Milestones Guidebook.pdf

The Accreditation Council for Graduate Medical Education (ACGME) introduced the Milestones as part of its accreditation model for graduate medical education (GME) in the US. The Milestones are a key component of competency-based medical education (CBME), which emphasizes learner-centered progression based on mastery of specific knowledge and skills. The ACGME's CBME model is grounded in a continuous quality improvement and innovation philosophy, and the Milestones are designed to monitor and improve educational outcomes at the individual learner and program levels. The Milestones Guidebook provides practical guidance on using the Milestones effectively, including implementing and using them, providing feedback, and reporting Milestones data. CBME has its roots in educational reform movements dating back to the 1920s and 1960s, and has been promoted for use in medical education since the 1970s. Key principles of CBME include role-derived competencies, competency-based assessment criteria, and individualized learning with feedback.