title: New Roadmap for the Journey From Internist to Rheumatologist.
abstract: Measurement is necessary to gauge improvement. US training programs have not previously used shared standards to assess trainees' mastery of the knowledge, skills, and attitudes necessary to practice rheumatology competently. In 2014, the Accreditation Council for Graduate Medical Education (ACGME) Next Accreditation System began requiring semiannual evaluation of all medicine subspecialty fellows on 23 internal medicine subspecialty reporting milestones. Since these reporting milestones are not subspecialty specific, rheumatology curricular milestones were needed to guide rheumatology fellowship training programs and fellows on the training journey from internist to rheumatologist.
  
  
  
  Rheumatology curricular milestones were collaboratively composed by expanding the internal medicine reporting milestones to delineate the specific targets of rheumatology fellowship training within 6 ACGME core competencies. The 2006 American College of Rheumatology core curriculum for rheumatology training programs was updated.
  
  
  
  A total of 80 rheumatology curricular milestones were created, defining progressive learning through training; most focus on patient care and medical knowledge. The core curriculum update incorporates the new curricular milestones and rheumatology entrustable professional activities.
  
  
  
  Rheumatology curricular milestones are now available for implementation by rheumatology fellowship training programs, providing a clear roadmap for specific training goals and a guide to track each fellow's achievement over a 2-year training period. The comprehensive core curriculum delineates the essential breadth of knowledge, skills, and attitudes that define rheumatology, and provides a guide for educational activities during fellowship training. These guiding documents are now used to train and assess fellows as they prepare for independent rheumatology practice as the next generation of rheumatologists.
authors.affiliation: Duke University School of Medicine, Durham, North Carolina.
authors.forename: Lisa G
authors.initials: LG
authors.lastname: Criscione-Schreiber
authors.affiliation: Feinberg School of Medicine, Chicago, Illinois.
authors.forename: Calvin R
authors.initials: CR
authors.lastname: Brown
authors.affiliation: Wake Forest School of Medicine, Winston-Salem, North Carolina.
authors.forename: Kenneth S
authors.initials: KS
authors.lastname: O'Rourke
authors.affiliation: Vanderbilt University Medical Center, Nashville, Tennessee.
authors.forename: Howard A
authors.initials: HA
authors.lastname: Fuchs
authors.affiliation: Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York.
authors.forename: Chaim
authors.initials: C
authors.lastname: Putterman
authors.affiliation: Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania.
authors.forename: Irene J
authors.initials: IJ
authors.lastname: Tan
authors.affiliation: University of South Florida, Tampa.
authors.forename: Joanne
authors.initials: J
authors.lastname: Valeriano-Marcet
authors.affiliation: Yale School of Medicine, New Haven, Connecticut.
authors.forename: Evelyn
authors.initials: E
authors.lastname: Hsieh
authors.affiliation: American College of Rheumatology, Atlanta, Georgia.
authors.forename: Sarah
authors.initials: S
authors.lastname: Zirkle
authors.affiliation: Harvard Medical School, Boston, Massachusetts.
authors.forename: Marcy B
authors.initials: MB
authors.lastname: Bolster
mesh_terms: D002983:Clinical Competence / Q000592:standards; D003479:Curriculum / Q000592:standards / Q000639:trends; D006801:Humans; D007388:Internal Medicine / Q000193:education* / Q000592:standards / Q000639:trends; D000072140:Rheumatologists / Q000193:education* / Q000592:standards / Q000639:trends; D012219:Rheumatology / Q000193:education* / Q000592:standards / Q000639:trends; D012955:Societies, Medical / Q000592:standards / Q000639:trends