Pathology Milestones The Accreditation Council for Graduate Medical Education - Second Revision: February 2019 First Revision: September 2013 - acgme
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Pathology Milestones
The Accreditation Council for Graduate Medical Education
Second Revision: February 2019
First Revision: September 2013Pathology Milestones
The Milestones are designed only for use in evaluation of resident in the context of their participation in ACGME-
accredited residency programs. The Milestones provide a framework for the assessment of the development of the
resident in key dimensions of the elements of physician competency in a specialty or subspecialty. They neither
represent the entirety of the dimensions of the six domains of physician competency, nor are they designed to be
relevant in any other context.
iPathology Milestones
Work Group
Scott Anderson, MD Elaine Keung, MD, MPH
Adam Booth, MD Janna Neltner, MD
Barbara Castleberry, MT(ASCP), PhD Gary Procop, MD, MS
Laura Edgar, EdD, CAE Alan Shienbaum, DO
Melissa George, DO James Stubbs, MD
Kate Hatlak, MSEd Charles Timmons, MD, PhD
Andrew Hoofnagle, MD, PhD Laura Warmke, MD
Kathleen Jones, MD Allecia Wilson, MD
Karen Kaul, MD, PhD
The ACGME would like to thank the following organizations for their continued support in the development of the Milestones:
American Board of Pathology
Program Directors Section (PRODS) of APC
ACGME Pathology Review Committee
American Association of Colleges of Osteopathic Medicine
Association of American Medical Colleges
Resident Forum Executive Committee - CAP
iiUnderstanding Milestone Levels and Reporting
This document presents the Milestones, which programs use in a semi-annual review of resident performance, and then report to the
ACGME. Milestones are knowledge, skills, attitudes, and other attributes for each of the ACGME Competencies organized in a
developmental framework. The narrative descriptions are targets for resident performance throughout their educational program.
Milestones are arranged into levels. Tracking from Level 1 to Level 5 is synonymous with moving from novice to expert resident in the
specialty or subspecialty. For each reporting period, the Clinical Competency Committee will review the completed evaluations to select
the milestone levels that best describe each learner’s current performance, abilities, and attributes for each subcompetency.
These levels do not correspond with post-graduate year of education. Depending on previous experience, a junior resident may achieve
higher levels early in his/her educational program just as a senior resident may be at a lower level later in his/her educational program.
There is no predetermined timing for a resident to attain any particular level. Residents may also regress in achievement of their
milestones. This may happen for many reasons, such as over scoring in a previous review, a disjointed experience in a particular
procedure, or a significant act by the resident.
Selection of a level implies the resident substantially demonstrates the milestones in that level, as well as those in lower levels (see the
diagram on page v).
iiiAdditional Notes
Level 4 is designed as a graduation goal but does not represent a graduation requirement. Making decisions about readiness for
graduation and unsupervised practice is the purview of the program director. Furthermore, Milestones 2.0 include revisions and
changes that preclude using Milestones as a sole assessment in high-stakes decisions (i.e., determination of eligibility for certification
or credentialing). Level 5 is designed to represent an expert resident whose achievements in a subcompetency are greater than the
expectation. Milestones are primarily designed for formative, developmental purposes to support continuous quality improvement for
individual learners, education programs, and the specialty. The ACGME and its partners will continue to evaluate and perform research
on the Milestones to assess their impact and value.
Examples are provided for some milestones within this document. Please note: the examples are not the required element or outcome;
they are provided as a way to share the intent of the element.
Some milestone descriptions include statements about performing independently. These activities must occur in conformity to ACGME
supervision guidelines as described in the Program Requirements, as well as to institutional and program policies. For example, a
resident who performs a procedure independently must, at a minimum, be supervised through oversight.
A Supplemental Guide is also available to provide the intent of each subcompetency, examples for each level, assessment methods or
tools, and other available resources. The Supplemental Guide, like examples contained within the Milestones, is designed only to assist
the program director and Clinical Competency Committee, and is not meant to demonstrate any required element or outcome.
