Training for the 21st Century?
Authors: Michael D. Stillman
Journal: Annals of Internal Medicine (2014)

Ideas and Opinions3 June 2014Training for the 21st Century?Michael D. Stillman, MDMichael D. Stillman, MDFrom University of Louisville School of Medicine, Louisville, Kentucky.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M13-2358 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Proposed in 2009, the “milestones” are specialty-specific observable behaviors meant to clarify the Accreditation Council on Graduate Medical Education's (ACGME) 6 core competencies. These competencies—patient care, medical knowledge, professionalism, systems-based practice, practice-based learning, and interpersonal and communication skills—have been deemed essential to medical training and practice yet are difficult to evaluate objectively. Adoption of the more concrete milestones is intended to anchor curricular development, ease trainee remediation, and transform resident assessment from a “process” to a “competency-based” endeavor (1).The Next Accreditation System (NAS), an ACGME-mandated venture, was introduced in 2012 to move residency program accreditation from episodic evaluation toward ...References1. Green ML, Aagaard EM, Caverzagie KJ, Chick DA, Holmboe E, Kane G, et al. Charting the road to competence: developmental milestones for internal medicine residency training. J Grad Med Educ. 2009;1:5-20. [PMID: 21975701] CrossrefMedlineGoogle Scholar2. Nasca TJ, Philibert I, Brigham T, Flynn TC. The next GME accreditation system—rationale and benefits. N Engl J Med. 2012;366:1051-6. [PMID: 22356262] CrossrefMedlineGoogle Scholar3. Weinberger SE, Smith LG, Collier VU; Education Committee of the American College of Physicians. Redesigning training for internal medicine. Ann Intern Med. 2006;144:927-32. [PMID: 16601254] LinkGoogle Scholar4. Fitzgibbons JP, Bordley DR, Berkowitz LR, Miller BW, Henderson MC; Association of Program Directors in Internal Medicine. Redesigning residency education in internal medicine: a position paper from the Association of Program Directors in Internal Medicine. Ann Intern Med. 2006;144:920-6. [PMID: 16785480] LinkGoogle Scholar5. Holmboe ES, Bowen JL, Green M, Gregg J, DiFrancesco L, Reynolds E, et al. Reforming internal medicine residency training. A report from the Society of General Internal Medicine's task force for residency reform. J Gen Intern Med. 2005;20:1165-72. [PMID: 16423110] CrossrefMedlineGoogle Scholar6. Goroll AH, Sirio C, Duffy FD, LeBlond RF, Alguire P, Blackwell TA, et al; Residency Review Committee for Internal Medicine. A new model for accreditation of residency programs in internal medicine. Ann Intern Med. 2004;140:902-9. [PMID: 15172905] LinkGoogle Scholar7. Woolf SH, Aron L. U.S. Health in International Perspective: Shorter Lives, Poorer Health. Washington, DC: National Academies Pr; 2013. Google Scholar Author, Article, and Disclosure InformationAffiliations: From University of Louisville School of Medicine, Louisville, Kentucky.Disclosures: None. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-2358.Corresponding Author: Michael D. Stillman, MD, Ambulatory Care Building–Ambulatory Internal Medicine Clinic, 550 South Jackson Street, Louisville, KY 40202; e-mail, michael.[email protected]edu.Author Contributions: Conception and design: M.D. Stillman.Drafting of the article: M.D. Stillman.Critical revision of the article for important intellectual content: M.D. Stillman.Final approval of the article: M.D. Stillman.This article was published online first at www.annals.org on 8 April 2014. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoTraining for the 21st Century? Nayan K. Kothari Training for the 21st Century? James Scheuer Training for the 21st Century? Michael D. Stillman Metrics Cited ByCreating Entrustable Professional Activities to Assess Internal Medicine Residents in Training A Mixed-Methods ApproachDavid R. Taylor, MD, MHPE, Yoon Soo Park, PhD, Christopher A. Smith, MD, Jolanta Karpinski, MD, MEd, William Coke, MD, and Ara Tekian, PhD, MHPEReflecting on Fellowship Training: The Difference Between Training Rheumatology Fellows and RheumatologistsThe Internal Medicine Reporting Milestones: Cross-sectional Description of Initial Implementation in U.S. Residency ProgramsKaren E. Hauer, MD, PhD, Jerome Clauser, EdD, Rebecca S. Lipner, PhD, Eric S. Holmboe, MD, Kelly Caverzagie, MD, Stanley J. Hamstra, PhD, Sarah Hood, MS, William Iobst, MD, Eric Warm, MD, and Furman S. McDonald, MD, MPHTraining for the 21st Century?Nayan K. Kothari, MDTraining for the 21st Century?James Scheuer, MD 3 June 2014Volume 160, Issue 11Page: 800-801KeywordsBehaviorGraduate medical educationHealth careMedical educationOutpatientsPublic policyPulmonary diseasesQuality improvementResidencySafety ePublished: 3 June 2014 Issue Published: 3 June 2014 CopyrightCopyright © 2014 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...