Original ArticlesUpdates in Forensic Pathology Education ACGME Milestones 2.0 Forensic Pathology Working Group Author Information From the Accreditation Council for Graduate Medical Education (ACGME), North Michigan, Chicago, IL. Manuscript received February 2, 2021; accepted March 17, 2021. The authors report no conflict of interest. Reprints: Nicole Croom, 505 Parnassus Avenue, Suite M590, Box 0511, San Francisco, CA 94143-0511. E-mail: [email protected]. Supplemental digital contents are available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.amjforensicmedicine.com). This study was supported by the Accreditation Council for Graduate Medical Education (ACGME). The American Journal of Forensic Medicine and Pathology: December 2021 - Volume 42 - Issue 4 - p 313-317 doi: 10.1097/PAF.0000000000000689 Buy SDC Metrics Abstract The Accreditation Council for Graduate Medical Education Milestones offer a framework for competency-based assessment of forensic pathology fellows. The initial forensic pathology–specific milestones (Milestones 1.0) were developed in 2014. Although a great foundation, this first iteration of the milestones was somewhat convoluted and exhibited areas of discrepancy. A Forensic Pathology Milestone 2.0 Working Group of 12 volunteers, with various levels of forensic pathology expertise representing a broad array of institutions across the United States, sought to reduce milestone complexity and modify the cross-specialty “harmonized” milestones to ensure they fit within the context of forensic pathology training. The group also created a supplemental guide to provide additional clarification for each milestone. Overall, 5 specialty-specific subcompetencies were drafted, and the language in the 14 harmonized subcompetencies was adjusted to reflect the unique population of patients and multidisciplinary medicolegal systems inherent to forensic pathology. Once the initial development was complete, the Milestones 2.0 draft was made available for review by the greater forensic pathology community, with the aim of creating a shared mental model for forensic pathology education and the trajectory of the field. Additional changes were made based on the survey results and Milestones 2.0 will be implemented during the 2021–2022 academic year. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.