Research progress of milestones in competency-based medical education

doi:10.3760/cma.j.issn.1673-677X.2019.12.001

Abstract

Abstract: In the process of the development of medical education,the proposal of milestones makes the competency-based medical education implemented and developed.Therefore,the application of milestone in medical education is gradually emphasized.This study firstly systematically described the concept and relationship between competency-based medical education and milestones,and then described the development process of competency milestones in the United States,Canada,Chinese Taiwan and Chinese Mainland.The existing research condition and the gaps were summarized,thus laying a theoretical foundation for the relevant research on milestone standards in competency-based medical education.

Key words: Milestones, Medical education, Competency, Research progress

CLC Number:

R-05
R0

Song Wenwen, Li Honghe, Ding Ning, Wen Deliang. Research progress of milestones in competency-based medical education[J]. Chinese Journal of Medical Education, 2019, 39(12): 897-900.

References

[1] Green ML,Aagaard EM,Caverzagie KJ,et al.Charting the road to competence:developmental milestones for internal medicine residency training[J].J Grad Med Educ,2009,1(1):5-20.DOI:10.4300/01.01.0003.
[2] 范佩贞,徐宇侬,李文凯,等.胜任力导向医学教育简介[J].中国毕业后医学教育,2018,2(4):264-269.
[3] Holmboe ES,Sherbino J,Englander R,et al.A call to action:the controversy of and rationale for competency-based medical education[J].Med Teach,2017,39(6):574-581.DOI:10.1080/0142159X.2017.1315067.
[4] Choe JH,Knight CL,Stiling R,et al.Shortening the miles to the milestones:connecting EPA-based evaluations to ACGME milestone reports for internal medicine residency programs[J].Acad Med,2016,91(7):943-950.DOI:10.1097/ACM.0000000000001161.
[5] Touchie C,Ten CO.The promise,perils,problems and progress of competency-based medical education[J].Med Educ,2016,50(1):93-100.DOI:10.1111/medu.12839.
[6] 姜众,陈雄鹰,钱湘,等.美国住院医师规范化培训的历史与现状[J].中国医学人文,2018,4(3):16-23.
[7] Luce EA.Discussion:competency,the NAS,and the milestones:sea change or deluge?[J].Plast Reconstr Surg,2016,137(4):1334-1336.DOI:10.1097/PRS.0000000000002033.
[8] Dreyfus HL,Dreyfus SE,Athanasiou T.Mind over machine:the power of human intuition and expertise in the era of the computer[J].IEEE Expert,1987,2(2):110-111.DOI:10.1109/MEX.1987.4307079.
[9] Silverman H,Lehmann CU,Munger B.Milestones:critical elements in clinical informatics fellowship programs[J].Appl Clin Inform,2016,7(1):177-190.DOI:10.4338/ACI-2015-10-SOA-0141.
[10] Holmboe ES.Competency-based medical education and the ghost of kuhn:reflections on the messy and meaningful work of transformation[J].Acad Med,2018,93(3):350-353.DOI:10.1097/ACM.0000000000001866.
[11] Frank JR,Snell LS,Sherbino J,et al.Draft CanMEDS 2015 milestones guide[Z].Ottawa:The Royal College of Physicians and Surgeons of Canada,2014.
[12] Lee CY,Lai HY,Lee CH,et al.Does one size fit all? examining the application of neurosurgery residency milestones developed in the United States to a Taiwanese culture[J].World Neurosurg,2017,104:499-508.DOI:10.1016/j.wneu.2017.04.129.
[13] 刘壮,田蕾,孙宝志,等.辽宁省临床医师岗位胜任力分析及评价研究[J].中国卫生统计,2016,33(5):842-844.
[14] 孙宝志,王县成.“5＋3”模式培养临床医学人才胜任力阶梯标准及医学考试方法研究 [M].北京:人民卫生出版社,2018:1-98.
[15] Korf BR.The medical genetics residency milestones[J].J Grad Med Educ,2014,6(1 Suppl 1):87-90.DOI:10.4300/JGME-06-01s1-31.
[16] Hauer KE,Vandergrift J,Hess B,et al.Correlations between ratings on the resident annual evaluation summary and the internal medicine milestones and association with ABIM certification examination scores among US internal medicine residents,2013-2014[J].JAMA,2016,316(21):2253-2262.DOI:10.1001/jama.2016.17357.
[17] Carraccio CL,Englander R.From fexner to competencies:reflections on a decade and the journey ahead[J].Acad Med,2013,88(8):1067-1073.DOI:10.1097/ACM.0b013e318299396f.
[18] Lomis KD,Russell RG,Davidson MA,et al.Competency milestones for medical students:design,implementation,and analysis at one medical school[J].Med Teach,2017,39(5):494-504.DOI:10.1080/0142159X.2017.1299924.
[19] Hauer KE,Clauser J,Lipner RS,et al.The internal medicine reporting milestones:cross-sectional description of initial implementation in U.S.residency programs[J].Ann Intern Med,2016,165(5):356-362.DOI:10.7326/M15-2411.