ACGME Milestones in the Real World: A Qualitative Study Exploring Response Process Evidence
Abstract
The growing body of validity evidence supporting the use of ACGME Milestones has grown, but response process remains poorly studied. Methods: We conducted semi-structured interviews of Transitional Year Clinical Competency Committee members to query their response process in the application of Milestones, drawing from constructivist grounded theory. Results: Themes included an absence of formal training and the use of Milestones for resident assessment, ignoring their role in program evaluation. Regarding thought processes, themes were: comparing averaged data to peers and time in training, utility of meaningful narrative comments, and assumption of average performance in the absence of data. Conclusions: Our study found that the response process used by TY CCC members is not consistent with the ACGMEs intent. This work suggests a number of ways to improve the application of Milestones in the real world as well as the importance of further investigation into evidence for response process.
Document Details
- Document Type
- Technical Report
- Publication Date
- Sep 24, 2021
- Accession Number
- AD1212235
Entities
People
- Ashley M. Maranich
Organizations
- Uniformed Services University of the Health Sciences