biostudies-literatureUnknown20Versalle RL<h4>Introduction</h4>The Accreditation Council for Graduate Medical Education (ACGME) requires emergency medicine (EM) residency training programs to monitor residents' progress using standardized milestones. The first assessment of PGY 1 resident milestones occurs midway through the first year and could miss initial deficiencies. Early assessment of PGY 1 EM resident milestones has potential to identify at-risk residents prior to standard midyear evaluations. We developed an orientation syllabus for PGY 1 residents followed by a milestone assessment. Assessment scores helped predict future milestone scores and American Board of Emergency Medicine (ABEM) In-Training Examination (ITE) scores for PGY 1 residents.<h4>Methods</h4>From 2013 to 2020, we developed and implemented Milestone Evaluation Day (MED), a simulation-based day and written exam assessing PGY 1 EM residents during their first month on the 23 ACGME 1.0 milestones. MED stations included a history and physical with verbal presentation, patient simulation, vascular access, wound management, and airway management. MED, Clinical Competency Committee-generated (CCC-generated) milestone, and ABEM ITE scores were averaged and compared utilizing Pearson's correlation coefficient.<h4>Results</h4>Of 112 PGY 1 EM residents, 110 (98%) were analyzed over an 8-year period. We observed a moderate positive correlation of MED and CCC-generated milestone scores (<i>r</i> = .34, <i>p</i> < .001). There was a nonstatistically significant weak positive correlation of MED and ABEM ITE scores (<i>r</i> = .13, <i>p</i> = .17).<h4>Discussion</h4>An early assessment of EM milestones in the PGY 1 year can assist in the prediction of CCC-generated milestone scores for PGY 1 residents.MedEdPORTAL : the journal of teaching and learning resources11386https://www.ebi.ac.uk/biostudies/studies/S-EPMC10928014biostudies-literatureEarly Emergency Medicine Milestone Assessment for Predicting First-Year Resident Performance.PMC10928014Versalle RLChen NWTodd BRTurner-Lawrence DEfalseEarly Emergency Medicine Milestone Assessment for Predicting First-Year Resident Performance.<h4>Introduction</h4>The Accreditation Council for Graduate Medical Education (ACGME) requires emergency medicine (EM) residency training programs to monitor residents' progress using standardized milestones. The first assessment of PGY 1 resident milestones occurs midway through the first year and could miss initial deficiencies. Early assessment of PGY 1 EM resident milestones has potential to identify at-risk residents prior to standard midyear evaluations. We developed an orientation syllabus for PGY 1 residents followed by a milestone assessment. Assessment scores helped predict future milestone scores and American Board of Emergency Medicine (ABEM) In-Training Examination (ITE) scores for PGY 1 residents.<h4>Methods</h4>From 2013 to 2020, we developed and implemented Milestone Evaluation Day (MED), a simulation-based day and written exam assessing PGY 1 EM residents during their first month on the 23 ACGME 1.0 milestones. MED stations included a history and physical with verbal presentation, patient simulation, vascular access, wound management, and airway management. MED, Clinical Competency Committee-generated (CCC-generated) milestone, and ABEM ITE scores were averaged and compared utilizing Pearson's correlation coefficient.<h4>Results</h4>Of 112 PGY 1 EM residents, 110 (98%) were analyzed over an 8-year period. We observed a moderate positive correlation of MED and CCC-generated milestone scores (<i>r</i> = .34, <i>p</i> < .001). There was a nonstatistically significant weak positive correlation of MED and ABEM ITE scores (<i>r</i> = .13, <i>p</i> = .17).<h4>Discussion</h4>An early assessment of EM milestones in the PGY 1 year can assist in the prediction of CCC-generated milestone scores for PGY 1 residents.2024-01-01T00:00:00Z20242025-04-04T12:58:52.438Z2025-04-04T12:58:52.438ZS-EPMC109280143847629710.15766/mep_2374-8265.11386