Practicing Emergency Physicians Report Performing Well on Most Emergency Medicine Milestones

Peck, Timothy C.; Dubosh, Nicole M.; Rosen, Carlo L.; Tibbles, Carrie; Pope, Jennifer V.; Fisher, Jonathan

doi:10.1016/j.jemermed.2014.04.032

Cited by 11 publications

(10 citation statements)

References 11 publications

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“…The revised level 5 milestones reflects a more realistic goals for advanced EM residents training in ACGME‐accredited residency programs. Although Beeson et al concluded that the EM milestones were valid and reliable as an assessment instrument for competency achievement, a vast majority of EM residents and practicing attendings do not feel that they have achieved mastery of these advanced ultrasound skills . A survey of practicing emergency physicians in both academic and community settings demonstrated that only 47% of attendings felt that they obtained a level 4 or 5 milestone pertaining to focused goal‐directed ultrasound …”

Section: Resultsmentioning

confidence: 99%

Goal‐directed Focused Ultrasound Milestones Revised: A Multiorganizational Consensus

Nelson

Abdi

Adhikari

et al. 2016

Academic Emergency Medicine

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In 2012 the Accreditation Council for Graduate Medical Education and the American Board of Emergency Medicine released the emergency medicine milestones. The Patient Care 12 (PC12) subcompetency delineates staged and progressive accomplishment in emergency ultrasound. While valuable as an initial framework for ultrasound resident education, there are limitations to PC12. This consensus paper provides a revised description of criteria to define the subcompetency. A multiorganizational task force was formed between the American College of Emergency Physicians Ultrasound Section, the Council of Emergency Medicine Residency Directors, and the Academy of Emergency Ultrasound of the Society for Academic Emergency Medicine. Representatives from each organization created this consensus document and revision.

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Section: Resultsmentioning

confidence: 99%

Goal‐directed Focused Ultrasound Milestones Revised: A Multiorganizational Consensus

Nelson

Abdi

Adhikari

et al. 2016

Academic Emergency Medicine

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“…In addition, only one FMA was completed per resident so inter-rater agreement of FMAs was not assessed. Another significant limitation is the fact that the EM milestones themselves have not been fully validated [11,12]. …”

Section: Discussionmentioning

confidence: 99%

Assessment methods and resource requirements for milestone reporting by an emergency medicine clinical competency committee

Goyal

Folt

Jaskulka

et al. 2018

Medical Education Online

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Background: The Accreditation Council for Graduate Medical Education (ACGME) introduced milestones for Emergency Medicine (EM) in 2012. Clinical Competency Committees (CCC) are tasked with assessing residents on milestones and reporting them to the ACGME. Appropriate workflows for CCCs are not well defined.Objective: Our objective was to compare different approaches to milestone assessment by a CCC, quantify resource requirements for each and to identify the most efficient workflow.Design: Three distinct processes for rendering milestone assessments were compared: Full milestone assessments (FMA) utilizing all available resident assessment data,Ad-hoc milestone assessments (AMA) created by multiple expert educators using their personal assessment of resident performance,Self-assessments (SMA) completed by residents.FMA were selected as the theoretical gold standard. Intraclass correlation coefficients were used to analyze for agreement between different assessment methods. Kendall’s coefficient was used to assess the inter-rater agreement for the AMA.Results: All 13 second-year residents and 7 educational faculty of an urban EM Residency Program participated in the study in 2013. Substantial or better agreement between FMA and AMA was seen for 8 of the 23 total subcompetencies (PC4, PC8, PC9, PC11, MK, PROF2, ICS2, SBP2), and for 1 subcompetency (SBP1) between FMA and SMA. Multiple AMA for individual residents demonstrated substantial or better interobserver agreement in 3 subcompetencies (PC1, PC2, and PROF2). FMA took longer to complete compared to AMA (80.9 vs. 5.3 min, p < 0.001).Conclusions: Using AMA to evaluate residents on the milestones takes significantly less time than FMA. However, AMA and SMA agree with FMA on only 8 and 1 subcompetencies, respectively. An estimated 23.5 h of faculty time are required each month to fulfill the requirement for semiannual reporting for a residency with 42 trainees.

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“…Another study examined attending practicing physicians' perceived skills in relation to the milestones in a self‐evaluation survey . Although 77% of attending physicians found themselves to be at level 4 or 5 on the milestones overall, only 47% of them thought they met this standard for the US milestones.…”

Section: Discussionmentioning

confidence: 99%

Number of Weeks Rotating in the Emergency Department Has a Greater Effect on Ultrasound Milestone Competency Than a Dedicated Ultrasound Rotation

Smalley

Thiessen

Byyny

et al. 2016

J of Ultrasound Medicine

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Practicing Emergency Physicians Report Performing Well on Most Emergency Medicine Milestones

Cited by 11 publications

References 11 publications

Goal‐directed Focused Ultrasound Milestones Revised: A Multiorganizational Consensus

Goal‐directed Focused Ultrasound Milestones Revised: A Multiorganizational Consensus

Assessment methods and resource requirements for milestone reporting by an emergency medicine clinical competency committee

Number of Weeks Rotating in the Emergency Department Has a Greater Effect on Ultrasound Milestone Competency Than a Dedicated Ultrasound Rotation

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