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 2018 Board Certified Family Physician Workforce: Progress in Racial and Ethnic Diversity Go to Board Certified Family Physician Workforce: Progress in Racial and Ethnic Diversity 2020 Does Community- or University-Based Residency Sponsorship Affect Graduate Perceived Preparation or Performance? Go to Does Community- or University-Based Residency Sponsorship Affect Graduate Perceived Preparation or Performance? 2019 Factors Associated With Successful Research Departments A Qualitative Analysis of Family Medicine Research Bright Spots Go to Factors Associated With Successful Research Departments A Qualitative Analysis of Family Medicine Research Bright Spots 2022 Strengthening Primary Care to Improve Health Outcomes in the US Go to Strengthening Primary Care to Improve Health Outcomes in the US
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 2018 Board Certified Family Physician Workforce: Progress in Racial and Ethnic Diversity Go to Board Certified Family Physician Workforce: Progress in Racial and Ethnic Diversity 2020 Does Community- or University-Based Residency Sponsorship Affect Graduate Perceived Preparation or Performance? Go to Does Community- or University-Based Residency Sponsorship Affect Graduate Perceived Preparation or Performance? 2019 Factors Associated With Successful Research Departments A Qualitative Analysis of Family Medicine Research Bright Spots Go to Factors Associated With Successful Research Departments A Qualitative Analysis of Family Medicine Research Bright Spots 2022 Strengthening Primary Care to Improve Health Outcomes in the US Go to Strengthening Primary Care to Improve Health Outcomes in the US
2018 Board Certified Family Physician Workforce: Progress in Racial and Ethnic Diversity Go to Board Certified Family Physician Workforce: Progress in Racial and Ethnic Diversity
2020 Does Community- or University-Based Residency Sponsorship Affect Graduate Perceived Preparation or Performance? Go to Does Community- or University-Based Residency Sponsorship Affect Graduate Perceived Preparation or Performance?
2019 Factors Associated With Successful Research Departments A Qualitative Analysis of Family Medicine Research Bright Spots Go to Factors Associated With Successful Research Departments A Qualitative Analysis of Family Medicine Research Bright Spots
2022 Strengthening Primary Care to Improve Health Outcomes in the US Go to Strengthening Primary Care to Improve Health Outcomes in the US