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The Internal Medicine Reporting Milestones and the Next Accreditation System

Kelly J. Caverzagie, MD; William F. Iobst, MD; Eva M. Aagaard, MD; Sarah Hood, MS; Davoren A. Chick, MD; Gregory C. Kane, MD; Timothy P. Brigham, PhD; Susan R. Swing, PhD; Lauren B. Meade, MD; Hasan Bazari, MD; Roger W. Bush, MD; Lynne M. Kirk, MD; Michael L. Green, MD; Kevin T. Hinchey, MD; and Cynthia D. Smith, MD
[+] Article and Author Information

This article was published at www.annals.org on 29 January 2013.


From University of Nebraska Medical Center, Omaha, Nebraska; American Board of Internal Medicine, Jefferson Medical College, and American College of Physicians, Philadelphia, Pennsylvania; University of Colorado School of Medicine, Aurora, Colorado; University of Michigan Medical School, Ann Arbor, Michigan; Accreditation Council for Graduate Medical Education, Chicago, Illinois; Baystate Medical Center, Springfield, Massachusetts; Massachusetts General Hospital, Boston, Massachusetts; Virginia Mason Medical Center, Seattle, Washington; University of Texas Southwestern Medical Center, Dallas, Texas; and Yale University School of Medicine, New Haven, Connecticut.

Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M12-3103.

Requests for Single Reprints: Kelly J. Caverzagie, MD, University of Nebraska Medical Center, Department of Internal Medicine, 985185 Nebraska Medical Center, Omaha, NE 68198-5185; e-mail, kelly.caverzagie@unmc.edu.

Current Author Addresses: Dr. Caverzagie: University of Nebraska Medical Center, Department of Internal Medicine, 985185 Nebraska Medical Center, Omaha, NE 68198-5185.

Dr. Iobst and Ms. Hood: American Board of Internal Medicine, 510 Walnut Street, Suite 1700, Philadelphia, PA 19106.

Dr. Aagaard: Mail Stop F495, Room 4102A, 13070 East 19th Avenue, Aurora, CO 80045.

Dr. Chick: 3213 Taubman Center, SPC 5368, 1500 East Medical Center Drive, Ann Arbor, MI 48109.

Dr. Kane: Jefferson Medical College, Division of Critical Care, 1025 Walnut Street, Philadelphia, PA 19107.

Drs. Brigham and Swing: Accreditation Council for Graduate Medical Education, 515 North State Street, Suite 2000, Chicago, IL 60654.

Drs. Meade and Hinchey: Department of General Medicine, Baystate Medical Center, 759 Chestnut Street, Springfield, MA 01199.

Dr. Bazari: Massachusetts General Hospital, Fruit Street, Boston, MA 02114.

Dr. Bush: Virginia Mason Medical Center 18-25, PO Box 900, 925 Seneca Street, Seattle, WA 98101.

Dr. Kirk: University of Texas Southwestern Medical Center, General Internal Medicine, 5323 Harry Hines Boulevard, Dallas, TX 75390-8889.

Dr. Green: Primary Care Residency Program, Waterbury Hospital, 64 Robbins Street, Waterbury, CT 06708.

Dr. Smith: American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106-1572.

Author Contributions: Conception and design: K.J. Caverzagie, E.A. Aagaard, S. Hood, D.A. Chick, G.C. Kane, T.P. Brigham, S.R. Swing, L.B. Meade, H. Bazari, L.M. Kirk, M. Green, C.D. Smith.

Analysis and interpretation of the data: S. Hood, D.A. Chick, T.P. Brigham, L.B. Meade, M. Green.

Drafting of the article: K.J. Caverzagie, E.A. Aagaard, D.A. Chick, M. Green, C.D. Smith.

Critical revision of the article for important intellectual content: K.J. Caverzagie, E.A. Aagaard, S. Hood, D.A. Chick, G.C. Kane, T.P. Brigham, L.B. Meade, H. Bazari, L.M. Kirk, M. Green, K.T. Hinchey, C.D. Smith.

Final approval of the article: K.J. Caverzagie, E.A. Aagaard, D.A. Chick, G.C. Kane, T.P. Brigham, S.R. Swing, L.B. Meade, H. Bazari, L.M. Kirk, M. Green, K.T. Hinchey, C.D. Smith.

Provision of study materials or patients: S.R. Swing.

Administrative, technical, or logistic support: K.J. Caverzagie, S. Hood, G.C. Kane, S.R. Swing, C.D. Smith.

Collection and assembly of data: S. Hood, S.R. Swing, L.M. Kirk, K.T. Hinchey.


Ann Intern Med. 2013;158(7):557-559. doi:10.7326/0003-4819-158-7-201304020-00593
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The Accreditation Council for Graduate Medical Education (ACGME) developed the Milestones Project to facilitate more synthetic and narrative-based assessments of educational outcomes. This commentary describes the development and use of the reporting milestones, which provide standardized language for reporting the development of competence in 6 ACGME general competencies and a framework for structuring faculty development and providing feedback to trainees.

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Example subcompetency for systems-based practice.

Copyright © 2012 The Accreditation Council for Graduate Medical Education and The American Board of Internal Medicine.

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