Additional resources are available in the Milestones section of the ACGME website. Follow the links under “What We Do” at
www.acgme.org.
ivThe diagram below presents an example set of milestones for one sub-competency in the same format as the ACGME Report
Worksheet. For each reporting period, a resident’s performance on the milestones for each sub-competency will be indicated by
selecting the level of milestones that best describes that resident’s performance in relation to those milestones.
Selecting a response box in the
Selecting a response box on the line in
middle of a level implies that
between levels indicates that milestones
milestones in that level and in lower
in lower levels have been substantially
levels have been substantially
demonstrated as well as some
demonstrated.
milestones in the higher level(s).
vVersion 2 Pathology Milestones, ACGME Report Worksheet
Patient Care 1: Reporting (Anatomic Pathology/Clinical Pathology [AP/CP])
Level 1 Level 2 Level 3 Level 4 Level 5
Identifies the key Generates a timely report Generates a timely report Independently Independently generates
elements of a report and for a simple case, with that includes synoptic generates timely a nuanced report that
demonstrates assistance templates and/or ancillary integrated reports for expresses the ambiguity
understanding of timely testing for a complex complex cases and uncertainty for a
reporting case, with assistance; complex case
independently generates
reports for a simple case
Generates an Generates an
amended/addended amended/addended
report that includes report and documents
updated information, with communication with the
assistance clinical team, as
appropriate
Identifies the importance Identifies implications of Generates a report that Independently
of a complete pathology the diagnosis in the report includes the language of generates a report that
report for optimal patient and makes simple uncertainty, as includes the language
care recommendations appropriate, with of uncertainty and
assistance complex
recommendations
Comments:
Not Yet Completed Level 1
Not Yet Rotated
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1Version 2 Pathology Milestones, ACGME Report Worksheet
Patient Care 2: Grossing (AP)
Level 1 Level 2 Level 3 Level 4 Level 5
Identifies the importance Samples and documents Triages, samples, and Independently triages, Applies innovative
of grossing and uses simple cases, with documents complex samples, and approaches of grossing to
appropriate resources assistance cases, with assistance; documents complex demonstrate optimal
independently triages, cases pathology in unique
samples, and documents specimens
simple cases
Maintains specimen Identifies specimen Resolves specimen Independently resolves Serves as an expert for
integrity to avoid sample integrity issues (e.g., integrity issues, with specimen integrity gross examination
misidentification fixation, floaters, clinical- assistance issues, as needed
pathologic correlation with
operating room reports)
Identifies the need for Needs assistance to Handles assigned Efficiently finishes own
time management handle workload workload with minimal to workload and assists
no assistance others as needed
Comments:
Not Yet Completed Level 1
Not Yet Rotated
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2Version 2 Pathology Milestones, ACGME Report Worksheet
Patient Care 3: Clinical Consultation, including On-Call Interactions (AP/CP)
Level 1 Level 2 Level 3 Level 4 Level 5
Describes the utility of a For simple consultations, For complex Manages complex Recognized as an expert
consultation and lists delineates the clinical consultations, delineates consultations in providing
available resources question, obtains the clinical question, independently comprehensive
useful in consultation appropriate additional obtains appropriate consultations
clinical information, additional clinical
accesses available information, applies
resources, recommends relevant resources, and
next steps, and recommends next steps
documents appropriately with assistance; manages
with assistance simple consultations
independently
Comments:
Not Yet Completed Level 1
Not Yet Rotated
©2019 Accreditation Council for Graduate Medical Education (ACGME)
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3Version 2 Pathology Milestones, ACGME Report Worksheet
Patient Care 4: Interpretation and Diagnosis (AP/CP)
Level 1 Level 2 Level 3 Level 4 Level 5
Discusses importance of Identifies pertinent test Consistently integrates Makes accurate Is an expert diagnostician
diagnoses and test results results and correlates to test results with clinical diagnoses and
in patient care clinical findings to develop findings to refine interpretations of test
a differential diagnosis differential and propose a results
diagnosis
Identifies normal states Distinguishes normal from Identifies confounding Gives consideration to
and reference ranges abnormal findings factors, artifacts, and pre- confounding factors in
analytic issues formulating an
interpretation(s) and
diagnoses
Describes indications for Proposes appropriate Proposes and interprets Recommends further Proposes optimal
common tests initial tests ancillary tests in clinical work-up using diagnostic and
context diagnostic algorithms therapeutic strategies
and recommends based on patterns within
therapeutic options, as a population
appropriate
Comments:
Not Yet Completed Level 1
Not Yet Rotated
©2019 Accreditation Council for Graduate Medical Education (ACGME)
All rights reserved except the copyright owners grant third parties the right to use the Pathology Milestones on a non-exclusive basis for educational purposes.
