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Marking the Path Forward with Milestones

Carraccio CL, Nichols DG
Pub Med #: 

In this issue of Pediatrics Schumacher et al1 provide an analysis of the resource domains needed to implement the Pediatrics Milestones into residency training. While noting the promise of Pediatrics Milestones “for developing a valid . . . way to track residents’ development and provide a roadmap for their learning,” the authors question the ability of training programs to marshal necessary resources. Faculty raise similar concerns with variants of the following questions: Why change (from the current training and assessment system)? What is the evidence (that milestone assessment works)? and What can be done to increase efficiencies and limit unnecessary costs?