Milestones
In preparation for the Accreditation Council for Graduate Medical Education (ACGME) Next Accreditation System (NAS), specialty groups have developed outcomes-based milestones for resident performance within the six domains of clinical competence.
The milestones are competency-based developmental outcome expectations that can be demonstrated progressively by residents and fellows from the beginning of their education through graduation to the unsupervised practice of their specialty.
The Milestones Working Groups were co-convened by ACGME, the American Board of Internal Medicine (ABIM) and the Alliance for Academic Internal Medicine (AAIM), and were composed of ABIM staff, program director association members, specialty society members, ACGME Review Committee members and others.
Residents' and fellows' performance on milestones have become a source of specialty-specific normative data for the specialty Review Committees to use in assessing the quality of residency and fellowship programs, and facilitating improvements to program curriculum and resident and fellow performance, if and when needed.
The milestones are also used by ACGME to demonstrate accountability of the effectiveness of graduate medical education within ACGME-accredited programs in meeting the needs of the public.
The members of the Internal Medicine Education Redesign Advisory Board, with representation from AAIM, ABIM, ACGME, the American College of Physicians, the American Medical Association, the Association of Specialty Professors, the Society of General Internal Medicine and the Society of Hospital Medicine have endorsed the Internal Medicine Milestones (pdf) for use in the ACGME NAS.