4Version 2 Pathology Milestones, ACGME Report Worksheet
Patient Care 5: Intra-Operative Consultation (IOC), including Frozen Section (FS) (AP)
Level 1 Level 2 Level 3 Level 4 Level 5
Describes appropriate Assesses requests for For complex cases, For complex cases, Expertly manages all IOC
channels for simple IOC and plans addresses requests for independently manages
communication workflow, with assistance IOC with assistance; and addresses requests
regarding IOC independently assesses for IOC
and manages requests for
simple IOC and plans
workflow
Discusses specimen- Procures tissue for Procures tissue for Supervises junior
dependent variability in diagnosis and prepares diagnosis and prepares residents and advises
approach to IOC quality slides on simple quality slides for complex technical staff members
specimens, with specimens with in the performance of
assistance assistance and IOC
independently for simple
specimens
Demonstrates Identifies broad diagnostic Interprets and Independently interprets
understanding of utility of categories (i.e., benign communicates routine and communicates
IOC versus malignant, normal IOC/FS and correlates IOC/FS and correlates
versus abnormal) in with final diagnosis, with with final diagnosis in
routine IOC assistance routine cases and in
some complex cases
Comments:
Not Yet Completed Level 1
Not Yet Rotated
©2019 Accreditation Council for Graduate Medical Education (ACGME)
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5Version 2 Pathology Milestones, ACGME Report Worksheet
Patient Care 6: Autopsy (AP)
Level 1 Level 2 Level 3 Level 4 Level 5
Describes the value of Plans and performs all Plans and performs all Independently plans Uses advanced skills and
an autopsy aspects of routine aspects of complex and performs all non-routine approaches
autopsies, with assistance autopsies, with assistance aspects of complex to unique autopsies
autopsies in a timely
manner
Reviews clinical records Generates preliminary Independently generates Independently Uses autopsy data to
and concisely presents anatomic diagnosis within final report with generates final report identify patterns that
clinical data and history; accepted turnaround time clinicopathologic with clinicopathologic advance medical
communicates with correlations on routine correlations on routine knowledge and improve
clinical team autopsies; with and complex autopsies patient care
assistance, generates
final report with
clinicopathologic
correlations on complex
autopsies
Properly identifies the Adheres to regulations Independently adheres to Instructs junior level
decedent and verifies with guidance, such as regulations residents about
consent and limitations legal jurisdiction, statutes regulations
to extent of the autopsy regarding device reporting
and communicable
diseases
Comments:
Not Yet Completed Level 1
Not Yet Rotated
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6Version 2 Pathology Milestones, ACGME Report Worksheet
Medical Knowledge 1: Diagnostic Knowledge (AP/CP)
Level 1 Level 2 Level 3 Level 4 Level 5
Demonstrates basic Applies anatomic, cellular, Applies advanced Integrates advanced Recognized as an expert
medical knowledge of and molecular knowledge knowledge of anatomic, knowledge of anatomic, in the integration of
anatomy, cellular, and to identify pathologic cellular, and molecular cellular, and molecular anatomic, cellular, and
molecular systems processes pathology to common pathology to common molecular pathology
diagnoses and uncommon knowledge to disease
diagnoses
Demonstrates Identifies abnormal
knowledge of normal histology and cell biology
histology and cell biology
Comments:
Not Yet Completed Level 1
Not Yet Rotated
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7Version 2 Pathology Milestones, ACGME Report Worksheet
Medical Knowledge 2: Clinical Reasoning (AP/CP)
Level 1 Level 2 Level 3 Level 4 Level 5
Demonstrates a basic Demonstrates clinical Synthesizes information Independently Demonstrates intuitive
framework for clinical reasoning to determine to inform clinical synthesizes information approach to clinical
reasoning relevant information reasoning, with to inform clinical reasoning for complex
assistance reasoning in complex cases
cases
Identifies appropriate Selects relevant Seeks and integrates Independently seeks
resources to inform resources based on evidence-based out, analyzes, and
clinical reasoning scenario to inform information to inform applies relevant original
decisions diagnostic decision research to diagnostic
