Playing with curricular milestones in the educational sandbox: Q-sort results from an internal medicine educational collaborative

Lauren B. Meade, Kelly J Caverzagie, Susan R. Swing, Ron R. Jones, Cheryl W. O'Malley, Kenji Yamazaki, And Aimee K Zaas

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Purpose: In competency-based medical education, the focus of assessment is on learner demonstration of predefined outcomes or competencies. One strategy being used in internal medicine (IM) is applying curricular milestones to assessment and reporting milestones to competence determination. The authors report a practical method for identifying sets of curricular milestones for assessment of a landmark, or a point where a resident can be entrusted with increased responsibility. Method: Thirteen IM residency programs joined in an educational collaborative to apply curricular milestones to training. The authors developed a game using Q-sort methodology to identify high-priority milestones for the landmark Ready for indirect supervision in essential ambulatory care (EsAMB). During May to December 2010, the programs'ambulatory faculty participated in the Q-sort game to prioritize 22 milestones for EsAMB. The authors analyzed the data to identify the top 8 milestones. Results: In total, 149 faculty units (1-4 faculty each) participated. There was strong agreement on the top eight milestones; six had more than 92% agreement across programs, and five had 75% agreement across all faculty units. During the Q-sort game, faculty engaged in dynamic discussion about milestones and expressed interest in applying the game to other milestones and educational settings. Conclusions: The Q-sort game enabled diverse programs to prioritize curricular milestones with interprogram and interparticipant consistency. A Q-sort exercise is an engaging and playful way to address milestones in medical education and may provide a practical first step toward using milestones in the real-world educational setting.

Original languageEnglish (US)
Pages (from-to)1142-1148
Number of pages7
JournalAcademic Medicine
Volume88
Issue number8
DOIs
StatePublished - Aug 2013

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Q-Sort
Internal Medicine
medicine
educational setting
Ambulatory Care
Medical Education
Competency-Based Education
Internship and Residency
Mental Competency
supervision
education
Exercise
resident
responsibility
methodology

ASJC Scopus subject areas

  • Education

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Playing with curricular milestones in the educational sandbox : Q-sort results from an internal medicine educational collaborative. / Meade, Lauren B.; Caverzagie, Kelly J; Swing, Susan R.; Jones, Ron R.; O'Malley, Cheryl W.; Yamazaki, Kenji; Zaas, And Aimee K.

In: Academic Medicine, Vol. 88, No. 8, 08.2013, p. 1142-1148.

Research output: Contribution to journalArticle

Meade, Lauren B. ; Caverzagie, Kelly J ; Swing, Susan R. ; Jones, Ron R. ; O'Malley, Cheryl W. ; Yamazaki, Kenji ; Zaas, And Aimee K. / Playing with curricular milestones in the educational sandbox : Q-sort results from an internal medicine educational collaborative. In: Academic Medicine. 2013 ; Vol. 88, No. 8. pp. 1142-1148.
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