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Milestones

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Milestones

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  1. Milestones Jennifer Gould, MD Program Director, Diagnostic Radiology

  2. Our Program • Accredited for 72 residents • Over 80 faculty • 8 Sections • Multiple locations

  3. Our Milestones • 12 Sub-Competencies • “Lumpers” • Programs designate items to be measured for three of the sub-competencies • Basic/intermediate/advanced • Common/Uncommon

  4. Our Milestones • For the CCC (6) • Patient Care and Technical Skills (2) • Medical Knowledge (2) • Professionalism (1) • Interpersonal and Communication Skills (1 of 2)

  5. Our Milestones • For the “office” (6) • Systems-Based Practice (2) • Practice-Based Learning and Improvement (3) • Interpersonal and Communication Skills (1 of 2)

  6. “Define your own” • Each CCC member asked to designate items • List compiled and condensed • CCC members identified evaluation method

  7. Rotation Specific Items • Check lists • Evaluation of observed procedures • Procedure logs • Imaging quizzes

  8. Resident Development • Early meetings with discussion • Transparency • Asked them to fill out Milestones for themselves • Gave them as much responsibility as possible

  9. Clinical Competency Committee • No requirements other than the common program requirements • Our Program • I chair the committee • Asked for a minimum 1 member of each section • Meet at least every 6 months • E-mail communication for updates, etc.

  10. Clinical Competency Committee • Each member tasked with • Identifying the “define your own” items • Designing a reliable way of measuring those • Keeping records • Monitoring residents • Collecting information from colleagues

  11. Meeting format • Meeting date scheduled far in advance • Everyone was expected to show up prepared • Data from evaluations

  12. Meeting format • Updates/announcements • Who are we concerned about? • That “funny feeling” • Discussion of the residents

  13. Discussion by Milestone • Do the math

  14. In the background • The “office” took care of 6 of the Milestones • ICS, PBLI, SBP • Grading quizzes • Collecting forms • Designating Milestone achievement

  15. CCC meeting • Prelim meeting June 2013 • Is our planned format going to work? • Establish baseline • First official meeting Dec 2013

  16. Successes • Early discussions with the residents • Milestones are coming • Milestones are here • This is where you find your Milestone report • Residents rating themselves on the Milestones • Make them responsible • More stuff is getting turned in! • Comments indicate missing paperwork

  17. Successes • Wrote several quizzes and developed new evaluation methods • Uploaded to their learning portfolios • We survived the first official meeting!

  18. Challenges • Some residents were a little surprised • Our rotation evaluators need improvement • New assessments • Some assessments still to come… • Faculty training - ? • The questions that I can’t answer