title: Preparing medical students for obstetrics and gynecology milestone level one: a description of a pilot curriculum.
abstract: BACKGROUND
  The implementation of the Accreditation Council for Graduate Medical Education (ACGME) Milestones in the field of obstetrics and gynecology has arrived with Milestones Level One defined as the level expected of an incoming first-year resident.
  
  
  OBJECTIVE
  We designed, implemented, and evaluated a 4-week elective for fourth-year medical school students, which utilized a multimodal approach to teaching and assessing the Milestones Level One competencies.
  
  
  METHODS
  The 78-hour curriculum utilized traditional didactic lectures, flipped classroom active learning sessions, a simulated paging curriculum, simulation training, embalmed cadaver anatomical dissections, and fresh-frozen cadaver operative procedures. We performed an assessment of student knowledge and surgical skills before and after completion of the course. Students also received feedback on their assessment and management of eight simulated paging scenarios. Students completed course content satisfaction surveys at the completion of each of the 4 weeks.
  
  
  RESULTS
  Students demonstrated improvement in knowledge and surgical skills at the completion of the course. Paging confidence trended toward improvement at the completion of the course. Student satisfaction was high for all of the course content, and the active learning components of the curriculum (flipped classroom, simulation, and anatomy sessions) had higher scores than the traditional didactics in all six categories of our student satisfaction survey.
  
  
  CONCLUSIONS
  This pilot study demonstrates a practical approach for preparing fourth-year medical students for the expectations of Milestones Level One in obstetrics and gynecology. This curriculum can serve as a framework as medical schools and specific specialties work to meet the first steps of the ACGME's Next Accreditation System.
authors.affiliation: Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA; Department of Medical Education, University of Michigan Medical School, Ann Arbor, MI, USA; hjkang@med.umich.edu.
authors.forename: Helen
authors.initials: H
authors.lastname: Morgan
authors.affiliation: Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA; Department of Medical Education, University of Michigan Medical School, Ann Arbor, MI, USA.
authors.forename: David
authors.initials: D
authors.lastname: Marzano
authors.affiliation: Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Lanham
authors.affiliation: Faculty in the Division of Anatomic Sciences, Department of Medical Education, University of Michigan Medical School, Ann Arbor, MI, USA.
authors.forename: Tamara
authors.initials: T
authors.lastname: Stein
authors.affiliation: Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA.
authors.forename: Diana
authors.initials: D
authors.lastname: Curran
authors.affiliation: Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA; Department of Medical Education, University of Michigan Medical School, Ann Arbor, MI, USA.
authors.forename: Maya
authors.initials: M
authors.lastname: Hammoud
mesh_terms: D002983:Clinical Competence / Q000592:standards; D003479:Curriculum; D004504:Education, Medical, Undergraduate; D006176:Gynecology / Q000193:education*; D006801:Humans; D009774:Obstetrics / Q000193:education*; D010865:Pilot Projects; D016730:Program Development; D013337:Students, Medical; D013663:Teaching / Q000379:methods*; D014481:United States
keywords: ACGME Milestones; active learning; flipped classroom