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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. - PowerPoint PPT Presentation
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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
Milestone-based Evaluations
• Milestones Working Group– Goals
• Make our assessment tools Milestone-specific
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
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
Milestone-based Evaluations
• Milestones Working Group– Method
• Avoid numerical scales
Milestone-based Evaluations
• Milestones Working Group– Method
• Avoid numerical scales• Utilize the language of the milestones
Milestone-based Evaluations
• Milestones Working Group– Method
• Avoid numerical scales• Utilize the language of the Milestones• Include the opportunity for narrative comment
Example
3 evaluation questions?
Example
3 evaluation questions?
No! – covered by 1
Example
Example – Evaluation question
• Work-up and treatment plan for patients with ischemic and hemorrhagic strokeNot observedUnsatisfactoryInitiates work-upFormulates work-up and treatment planFormulates plan for patient with co-
morbidities
✓
✓
Example
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
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
Thanks