Epilepsy Milestones 2.0: An updated framework for assessing epilepsy fellowships and fellows. Epilepsia 2022 Aug;63(8):2155-2163
Date
05/19/2022Pubmed ID
35582760DOI
10.1111/epi.17306Scopus ID
2-s2.0-85130592556 (requires institutional sign-in at Scopus site) 3 CitationsAbstract
OBJECTIVE: Accreditation Council for Graduate Medical Education (ACGME)-accredited epilepsy fellowships, like other ACGME accredited training programs, use Milestones to establish learning objectives and to evaluate how well trainees are achieving these goals. The ACGME began developing the second iteration of the Milestones 6 years ago, and these are now being adapted to all specialties. Here, we describe the process by which Epilepsy Milestones 2.0 were developed and summarize them.
METHODS: A work group of nine board-certified, adult and pediatric epileptologists reviewed Epilepsy Milestones 1.0 and revised them using a modified Delphi approach.
RESULTS: The new Milestones share structural changes with all other specialties, including a clearer stepwise progression in professional development and the harmonized Milestones that address competencies common to all medical fields. Much of the epilepsy-specific content remains the same, although a major addition is a set of Milestones focused on reading and interpreting electroencephalograms (EEGs), which the old Milestones lacked. Epilepsy Milestones 2.0 includes a Supplemental Guide to help program directors implement the new Milestones. Together, Epilepsy Milestones 2.0 and the Supplemental Guide recognize advances in epilepsy, including stereo-EEG, neurostimulation, genetics, and safety in epilepsy monitoring units.
SIGNIFICANCE: Epilepsy Milestones 2.0 address the shortcomings of the old Milestones and should facilitate the assessment of epilepsy fellowships and fellows by program directors, faculty, and fellows themselves.
Author List
Thio LL, Edgar L, Ali I, Farooque P, Holland KD, Mizrahi EM, Shahid AM, Shin HW, Yoo JY, Carlson CAuthor
Chad Carlson MD Professor in the Neurology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AccreditationAdult
Child
Clinical Competence
Education, Medical, Graduate
Epilepsy
Fellowships and Scholarships
Humans
Internship and Residency