Abstract

Trials and Tribulations in Implementation of the Emergency Medicine Milestones from the Frontlines.

Highlights

  • As part of medical education’s shift toward competencybased education (CBE), the Accreditation Council for Graduate Medical Education (ACGME) announced the Milestones Project in 2008 to create an outcomes-based model of competency development

  • As part of the Accreditation System (NAS) implemented by the ACGME in July 2013, each Milestone subcompetency has to be reported for every resident at six-month intervals by individual residency clinical competency committees (CCC).[1]

  • Some have suggested the linking of Entrustable Professional Activities (EPA), defined as “units of physician practice in which the goal is unsupervised competent practice by a trainee” with emergency medicine (EM) Milestones.[7]

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Summary

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Boston University School of Medicine, Boston Medical Center, Department of Emergency Medicine, Boston, Massachusetts Section Editor: Jeffrey Druck, MD Submission history: Submitted December 20, 2018; Accepted April 29, 2019 Electronically published June 3, 2019 Full text available through open access at http://escholarship.org/uc/uciem_westjem DOI: 10.5811/westjem.2019.4.42061 West J Emerg Med. 2019;20(4)[647-650].

INTRODUCTION
Trials and Tribulations in Implementation of EM Milestones from the Frontlines
Direct Observation The intention of using objective behaviors for EM
Findings
CONCLUSION
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