milestones & evaluation tools - statewide campus … milestones/common language.… ·...

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Milestones & Evaluation Tools

Professional Development Workshop

Brandy Church, MA, Pam Royston, PhD, and Heidi Kromrei, PhD

https://www.acgme.org/acgmeweb/Portals/0/PDFs/NAS/KeyDatesPhase1specialties.pdf

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https://www.acgme.org/acgmeweb/Portals/0/PDFs/Milestones/InternalMedicineMilestones.pdf

http://www.acgme.org/acgmeweb/Portals/0/PDFs/Milestones/MilestonesFAQ.pdf

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https://www.acgme.org/acgmeweb/Portals/0/PDFs/Nasca-Community/FAQs.pdf

https://www.acgme.org/acgmeweb/Portals/0/PFAssets/2013-PR-FAQ-PIF/140_internal_medicine_07012013.pdf

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July

Agenda

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Creating a Common Language

Competency-Based Education:Introduction to the Milestones

Brandy Church, MA

Session Objectives

Traditional Model

Frenk J, et al. (2010). Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet, 376(9756): 1923-1958.

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Elements of Model

Traditional

Driving Force for Curriculum Content

Driving Force for Process Teacher

Responsibility for content Teacher

Goal of Educational Encounter Knowledge acquisition

Timing of Assessment Emphasis on summative

Program Completion Fixed Time

Carraccio, C, Wolfsthal, SD, Englander, R, Ferentz, K & Martin, C. (2002). Shifting paradigms: from Flexner to competencies. Academic Medicine, 77(5): 361-367.

Is the system-in-placemeeting our current

needs?

Institute of Medicine (IOM). 2001. Crossing the quality chasm.. Washington, D.C: National Academy Press.

Institute of Medicine (IOM). 2014. Graduate medical education that meets the nation’s health needs. Washington, DC: The National Academies Press.

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“Medical education is at a crossroads: those who teach medical students and residents much choose whether to continue in the direction established over a hundred years ago or take a fundamentally different course, guided by contemporary innovation and new understandings about how people learn.”

Cooke, M, Irby, DM, O’Brien, BC. (2010). Calls for reform of medical education by Carnegie Foundation for the Advancement of Teaching: 1910 and 2010. Academic Medicine, 85(2): 2201-227.

John R. Potts, III, MD

HCPro. (December 2014). Transitioning to a single accreditation system for GME. Residency Program Alert, 2(12): pg. 5.

“Learn a new culture

and a new language”

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What does competency-based education mean to you?

What did you discuss?

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Competency Based

Frank JR, Snell LS, ten Cate O. et al. Competency-based medical education: theory to practice. Med Teach, 2010; 32: 638-645.

Competency Based


Traditional Competency‐Based

Driving Force for Curriculum

Content Outcomes

Driving Force for Process Teacher Learner

Responsibility for Content

Teacher Learner & Teacher

Goal of Educational Encounter

Knowledge acquisition Knowledge application

Timing of Assessment Emphasis on summative Emphasis on formative

Program Completion Fixed Time Variable Time


Elements of Models

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Vocabulary

The International CBME Collaborators, 2009

Competency Defined


Competent Defined

Simulation

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Ten Cate, O. S. (2010). Medical competency: the interplay between individual ability and the health care environment. Medical Teacher, 669-675.

Competence Defined

Optimal Medical Results

Potential Outcomes

Situation

Factors

Putting It All Together

Competency

Competent

Competence

Wiggins, G. & McTighe, J. (2005). Understanding by design (2nd Ed.). Alexandria, VA: Association for Supervision and Curriculum Development.

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Dreyfus Model

Novice

Advanced Beginner

Competent

Proficient

Expert

Dreyfus, SE, Dreyfus, HL. (1980). A five-stage model of the mental activities involved in directed skill acquisition. Washington, DC: Storming Media.

Major changes

Curriculum

What do we need?

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Birth of the Milestone Project

What Are Milestones?

http://www.acgme.org/acgmeweb/tabid/430/ProgramandInstitutionalAccreditation/NextAccreditationSystem/Milestones.aspx

Milestone Levels

Level Level Level Level

Milestones are progressive – there is no prescribed speed.

Levels do not correspond to PGY or year in program.

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Next Steps

Evaluation

Complete an evaluation of my presentation at

https://scs.msu.edu/eval/

Thank you very much for your feedback!

Specialty Workgroups

Familiarizing Yourself with Your Specialty’s Milestones

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ReferencesAccreditation Council for Graduate Medical Education (2014). http://www.acgme/.org


Cooke, M, Irby, DM, O’Brien, BC. (2010). Calls for reform of medical education by Carnegie Foundation for the Advancement of Teaching: 1910 and 2010. Academic Medicine, 85(2): 2201-227.

Dreyfus, SE, Dreyfus, HL. (1980). A five-stage model of the mental activities involved in directed skill acquisition. Washington, DC: Storming Media.

Frank JR, Snell LS, Ten Cate O. et al. Competency-based medical education: theory to practice. Med Teach, 2010; 32: 638-645.

Frenk J, et al. (2010). Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet, 376(9756): 1923-1958.HCPro. (December 2014). Transitioning to a single accreditation system for GME. Residency Program Alert, 2(12): pg. 5.

Institute of Medicine (IOM). 2001. Crossing the Quality Chasm. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, D.C: National Academy Press.

Institute of Medicine (IOM). 2014. Graduate medical education that meets the nation’s health needs. Washington, DC: The National Academies Press.

Ten Cate, O. S. (2010). Medical competency: the interplay between individual ability and the health care environment. Medical Teacher, 669-675.

Wiggins, G. & McTighe, J. (2005). Understanding by design (2nd Ed.). Alexandria, VA: Association for Supervision and Curriculum Development.

milestones & evaluation tools - statewide campus … milestones/common language.… ·...

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