Milestones Linked to Core Competencies
ACGME and ABIM Release 22 Internal Medicine Reporting Milestones
Internal Medicine End of Training EPAs
Building Assessments for an EPA in Three Steps
Milestones Linked to Core Competencies
Milestones in Patient Care
Milestones in Medical Knowledge
Milestones in Practice-Based Learning and Improvement
Milestones in Interpersonal and Communications Skills
Milestones Linked to Professionalism
Milestones Linked to Systems-Based Practice
Literature Behind NAS, Milestones, and EPAs
Definitions To Get You Started
PGY Level-Specific Self-Assessment Forms
Subspecialty Fellowship Milestones

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  • Understand unique roles and services provided by local health care delivery systems (SBP-A1)
  • Manage and coordinate care and care transitions across multiple delivery systems, including ambulatory, subacute, acute, rehabiliation and skilled nursing (SBP-A2)
  • Negotiate patient-centered care among multiple care providers (SBP-A3)
  • Appreciate roles of a variety of health care providers, including but not limited to consultants, therapists, nursed, home care workers, pharmacists, and social workers (SBP-B1)
  • Work effectively as a member within the interprofessional team to ensure safe patient care (SBP-B2)
  • Consider alternative solutions provided by other teammates (SBP-B3)
  • Demonstrate how to manage the team by utilizing the skills and coordinating the activities of interprofessional team members (SBP-B4)
  • Recognize health system forces that increase the risk for error including barriers to optimal care (SBP-C1)
  • Identify, reflect on, and learn from critical incidents such as near misses and preventable medical errors (SBP-C2)
  • Dialogue with care team members to identify risk for and prevention of medical error (SBP-C3)
  • Understand the mechanisms for analysis and correction of systems errors (SBP-C4)
  • Demonstrate ability to understand and engage in a system level quality improvement initiative (SBP-C5)
  • Partner with other healthcare team professionals to identify, propose improvement opportunities within the system (SBP-C6)
  • Reflect awareness of common socio-economic barriers that impact patient care (SBP-D1)
  • Understand how cost-benefit analysis is applied to patient care (i.e. via principles of screening tests and the development of clinical guidelines (SBP-D2)
  • Identify the role of various health care stakeholders including providers, suppliers, financiers, purchasers and consumers and their varied impact on the cost of and access to health care (SBP-D3)
  • Understand coding and reimbursement principles (SBP-D4)
  • Identify costs for common diagnostic or therapeutic tests (SBP-E1)
  • Minimize unnecessary care including tests, procedures, therapies and ambulatory or hospital encounters (SBP-E2)
  • Demonstrate the incorporation of cost-awareness principles into standard clinical judgments and decision-making (SBP-E3)
  • Demonstrate the incorporation of cost-awareness principles into complex clinical scenarios (SBP-E4)
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