making in complex cases, decision making in
with assistance complex clinical cases
Comments:
Not Yet Completed Level 1
Not Yet Rotated
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8Version 2 Pathology Milestones, ACGME Report Worksheet
Systems-Based Practice 1: Patient Safety and Quality Improvement (QI) (AP/CP)
Level 1 Level 2 Level 3 Level 4 Level 5
Demonstrates Identifies system factors Participates in analysis of Conducts analysis of Actively engages teams
knowledge of common that lead to patient safety patient safety events patient safety events and processes to modify
patient safety events events (simulated or actual) and offers error systems to prevent
prevention strategies patient safety events
(simulated or actual)
Demonstrates Reports patient safety Participates in disclosure Discloses patient safety Role models or mentors
knowledge of how to events through of patient safety events to events to clinicians others in the disclosure of
report patient safety institutional reporting clinicians and/or patients and/or patients and patient safety events
events systems (simulated or and families, as families, as appropriate
actual) appropriate (simulated or (simulated or actual)
actual)
Demonstrates Describes departmental Participates in Demonstrates the skills Creates, implements, and
knowledge of basic QI and institutional QI departmental and required to identify, assesses QI initiatives at
methodologies and initiatives institutional QI initiatives develop, implement, the institutional or
metrics and analyze a QI community level
project
Comments:
Not Yet Completed Level 1
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9Version 2 Pathology Milestones, ACGME Report Worksheet
Systems-Based Practice 2: Systems Navigation for Patient-Centered Care (AP/CP)
Level 1 Level 2 Level 3 Level 4 Level 5
Demonstrates Coordinates care of Coordinates care of Models effective Analyses the process of
knowledge of case patients in routine cases patients in complex cases coordination of patient- care coordination and
coordination effectively using effectively using centered care among leads in the design and
interprofessional teams interprofessional teams different disciplines and implementation of
specialties improvements
Identifies key elements Performs safe and Performs safe and Models and advocates Improves quality of
for safe and effective effective transitions of effective transitions of for safe and effective transitions of care within
transitions of care and care/hand-offs in routine care/hand-offs in complex transitions of care/hand- and across health care
hand-offs situations situations offs within and across delivery systems to
health care delivery optimize patient outcomes
systems
Demonstrates Identifies pathology’s role Identifies opportunities for Recommends and/or Leads innovations and
knowledge of population in population and pathology to participate in participates in changing advocates for populations
and community health community health needs community and and adapting practice to and communities with
needs and disparities and inequities for their population health provide for the needs of health care inequities
local population communities and
populations
Comments:
Not Yet Completed Level 1
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10Version 2 Pathology Milestones, ACGME Report Worksheet
Systems-Based Practice 3: Physician Role in Health Care System (AP/CP)
Level 1 Level 2 Level 3 Level 4 Level 5
Identifies key Describes how Discusses how individual Manages various Advocates for or leads
components of the components of a complex practice affects the components of the systems change that
complex health care health care system are broader system (e.g., test complex health care enhances high-value,
system (e.g., hospital, inter-related, and how this utilization, turnaround system to provide efficient, and effective
skilled nursing facility, impacts patient care time) efficient and effective patient care and transition
finance, personnel, patient care and of care
technology) transition of care
Describes basic health Documents testing detail Engages with clinicians Practices and Participates in health
payment systems (e.g., and explains the impact of and/or patients in shared- advocates for cost policy advocacy activities
government, private, documentation on billing decision making, such as effective patient care
public, uninsured care) and reimbursement use of preauthorization for with consideration of the
