Educational milestone development in the first 7 specialties to enter the next accreditation system.
Educational milestone development in the first 7 specialties to enter the next accreditation system.
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DOI：
10.4300/jgme-05-01-33
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发表时间：
2013-03-01
影响因子：
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通讯作者：
Vydareny, Kay
中科院分区：
文献类型：
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作者：
Swing, Susan R;Beeson, Michael S;Vydareny, Kay
背景技术背景：研究生医学教育认证理事会（ACGME）成果项目介绍了6个与医疗实践相关的一般能力，但没有达到其目标，即创建一个强大的评估系统，允许基于成果的程序认证。作为回应，ACGME，专业委员会和其他利益相关者合作开发教育里程碑，居民专业发展的可观察步骤，描述从入学到毕业及以后的进展。补充：我们总结了里程碑的发展，重点是7个专业，在2013年7月进入下一个认证系统，并提供其有效性的证据。具有广泛代表性的专业工作组采用了5级发展框架，并纳入了文献综述，专业课程，对话与成分，和试点testing.RESULTS的信息：工作组产生了丰富多样的里程碑，反映了社会的考虑属性的能力相关的实践在给定的专业。他们的发展过程和里程碑本身建立了一个有效性参数，当当代的有效性复杂的性能assessment.CONCLUSIONS：初步证据的有效性出现的发展过程和由此产生的里程碑。进一步推进有效性论证将需要研究在居民评估和项目认证中使用里程碑数据。
BACKGROUND: The Accreditation Council for Graduate Medical Education (ACGME) Outcome Project introduced 6 general competencies relevant to medical practice but fell short of its goal to create a robust assessment system that would allow program accreditation based on outcomes. In response, the ACGME, the specialty boards, and other stakeholders collaborated to develop educational milestones, observable steps in residents' professional development that describe progress from entry to graduation and beyond.OBJECTIVES: We summarize the development of the milestones, focusing on 7 specialties, moving to the next accreditation system in July 2013, and offer evidence of their validity.METHODS: Specialty workgroups with broad representation used a 5-level developmental framework and incorporated information from literature reviews, specialty curricula, dialogue with constituents, and pilot testing.RESULTS: The workgroups produced richly diverse sets of milestones that reflect the community's consideration of attributes of competence relevant to practice in the given specialty. Both their development process and the milestones themselves establish a validity argument, when contemporary views of validity for complex performance assessment are used.CONCLUSIONS: Initial evidence for validity emerges from the development processes and the resulting milestones. Further advancing a validity argument will require research on the use of milestone data in resident assessment and program accreditation.