Article

Physical medicine and rehabilitation residency programs will face new challenges
as they implement the Milestones and establish a Clinical Competency Committee,
new requirements in the Accreditation Council of Graduate Medical Education's
Next Accreditation System. The milestones require programs to measure the
capabilities of individual residents, and programs will be expected to show how
residents progress to successively higher levels of behavior during the course of
the residency. Program directors will be assisted by a committee of faculty whose
role is to assess each individual resident's attainment of milestones and assist
in the early identification of residents not making the expected progress.
Programs will need to evaluate their assessment programs and will need to create
a coherent mix of instruments to evaluate all of the milestones. Because the
milestones are based on observable behaviors, a key component of this system will
be direct observation by faculty of residents during patient care. However, many
faculty are not trained in this skill. Faculty development in observational
skills, workplace-based assessment skills, and providing formative feedback will
be a very important aspect if the milestones are to be successfully used to help
residents make developmental progress in their clinical competence.

Langue : ANGLAIS