and practice models complex testing limitations of each
patient’s payment
model
Comments:
Not Yet Completed Level 1
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11Version 2 Pathology Milestones, ACGME Report Worksheet
Systems-Based Practice 4: Informatics (AP/CP)
Level 1 Level 2 Level 3 Level 4 Level 5
Demonstrates familiarity Understands laboratory Discusses the role of the Applies knowledge of Participates in operational
with basic technical specific software, key pathologist in laboratory informatics skills as and strategy meetings,
concepts of hardware, technical concepts and initiatives based on needed in laboratory troubleshooting with
operating systems, interfaces, workflow, integrative pathology initiatives (e.g., data information technology
databases, and software barcode application, informatics and management and staff members; able to
for general purpose automation systems bioinformatics (e.g., security, computational utilize medical informatics
applications (enterprise systems laboratory information statistics, information in the direction and
architecture) system implementation governance) operation of the
and configuration, QI laboratory
initiatives)
Comments:
Not Yet Completed Level 1
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12Version 2 Pathology Milestones, ACGME Report Worksheet
Systems-Based Practice 5: Accreditation, Compliance, and Quality (AP/CP)
Level 1 Level 2 Level 3 Level 4 Level 5
Demonstrates Demonstrates knowledge Identifies the differences Participates in an Serves as a resource for
knowledge that of the components of between accreditation internal or external accreditation at the
laboratories must be laboratory accreditation and regulatory laboratory inspection regional or national level
accredited and regulatory compliance; discusses
compliance (Clinical the process for achieving
Laboratory Improvement accreditation and
Amendments and others), maintaining regulatory
either through training or compliance
experience
Discusses the need for Interprets quality data and Demonstrates knowledge Reviews the quality Creates and follows a
quality control and charts and trends, of the components of a management plan to comprehensive quality
proficiency testing including proficiency laboratory quality identify areas for management plan
testing results, with management plan improvement
assistance
Discusses implications of Performs analysis and Formulates a response
proficiency testing failures review of proficiency for proficiency testing
testing failures and failures
recommends a course
of action, with oversight
Comments:
Not Yet Completed Level 1
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13Version 2 Pathology Milestones, ACGME Report Worksheet
Practice-Based Learning and Improvement 1: Evidence-Based Practice and Scholarship (AP/CP)
Level 1 Level 2 Level 3 Level 4 Level 5
Demonstrates how to Identifies and applies the Identifies and applies the Critically appraises and Teaches others to
access and select best available evidence to best available evidence to applies evidence to critically appraise and
applicable evidence guide diagnostic workup guide diagnostic work-up guide care, even in the apply evidence for
of simple cases of complex cases face of conflicting data complex cases; and/or
participates in the
development of guidelines
Aware of the need for Develops knowledge of Applies knowledge of the Proactively and Suggest improvements to
patient privacy, the basic principles of basic principles of consistently applies research regulations
autonomy, and consent research (demographics, research such as knowledge of the basic and/or substantially
as applied to clinical Institutional Review informed consent and principles of research contributes to the primary
research Board, human subjects), research protocols to such as informed literature through basic,
including how research is clinical practice, with consent and research translational, or clinical
evaluated, explained to assistance protocols to clinical research
patients, and applied to practice
patient care
Comments:
Not Yet Completed Level 1
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14Version 2 Pathology Milestones, ACGME Report Worksheet
Practice-Based Learning and Improvement 2: Reflective Practice and Commitment to Personal Growth (AP/CP)
Level 1 Level 2 Level 3 Level 4 Level 5
Accepts responsibility for Demonstrates openness Seeks performance data Actively and Models seeking
personal and to receiving performance and feedback with consistently seeks performance data with
