Jason Liebowitz, MD, completed his fellowship in rheumatology at Johns Hopkins University, Baltimore, where he also earned his medical degree. He is currently in practice with Skylands Medical Group, N.J.
Program Directors Discuss the New Milestones
By Renée Bacher
Dr. Kolfenbach
At the ACR Division & Program Directors Conference in March, rheumatologists Jason Kolfenbach, MD, associate professor of medicine and ophthalmology and rheumatology fellowship program director at the University of Colorado, Denver, and Beth Marston, MD, associate professor of medicine and pediatrics and rheumatology program director at the University of Rochester School of Medicine, New York, discussed the new rheumatology-specific milestones. Both physicians were members of the ACR and ACGME Milestones 2.0 Working Group.
“A level 1 in the history-gathering milestone would be gathering a basic rheumatic history, and we would expect a senior resident or a brand-new rheumatology fellow to be able to do that,” said Dr. Marston. “With experience, they would move through to level 2, integrating this history with a more comprehensive history, and then further advancing through these developmental milestones.”
Dr. Marston
Dr. Marston added that there’s a new milestone just for therapeutics to include immunomodulatory prescriptions and management—a crucial skill for a rheumatology fellow to develop.
“Each line of milestone narratives within a sub-competency should follow a clear progression on the path to the level of independent practice (i.e., level 4),” said Dr. Kolfenbach.
References
- Nasca TJ, Philibert I, Brigham T, Flynn TC. The next GME accreditation system—Rationale and benefits. N Engl J Med. 2012 Mar 15;366(11):1051–1056.
- Andolsek KM, Jones MD Jr., Ibrahim H, Edgar L. Introduction to the Milestones 2.0: Assessment, Implementation, and Clinical Competency Committees Supplement. J Grad Med Educ. 2021 Apr;13(2 Suppl):1–4.
- Day SH, Nasca TJ. ACGME International: The first 10 years. J Grad Med Educ. 2019 Aug;11(4 Suppl):5–9.
- Edgar L, Roberts S, Holmboe E. Milestones 2.0: A step forward. J Grad Med Educ. 2018 Jun;10(3):367–369.
- Green ML, Aagaard EM, Caverzagie KJ, et al. Charting the road to competence: Developmental milestones for internal medicine residency training. J Grad Med Educ. 2009 Sep;1(1):5–20.
- Yaghmour NA, Poulin LJ, Bernabeo EC, et al. Stages of milestones implementation: A template analysis of 16 programs across 4 specialties. J Grad Med Educ. 2021 Apr;13(2 Suppl):14–44.
