Figure 3.

Example program-level mean milestone ratings in UR for year 1 residents, from 118 ACGME-accredited UR programs, 2013–2016 (for the full version of the figure, see Supplemental Digital Appendix 5 at http://links.lww.com/ACADMED/A694). The thick black line is the best-fit regression slope, indicating the national-level trend of program-level average ratings (thin gray lines) over time. The ordinate is scaled in terms of the 5 levels of milestone ratings. The regression line presented here does not account for variations in the number of residents per program. The results for the PC and MK subcompetencies are not reported here because the milestone language was modified before the end of the period covered by this study. Abbreviations: UR indicates urology; ACGME, Accreditation Council for Graduate Medical Education; PC, patient care; MK, medical knowledge; SBP, systems-based practice; PBLI, practice-based learning and improvement; PROF, professionalism; ICS, interpersonal and communication skills.