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A pilot study of orthopaedic resident self-assessment using a milestones' survey just prior to milestones implementation.

dc.contributor.author Andolsek, Kathryn Marijoan
dc.contributor.author Bradley, KE
dc.coverage.spatial England
dc.date.accessioned 2016-06-01T16:04:18Z
dc.date.issued 2016-01-11
dc.identifier http://www.ncbi.nlm.nih.gov/pubmed/26752012
dc.identifier ijme.7.1118
dc.identifier.uri http://hdl.handle.net/10161/12064
dc.description.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.
dc.language eng
dc.relation.ispartof Int J Med Educ
dc.relation.isversionof 10.5116/ijme.5682.6dfd
dc.subject competency based education
dc.subject graduate medical education
dc.subject milestones
dc.subject postgraduate medical education
dc.subject self-assessment
dc.subject Clinical Competence
dc.subject Cross-Sectional Studies
dc.subject Education, Medical, Graduate
dc.subject Educational Measurement
dc.subject Female
dc.subject Humans
dc.subject Internship and Residency
dc.subject Male
dc.subject Orthopedics
dc.subject Pilot Projects
dc.subject Self-Assessment
dc.subject Surveys and Questionnaires
dc.title A pilot study of orthopaedic resident self-assessment using a milestones' survey just prior to milestones implementation.
dc.type Journal article
pubs.author-url http://www.ncbi.nlm.nih.gov/pubmed/26752012
pubs.begin-page 11
pubs.end-page 18
pubs.organisational-group Center for the Study of Aging and Human Development
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Community and Family Medicine
pubs.organisational-group Community and Family Medicine, Family Medicine
pubs.organisational-group Duke
pubs.organisational-group Institutes and Centers
pubs.organisational-group School of Medicine
pubs.publication-status Published online
pubs.volume 7
dc.identifier.eissn 2042-6372


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