title: Mapping Direct Observations From Objective Structured Clinical Examinations to the Milestones Across Specialties.
abstract: BACKGROUND
  Little is known about residents' performance on the milestones at the institutional level. Our institution formed a work group to explore this using an institutional-level curriculum and residents' evaluation of the milestones.
  
  
  OBJECTIVE
  We assessed whether beginner-level milestones for interpersonal and communication skills (ICS) related to observable behaviors in ICS-focused objective structured clinical examinations (OSCEs) for postgraduate year (PGY) 1 residents across specialties.
  
  
  METHODS
  The work group compared ICS subcompetencies across 12 programs to identify common beginner-level physician-patient communication milestones. The selected ICS milestone sets were compared for common language with the ICS-OSCE assessment tool-the Kalamazoo Essential Elements of Communication Checklist-Adapted (KEECC-A). To assess whether OSCE scores related to ICS milestone scores, all PGY-1 residents from programs that were part of Next Accreditation System Phase 1 were identified; their OSCE scores from July 2013 to June 2014 and ICS subcompetency scores from December 2014 were compared.
  
  
  RESULTS
  The milestones for 10 specialties and the transitional year had at least 1 ICS subcompetency that related to physician-patient communication. The language of the ICS beginner-level milestones appears similar to behaviors outlined in the KEECC-A. All 60 residents with complete data received at least a beginner-level ICS subcompetency score and at least a satisfactory score on all 3 OSCEs.
  
  
  CONCLUSIONS
  The ICS-OSCE scores for PGY-1 residents appear to relate to beginner-level milestones for physician-patient communication across multiple specialties.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Baker-Genaw
authors.forename: Maria S
authors.initials: MS
authors.lastname: Kokas
authors.forename: Syed F
authors.initials: SF
authors.lastname: Ahsan
authors.forename: Deborah
authors.initials: D
authors.lastname: Darnley-Fisch
authors.forename: Sean
authors.initials: S
authors.lastname: Drake
authors.forename: Nikhil
authors.initials: N
authors.lastname: Goyal
authors.forename: Kedar
authors.initials: K
authors.lastname: Inamdar
authors.forename: Vasilios
authors.initials: V
authors.lastname: Moutzouros
authors.forename: Deepak
authors.initials: D
authors.lastname: Prabhakar
authors.forename: Laurie
authors.initials: L
authors.lastname: Rolland
authors.forename: Roopina
authors.initials: R
authors.lastname: Sangha
authors.forename: Maria
authors.initials: M
authors.lastname: Shreve
authors.forename: Ann
authors.initials: A
authors.lastname: Woodward
mesh_terms: D057189:Checklist; D002983:Clinical Competence; D003142:Communication; D003479:Curriculum; D006786:Hospitals, Urban; D006801:Humans; D007396:Internship and Residency; D008824:Michigan; D010817:Physician-Patient Relations; D066107:Social Skills