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
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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 2022 Strengthening Primary Care to Improve Health Outcomes in the US Go to Strengthening Primary Care to Improve Health Outcomes in the US 2008 Using county-level public health data to prioritize medical education topics Go to Using county-level public health data to prioritize medical education topics 2021 What Family Medicine Can Learn From Other Specialties Go to What Family Medicine Can Learn From Other Specialties 2020 Changes and Variation in Medicare Graduate Medical Education Payments Go to Changes and Variation in Medicare Graduate Medical Education Payments
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 2022 Strengthening Primary Care to Improve Health Outcomes in the US Go to Strengthening Primary Care to Improve Health Outcomes in the US 2008 Using county-level public health data to prioritize medical education topics Go to Using county-level public health data to prioritize medical education topics 2021 What Family Medicine Can Learn From Other Specialties Go to What Family Medicine Can Learn From Other Specialties 2020 Changes and Variation in Medicare Graduate Medical Education Payments Go to Changes and Variation in Medicare Graduate Medical Education Payments
2022 Strengthening Primary Care to Improve Health Outcomes in the US Go to Strengthening Primary Care to Improve Health Outcomes in the US
2008 Using county-level public health data to prioritize medical education topics Go to Using county-level public health data to prioritize medical education topics
2021 What Family Medicine Can Learn From Other Specialties Go to What Family Medicine Can Learn From Other Specialties
2020 Changes and Variation in Medicare Graduate Medical Education Payments Go to Changes and Variation in Medicare Graduate Medical Education Payments