When the Milestones were formally implemented in seven specialties in 2013, the ACGME made a commitment at that time to study the validity and impact of the Milestones on GME training.
The first five years of Milestone use by residencies and fellowships has catalyzed a number of important quantitative and qualitative studies on the validity and utility of Milestones. Multiple studies have involved either national or multi-institutional Milestone data to study key components of validity. We have learned lessons about what works and what doesn’t, success factors and approaches for residents, helpful and unhelpful characteristics of Milestone design and content, and early lessons about effective clinical competency committees.
Dr. Stan Hamstra with provide an overview of the research lessons learned to date, with a special emphasis on validity research.
Stanley Hamstra, PhD
Vice President, Milestone Research and Evaluation
Dr. Hamstra is the Vice President, Milestone Research and Evaluation, and is responsible for oversight and leadership regarding research in Milestones and assessment systems that inform decisions around resident physician progression and board eligibility. Dr. Hamstra works with medical subspecialty societies, program director organizations, the American Board of Medical Specialties, and specialty certification boards. His research addresses medical education broadly, including competency assessment for residency programs, and developing administrative support for educational scholarship within academic health settings. Prior to joining the ACGME, Dr. Hamstra was at the University of Michigan, the University of Ottawa, and the University of Toronto’s Department of Surgery. He has also worked closely with the Royal College of Physicians and Surgeons of Canada on developing policies regarding competency-based medical education for graduate medical education.