{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T10:15:47Z","timestamp":1776852947018,"version":"3.51.2"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Milestones refer to points along a continuum of a competency from novice to expert. Resident and fellow assessment and program evaluation processes adopted by the ACGME include the mandate that programs report the educational progress of residents and fellows twice annually utilizing Milestones developed by a specialty specific ACGME working group of experts. Milestones in clinical training programs are largely unmapped to specific assessment tools. Residents and fellows are mainly assessed using locally derived assessment instruments. These assessments are then reviewed by the Clinical Competency Committee which assigns and reports trainee ratings using the specialty specific reporting Milestones.<\/jats:p><jats:p>The challenge and opportunity facing the nascent specialty of Clinical Informatics is how to optimally utilize this framework across a growing number of accredited fellowships. The authors review how a mapped milestone framework, in which each required sub-competency is mapped to a single milestone assessment grid, can enable the use of milestones for multiple uses including individualized learning plans, fellow assessments, and program evaluation. Furthermore, such a mapped strategy will foster the ability to compare fellow progress within and between Clinical Informatics Fellowships in a structured and reliable fashion. Clinical Informatics currently has far less variability across programs and thus could easily utilize a more tightly defined set of milestones with a clear mapping to sub-competencies. This approach would enable greater standardization of assessment instruments and processes across programs while allowing for variability in how those sub-competencies are taught.<\/jats:p><jats:p>A mapped strategy for Milestones offers significant advantages for Clinical Informatics programs.<\/jats:p>","DOI":"10.4338\/aci-2015-10-soa-0141","type":"journal-article","created":{"date-parts":[[2016,3,23]],"date-time":"2016-03-23T03:59:50Z","timestamp":1458705590000},"page":"177-190","source":"Crossref","is-referenced-by-count":16,"title":["Milestones: Critical Elements in Clinical Informatics Fellowship Programs"],"prefix":"10.4338","volume":"07","author":[{"given":"Christoph","family":"Lehmann","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benson","family":"Munger","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howard","family":"Silverman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2017,12,16]]},"reference":[{"key":"10.4338\/ACI-2015-10-SOA-0141-1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.125.10.1071"},{"key":"10.4338\/ACI-2015-10-SOA-0141-2","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(82)80184-9"},{"key":"10.4338\/ACI-2015-10-SOA-0141-3","first-page":"295","volume":"59","author":"Cordes","year":"1961","journal-title":"Trans Am Ophthalmol Soc"},{"key":"10.4338\/ACI-2015-10-SOA-0141-4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsr1200117"},{"key":"10.4338\/ACI-2015-10-SOA-0141-5","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000659"},{"key":"10.4338\/ACI-2015-10-SOA-0141-6","unstructured":"ACGME Program Requirements for Graduate Medical Education in Clinical Informatics. (Review Committees for Anesthesiology, Diagnostic Radiology, Emergency Medicine, Family Medicine, Internal Medicine, Medical Genetics and Genomics, Pathology, Pediatrics, or Preventive Medicine) [Internet]. Chicago: IL: Accreditation Council for Graduate Medical Education; 7\/1\/2015 [updated 2\/3\/2014; cited 12\/12\/2015]. Available from: https:\/\/www.acgme.org\/acgmeweb\/Portals\/0\/PFAssets\/ProgramRequirements\/381_clinical_informatics_07012015.pdf"},{"key":"10.4338\/ACI-2015-10-SOA-0141-7","unstructured":"Frequently Asked Questions: Milestones [Internet]. Chicago: IL: Accreditation Council for Graduate Medical Education (ACGME) [updated 9\/2015; cited 12\/12\/2015]. Available from: https:\/\/www.acgme.org\/acgmeweb\/Portals\/0\/MilestonesFAQ.pdf"},{"key":"10.4338\/ACI-2015-10-SOA-0141-8","doi-asserted-by":"publisher","DOI":"10.1542\/pir.34-11-525"},{"key":"10.4338\/ACI-2015-10-SOA-0141-9","doi-asserted-by":"crossref","unstructured":"Safran C, Shabot MM, Munger BS, Holmes JH, Steen EB, Lumpkin JR, et al. Program requirements for fellowship education in the subspecialty of clinical informatics. J Am Med Inform Assoc 2009; 16(2): 158-166. Erratum in: J Am Med Inform Assoc 2009; 16(4): 605. PubMed PMID: 19074295; PubMed Central PMCID: PMC2649323","DOI":"10.1197\/jamia.M3046"},{"key":"10.4338\/ACI-2015-10-SOA-0141-10","unstructured":"The Clinical Informatics Milestone Project. [Internet]. Chicago: IL: A Joint initiative of The Accreditation Council for Graduate Medical Education; The American Board of Anesthesiology; The American Board of Emergency Medicine; The American Board of Family Medicine; The American Board of Genetics and Genomics; The American; 10\/2014 [cited 12\/12\/2015]. Available from: https:\/\/www.acgme.org\/acgmeweb\/Portals\/0\/PDFs\/Milestones\/ClinicalInformatics.pdf"},{"key":"10.4338\/ACI-2015-10-SOA-0141-11","doi-asserted-by":"publisher","DOI":"10.1197\/jamia.M3045"}],"container-title":["Applied Clinical Informatics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4338\/ACI-2015-10-SOA-0141.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,3,21]],"date-time":"2018-03-21T02:54:35Z","timestamp":1521600875000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4338\/ACI-2015-10-SOA-0141"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,1]]},"references-count":11,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2017,12,16]]},"published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.4338\/aci-2015-10-soa-0141","relation":{},"ISSN":["1869-0327"],"issn-type":[{"value":"1869-0327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,1]]}}}