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

Publication ,  Journal Article
Meade, LB; Caverzagie, KJ; Swing, SR; Jones, RR; O'Malley, CW; Yamazaki, K; Zaas, AK
Published in: Acad Med
August 2013

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.

Duke Scholars

Published In

Acad Med

DOI

EISSN

1938-808X

Publication Date

August 2013

Volume

88

Issue

8

Start / End Page

1142 / 1148

Location

United States

Related Subject Headings

  • United States
  • Q-Sort
  • Professional Competence
  • Professional Autonomy
  • Male
  • Internship and Residency
  • Internal Medicine
  • Humans
  • General & Internal Medicine
  • Games, Experimental
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Meade, L. B., Caverzagie, K. J., Swing, S. R., Jones, R. R., O’Malley, C. W., Yamazaki, K., & Zaas, A. K. (2013). Playing with curricular milestones in the educational sandbox: Q-sort results from an internal medicine educational collaborative. Acad Med, 88(8), 1142–1148. https://doi.org/10.1097/ACM.0b013e31829a3967
Meade, Lauren B., Kelly J. Caverzagie, Susan R. Swing, Ron R. Jones, Cheryl W. O’Malley, Kenji Yamazaki, and Aimee K. Zaas. “Playing with curricular milestones in the educational sandbox: Q-sort results from an internal medicine educational collaborative.Acad Med 88, no. 8 (August 2013): 1142–48. https://doi.org/10.1097/ACM.0b013e31829a3967.
Meade LB, Caverzagie KJ, Swing SR, Jones RR, O’Malley CW, Yamazaki K, et al. Playing with curricular milestones in the educational sandbox: Q-sort results from an internal medicine educational collaborative. Acad Med. 2013 Aug;88(8):1142–8.
Meade, Lauren B., et al. “Playing with curricular milestones in the educational sandbox: Q-sort results from an internal medicine educational collaborative.Acad Med, vol. 88, no. 8, Aug. 2013, pp. 1142–48. Pubmed, doi:10.1097/ACM.0b013e31829a3967.
Meade LB, Caverzagie KJ, Swing SR, Jones RR, O’Malley CW, Yamazaki K, Zaas AK. Playing with curricular milestones in the educational sandbox: Q-sort results from an internal medicine educational collaborative. Acad Med. 2013 Aug;88(8):1142–1148.

Published In

Acad Med

DOI

EISSN

1938-808X

Publication Date

August 2013

Volume

88

Issue

8

Start / End Page

1142 / 1148

Location

United States

Related Subject Headings

  • United States
  • Q-Sort
  • Professional Competence
  • Professional Autonomy
  • Male
  • Internship and Residency
  • Internal Medicine
  • Humans
  • General & Internal Medicine
  • Games, Experimental