Competencies, milestones, and EPAs – Are those who ignore the past condemned to repeat it?

Medical Teacher

Volumn 38, Issue 9, 2016, Pages 904-910

  Klamen, Debra L ^a   Williams, Reed G ^a   Roberts, Nicole ^a   Cianciolo, Anna T ^a  

^a SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CLINICAL COMPETENCE; EDUCATION; MEDICAL STUDENT; PROCEDURES; UNITED STATES;

CLINICAL COMPETENCE; EDUCATIONAL MEASUREMENT; STUDENTS, MEDICAL; UNITED STATES;

EID: 84958057256     PISSN: 0142159X     EISSN: 1466187X     Source Type: Journal    
DOI: 10.3109/0142159X.2015.1132831     Document Type: Article

References (46)

1. AAMC. 2014. Core entrustable professional activities for entering residency. [Accessed 25 November 2015] Available from https://members.aamc.org/eweb/(DynamicPage.aspx?Action=Add&ObjectKeyFrom=1A83491A-9853-4C87-86A4-F7D95601C2E2&WebCode=PubDetailAdd&DoNotSave=yes&ParentObject=CentralizedOrderEntry&ParentDataObject=Invoice%20Detail&ivd_formkey=69202792-63d7-4ba2-bf4e-a0da41270555&ivd_prc_prd_key=E3229B10-BFE7-4B35-89E7-512BBB01AE3B)
2. ACGME. 1999. ACGME core competencies definitions. [Accessed 16 June 2015] Available from http://www.gahec.org/CME/Liasions/0%29ACGME%20Core%20Competencies%20Definitions.html
3. ACGME. 2015. Milestones. [Accessed 22 May 2015] Available from https://www.acgme.org/acgmeweb/tabid/430/ProgramandInstitutionalAccreditation/NextAccreditationSystem/Milestones.aspx
4. ACGME and the American Board of Pediatrics. 2013. The pediatrics milestone project. [Accessed 16 June 2015] Available from http://acgme.org/acgmeweb/Portals/0/PDFs/Milestones/PediatricsMilestones.pdf
5. ACGME and the American Board of Surgery. 2014. The general surgery milestone project. 2014. [Accessed 1 June 2015] Available from https://www.acgme.org/acgmeweb/tabid/150/ProgramandInstitutionalAccreditation/SurgicalSpecialties/Surgery.aspx
6. A.Alderson, M.Martin 2007. Outcomes based education:Where has it come from and where is it going? Issues in Educ Res 17(2):161–182
7. Bill Summary & Status 107th Congress (2001–2002). H.R.1 CRS Summary. 2002. [Accessed 15 June 2015] Available from http://thomas.loc.gov/cgi-bin/bdquery/z?d107:HR00001:@@@D&summ2=0&
8. A.Brightwell, J.Grant 2013. Competency-based training:who benefits? Postgrad Med J 89(1048):107–110
9. M.A.Brooks 2009. Medical education and the tyranny of competency. Perspect Biol Med 52(1):90–102
10. C.D.Chisholm, L.F.When mouth, E.A.Daly, W.H.Cordell, B.K.Giles, E.J.Brizendine 2014. An evaluation of emergency medicine resident interaction time with faculty in different teaching venues. Acad Emerg Med. 11(2):149–155
11. J.C.Crowley, M.G.Shanley, J.Rothenberg, J.M.Sollinger 2013. Adapting the Army’s training and leader development programs for future challenges. Santa Monica, California:RAND Corporation
12. K.Donnelly 2007. Australia’s adoption of outcomes based education:A critique. IIER. 17(2):183–206
13. J.K.Dorsey 2015, December 3. Personal communication
14. A.Gingerich, G.Regehr, K.W.Eva2011. Rater-based assessments as social judgments:Rethinking the etiology of rater errors. Acad Med. 86(10 Suppl):S1–7
15. S.Ginsburg, J.McIlroy, O.Oulanova, K.Eva, G.Regehr 2010. Toward authentic clinical evaluation:Pitfalls in the Pursuit of Competency. Acad Med. 85(5):780–786
16. J.Grant 1999. The incapacitating effects of competence:A critique. Adv Health Sci Educ Theory Pract 4(3):271–277
17. M.L.Green, C.Aagaard, Caverzagie, H.Chick, Holmboe, S.Kane, Smith, Iobst. 2009. Charting the road to competence:Developmental milestones for internal medicine residency training. J Grad Med Educ 1(1):5–20
18. H.Han, N.K.Roberts, R.Korte 2015. Learning in the real place:Medical students’ learning and socialization in clerkships at one medical school. Acad Med 90(2):231–239
19. S.Hodge 2007. The origins of competency-based training. Australian J Adult Learn 47(2):179–209
20. E.S.Holmboe, P.Batalden 2015. Achieving the desired transformation:Thoughts on next steps for outcomes-based medical education. Acad Med 90(9):1215–1223
21. T.S.Huddle and G.R.Heudebert 2007. Taking apart the art:The risk of anatomizing clinical competence. Acad Med 82(6):536–541
22. J.M.Kearney 1994. Outcome-based education. Final report. Moscow, ID:University of Idaho College of Education
