Cadet133

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So I'm trying to understand this acgme milestone process. I know for the 6 core competencies you get rated 1-5. What do you need to have by your first year? What if you don't meet set milestones? Do you get kicked out? Do they try to help you?
 

ThoracicGuy

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So I'm trying to understand this acgme milestone process. I know for the 6 core competencies you get rated 1-5. What do you need to have by your first year? What if you don't meet set milestones? Do you get kicked out? Do they try to help you?
Probably dependent on the program and the individual.
 

mvenus929

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5 is an advanced attending level. The point of the milestones is to show improvement.
 

hamstergang

may or may not contain hamsters
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So I'm trying to understand this acgme milestone process. I know for the 6 core competencies you get rated 1-5. What do you need to have by your first year? What if you don't meet set milestones? Do you get kicked out? Do they try to help you?
It's just another way to evaluate residents, which is something programs were already doing. So just like before, if you're not up to par then your program will address that in some way depending on the areas of weakness, the severity of the weakness, and individual variables based on the program itself. There is no one-size-fits-all answer here.
 

ProfMD

I'd rather be operating.
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It's just another way to evaluate residents, which is something programs were already doing. So just like before, if you're not up to par then your program will address that in some way depending on the areas of weakness, the severity of the weakness, and individual variables based on the program itself. There is no one-size-fits-all answer here.
It is a way to evaluate residents, which programs were already doing. However, this is an effort to standardize expectations across different programs in the same speciality.

To the OP - don't worry about it now. When you have your evaluation with the chair and/or PD, they will go over it with you and decide if you are ready to advance. You are expected to reach level 4 by the time you graduate.
 

hamstergang

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It is a way to evaluate residents, which programs were already doing. However, this is an effort to standardize expectations across different programs in the same speciality.
Agreed, but that's not really related to the point I was making. There's no reason to worry about milestones more than the previous evaluation tools as the end result for each resident should be about the same.
 
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