Council on Medical Student Education in Pediatrics


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COMSEP Meeting in Ottawa, ON

Poster Presentation:

Milestone-Based Educational Handover from Undergraduate to Graduate Pediatric Medical Education using a Student Performance Evaluation

Lauren M. Wozniak,University of Michigan Medical School,Ann Arbor,MI,Jocelyn H. Schiller,University of Michigan Medical School,Ann Arbor,MI,Meg G. Keeley,University of Virginia Healthsystem,Charlottesville,VA,Heather L. Burrows,University of Michigan Medical School,Ann Arbor,MI,Amy . Fleming,,Nashville,TN,Sally A. Santen,University of Michigan Medical School,Ann Arbor,MI


The transfer of competency-based data from Undergraduate (UME) to Graduate Medical Education (GME) is a national challenge.[i] The Accreditation Council for GME (ACGME) developed pediatric milestones detailing the expected skillset of incoming interns, but communication of these milestones from UME to pediatric GME has not been reported.[ii]



We determined which ACGME Pediatric Milestones were able to be assessed in our current curricula and assessed fourth year students’ attainment of the Milestones. We then communicated this to program directors (PDs) in a post-Match Milestone Handover (MH) letter. We investigated program director (PD) perspectives on the utility of the MH.


CCCs generated 27 MHs, which were sent to 19 different PDs. Assessment data used to complete each school’s MHs varied as the curricula at each school differed. Several milestones had limited or no correlating assessment: handoffs (PC.3), quality improvement (PBLI.3), incorporation of feedback (PBLI.4), self-awareness (Prof.4), and recognition of ambiguity (Prof.6).


Sixteen PDs responded to the survey. 81% of PDs felt the MH provided more useful information than the traditional Dean’s Letter. PDs felt that the MH described students’ strengths less well than the Dean’s Letter and described weaknesses and evaluation against level one residency milestones better. 19% would use the data for early intervention for areas of weakness; 12% would offer advanced curriculum for areas of strength.


The MH provides an opportunity to improve the communication between UME and GME. More high quality UME assessments would be beneficial to allow for the complete evaluation of learners against level 1 Pediatric Milestones.