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.
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.
Authors: Karen E Hauer; Jonathan Vandergrift; Brian Hess; Rebecca S Lipner; Eric S Holmboe; Sarah Hood; William Iobst; Stanley J Hamstra; Furman S McDonald Journal: JAMA Date: 2016-12-06 Impact factor: 56.272
Authors: Karen E Hauer; Jerome Clauser; Rebecca S Lipner; Eric S Holmboe; Kelly Caverzagie; Stanley J Hamstra; Sarah Hood; William Iobst; Eric Warm; Furman S McDonald Journal: Ann Intern Med Date: 2016-05-10 Impact factor: 25.391
Authors: Paul A Ravenna; Santina Wheat; Fadya El Rayess; Leon McCrea; A Ildiko Martonffy; Cara Marshall; Suki Tepperberg; Rachel S C Friedman; Wendy B Barr Journal: J Grad Med Educ Date: 2022-04-14
Authors: Thad Wilkins; Wonsuk Yoo; Ralph A Gillies; Julie Dahl-Smith; Jacqueline Dubose; Joseph Hobbs; Selina Smith; Dean A Seehusen Journal: PRiMER Date: 2018-05
Authors: Stanley J Hamstra; Monica M Cuddy; Daniel Jurich; Kenji Yamazaki; John Burkhardt; Eric S Holmboe; Michael A Barone; Sally A Santen Journal: Acad Med Date: 2021-09-01 Impact factor: 7.840