Table 1.
Gathers and Synthesizes Essential and Accurate Information To Define Each Patient's Clinical Problem(s) (PC1)
Table 2.
Develops and Achieves Comprehensive Management Plan for Each Patient (PC2)
Table 3.
Manages Patients with Progressive Responsibility and Independence (PC3)
Table 4.
Demonstrates Skill in Performing Procedures (PC4)
Table 5.
Requests and Provides Consultative Care (PC5)
Table 6.
Demonstrates Appropriate Clinical Knowledge (MK1)
Table 7.
Demonstrates Appropriate Knowledge of Diagnostic Testing and Procedures (MK2)
Table 8.
Works Effectively Within an Interprofessional Team (SBP1)a
Table 9.
Recognizes System Errors and Advocates for System Improvement (SBP2)
Table 10.
Identifies Forces that Impact the Cost of Health Care and Advocates for and Practices Cost-Effective Care (SBP3)
Table 11.
Transitions Patients Effectively Within and Across Health Delivery Systems (SBP4)
Table 12.
Monitors Practice with a Goal for Improvement (PBLI1)
Table 13.
Learns and Improves via Performance Audit (PBLI2)
Table 14.
Learns and Improves via Feedback (PBLI3)
Table 15.
Learns and Improves at the Point of Care (PBLI4)
Table 16.
Has Professional and Respectful Interactions with Patients, Caregivers, and Members of the Interprofessional Team (PROF1)a
Table 17.
Accepts Responsibility and Follows Through on Tasks (PROF2)
Table 18.
Responds to Each Patient's Unique Characteristics and Needs (PROF3)
Table 19.
Exhibits Integrity and Ethical Behavior in Professional Conduct (PROF4)
Table 20.
Communicates Effectively with Patients and Caregivers (ICS1)
Table 21.
Communicates Effectively in Interprofessional Teams (ICS2)a
Table 22.
Demonstrates Appropriate Utilization and Completion of Health Records (ICS3)
Footnotes
William Iobst, MD, is Vice President of Academic Affairs, American Board of Internal Medicine; Eve Aagaard, MD, is Associate Professor of Medicine, University of Colorado School of Medicine; Hasan Bazari, MD, is Program Director, Internal Medicine Residency Program, Massachusetts General Hospital, and Associate Professor of Medicine, Harvard Medical School; Timothy Brigham, MDiv, PhD, is Chief of Staff and Senior Vice President, Department of Education, Accreditation Council for Graduate Medical Education; Roger W. Bush, MD, is Attending Physician, Virginia Mason Medical Center; Kelly Caverzagie, MD, is Assistant Professor of Medicine and Associate Vice Chair for Quality and Physician Competence, Department of Internal Medicine, University of Nebraska Medical Center; Davoren Chick, MD, is Clinical Assistant Professor of Medicine, Department of Internal Medicine, University of Michigan Medical School; Michael Green, MD, is Professor of Medicine, Yale University School of Medicine; Kevin Hinchey, MD, is Associate Professor, Tufts University School of Medicine, and Chief Academic Officer, Baystate Medical Center; Eric Holmboe, MD, is Chief Medical Officer, American Board of Internal Medicine; Sarah Hood, MS, is Director of Academic Affairs, American Board of Internal Medicine; Gregory Kane, MD, is Professor of Medicine, Interim Chairman of the Department of Medicine, Jefferson Medical College; Lynne Kirk, MD, is Professor of Internal Medicine, University of Texas Southwestern Medical Center; Lauren Meade, MD, is Assistant Professor of Medicine, Tufts University School of Medicine, and Associate Program Director for Internal Medicine, Baystate Medical Center, and Chair of Educational Research Outcomes Collaborative–Internal Medicine; Cynthia Smith, MD, is Senior Medical Associate for Content Development, American College of Physicians, and Adjunct Associate Professor, Perelman School of Medicine; and Susan Swing, PhD, is Vice President, Outcome Assessment, Accreditation Council for Graduate Medical Education.
The authors, all of whom participated in milestone development as members of the Internal Medicine Milestone Writing Group, wish to thank the members of the Internal Medicine Milestones Task Force for their contributions to this work: Jane H. Barnsteiner, PhD; Thomas A. Blackwell, MD; Karen Hsu Blatman, MD; Donald R. Bordley, MD; Charles P. Clayton; Thomas G. Cooney, MD; Rosemarie L. Fisher, MD; Luke Hansen, MD; Linda A. Headrick, MD; Holly J. Humphrey, MD; David Karlson; Charles M. Kilo, MD, MPH; Catherine R. Lucey, MD; Thomas J. Nasca, MD, MACP; Eileen E. Reynolds, MD; Eugene C. Rich, MD; Paul H. Rockey, MD, MPH; William E. Rodak, PhD; Michelle Sanders, MD; Henry J. Schultz, MD; Lawrence Smith, MD; Jerry Vasilias, PhD; Abraham Verghese, MD, MACP, DSc; Steven E. Weinberger, MD; and Brent C. Williams, MD, MPH.
The Milestones are designed only for use in evaluation of resident physicians in the context of their participation in ACGME-accredited residency or fellowship programs. The Milestones provide a framework for the assessment of the development of the resident physician in key dimensions of the elements of physician competency in a specialty or subspecialty. The Milestones represent neither the entirety of the dimensions of the 6 domains of physician competency nor are they designed to be relevant in any other context.