23. D.L.Klamen 2015. Getting real:Embracing the conditions of the third-year clerkship and reimagining the curriculum to enable deliberate practice. Acad Med 90(10):1314–1317
24. M.J.Lawson, H.Askell-Williams 2007. Outcomes-based education. [Accessed 16 June 2015] Available from https://www.ied.edu.hk/obl/files/practical_guide_5.pdf
25. B.V.Manno 1994. Outcome-based education:Has it become more affliction than cure? [Accessed 16 June 2015] Available from http://www.americanexperiment.org/publications/reports/outcome-based-education-has-it-become-more-affliction-than-cure
26. A.M.Morcke, T.Dornan, B.Eika 2013. Outcome (competency) based education:An exploration of its origins, theoretical basis, and empirical evidence. Adv Health Sci Educ Theory Pract. 18(4):851–863
27. T.J.Nasca, I.Philibert, T.Brigham, T.C.Flynn 2012. The next GME accreditation system – Rationale and benefits. N Engl J Med 366:1051–1056
28. N.Y.Osman, J.L.Walling, V.G.Mitchell, E.K.Alexander 2015. Length of attending-student and resident-student interactions in the inpatient medicine clerkship. TLM 27(2):130–137
29. The Phrase Finder. [Accessed 16 June 2015] Available from http://www.phrases.org.uk/meanings/207500.html
30. P.G.Ramsey, M.D.Wenrich, J.D.Carline, T.S.Inui, E.B.Larson, J.P.LoGerfo 1993. Use of peer ratings to evaluate physician performance. JAMA 269(13):1655–1660
31. G.Regehr, K.Eva, S.Ginsburg, Y.Halwani, R.Sidhu 2011. Assessment in postgraduate medical education:Trends and issues in assessment in the workplace. Members of the FMEC PG consortium. Available from https://www.afmc.ca/pdf/fmec/13_Regehr_Assessment.pdf
32. A.Rice 2015. Analysis:RIP outcomes-based education and don't come back. Daily Maverick 7-7-2010. [Accessed 20 May 2015] Available from http://www.dailymaverick.co.za/article/2010-07-07-analysis-rip-outcomes-based-education-and-dont-come-back/#.VVyWhUZWKap5
33. G.Schwarz, L.Cavener 1994. Outcome-based education and curriculum change:Advocacy, practice, and critique. JCS 9(4):326–338
34. D.L.Silber, R.G.Williams, R.E.Amitrano Paiva, D.D.Taylor, R.Robinson 1978. The SIU medical curriculum:System wide objectives-based instruction. J Med Ed 53:473–479
35. Southern Illinois University School of Medicine. 1976. Curricular objectives
36. W.G.Spady 1994. Outcome-based education:Critical issues and answers. Arlington, VA:American Association of School Administrators
37. W.G.Spady 1997. Paradigm lost:Reclaiming America's educational future. Arlington, VA:American Association of School Administrators
38. O.ten Cate, F.Scheele 2007. Competency-based postgraduate training:Can we bridge the gap between theory and clinical practice? Acad Med 82:542–547
39. US Department of the Army. 2010. Army Regulation 220-1:Army unit status reporting and force registration – consolidated practices. Washington, DC; 2010. [Accessed 1 June 2015] Available from www.defense.gov/home/top-leaders
40. S.J.Verhulst, J.A.Colliver, R.E.Paiva, R.G.Williams 1986. A factor analysis study of performance of first-year residents. J Med Educ 61(2):132–134
41. D.Wear 2009. Perspective:A Perfect Storm:The Convergence of Bullet Points, Competencies, and Screen Reading in Medical Education. Acad Med 84(11):1500–1504
42. D.E.Weber, T.J.Mavin, W.Roth, E.Henriqson, S.W.A.Dekker 2014. Exploring the Use of categories in the assessment of airline pilots’ performance as a potential source of examiners’ disagreement. J Cogn Eng Decis Mak 8(3):248–264
43. R.G.Williams, S.Chen, Sanfey, M.Markwell, Mellinger, Dunnington. 2014. The measured impact of delay in completing operative performance ratings on clarity and detail of ratings. J Surg Edu 71(6):e132–138
44. R.Williams, G.Dunnington April 2006. Assessing the ACGME competencies with methods that improve the quality of evidence and adequacy of sampling. ACGME Bull 38–42
45. R.G.Williams, G.L.Dunnington, J.D.Mellinger, D.L.Klamen 2015. Placing constraints on the use of the acgme milestones:A commentary on the limitations of global performance ratings. Acad Med 90(4):404–407
46. R.G.Williams, S.Verhulst, J.A.Colliver, G.L.Dunnington 2005. Assuring the reliability of resident performance appraisals:More items or more observations? Surgery 137:141–147