is Assistant Professor, Department of Family and Community Medicine, Northwestern Feinberg School of Medicine, and Associate Program Director, Northwestern McGaw Family Medicine Residency Program at Lake Forest.
is Associate Professor, Department of Family and Community Medicine, Northwestern Feinberg School of Medicine, and Program Director, McGaw Northwestern Family Medicine Program at Humboldt Park.
J Grad Med Educ. 2022 Apr;14(2):166-170. doi: 10.4300/JGME-D-21-00723.1. Epub 2022 Apr 14.
As the Accreditation Council for Graduate Medical Education (ACGME) began to ask programs to report their efforts surrounding diversity, equity, and inclusion (DEI), program directors felt ill prepared to evaluate their programs and measure change.
To develop a tool that would allow graduate medical education (GME) programs to evaluate the current state of DEI within their residencies, identify areas of need, and track progress; to evaluate feasibility of using this assessment method within family medicine training programs; and to analyze and report pilot data from implementation of these milestones within family medicine residency programs.
The Association of Family Medicine Residency Directors (AFMRD) Diversity and Health Equity (DHE) Task Force developed a tool for program DEI evaluation modeled after the ACGME Milestones. These milestones focus on DEI assessment in 5 key domains: Institution, Curriculum, Evaluation, Resident Personnel, and Faculty Personnel. After finalizing a draft, a pilot implementation of the milestones was conducted by a convenience sample of 10 AFMRD DHE Task Force members for their own programs.
Scores varied widely across surveyed programs for all milestones. Highest average scores were seen for the Curriculum milestone (2.65) and the lowest for the Faculty Personnel milestone (2.0). Milestone assessments were completed within 10 to 40 minutes using various methods.
The AFMRD DEI Milestones were developed for program assessment, goal setting, and tracking of progress related to DEI within residency programs. The pilot implementation showed these milestones were easily used by family medicine faculty members in diverse settings.
随着研究生医学教育认证委员会（ACGME）开始要求各项目报告其在多样性、公平性和包容性（DEI）方面的努力，项目主任感到自己在评估项目和衡量变革方面准备不足。
开发一种工具，使研究生医学教育（GME）项目能够评估其住院医师培训中 DEI 的现状，确定需求领域，并跟踪进展；评估在家庭医学培训项目中使用这种评估方法的可行性；并分析和报告家庭医学住院医师培训计划实施这些里程碑的试点数据。
家庭医学住院医师培训项目主任协会（AFMRD）多样性和健康公平（DHE）工作组开发了一种工具，用于项目 DEI 评估，该工具是根据 ACGME 里程碑模型设计的。这些里程碑专注于 5 个关键领域的 DEI 评估：机构、课程、评估、住院医师人员和教师人员。在敲定草案后，由 AFMRD DHE 工作组的 10 名成员对他们自己的项目进行了里程碑试点实施。
所有里程碑的调查项目得分差异很大。课程里程碑的平均得分最高（2.65），教师人员里程碑的得分最低（2.0）。使用各种方法，在 10 到 40 分钟内完成了里程碑评估。
AFMRD DEI 里程碑是为项目评估、目标设定以及跟踪住院医师培训项目中 DEI 的进展而开发的。试点实施表明，这些里程碑很容易被家庭医学教师在不同环境中使用。
