Scales, Intervals, and Dissonance: Do Interpretations of Harmonized ACGME Milestone Levels Vary by User Role and Specialty?

ABSTRACT:

Background

The 2021 ACGME Milestones revision sought to harmonize sets of Milestones across specialties. It is not known whether different users understand the Milestone levels similarly, which is necessary for the harmonized Milestones to facilitate cross-specialty comparisons.

Objective

We asked Milestone users of different roles and specialties to assess subjective differences in competence between levels on harmonized Milestones.

Methods

Between May and August 2023, we conducted a unidimensional scaling study of resident, faculty, and program director ratings for 8 harmonized Pediatrics Milestones in a sample of pediatrics and internal medicine residency programs. We presented higher- and lower-level descriptions of each Milestone to participants (n=106, 101% of t

SUBMITTER: Schwartz A 

PROVIDER: S-EPMC12903326 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature