Department of Surgery, School of Medicine, Johns Hopkins University School of Medicine, 1800 Orleans Street, Room 7337, Baltimore, MD 21287, United States.
Department of Surgery, University of Rochester School of Medicine and Dentistry, Rochester, NY, United States.
J Pediatr Surg. 2022 Dec;57(12):845-851. doi: 10.1016/j.jpedsurg.2022.04.021. Epub 2022 May 9.
More than twenty years ago, the Accreditation Council for Graduate Medical Education and the American Board of Medical Specialties began the conversion of graduate medical education from a structure- and process-based model to a competency-based framework. The educational outcomes assessment tool, known as the Milestones, was introduced in 2013 for seven specialties and by 2015 for the remaining specialties, including pediatric surgery. Designed to be an iterative process with improvements over time based on feedback and evidence-based literature, the Milestones started the evolution from 1.0 to 2.0 in 2016. The formation of Pediatric Surgery Milestones 2.0 began in 2019 and was finalized in 2021 for implementation in the 2022-2023 academic year. Milestones 2.0 are fewer in number and are stated in more straightforward language. It incorporated the harmonized milestones, subcompetencies for non-patient care and non-medical knowledge that are consistent across all medical and surgical specialties. There is a new Supplemental Guide that lists examples, references and links to other assessment tools and resources for each subcompetency. Milestones 2.0 represents a continuous process of feedback, literature review and revision with goals of improving patient care and maintaining public trust in graduate medical education's ability to self-regulate. LEVEL OF EVIDENCE: V.
二十多年前，研究生医学教育认证委员会和美国医学专科委员会开始将研究生医学教育从基于结构和过程的模式转变为基于能力的框架。教育成果评估工具，即里程碑，于 2013 年在七个专业中推出，并于 2015 年在其余专业中推出，包括小儿外科学。旨在成为一个随着时间的推移基于反馈和基于证据的文献进行改进的迭代过程，里程碑从 2016 年开始从 1.0 发展到 2.0。儿科外科学里程碑 2.0 的制定始于 2019 年，并于 2021 年完成，以便在 2022-2023 学年实施。里程碑 2.0 的数量减少了，语言也更加简洁明了。它纳入了协调一致的里程碑、非患者护理和非医学知识的子能力，这些子能力在所有医学和外科学专业中都是一致的。还有一个新的补充指南，为每个子能力列出了示例、参考文献和其他评估工具和资源的链接。里程碑 2.0 代表了一个持续的反馈、文献审查和修订过程，目标是改善患者护理并维护公众对研究生医学教育自我监管能力的信任。证据水平：V。
