PDF(Pubmed)
Abstract：
UNASSIGNED: The Accreditation Council for Graduate Medical Education (ACGME) requires emergency medicine (EM) residency training programs to monitor residents\' progress using standardized milestones. The first assessment of PGY 1 resident milestones occurs midway through the first year and could miss initial deficiencies. Early assessment of PGY 1 EM resident milestones has potential to identify at-risk residents prior to standard midyear evaluations. We developed an orientation syllabus for PGY 1 residents followed by a milestone assessment. Assessment scores helped predict future milestone scores and American Board of Emergency Medicine (ABEM) In-Training Examination (ITE) scores for PGY 1 residents.
UNASSIGNED: From 2013 to 2020, we developed and implemented Milestone Evaluation Day (MED), a simulation-based day and written exam assessing PGY 1 EM residents during their first month on the 23 ACGME 1.0 milestones. MED stations included a history and physical with verbal presentation, patient simulation, vascular access, wound management, and airway management. MED, Clinical Competency Committee-generated (CCC-generated) milestone, and ABEM ITE scores were averaged and compared utilizing Pearson\'s correlation coefficient.
UNASSIGNED: Of 112 PGY 1 EM residents, 110 (98%) were analyzed over an 8-year period. We observed a moderate positive correlation of MED and CCC-generated milestone scores (r = .34, p < .001). There was a nonstatistically significant weak positive correlation of MED and ABEM ITE scores (r = .13, p = .17).
UNASSIGNED: An early assessment of EM milestones in the PGY 1 year can assist in the prediction of CCC-generated milestone scores for PGY 1 residents.
UNASSIGNED: From 2013 to 2020, we developed and implemented Milestone Evaluation Day (MED), a simulation-based day and written exam assessing PGY 1 EM residents during their first month on the 23 ACGME 1.0 milestones. MED stations included a history and physical with verbal presentation, patient simulation, vascular access, wound management, and airway management. MED, Clinical Competency Committee-generated (CCC-generated) milestone, and ABEM ITE scores were averaged and compared utilizing Pearson\'s correlation coefficient.
UNASSIGNED: Of 112 PGY 1 EM residents, 110 (98%) were analyzed over an 8-year period. We observed a moderate positive correlation of MED and CCC-generated milestone scores (r = .34, p < .001). There was a nonstatistically significant weak positive correlation of MED and ABEM ITE scores (r = .13, p = .17).
UNASSIGNED: An early assessment of EM milestones in the PGY 1 year can assist in the prediction of CCC-generated milestone scores for PGY 1 residents.
摘要：
■研究生医学教育认证委员会（ACGME）要求急诊医学（EM）住院医师培训计划，以使用标准化的里程碑来监控居民的进度。PGY1居民里程碑的第一次评估发生在第一年的中途，可能会错过最初的缺陷。对PGY1EM居民里程碑的早期评估有可能在标准年中评估之前确定有风险的居民。我们为PGY1居民制定了定向教学大纲，然后进行了里程碑评估。评估分数有助于预测PGY1居民的未来里程碑分数和美国急诊医学委员会（ABEM）培训考试（ITE）分数。
■从2013年到2020年，我们制定并实施了里程碑评估日（MED），基于模拟的日和笔试，在23个ACGME1.0里程碑的第一个月评估PGY1EM居民。MED电台包括病史和口头陈述，患者模拟,血管通路,伤口处理,和气道管理。MED,临床能力委员会生成的（CCC生成的）里程碑，和ABEMITE评分采用皮尔逊相关系数进行平均和比较。
■112名PGY1名EM居民，110（98％）在8年的时间内进行了分析。我们观察到MED和CCC产生的里程碑分数呈中度正相关（r=.34，p<.001）。MED和ABEMITE评分之间存在无统计学意义的弱正相关（r=.13，p=.17）。
■对PGY1年中的EM里程碑的早期评估可以帮助预测PGY1居民的CCC生成的里程碑分数。
■从2013年到2020年，我们制定并实施了里程碑评估日（MED），基于模拟的日和笔试，在23个ACGME1.0里程碑的第一个月评估PGY1EM居民。MED电台包括病史和口头陈述，患者模拟,血管通路,伤口处理,和气道管理。MED,临床能力委员会生成的（CCC生成的）里程碑，和ABEMITE评分采用皮尔逊相关系数进行平均和比较。
■112名PGY1名EM居民，110（98％）在8年的时间内进行了分析。我们观察到MED和CCC产生的里程碑分数呈中度正相关（r=.34，p<.001）。MED和ABEMITE评分之间存在无统计学意义的弱正相关（r=.13，p=.17）。
■对PGY1年中的EM里程碑的早期评估可以帮助预测PGY1居民的CCC生成的里程碑分数。
