A pilot study of orthopaedic resident self-assessment using a milestones' survey just prior to milestones implementation.
Abstract
OBJECTIVE: To pilot test if Orthopaedic Surgery residents could self-assess their
performance using newly created milestones, as defined by the Accreditation Council
on Graduate Medical Education. METHODS: In June 2012, an email was sent to Program
Directors and administrative coordinators of the 154 accredited Orthopaedic Surgery
Programs, asking them to send their residents a link to an online survey. The survey
was adapted from the Orthopaedic Surgery Milestone Project. Completed surveys were
aggregated in an anonymous, confidential database. SAS 9.3 was used to perform the
analyses. RESULTS: Responses from 71 residents were analyzed. First and second year
residents indicated through self-assessment that they had substantially achieved Level
1 and Level 2 milestones. Third year residents reported they had substantially achieved
30/41, and fourth year residents, all Level 3 milestones. Fifth year, graduating residents,
reported they had substantially achieved 17 Level 4 milestones, and were extremely
close on another 15. No milestone was rated at Level 5, the maximum possible. Earlier
in training, Patient Care and Medical Knowledge milestones were rated lower than the
milestones reflecting the other four competencies of Practice Based Learning and Improvement,
Systems Based Practice, Professionalism, and Interpersonal Communication. The gap
was closed by the fourth year. CONCLUSIONS: Residents were able to successfully self-assess
using the 41 Orthopaedic Surgery milestones. Respondents' rate improved proficiency
over time. Graduating residents report they have substantially, or close to substantially,
achieved all Level 4 milestones. Milestone self-assessment may be a useful tool as
one component of a program's overall performance assessment strategy.
Type
Journal articleSubject
competency based educationgraduate medical education
milestones
postgraduate medical education
self-assessment
Clinical Competence
Cross-Sectional Studies
Education, Medical, Graduate
Educational Measurement
Female
Humans
Internship and Residency
Male
Orthopedics
Pilot Projects
Self-Assessment
Surveys and Questionnaires
Permalink
https://hdl.handle.net/10161/12064Published Version (Please cite this version)
10.5116/ijme.5682.6dfdPublication Info
Bradley, Kendall E; & Andolsek, Kathryn M (2016). A pilot study of orthopaedic resident self-assessment using a milestones' survey just
prior to milestones implementation. Int J Med Educ, 7. pp. 11-18. 10.5116/ijme.5682.6dfd. Retrieved from https://hdl.handle.net/10161/12064.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
Kathryn Marijoan Andolsek
Professor in Family Medicine and Community Health
My career focuses on interprofessional medical education, and collaboration in community
and population health. These are critically important areas with tremendous potential
for creativity, innovation, and learning from one another. These are also strategic
tools to advance health equity.

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