Table 1.
Anterior Cruciate Ligament (ACL)—Medical Knowledge
Table 2.
Anterior Cruciate Ligament (ACL)—Patient Care
Table 3.
Ankle Arthritis—Medical Knowledge
Table 4.
Ankle Arthritis—Patient Care
Table 5.
Ankle Fracture—Medical Knowledge
Table 6.
Ankle Fracture—Patient Care
Table 7.
Carpal Tunnel—Medical Knowledge
Table 8.
Carpal Tunnel—Patient Care
Table 9.
Degenerative Spinal Conditions—Medical Knowledge
Table 10.
Degenerative Spinal Conditions—Patient care
Table 11.
Diabetic Foot—Medical Knowledge
Table 12.
Diabetic Foot—Patient Care
Table 13.
Diaphyseal Femur and Tibia Fracture—Medical Knowledge
Table 14.
Diaphyseal Femur and Tibia Fracture—Patient Care
Table 15.
Distal Radius Fracture (DRF)—Medical Knowledge
Table 16.
Distal Radius Fracture (DRF)—Patient Care
Table 17.
Adult Elbow Fracture—Medical Knowledge
Table 18.
Adult Elbow Fracture—Patient Care
Table 19.
Hip and Knee Osteoarthritis (OA)—Medical Knowledge
Table 20.
Hip and Knee Osteoarthritis (OA)—Patient Care
Table 21.
Hip Fracture—Medical Knowledge
Table 22.
Hip Fracture—Patient Care
Table 23.
Metastatic Bone Lesion—Medical Knowledge
Table 24.
Metastatic Bone Lesion—Patient Care
Table 25.
Meniscal Tear—Medical Knowledge
Table 26.
Meniscal Tear—Patient Care
Table 27.
Pediatric Septic Hip—Medical Knowledge
Table 28.
Pediatric Septic Hip—Patient Care
Table 29.
Rotator Cuff Injury—Medical Knowledge
Table 30.
Rotator Cuff Injury—Patient Care
Table 31.
Pediatric Supracondylar Humerus Fracture—Medical Knowledge
Table 32.
Pediatric Supracondylar Humerus Fracture—Patient Care
Table 33.
Compassion, Integrity, and Respect for Others as Well as Sensitivity and Responsiveness to Diverse Patient Populations, Including But Not Limited to, Diversity in Gender, Age, Culture, Race, Religion, Disabilities, and Sexual Orientation; Knowledge About Respect for and Adherence to the Ethical Principles Relevant to the Practice of Medicine, Remembering in Particular That Responsiveness to Patients That Supersedes Self-Interest Is an Essential Aspect of Medical Practice—Professionalism 1
Table 34.
Accountability to Patients, Society, and the Profession; Personal Responsibility to Maintain Emotional, Physical, and Mental Health—Professionalism 2
Table 35.
Self-Directed Learning—Practice-Based Learning and Improvement 1: (1) Identifying Strengths, Deficiencies, and Limits in One's Knowledge and Expertise; (2) Assessing Patient Outcomes and Complications in One's Own Practice; (3) Setting Learning and Improvement Goals; (4) Identifying and Performing Appropriate Learning Activities; and (5) Using Information Technology to Optimize Learning and Improve Patient Outcomes
Table 36.
Locate, Appraise, and Assimilate Evidence From Scientific Studies to Improve Patient Care—Practice-based Learning and Improvement 2
Table 37.
Systems Thinking, Including Cost-Effective Practice—Systems-based Practice 1
Table 38.
Resident Will Work in Interprofessional Teams to Enhance Patient Safety and Quality Care—Systems-based Practice 2
Table 39.
Uses Technology to Accomplish Safe Health Care Delivery—Systems-based Practice 3
Table 40.
Communication—Interpersonal and Communication Skills 1
Table 41.
