primary Care Workforce Growth: A Decade of Limited Progress, and Projected Needs Through 2040 Go to US Primary Care Workforce Growth: A Decade of Limited Progress, and Projected Needs Through 2040
2017 Impact of Residency Training Redesign on Residents’ Clinical Knowledge Go to Impact of Residency Training Redesign on Residents’ Clinical Knowledge