Developing and implementing Pediatric Nephrology Milestones 2.0 as an efficient tool for trainee evaluation and just-in-time feedback

Abstract In 2013, the Accreditation Council for Graduate Medical Education (ACGME) implemented Milestones 1.0 as a tool to assess trainee progress towards readiness for independent practice. Critiques of Milestones 1.0 suggested its complexity made the tool difficult to quickly understand and implem...

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Main Authors: Caroline V. Jackson, Rebecca Hjorten, Laura Edgar, Beatrice Goilav, Roshan P. George, Darcy K. Weidemann
Format: Article
Language:English
Published: BMC 2025-03-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-024-06627-0
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author Caroline V. Jackson
Rebecca Hjorten
Laura Edgar
Beatrice Goilav
Roshan P. George
Darcy K. Weidemann
author_facet Caroline V. Jackson
Rebecca Hjorten
Laura Edgar
Beatrice Goilav
Roshan P. George
Darcy K. Weidemann
author_sort Caroline V. Jackson
collection DOAJ
description Abstract In 2013, the Accreditation Council for Graduate Medical Education (ACGME) implemented Milestones 1.0 as a tool to assess trainee progress towards readiness for independent practice. Critiques of Milestones 1.0 suggested its complexity made the tool difficult to quickly understand and implement in a standardized fashion. This was particularly challenging among subspecialties due to inherent differences in clinical practice settings and make-up of procedural and patient care needs. In response, ACGME launched Milestones 2.0 in 2016 to harmonize competencies applicable to all subspecialties and develop new subspecialty specific competencies to facilitate precise feedback on subspecialty specific content domains. We describe how the Pediatric Nephrology Subspecialty Milestones were developed by a working group of pediatric nephrologists, fellows, and members of the ACGME. We highlight how this revision supports a growth-focused educational environment and equitable evaluation process. We describe how some institutions have used Milestones 2.0 to create just-in-time as well as summative feedback tools that quickly translate into individualized learning goals and guidance for programmatic improvements.
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spelling doaj-art-46c898ba0d174c7cbb683445188ff6bd2025-08-20T02:59:54ZengBMCBMC Medical Education1472-69202025-03-012511910.1186/s12909-024-06627-0Developing and implementing Pediatric Nephrology Milestones 2.0 as an efficient tool for trainee evaluation and just-in-time feedbackCaroline V. Jackson0Rebecca Hjorten1Laura Edgar2Beatrice Goilav3Roshan P. George4Darcy K. Weidemann5University of Washington & Seattle Children’s HospitalUniversity of Washington & Seattle Children’s HospitalAccreditation Council for Graduate Medical EducationAlbert Einstein College of Medicine & Children’s Hospital and MontefioreEmory School of Medicine & Children’s Healthcare of AtlantaUniversity of Missouri-Kansas City School of Medicine & Children’s MercyAbstract In 2013, the Accreditation Council for Graduate Medical Education (ACGME) implemented Milestones 1.0 as a tool to assess trainee progress towards readiness for independent practice. Critiques of Milestones 1.0 suggested its complexity made the tool difficult to quickly understand and implement in a standardized fashion. This was particularly challenging among subspecialties due to inherent differences in clinical practice settings and make-up of procedural and patient care needs. In response, ACGME launched Milestones 2.0 in 2016 to harmonize competencies applicable to all subspecialties and develop new subspecialty specific competencies to facilitate precise feedback on subspecialty specific content domains. We describe how the Pediatric Nephrology Subspecialty Milestones were developed by a working group of pediatric nephrologists, fellows, and members of the ACGME. We highlight how this revision supports a growth-focused educational environment and equitable evaluation process. We describe how some institutions have used Milestones 2.0 to create just-in-time as well as summative feedback tools that quickly translate into individualized learning goals and guidance for programmatic improvements.https://doi.org/10.1186/s12909-024-06627-0Milestones 2.0Pediatric nephrologyFellowshipMedical educationEvaluationFeedback
spellingShingle Caroline V. Jackson
Rebecca Hjorten
Laura Edgar
Beatrice Goilav
Roshan P. George
Darcy K. Weidemann
Developing and implementing Pediatric Nephrology Milestones 2.0 as an efficient tool for trainee evaluation and just-in-time feedback
BMC Medical Education
Milestones 2.0
Pediatric nephrology
Fellowship
Medical education
Evaluation
Feedback
title Developing and implementing Pediatric Nephrology Milestones 2.0 as an efficient tool for trainee evaluation and just-in-time feedback
title_full Developing and implementing Pediatric Nephrology Milestones 2.0 as an efficient tool for trainee evaluation and just-in-time feedback
title_fullStr Developing and implementing Pediatric Nephrology Milestones 2.0 as an efficient tool for trainee evaluation and just-in-time feedback
title_full_unstemmed Developing and implementing Pediatric Nephrology Milestones 2.0 as an efficient tool for trainee evaluation and just-in-time feedback
title_short Developing and implementing Pediatric Nephrology Milestones 2.0 as an efficient tool for trainee evaluation and just-in-time feedback
title_sort developing and implementing pediatric nephrology milestones 2 0 as an efficient tool for trainee evaluation and just in time feedback
topic Milestones 2.0
Pediatric nephrology
Fellowship
Medical education
Evaluation
Feedback
url https://doi.org/10.1186/s12909-024-06627-0
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