Time-Based Versus Competency-Based Surgical Education and Training - 10/04/25

Doi : 10.1016/j.hcl.2024.12.005

Scott D. Lifchez, MD ^a,^⁎ , Carisa M. Cooney, MPH ^b
^a Department of Plastic Surgery, Johns Hopkins/University of Maryland Plastic Surgery Residency, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, Room A 518, Baltimore, MD 21224, USA
^b Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, 601 North Caroline Street, JHOC 8161, Baltimore, MD 21287, USA

^∗Corresponding author.

Resumen

Graduate medical education in the United States has been progressing toward competency-based training for the past 25 years, beginning with the Core Competencies. ACGME Milestones versions 1.0 and 2.0 further attempted to granularly assess the knowledge, skills, and behaviors residents should demonstrate to competently practice without supervision. Both frequent rapid and longer infrequent assessments form the core of assessing residents’ progress toward competency. Trainees may master competencies at different rates, making time-variable promotion and time required to demonstrate competency inherent parts of competency-based training.

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Keywords : Competency-based training, Surgical education, Plastic surgery training, Orthopedic training, Residency training, Graduate medical education