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Pulmonary, Critical Care and Combined Entrustable Professional Activities and Curricular Milestones

 

A Program Director (PD) Milestone Task Force led by the APCCMPD, with the collaboration of ATS, SCCM, and CHEST, developed the entrustable professional activities (EPAs) and curricular milestones (CMs) for pulmonary, critical care, and combined programs. CMs and EPAs are elements in the process of measuring the effectiveness of medical training based on educational outcomes. This document does not create any new requirements for training programs. It organizes current requirements and existing curricula into a format that is congruent with the upcoming changes in program accreditation and trainee credentialing.

To Access the P/CCM EPAs and Curricular Milestones click on the citation below:
Fessler HE, Addrizzo-Harris D, Beck JM, Buckley JD, Pastores SM, Piquette CA, Rowley JA, Spevitz A. Entrustable Professional Activities and Curricular Milestones for Fellowship Training in Pulmonary and Critical Care Medicine: Report of a multi-society working group. CHEST;146(3):813-834, 2014

Entrustable Professional Activities

Entrustable Professional Activities (EPAs) represent the final products of fellowship training, the activities that both the medical profession and the public can trust a pulmonary and/or critical care medicine physician to perform independently.

Available Tools to Download (Members only)

  • Pulmonary and Critical Care Standalone EPAs
  • Combined PCCM EPAs

Curricular Milestones

Unlike the more generic subspecialty reporting milestones, the curricular milestones are very specific to PCCM. The curricular milestones are a detailed list of what PD's should be teaching in the course of fellowship. They outline the behaviors and skills that PD's will be expected to teach, observe, and evaluate. PD's can use these curricular milestones to evaluate the fellow and report to the subspecialty milestones.

Available Evaluation Tools to Download (Members only)

  • Pulmonary, CCM and combined PCCM Curricular Milestones for the Core Competencies of Systems-based Practice, Practice-based Learning and Improvement, Interpersonal and Communication Skills and Professionalism
  • Pulmonary and CCM Curricular Milestones for the Core Competencies of Medical Knowledge and Patient Care
  • PCCM Curricular Milestones for the Core Competencies of Medical Knowledge and Patient Care 

Evaluating and Assessing the Fellow Using the Curricular Milestones

The Clinical Competence Committee (CCC) will synthesize the fellow assessments (End-of-Rotation Evaluations, Procedure Logs, multi-source assessments like Patient Evaluations and Nursing Evaluations, APCCMPD In-service Exam Scores, Simulation Lab, Evaluation of Quality Improvement Projects, Evaluation of Scholarly Activity), and the CCC will then decide on the assessment of each fellow on the 23 ACGME Subspecialty Milestones.

Real World Tools

Through the generous support and collaboration of APCCMPD members the APCCMPD has developed or collected  myriad of assessment and evaluation tools, which can be used to evaluate the fellow and inform the CCC. These tools include:
Download assessment and evaluation tools (members only)

  • MICU Clinical Rotations Assessment Tool
  • Ambulatory Pulmonary Clinical Rotations Assessment Tool
  • Inpatient Pulmonary Clinical Rotations Assessment Tool
  • Pulmonary Function Test Clinical Rotation Assessment Tool
  • Transplant Clinical Rotation Assessment Tool
  • Critical Care Consult Clinical Rotation Assessment Tool
  • Mapping MICU With Internal Medicine Subspecialty Milestones
  • Mapping Ambulatory Pulmonary Clinic With Internal Medicine Subspecialty Milestones
  • Mapping Pulmonary Consults With Internal Medicine Subspecialty Milestones
  • QI Activity Tracking Evaluation
  • QI Report
  • Arterial Line Competency
  • Central Line Competency
  • Endotracheal Intubation Competency
  • Steps Common to All Procedures
  • Thoracentesis Competency
  • Tube Thoracostomy Competency

Acknowledgments
Kristin M. Burkart, MD, MSc of Columbia University Medical Center generously developed the Clinical Rotation Assessment Tools and the Pulmonary/CC Curricular Milestone mapping to the Internal Medicine Subspecialty Milestones.
Gabriel T. Bosslett, MD, MA of Indiana University and Subani Chandra, MD of Columbia University Medical Center generously developed the procedural competency tools.
Jennifer W. McCallister, MD of The Ohio State University generously developed QI Activity Evaluation and Reporting Tools