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Milestones Evaluation Tools

Milestones Evaluation Tools. Gregory J. Zipfel, MD. Resident Evaluations. Options Likert Scale Evaluations + Milestones Very lengthy Milestones alone Lengthy Not recommended by ACGME (reporting tool) Develop Milestone-based evaluations Neurosurgery chose this option.

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Milestones Evaluation Tools

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  1. Milestones Evaluation Tools Gregory J. Zipfel, MD

  2. Resident Evaluations • Options • Likert Scale Evaluations + Milestones • Very lengthy • Milestones alone • Lengthy • Not recommended by ACGME (reporting tool) • Develop Milestone-based evaluations • Neurosurgery chose this option

  3. Milestone-based Evaluations • Milestones Working Group • Goals • Make our assessment tools Milestone-specific

  4. Milestone-based Evaluations • Milestones Working Group • Goals • Make our assessment tools Milestone-specific • Assist the PD and PC in drafting milestone levels prior to CCC meeting

  5. Milestone-based Evaluations • Milestones Working Group • Goals • Make our assessment tools Milestone-specific • Assist the PD and PC in drafting milestone levels prior to CCC meeting • Provide consistency in evaluation of residents between programs

  6. Milestone-based Evaluations • Milestones Working Group • Method • Avoid numerical scales

  7. Milestone-based Evaluations • Milestones Working Group • Method • Avoid numerical scales • Utilize the language of the milestones

  8. Milestone-based Evaluations • Milestones Working Group • Method • Avoid numerical scales • Utilize the language of the Milestones • Include the opportunity for narrative comment

  9. Example

  10. Example 3 evaluation questions?

  11. Example 3 evaluation questions? No! – covered by 1

  12. Example – Evaluation question • Work-up and treatment plan for patients with ischemic and hemorrhagic stroke • Not observed • Unsatisfactory • Initiates work-up • Formulates work-up and treatment plan • Formulates plan for patient with co-morbidities ✓

  13. Example ✓

  14. Impressions to Date • Establishing a baseline for each resident has been difficult; likely lacks accuracy • High burden on faculty • Baseline evaluations – time consuming • Rotation evaluations – 50% more compared to past system • High burden on PC • Implementing new evaluation process • Translating Milestone-based evaluations to Milestones currently manual process • Extra burden on PD • Implementing new evaluation process • Pre-CCC / CCC meeting preparations

  15. Impressions to Date • Value of Milestones likely to come gradually over years • Accuracy of individual resident evaluations will improve over time • Faculty will become more familiar with items included in Milestones • Institutional and national comparative data will become available over time

  16. Thanks

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