Improving the Assessment of Resident Competency: Physical Medicine and Rehabilitation Milestones 2.0.

Taylor, Charles M; Baer, Heather; Edgar, Laura; Jenkins, Jeffrey G; Harada, Nancy; Helkowski, Wendy M; Zumsteg, Jennifer M; Francisco, Gerard E; Sabharwal, Sunil; Hamilton, Rita G; Mallow, Michael

In 2015, the Accreditation Council for Graduate Medical Education (ACGME) published the Physical Medicine and Rehabilitation (PM&R) Milestones 1.0 as part of the Next Accreditation System (NAS). This was the culmination of over 20 years of work on the part of the ACGME to improve graduate medical education competency assessments. The six core competencies were patient care (PC), medical knowledge (MK), systems-based practice (SBP), practice-based learning and improvement (PBLI), professionalism (PROF), and interpersonal and communication skills (ICS). While providing a good foundation for resident assessment, the PM&R Milestones 1.0 wasn't without faults. With input from program directors, national organizations, and the public, the PM&R Milestones 2.0 strives to further advance resident assessment, providing improvements through the integration of the harmonized Milestones and the addition of a Supplemental Guide.