Milestones

Milestones will be used to assess learner achievement in specific competencies within the context of an EPA (Entrustable Professional Activity). Each EPA can be mapped to five to seven competencies that are critical to making an entrustment decision. Each competency has four levels of learner milestones (novice, advanced beginner, competent, and proficient) that represent a range of observable/expected behaviors with increasing skill and efficiency. While EPAs provide clinical context for specific competencies, milestones provide a structure to assess learner achievement for each competency within the EPA.

Each level of milestone (e.g. advanced beginner) represents an anchor on a continuum of learner competence from novice to proficient. Additional support will be provided through clinical vignettes that further illustrate observable learner behaviors to assist faculty in consistent assessment of trainees. The CBVE Working Group is currently developing four levels of milestones (novice, advanced beginner, competent, and proficient) for each of the 32 competencies of the CBVE framework. These documents will be posted as they become available.
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