Abstract
In 2008, the Accreditation Council for Graduate Medical Education began development of the Next Accreditation System, an assessment strategy based on residents’ achievement of specific milestones within defined competencies as they progress through training. 1 Medical specialties were tasked with creating milestones specific to their training programs. Although similar competency frameworks were used across specialties, these milestones were largely developed in isolation. Not surprisingly, the resulting milestones were ‘‘richly diverse.’’ 2 In several specialties, Level 1 is considered
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