Int J Med Educ. 2016 Jan 11;7:11-8. doi: 10.5116/ijme.5682.6dfd.
A pilot study of orthopaedic resident self-assessment using a milestones' survey just prior to milestones implementation.
International journal of medical education
Kendall E Bradley, Kathryn M Andolsek
Affiliations
Affiliations
- Orthopaedic Surgery Residency Training Program, Duke University Hospital, Box 3648 DUMC, Durham, NC 27710, USA.
- Community and Family Medicine, Duke University School of Medicine, Box 3648 DUMC, 201 Trent Drive, Durham, NC 27710, USA.
PMID: 26752012
PMCID: PMC4715902 DOI: 10.5116/ijme.5682.6dfd
Abstract
OBJECTIVE: To pilot test if Orthopaedic Surgery residents could self-assess their performance using newly created milestones, as defined by the Accreditation Council on Graduate Medical Education.
METHODS: In June 2012, an email was sent to Program Directors and administrative coordinators of the 154 accredited Orthopaedic Surgery Programs, asking them to send their residents a link to an online survey. The survey was adapted from the Orthopaedic Surgery Milestone Project. Completed surveys were aggregated in an anonymous, confidential database. SAS 9.3 was used to perform the analyses.
RESULTS: Responses from 71 residents were analyzed. First and second year residents indicated through self-assessment that they had substantially achieved Level 1 and Level 2 milestones. Third year residents reported they had substantially achieved 30/41, and fourth year residents, all Level 3 milestones. Fifth year, graduating residents, reported they had substantially achieved 17 Level 4 milestones, and were extremely close on another 15. No milestone was rated at Level 5, the maximum possible. Earlier in training, Patient Care and Medical Knowledge milestones were rated lower than the milestones reflecting the other four competencies of Practice Based Learning and Improvement, Systems Based Practice, Professionalism, and Interpersonal Communication. The gap was closed by the fourth year.
CONCLUSIONS: Residents were able to successfully self-assess using the 41 Orthopaedic Surgery milestones. Respondents' rate improved proficiency over time. Graduating residents report they have substantially, or close to substantially, achieved all Level 4 milestones. Milestone self-assessment may be a useful tool as one component of a program's overall performance assessment strategy.
Keywords: competency based education; graduate medical education; milestones; postgraduate medical education; self-assessment
References
- J Bone Joint Surg Am. 2005 May;87(5):1031-7 - PubMed
- Front Psychol. 2013 Nov 21;4:668 - PubMed
- J Grad Med Educ. 2013 Mar;5(1):98-106 - PubMed
- JAMA. 2013 Dec 4;310(21):2328-46 - PubMed
- J Grad Med Educ. 2010 Sep;2(3):410-8 - PubMed
- Orthopedics. 2009 Mar;32(3):171 - PubMed
- J Grad Med Educ. 2012 Dec;4(4):417-24 - PubMed
- AMA J Ethics. 2015 Jun;17(6):515-20 - PubMed
- J Grad Med Educ. 2009 Dec;1(2):278-86 - PubMed
- Acad Med. 2012 Apr;87(4):419-27 - PubMed
- Can J Surg. 2012 Aug;55(4):S153-7 - PubMed
- J Grad Med Educ. 2015 Jun;7(2):220-4 - PubMed
- JAMA. 2006 Sep 6;296(9):1094-102 - PubMed
- Acad Med. 2013 Apr;88(4):449-53 - PubMed
- BMC Med Educ. 2013;13:24 - PubMed
- Acad Emerg Med. 2014 Jun;21(6):694-8 - PubMed
- J Grad Med Educ. 2015 Jun;7(2):162-5 - PubMed
- J Grad Med Educ. 2010 Sep;2(3):435-41 - PubMed
- J Emerg Med. 2014 Oct;47(4):432-40 - PubMed
- Acad Psychiatry. 2014 Jun;38(3):294-302 - PubMed
- Patient Educ Couns. 2011 Jul;84(1):3-9 - PubMed
- J Grad Med Educ. 2013 Mar;5(1):130-7 - PubMed
- J Grad Med Educ. 2009 Sep;1(1):5-20 - PubMed
- Acad Med. 2015 May;90(5):609-14 - PubMed
- Acad Med. 2005 Oct;80(10 Suppl):S46-54 - PubMed
- Am J Surg. 2008 Jan;195(1):1-4 - PubMed
- Med Teach. 2012;34(4):279-84 - PubMed
- Am J Surg. 2013 May;205(5):557-62; discussion 562 - PubMed
- Med Educ Online. 2014;19:25746 - PubMed
- J Grad Med Educ. 2015 Dec;7(4):658-62 - PubMed
- J Palliat Med. 2014 Apr;17(4):453-62 - PubMed
- Acad Med. 2015 Nov;90(11 Suppl):S36-42 - PubMed
- J Surg Educ. 2015 Jul-Aug;72(4):618-24 - PubMed
- J Bone Joint Surg Am. 2014 Dec 3;96(23):e195 - PubMed
- Acad Med. 1991 Dec;66(12):762-9 - PubMed
- Adv Health Sci Educ Theory Pract. 2002;7(1):63-80 - PubMed
- Med Teach. 2008;30(2):124-45 - PubMed
- Am J Obstet Gynecol. 2005 Nov;193(5):1817-22 - PubMed
- J Bone Joint Surg Am. 2010 Jan;92(1):245-9 - PubMed
- Plast Reconstr Surg. 2015 Jul;136(1):181-7 - PubMed
- Acad Emerg Med. 2013 Jul;20(7):736-9 - PubMed
- Acad Emerg Med. 2014 Aug;21(8):905-11 - PubMed
- Acad Med. 2000 Jul;75(7):737-41 - PubMed
- Acad Med. 2015 Aug;90(8):1084-92 - PubMed
- N Engl J Med. 2012 Mar 15;366(11):1051-6 - PubMed
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