Walk a Few Milestones in My Shoes

I just saw the article in the tweet below in the May 2, 2014 issue of Psychiatric News about the Accreditation Council for Graduate Medical Education (ACGME) Psychiatry Milestone Project.

This stuff always makes me dizzy so I hiked over to our residency coordinator’s office to see if there’s a copy of something like a “Milestone for Dummies.”

milestone-little-man-reach-jump-over-word-reach-way-point-objective-concept-31168280for dummies

There isn’t.

Dr. Nancy William, MDI’ve posted about Milestones before and I’m very pleased to announce that a colleague of mine, Dr. Nancy Williams, MD, is working very hard to translate the 22 subcompetencies of the Milestones into the Entrustable Professional Activities (EPAs), about which I’ve also blogged.

I think the Milestones are a step in the right direction for residency training, but I’m concerned that the American Board of Medical Specialties (ABMS) and other letters of the alphabet are co-opting the philosophy and cashing in on it by promulgating the Maintenance of Certification (MOC) and Maintenance of Licensure (MOL) business model on top of it.

Dr. Williams was my inspiration for making the EPAs on the psychiatry consultation service. One of them is the EPA for Delirium.

I think the boards don’t know how hard we already work on training new psychiatrists or how hard we work after we graduate, so I took a few pictures of my messy desk to highlight it. Maybe some board executives should walk a few milestones in our shoes.


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