Figure 2.

Legend: Heat map visualization of Milestone competency achievement in one program. An integrated heat map from one residency program’s CCC data, utilizing the system’s independent “Passport” system of Milestone competency assessment which evaluates each Milestone sub-competency. Each column represents one resident; each row, one competency; each cell, the cumulative longitudinal consensus of his or her evaluators. The color corresponds to the ranking, with red scores lower on the developmental progression than blue. White squares indicate missing data. While individual residents vary in their ratings, the program overall is likewise more successful in achieving some competency elements than others. The columns are organized with the more junior residents to the left and the more senior resident to the right. The rows correspond to the ACGME Pathology Milestone sub-competencies, based on the six core competencies. ICS1, Interpersonal and Communication Skills sub-competency 1; MK1, Medical Knowledge sub-competency 1; PBL, Practice-Based Learning and Improvement; PC, Patient Care; PROF, Professionalism; SBP, Systems-Based Practice. This heat map incorporates approximately 5600 datapoints. Figure courtesy of Drs. Emilio Madrigal and Long Phi Le, Department of Pathology, Massachusetts General Hospital.