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A Multicenter Collaboration for Simulation-Based Assessment of ACGME Milestones in Emergency Medicine

Salzman, David H., MD, MEd; Watts, Hannah, MD; Williamson, Kelly, MD; Sergel, Michelle, MD; Dobiesz, Valerie, MD, MPH; DeGarmo, Noah, MD; Vora, Samreen, MD, MHAM; Sharp, Louis J., MD; Wang, Ernest E., MD; Gisondi, Michael A., MD

doi: 10.1097/SIH.0000000000000291
Concepts and Commentary

Summary Statement In 2014, the six allopathic emergency medicine (EM) residency programs in Chicago established an annual, citywide, simulation-based assessment of all postgraduate year 2 EM residents. The cases and corresponding assessment tools were designed by the simulation directors from each of the participating sites. All assessment tools include critical actions that map directly to numerous EM milestones in 11 different subcompetencies. The 2-hour assessments provide opportunities for residents to lead resuscitations of critically ill patients and demonstrate procedural skills, using mannequins and task trainers respectively. More than 80 residents participate annually and their assessment experiences are essentially identical across testing sites. The assessments are completed electronically and comparative performance data are immediately available to program directors.

From the Departments of Emergency Medicine and Medical Education (D.H.S.), Northwestern University Feinberg School of Medicine; Advocate Health Care (H.W.), University of Illinois at Chicago; Advocate Christ Medical Center (K.W.), University of Illinois at Chicago; John H. Stroger Hospital of Cook County (M.S.), Rush University Medical Center, Chicago, IL; Neil and Elise Wallace STRATUS Center for Medical Simulation (V.D.), Brigham and Women's Hospital, Harvard Humanitarian Initiative, Boston, MA; Department of Emergency Medicine (N.D.), University of Texas Southwestern, Parkland Hospital, Dallas, TX; Simulation Center (S.V.), Children’s Minnesota, Minneapolis, MN; Presence Resurrection Medical Center (L.J.S.), Department of Emergency Medicine, University of Illinois at Chicago; Division of Emergency Medicine (E.E.W.), NorthShore University HealthSystem, Evanston, IL; and Department of Emergency Medicine (M.A.G.), Stanford University School of Medicine, Stanford, CA.

Reprints: David H. Salzman, MD, MEd, Department of Emergency Medicine, Northwestern University, Feinberg School of Medicine, 211 E Ontario St, Suite 200, Chicago, IL 60611 (e-mail:

The authors declare no conflict of interest.

© 2018 Society for Simulation in Healthcare