title: ASDS Cosmetic Dermatologic Surgery Fellowship Milestones.
abstract: BACKGROUND
  The American Council of Graduate Medical Education, which oversees much of postgraduate medical education in the United States, has championed the concept of "milestones," standard levels of achievement keyed to particular time points, to assess trainee performance during residency.
  
  
  OBJECTIVE
  To develop a milestones document for the American Society for Dermatologic Surgery (ASDS) Cosmetic Dermatologic Surgery (CDS) fellowship program.
  
  
  METHODS
  An ad hoc milestone drafting committee was convened that included members of the ASDS Accreditation Work Group and program directors of ASDS-approved Cosmetic Dermatologic Surgery (CDC) fellowship training programs. Draft milestones were circulated through email in multiple rounds until consensus was achieved.
  
  
  RESULTS
  Thirteen milestones were developed in the 6 Accreditation Council for Graduate Medical Education (ACGME) competency areas, with 8 of these being patient-care milestones. Additional instructions for milestone administration more specific to the CDS fellowship than general ACGME instructions were also approved. Implementation of semiannual milestones was scheduled for the fellowship class entering in July 2018.
  
  
  CONCLUSIONS
  Milestones are now available for CDS fellowship directors to implement in combination with other tools for fellow evaluation.
authors.affiliation: *Department of Dermatology, McGaw Medical Center, Northwestern University, Chicago, Illinois; †SkinCare Physicians, Chestnut Hill, Massachusetts; ‡Dermatology Laser and Cosmetic Center, Massachusetts General Hospital, Boston, Massachusetts; §Department of Dermatology, University of Colorado School of Medicine, Aurora, Colorado; ‖Cosmetic Laser Dermatology-Goldman, Butterwick, Groff, Fabi & Wu, San Diego, California; ¶Westlake Dermatology and Cosmetic Surgery, Austin, Texas; #Laser & Skin Surgery Center of New York, New York, New York; **Skin Laser & Surgery Specialists of NY and NJ, Hackensack, New Jersey; ††Department of Dermatology, Mount Sinai School of Medicine, New York, New York; ‡‡Skin Associates of South Florida, Coral Gables, Florida; §§Department of Dermatology & Cutaneous Surgery, University of Miami, Coral Gables, Florida; ‖‖Connecticut Skin Institute, Stamford, Connecticut; ¶¶Wellman Center for Photomedicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; ##Skin Care and Laser Physicians of Beverly Hills, Beverly Hills, California; ***Laser and Skin Surgery Center of Northern California, Sacramento, California; †††McDaniel Laser and Cosmetic Center, Virginia Beach, Virginia; ‡‡‡Department of Dermatology, UPMC Cosmetic Surgery and Skin Health Center, University of Pittsburgh, Sewickley, Pennsylvania; §§§Laser and Cosmetic Dermatology, Department of Dermatology, University of California, San Diego, California; ‖‖‖Gateway Aesthetic Institute and Laser Center, Salt Lake City, Utah; ¶¶¶Department of Dermatology, Case Western Reserve University, MetroHealth Systems, Cleveland, Ohio; ###Department of Dermatology, University of South Florida, Tampa, Florida; ****Maryland Laser, Skin & Vein Institute, Hunt Valley, Maryland; ††††Hollywood Dermatology and Cosmetic Surgery Specialists, Hollywood, Florida; ‡‡‡‡Department of Otolaryngology, Feinberg School of Medicine, Nor
authors.forename: Abigail
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authors.lastname: Friedmann
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authors.forename: Arisa E
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authors.forename: Eduardo T
authors.initials: ET
authors.lastname: Weiss
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authors.forename: Emily
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mesh_terms: D000068:Accreditation; D003357:Cosmetic Techniques; D062109:Dermatologic Surgical Procedures / Q000193:education*; D004503:Education, Medical, Graduate; D005257:Fellowships and Scholarships; D006801:Humans; D009937:Organizational Objectives; D012955:Societies, Medical; D014481:United States