Opportunities and Challenges: Residents’ Perspectives on the Next Accreditation System in Psychiatry

The Road Ahead in Education: Milestones for Geriatric Psychiatry Subspecialty Training

“…While the milestones have elicited criticism, it is premature to assess their effect on psychiatric training. As each training director uses the milestones to reevaluate the curriculum, as well as the educational and clinical environment of their program, it is anticipated that the milestones will demonstrate a significant impact (19).…”

The Psychiatry Milestones: New Developments and Challenges

“…In the series of papers that follow in this issue of the journal [1][2][3][4][5][6][7][8][9], the authors explain the new Psychiatry Milestones and the ways in which they were developed. We owe a great debt to the Working Group in its attempt to apply input from all the major stakeholders in psychiatric GME and its use of workshops, surveys, and 19 pilot projects to assess the feasibility of the Milestones.…”

“…& Including elements of training that are already in practice but preparing educators for the future, as demonstrated by the new knowledge, skills, and attitudes, and incorporating novel concepts such as "human factors engineering" in systems-based practice, as more social science concepts are included in training. & Providing a systemic framework of knowledge, skills, and attitudes that allows for feedback and assessment by global ratings and, most important, by direct observation, emphasized extensively in all the papers in this cluster of the journal [1][2][3][4][5][6][7][8][9]. The authors are to be commended for clearly delineating anchors (through the threads) for formative assessment (feedback) and distinguishing it from summative assessment (evaluation) and the use of both by the clinical competency committees.…”

“…In the new Milestones era, there will be need for clear knowledge, skills, and attitudes that always require either "improvement" or some level of remediation. As Wilk and Schultz [9] note, this new approach may be hard for trainees to accept, particularly if the length of residency training is at stake.…”

“…The special cluster of articles in this issue of Academic Psychiatry [1][2][3][4][5][6][7][8][9] on the Psychiatry Milestones introduces and overviews the accomplishments of the Psychiatry Milestones Working Group and allows us to appreciate the trajectory of the Next Accreditation System (NAS) of the Accreditation Council for Graduate Medical Education (ACGME) [10], as it applies to general psychiatry.…”