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How Effective Are New Milestones Evaluations at Demonstrating Resident Growth: 1 Year of Data

Background: A novel post-graduate year (PGY) and venue-specific evaluation tool incorporating ACGME Milestones was initiated during academic year 2014-15. The tool was used to evaluate residents along multiple dimensions, including medical knowledge, technical skills, professionalism, etc., in the operating room and labor and delivery (L&D) venues.


Methods: Resident development along the above dimensions was captured over time. To account for different rotation schedules, the year was divided into thirds and compared using two-tailed Fisher’s exact and Student’s t-tests (significance: p < 0.05).


Results: A total of 822 evaluations were completed from 9/1/14-6/1/15. Over time, a significant shift toward evaluation scores of “with minimal supervision” and “independent” was seen among PGY1s (p=0.03) for ‘managing normal labor.’ For all parameters, “independent” L&D scores increased monotonically across the starts of all years: 8.4% for PGY1s, 60.3% for PGY2s, 73.7% for PGY3s, and 87.5% for PGY4s. For all surgery types combined, PGY3s demonstrated a notable increase in “able to be primary surgeon,” from 36% in the first two-thirds of the year, to 62.3% in the last third (p < 0.01).


Discussions: ACGME Milestone evaluations capture the growth of residents over time and are able to demonstrate quantifiable differences in achievements between PGY classes. These tools will allow for targeted teaching opportunities for individual residents and the program overall.


Keywords: Milestones; Evaluation tools

Topics: CREOG & APGO Annual Meeting, 2016, 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 Information

Oral Abstract
2016 c & A Annual
Resident,Faculty,Residency Director,Residency Coordinator,
Patient Care,Medical Knowledge,Professionalism,Systems-Based Practice & Improvement,Interpersonal & Communication Skills,Practice-Based Learning & Improvement,
Clinical Focus

Author Information

Randi Goldman, MD, Brigham and Women\'s Hospital; Joan Bengtson, MD; Ruth Tuomala, MD; Amy Stagg, MD

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