Since 2014, rheumatology fellows have been assessed based on their ability to provide patient care and possess medical knowledge and their skill in serving as patient advocates, navigators of health systems, and healthcare team members. Such assessments have been carried out using competency‐based milestones from the Accreditation Council of Graduate Medical Education (ACGME). However, a needs assessment demonstrated interest in more context validity and subspecialty‐relevance since the development of the ACGME Internal Medicine (IM) Subspecialty Reporting Milestones. The ACGME thus charged a working group to develop Rheumatology Milestones 2.0, as well as a Supplemental Guide to assist with implementation.
The patient was overseen by the ACGME Vice President for Milestones Development and met through three 12‐hour in‐person meetings to compose the Rheumatology Specialty Milestones and Supplemental Guide ACGME Milestones 2.0 Project. Informed by the needs assessment data and stakeholders, the Working Group revised and adapted the ACGME IM Subspecialty Reporting Milestones to create a rheumatology‐specific set of milestones and a Supplemental Guide for their implementation.
In conclusion, the Rheumatology Milestones 2.0 provide a specialty-specific, competency‐based evaluation tool that can be used by program directors, Clinical Competency Committees (CCC), and others to assess the competencies of rheumatology fellows during training and help measure readiness for independent practice.