professional data and feedback in humility performance data and humility
development by order to inform goals feedback with humility
establishing goals
Identifies the gap(s) Analyzes and reflects on Institutes behavioral Critically evaluates the Teaches others reflective
between expectations the factors which change(s) to narrow the effectiveness of practice
and actual performance contribute to gap(s) gap(s) between behavioral changes in
between expectations and expectations and actual narrowing the gap(s)
actual performance performance between expectations
and actual performance
Actively seeks Designs and implements Independently creates Uses performance data Facilitates the design and
opportunities to improve a learning plan, with and implements a to measure the implementing learning
assistance learning plan effectiveness of the plans for others
learning plan and
improves it when
necessary
Comments:
Not Yet Completed Level 1
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15Version 2 Pathology Milestones, ACGME Report Worksheet
Professionalism 1: Professional Behavior and Ethical Principles (AP/CP)
Level 1 Level 2 Level 3 Level 4 Level 5
Demonstrates Analyzes straightforward Recognizes the need and Independently resolves Identifies and seeks to
knowledge of the ethical situations using ethical uses appropriate and manages complex address system-level
principles underlying principles resources to seek help in ethical situations factors that induce or
informed consent, managing and resolving exacerbate ethical
surrogate decision complex ethical situations problems or impede their
making, advance resolution
directives, confidentiality,
error disclosure,
stewardship of limited
resources, and related
topics
Describes when and how Demonstrates insight into Demonstrates Recognizes situations Coaches others when
to appropriately report professional behavior in professional behavior in that may trigger their behavior fails to
professionalism lapses, routine situations; takes complex or stressful professionalism lapses meet professional
including strategies for responsibility for own situations and intervenes to expectations
addressing common professionalism lapses prevent lapses in self
barriers; identifies and and others
describes potential
triggers for
professionalism lapses
Comments:
Not Yet Completed Level 1
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16Version 2 Pathology Milestones, ACGME Report Worksheet
Professionalism 2: Accountability and Conscientiousness (AP/CP)
Level 1 Level 2 Level 3 Level 4 Level 5
Responds promptly to Takes appropriate Recognizes situations Anticipates and Takes ownership of
instructions, requests, or ownership and performs that may impact own intervenes in situations system outcomes
reminders to complete tasks and responsibilities ability to complete tasks that may impact others’
tasks and responsibilities in a timely manner with and responsibilities in a ability to complete tasks
attention to detail timely manner and and responsibilities in a
describes the impact on timely manner
team
Designs new strategies to
ensure that the needs of
patients, teams, and
systems are met
Comments:
Not Yet Completed Level 1
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17Version 2 Pathology Milestones, ACGME Report Worksheet
Professionalism 3: Self-Awareness and Help-Seeking (AP/CP)
Level 1 Level 2 Level 3 Level 4 Level 5
Recognizes limitations in Independently recognizes Proposes and implements Independently develops Serves as a resource or
the knowledge/skills/ limitations in the a plan to remediate or and implements a plan consultant for developing
behaviors of self or knowledge/skills/ improve the knowledge/ to remediate or improve a plan to remediate or
team, with assistance behaviors of self or team skills/behaviors of self or the knowledge/skills/ improve the knowledge/
and seeks help when team, with assistance behaviors of self or skills/behaviors
needed team
Recognizes status of Independently recognizes Proposes and implements Independently develops Coaches others when
personal and status of personal and a plan to optimize and implements a plan responses or limitations in
professional well-being, professional well-being personal and professional to optimize personal knowledge/skills do not
with assistance and seeks help when well-being, with and professional well- meet professional
needed assistance being expectations
Comments:
Not Yet Completed Level 1
