The Updated Neuroradiology Milestones: Synapsing from 1.0 to 2.0

Abstract

The Accreditation Council for Graduate Medical Education is currently in the process of specialty-by-specialty revision of the Milestones. As a result, the Neuroradiology Milestones 2.0 Workgroup was created to refine a system of competency-based assessments for fellow educational growth and development. Strengths of the new Milestones include decreased complexity and uniformity within a subcompetency as it relates to a specific educational development trajectory. The Supplemental Guide serves to decrease clutter in the Milestones 2.0 document and provides a more practical resource for guidance. This article serves to review the history of the Neuroradiology Milestones, followed by a summary of the timeline of events and discussions of the workgroup for development of Neuroradiology Milestones 2.0 and a synopsis of major changes. The plan is for the updated Neuroradiology Milestones to take effect in 2021 or 2022 based on public commentary.

FIGURE.

Comparison between Neuroradiology Milestones 1.0 and 2.0. This figure shows some of the major differences between the original Neuroradiology Milestones and the Neuroradiology Milestones 2.0. The original milestone (top left) for Patient Care 3 contains up to 5 subcompetencies, some of which did not follow through each of the levels of the milestone. In the Neuroradiology Milestones 2.0, the milestone is more simplified, with the evaluation of only 1 subcompetency and with the single subcompetency having a skillset under each level, followed through level 1 to 5.