Curricular Milestones (CMs)

Level-appropriate expectations that define what it means to be a competent Fellow

To demonstrate a graduating fellow has met the EPAs, criteria have been developed by the ACGME. To help program better access a fellow's competency, The American College of Cardiology for each linked the Core Competencies with the Milestones and put those with expectations for each level of training. Fellows are evaluated and training levels expected to be met at times during your training; these interval-based criteria are termed Curricular Milestones and are Competency-based. Advancement in training requires meeting appropriately-timed milestones; failure to do so will result extension or termination of training.

These can be found in the Cardiology Fellowship curriculum for your review.

Department of Medicine
NAS, Milestones, Competencies
The Teaching and Evaluating of the Competencies

Competency

How We Teach It

How We Evaluate It

Interpersonal & Communication Skills

Direct observation

Inpatient Supervision

Outpatient Supervision

Patient Survey

Faculty Member
Patient/Family Member Evaluations
Biannual Evaluation by PD

Reporting Milestones

Self

Interpersonal & Communication Skills

Global assessment

Evaluation Committee
Faculty Member
Nurse
Program Director

Reporting Milestones

Interpersonal & Communication Skills

In-training examination

Simulation training

Program Director
Self

Interpersonal & Communication Skills

Self-Directed Learning

Assigned Didactic Presentations

Multi-Source Evaluations

Clinical Competency Committee
Faculty Member Feedback
Program Director

Reporting Milestones

Medical Knowledge

Direct observation

Bedside Teaching

Inpatient Supervision

Outpatient Supervision

Global assessment

Daily Didactic Conferences

Self-Directed Learning

Multi-Source Evaluations

Program Director
Self

Reporting Milestones

Medical Knowledge

In-training examination

Simulation Training

Program Director
Self

Patient Care

Direct observation

Faculty Modeling

Inpatient Supervision

Outpatient Supervision

Self-Directed Learning

Patient/Family Member
Multi-Source Evaluations

Patient Evaluations

Biannual Evaluation by PD

Reporting Milestones

Self

Patient Care

Global assessment

Consultants
Faculty Member
Nurse
Multi-Source Evaluations

Patient Evaluations

Biannual Evaluation by PD

Reporting Milestones

Patient Care

Patient survey

Patient/Family Member Evaluation
Program Director
Self

Patient Care

Record/chart view

Peer Fellow
Program Director

Self

Practice-based Learning & Improvement

Direct observation

Faculty Modeling

Journal Club

Self-Directed Learning

Simulation Training

Faculty Member
Nurse
Self

Multi-Source Evaluations

Biannual Evaluation by PD

Reporting Milestones

Practice-based Learning & Improvement

Global assessment

Clinical Competency Committee
Faculty Member
Nurse
Multi-Source Evaluations

Patient Evaluations

Biannual Evaluation by PD

Reporting Milestones

Practice-based Learning & Improvement

In-training examination

Review of case or procedure log

Program Director
Self

Professionalism

Direct observation

Modeling

Inpatient Supervision

Outpatient Supervision

Simulation Training

Self-Directed Learning

Faculty Member
Multi-Source Evaluations

Patient Evaluations

Biannual Evaluation by PD

Reporting Milestones

Patient/Family Member
Evaluation

Professionalism

Global assessment

Consultants
Faculty Member
Program Director

Professionalism

Patient survey

Patient/Family Member

Systems-based Practice

Global assessment

Didactic Conferences

Self-Directed Learning

Faculty Member
Program Director

Self

Systems-based Practice

In-training examination

Evaluation Committee
Program Director
Self

Systems-based Practice

Simulations/models

Program Director

Self