Pediatric Program Director Minimum Milestone Expectations Before Allowing Supervision of Others and Unsupervised Practice

Su Ting T. Li, Alan Schwartz, Ann E. Burke, Susan Guralnick, R. Franklin Trimm, Ann Guillot, John D. Mahan, Kimberly Gifford, Daniel J. Tancredi

Research output: Contribution to journalReview articlepeer-review

Abstract

Follow up to the 2015 Survey. The Accreditation Council for Graduate Medical Education (ACGME) requires program directors to report semiannual Milestone data on residents. However, it is unclear what minimum Milestone expectations should be for residents to advance from one level of training to the next. In 2018, we published a study entitled “Pediatric Program Director Minimum Milestone Expectations Before Allowing Supervision of Others and Unsupervised Practice.”1 We surveyed pediatric program directors in June 2015, 2 years after Milestone reporting began. Most programs had no minimum Milestone level before residents were ready to supervise (80%) or ready to graduate (84%). Minimum Milestones expectations before residents were ready to supervise were highest for humanism (Professionalism [Prof1]) and professionalization (Prof2). Minimum Milestones expectations before residents were ready for unsupervised practice were highest for help-seeking (Prof4). Some program directors used Milestones in combination with other information to make advancement decisions. Some program directors gave different weight to different Milestones; others felt Milestones had insufficient validity evidence for use in advancement decisions and should only be used to help learners prioritize areas for improvement.
Original languageEnglish
Pages (from-to)1063-1065
Number of pages3
JournalAcademic Pediatrics
Volume20
Issue number8
DOIs
StatePublished - Nov 1 2020

ASJC Scopus Subject Areas

  • Pediatrics, Perinatology, and Child Health

Keywords

  • Child
  • Education, Medical, Graduate
  • Humans
  • Internship and Residency*
  • Motivation*

Disciplines

  • Pediatrics
  • Medical Education

Cite this