- ACGME has 6 core competencies for every resident physician to meet prior to graduating.
- The ACGME milestones are used as a system for programs to evaluate residents and promote residents based on the 6 core competencies.
- The Clinical Competence Committee (CCC) meets semi-annually and evaluates each resident's progression through the milestones
- Milestones are graded on a 1 - 5 scale with 1 being "critically deficient" to 5 being "aspirational."
Click links below for more details
Patient Care (PC)
Medical Knowledge (MK)
Practice Based Learning and Improvement (PBLI)
Interpersonal and Communication Skills (ICS)
Professionalism (PROF)
Systems Based Practice -working with health care system (SBP)
1. Gathers and synthesizes essential and accurate information to define each patient's clinical problem: monthly eval, chart review, miniCEX
2. Develops and achieves comprehensive management plan for each patient: monthly eval, chart review
3. Manages patients with progressive responsibility and independence: monthly eval, chart review
4. Skill in performing procedures: Met 5 required procedures
5. Request and provides consultative care: monthly eval, chart review
6. Clinical Knowledge: monthly eval, Peer review
7. Knowledge of diagnostic Testing and procedures: monthly eval, chart review
8. Works effectively within an interprofessional team: peer eval, nursing eval, patient survey
9. Recognizes system error and advocates for system improvement: monthly eval
10. Identifies forces that impact the cost of health care, and advocates for, and practices cost effective care: monthly eval
11. Transitions patients effectively within and across health care delivery systems: montlhy eval
12. Monitors practice with a goal of improvement: self eval
13. Learns and improves via performance audit: quality data (i.e. pap smears, mammograms, diabetes checklist, pcoft)
14. Learns and improves via feedback: monthly eval, peer review
15. Learns and improves at the point of care: monthly eval
16. Has professional and respectful interactions with patients, caregivers and members of interprofessional team: monthly eval, nursing eval, patient survey
17. Accepts Responsibility and follow through on tasks: monthly eval, patient survey
18. Responds to each patient's unique characteristics and need: monthly eval, nursing eval
19. Exhibits integrity and ethical behavior in professional conduct: monthly eval, peer review, nursing eval
20. Communicates effectively with patients and caregivers: monthly eval, peer review, patient survey
21. Communicates effectively in interprofessional teams: monthly eval, peer review, nursing eval, patient survey
22. Appropriate utilization and completion of health records: PCOFT, Problem/Med List, unapproved abbreviations, delinquent records
3. Manages patients with progressive responsibility and independence: monthly eval, chart review
4. Skill in performing procedures: Met 5 required procedures
5. Request and provides consultative care: monthly eval, chart review
6. Clinical Knowledge: monthly eval, Peer review
7. Knowledge of diagnostic Testing and procedures: monthly eval, chart review
8. Works effectively within an interprofessional team: peer eval, nursing eval, patient survey
9. Recognizes system error and advocates for system improvement: monthly eval
10. Identifies forces that impact the cost of health care, and advocates for, and practices cost effective care: monthly eval
11. Transitions patients effectively within and across health care delivery systems: montlhy eval
12. Monitors practice with a goal of improvement: self eval
13. Learns and improves via performance audit: quality data (i.e. pap smears, mammograms, diabetes checklist, pcoft)
14. Learns and improves via feedback: monthly eval, peer review
15. Learns and improves at the point of care: monthly eval
16. Has professional and respectful interactions with patients, caregivers and members of interprofessional team: monthly eval, nursing eval, patient survey
17. Accepts Responsibility and follow through on tasks: monthly eval, patient survey
18. Responds to each patient's unique characteristics and need: monthly eval, nursing eval
19. Exhibits integrity and ethical behavior in professional conduct: monthly eval, peer review, nursing eval
20. Communicates effectively with patients and caregivers: monthly eval, peer review, patient survey
21. Communicates effectively in interprofessional teams: monthly eval, peer review, nursing eval, patient survey
22. Appropriate utilization and completion of health records: PCOFT, Problem/Med List, unapproved abbreviations, delinquent records
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