Purpose: To
assess resident perception of Milestone level as compared to the Clinical
Competency Committee (CCC).
Background: The Milestone Project was a joint initiative of ACGME, ABOG and ACOG and
implemented in July of 2014. The
Milestones serve as a descriptive blueprint to guide curriculum development and
assessment practices. They allow programs to more accurately evaluate the
outcomes of residency education and allow programs to track resident
development over time.
Methods: The 24 residents of the Saint Louis University Ob/Gyn program were asked
to rate themselves on each of the 28 Milestones based on their perception of
where they felt they were in their training.
This was done independent of the CCC.
The CCC met for its semi-annual meeting and completed the Milestone
report for each resident in standard fashion.
The CCC was not aware that the residents were also rating themselves on
each Milestone. Resident and CCC ratings were compared, with differences
defined as a discrepancy ≥1 point.
Results: Overall, there was a close approximation of what the CCC and residents
determined to be their Milestone level.
Milestone agreement varied slightly by post graduate year, with the
greatest agreement observed in PGY-4 (90%) and the least agreement in PGY-3
(79%). When analyzed by Milestone group, the greatest agreement was observed in
Interpersonal Communication and Medical Knowledge (90% and 89%, respectively).
Discussions: Resident
self-perception of Milestone level is comparable to the CCC in our
program. There tends to be slightly more
variation among the PGY-2 and 3 levels across all Milestones.
Topics: CREOG & APGO Annual Meeting, 2018, Resident, Faculty, Residency Director, Residency Coordinator, Patient Care, Medical Knowledge, Professionalism, Systems-Based Practice & Improvement, Interpersonal & Communication Skills, Practice-Based Learning & Improvement, GME, Assessment, General Ob-Gyn,
D.
Gregory Ward,
MD