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18Version 2 Pathology Milestones, ACGME Report Worksheet
Interpersonal and Communication Skills 1: Patient and Family-Centered Communication (AP/CP)
Level 1 Level 2 Level 3 Level 4 Level 5
Uses language and Establishes a relationship Establishes a relationship Easily establishes Mentors others in
nonverbal behavior to in straightforward in challenging patient relationships, with situational awareness and
demonstrate respect and encounters using active encounters, as attention to critical self-reflection to
establish rapport listening and clear appropriate patient/family concerns consistently develop
language and context, regardless positive therapeutic
of complexity relationships
Identifies common Identifies complex When prompted, reflects Independently Models self-awareness
barriers to effective barriers to effective on personal biases while recognizes personal while teaching a
communication (e.g., communication (e.g., attempting to minimize biases while attempting contextual approach to
language, disability) health literacy, cultural) communication barriers to proactively minimize minimize communication
while accurately communication barriers barriers
communicating own role
within the health care
system
Identifies the need to Organizes and initiates Sensitively and Independently, Models shared decision
adjust communication communication with compassionately delivers sensitively, and making in patient/family
strategies based on patient/family by medical information, compassionately communication including
assessment of introducing stakeholders, elicits patient/family delivers medical those with a high degree
patient/family setting the agenda, values, goals and information, elicits of uncertainty/conflict
expectations and clarifying expectations preferences, and patient/family values,
understanding of their and verifying acknowledges uncertainty goals and preferences,
health status and understanding of the and conflict, with and acknowledges
treatment options clinical situation guidance uncertainty and conflict
Comments:
Not Yet Completed Level 1
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19Version 2 Pathology Milestones, ACGME Report Worksheet
Interpersonal and Communication Skills 2: Interprofessional and Team Communication (AP/CP)
Level 1 Level 2 Level 3 Level 4 Level 5
Uses language that Communicates Uses active listening to Coordinates Models flexible
values all members of information effectively adapt communication recommendations from communication strategies
the health care team with all health care team style to fit team needs different members of that value input from all
members the health care team to health care team
optimize patient care members, resolving
conflict when needed
Describes the utility of Solicits feedback on Integrates feedback from Communicates Facilitates regular health
constructive feedback performance as a team members to improve feedback and care team-based
member of the health communication constructive criticism to feedback in complex
care team superiors situations
Comments:
Not Yet Completed Level 1
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20Version 2 Pathology Milestones, ACGME Report Worksheet
Interpersonal and Communication Skills 3: Communication within Health Care Systems (AP/CP)
Level 1 Level 2 Level 3 Level 4 Level 5
Safeguards patient Appropriately selects Communicates while Independently Guides departmental or
personal health forms of communication ensuring security of communicates while institutional
information by based on context and personal health ensuring security of communication around
communicating through urgency of the situation information, with guidance personal health policies and procedures
appropriate means as information regarding the security of
required by institutional personal health
policy (e.g., patient information
safety reports, cell
phone/pager usage)
Identifies institutional Respectfully Uses institutional Initiates conversations Facilitates dialogue
and departmental communicates concerns structure to effectively on difficult subjects with regarding systems issues
structure for about the system communicate clear and appropriate among larger community
communication of issues constructive suggestions stakeholders to improve stakeholders (institution,
to improve the system the system health care system, field)
Comments:
Not Yet Completed Level 1
©2019 Accreditation Council for Graduate Medical Education (ACGME)
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