title: The Road Ahead in Education: Milestones for Geriatric Psychiatry Subspecialty Training.
abstract: The Accreditation Council of Graduate Medical Education (ACGME) Milestone Project is the next step in a series of changes revamping the system of graduate medical education. In 2013 the ACGME completed the general psychiatry milestones. The ACGME then pursued creation of milestones for accredited psychiatric subspecialty fellowships. This article documents the work of the geriatric psychiatry subspecialty milestones work group. It reports the history and rationale supporting the milestones, the milestone development process, and the implications for geriatric psychiatry fellowship training.
  
  
  
  In consultation with the American Association for Geriatric Psychiatry, the American Board of Psychiatry and Neurology, and the ACGME Psychiatry Residency Review Committee, the ACGME appointed a working group to create the geriatric psychiatry milestones using the general psychiatry milestones as a guide.
  
  
  
  The geriatric psychiatry milestones are the result of an iterative process resulting in the definition of the characteristics vital to a fellowship-trained geriatric psychiatrist. It is premature to assess their effect on psychiatric training. The true impact of the milestones will be determined as each training director uses the milestones to re-evaluate their program curriculum and the educational and clinical learning environment. The ACGME is currently collecting the information about the milestone performance of residents and fellows to further refine and determine how the milestones can best be used to assist programs in improving training.
authors.affiliation: Rush University, Chicago, IL. Electronic address: sandra_swantek@rush.edu.
authors.forename: Sandra S
authors.initials: SS
authors.lastname: Swantek
authors.affiliation: University of Michigan, Ann Arbor, MI.
authors.forename: Susan M
authors.initials: SM
authors.lastname: Maixner
authors.affiliation: VA Medical Center, Georgetown University School of Medicine, Washington, DC.
authors.forename: Maria D
authors.initials: MD
authors.lastname: Llorente
authors.affiliation: Tennessee Valley Healthcare System, Nashville VAMC, Nashville, TN; University of Florida, Gainesville, FL.
authors.forename: Josepha A
authors.initials: JA
authors.lastname: Cheong
authors.affiliation: Accreditation Council for Graduate Medical Education, Chicago, IL.
authors.forename: Laura
authors.initials: L
authors.lastname: Edgar
authors.affiliation: The University of Texas Medical Branch, Galveston, TX.
authors.forename: Christopher R
authors.initials: CR
authors.lastname: Thomas
authors.affiliation: Tripler Army Medical Center, Uniformed Services University of Health Sciences, HI; University of Hawaii, HI.
authors.forename: Iqbal
authors.initials: I
authors.lastname: Ahmed
mesh_terms: D000068:Accreditation; D002983:Clinical Competence / Q000592:standards; D003479:Curriculum / Q000592:standards; D004493:Education / Q000379:methods / Q000592:standards; D004503:Education, Medical, Graduate / Q000458:organization & administration*; D005257:Fellowships and Scholarships / Q000379:methods / Q000458:organization & administration; D005852:Geriatric Psychiatry / Q000193:education*; D006801:Humans; D020380:Needs Assessment; D058996:Quality Improvement; D014481:United States
keywords: education; fellowship; geriatric psychiatry training; milestones