Teamwork (eg, Physician, Nursing and Allied Health Care Providers, Administrative and Research Staff)—Interpersonal and Communication Skills 2
Footnotes
Peter J. Stern, MD, is Norman S. & Elizabeth C.A. Hill Professor and Chairman of Orthopaedic Surgery at the University of Cincinnati College of Medicine; Stephen Albanese, MD, is Professor and Chair of Orthopedic Surgery and Medical Director of Orthopedic Surgery Clinic at SUNY Upstate Medical University; Mathias Bostrom, MD, is Residency Program Director and Academic Director of Orthopaedics at Hospital for Special Surgery and Professor of Orthopaedic Surgery, Weill Cornell Medical College, Helen Hayes Hospital; Charles S. Day, MD, MBA, is Rabkin Fellow in Medical Education, Associate Professor of Orthopedic Surgery at Harvard Medical School, and Chief/Program Director of Hand and Upper Extremity Surgery at Beth Israel Deaconess Medical Center; Steven L. Frick, MD, is Chairman of Orthopedic Surgery at Nemours Children's Hospital and Professor of Orthopedic Surgery at the University of Central Florida College of Medicine; William Hopkinson, MD, is Professor, Vice-Chair, and Program Director of Orthopaedic Surgery & Rehabilitation at Loyola University Stritch School of Medicine; Shepard Hurwitz, MD, is Executive Director of the American Board of Orthopaedic Surgery and Professor of Orthopaedics at the University of North Carolina; Keith Kenter, MD, is Director of the Orthopaedic Surgery Residency Program, Associate Professor of Orthopaedic Surgery, and Associate Professor of Physical Medicine and Rehabilitation at the University of Cincinnati College of Medicine; John S. Kirkpatrick, MD, is Professor and Chair of Orthopaedic Surgery and Rehabilitation and Program Director of Orthopaedic Surgery Residency at the University of Florida College of Medicine; J. L. Marsh, MD, is Program Director of Residency Training Program and Professor and Carroll B. Larson Chair of Orthopaedics and Rehabilitation at the University of Iowa; Anand M. Murthi, MD, is Chief of Shoulder and Elbow Surgery and Fellowship Director at MedStar Union Memorial Hospital; Lisa A. Taitsman, MD, MPH, is Associate Professor of Orthopaedics and Sports Medicine at the University of Washington; Brian C. Toolan, MD, is Associate Professor of Surgery and Director of the Residency Program of Orthopaedic Surgery at the University of Chicago Medicine; Kristy Weber, MD, is Virginia & William Percy Professor of Orthopaedic Surgery, Division Chief of Orthopaedic Oncology, and Director of the Sarcoma Center at Johns Hopkins School of Medicine; Rick W. Wright, MD, is Dr Asa C. Dorothy W. Jones Professor of Orthopaedic Surgery, Residency Program Director, and Co-Chief of Sports Medicine at Washington University School of Medicine; Pamela L. Derstine, PhD, MHPE, is Executive Director of the Review Committees for Colon and Rectal Surgery, Neurological Surgery, Orthopaedic Surgery, and Otolaryngology at the Accreditation Council for Graduate Medical Education; and Laura Edgar, EdD, CAE, is Senior Associate Director of Outcome Assessment at the Accreditation Council for Graduate Medical Education.
The authors, all of whom participated in milestone development as members of the Orthopaedic Surgery Milestone Working Group, wish to thank the members of the Orthopaedic Surgery Milestone Advisory Group for their contributions to this work: Stephen Albanese, MD; Timothy Brigham, MDiv, PhD; Marybeth Ezaki, MD; Richard H. Gelberman, MD; Christopher D. Harner, MD; Shepard R. Hurwitz, MD; and Joseph D. Zuckerman, MD.
The Milestones are designed only for use in evaluation of resident physicians in the context of their participation in Accreditation Council for Graduate Medical Education–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. They neither represent the entirety of the dimensions of the 6 domains of physician competency nor are they designed to be relevant in any other context.