研究生医学教育认证委员会要求儿科肺病学奖学金培训计划,每两年报告一次儿科专科里程碑,以跟踪同伴的进步。然而,几个问题,例如缺乏特定于亚专业的上下文和模棱两可的语言,引起了人们对它们用于同伴评估和课程开发的有效性和适用性的担忧。从这个角度来看,我们简要分享了儿科肺病学里程碑2.0工作组的过程,为儿科肺病学家创建新的特定专业里程碑和定制关于协调里程碑的信息,以提高利益相关者的里程碑效用为目标,包括肺科研究员,教员,项目主管,和认证机构。此外,我们创建了一个补充指南,以更好地将里程碑与肺部特定场景联系起来,从而在利益相关者之间创建一个共享的心智模型,并消除对有效性的潜在损害.通过这个过程,明确了一些指导原则,包括:1)每个里程碑都应能够独立评估,不与其他里程碑重叠;2)从一个里程碑到下一个里程碑应有明确的发展进展;3)里程碑应基于儿科肺科医师的独特技能;4)健康公平应成为所有利益相关者的重中之重。从这个角度来看,我们描述了指导制定小儿肺里程碑的原则,以帮助小儿肺社区熟悉新的里程碑.此外,我们分享我们过程中的经验教训和挑战,以告知可能很快参与这一过程的其他专业。
Pediatric pulmonology fellowship training programs are required by the Accreditation Council for Graduate Medical Education to report Pediatric Subspecialty
Milestones biannually to track fellow progress. However, several issues, such as lack of subspecialty-specific context and ambiguous language, have raised concerns about their validity and applicability to use for fellow assessment and curriculum development. In this Perspective, we briefly share the process of the Pediatric Pulmonology
Milestones 2.0 Work Group in creating new specialty-specific
Milestones and tailoring information on the Harmonized
Milestones to pediatric pulmonologists, with the goal of improving the Milestones\' utility for stakeholders, including pulmonology fellows, faculty, program directors, and accrediting bodies. In addition, we created a supplemental guide to better link the
Milestones to pulmonary-specific scenarios to create a shared mental model between stakeholders and remove a potential detriment to validity. Through the process, a number of guiding principles were clarified, including: 1) every Milestone should be able to be assessed independently, without overlap with other Milestones; 2) there should be clear developmental progression from one Milestone to the next; 3) Milestones should be based on the unique skills expected of pediatric pulmonologists; and 4) health equity should be a core component to highlight as a top priority to all stakeholders. In this Perspective, we describe these principles that guided formulation of the Pediatric Pulmonary Milestones to help familiarize the pediatric pulmonary community with the new
Milestones. In addition, we share lessons learned and challenges in our process to inform other specialties that may soon participate in this process.