Milestone

2015
201547


RUMBA SMART
Real Specific

Understandable Measurable

Measurable Achievable

Behavioral Relevant

Achievable Time-bound
Learning Pyramid



SBO

1 DVD,SGD 6 60 DVD 1
2 23 60 3
3 SGD 32 30 2 2 100
6
4 16 ER




5W1H








SB

O
LS1
1 OSCE SP
LS3LS5
LS6

OSCEObjective Structured Clinical Examination

SPSimulated Patient[Standardized Patient]


JCEPNPO
http://www.jce-pct.jp/shomen_20140901DRAFT.pdf
 NPO

2548 160

NPO
ACGME Milestones

Accreditation Council for

Graduate Medical Education

AAMC Medical College Admission Test

LCME Medical USMLE STEP1

School USMLE STEP2

USMLE STEP3

Transitional Year
ACGME
Residency
ABMSAchieves American Board of Medical Specialties
ACGME Milestones

20c Process BasedGIO/SBOs/LS/EV

1999 Outcome Project

2002-2008 Competency Based Medical Education

2013 Next Accreditation SystemNAS

6 Core Competency
Patient Care

Medical Knowledge

Practice Based Learning and Improvement

System Based Practice

Professionalism

Interpersonal Skills and Communication

Outcome
Outcome
Competency
Competency

6 Core Competencies

Competency

Milestone
Core Competency
CompetencyMilestone
Core Competency
22sub-competencyMilestone
Transitional Year23sub-competencyMilestone
Milestone
SDOT, simulation, video-review, portfolio, OSCE
 1
9
1 113sub-competency

3
9
milestones
8
6
7
4

2

12
1
3
2
9
TRANSTIONAL YEAR
4 1
13
9
8
3 2
6 3
10
2
7
2
transitional year 1
3
PC-1
Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments

PC-2
Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
C-1
Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
Milestone








Transitional yearMilestone


623


2Level4
Level3

PC-1
Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
PC-2
Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
PC-3
Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
PC-4
Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
PC-5
Level1
Level 1 Level 2 Level 3 Level 4 Level 5




BLSACLS BLSACLS
BLSACLS

Comments
PC-6
Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
PC-7
Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
MK-1

Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
MK-2
Level1
Level 1 Level 2 Level 3 Level 4 Level 5
Step 1 Step2 Step 3 ABMS
ABMSAmerican Board
of Medical Specialties

Comments
SBP-1
Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
SBP-2
Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
SBP-3
Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
PBLI-1
1.
2.
Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
PBLI-2
1.
2.
Level1
Level 1 Level 2 Level 3 Level 4 Level 5
EBM

Comments
PBLI-3
Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
PROF-1

Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
PROF-2

Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
PROF-3
Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
PROF-4
Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
C-1
Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
C-2
Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
C-3
Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments
C-4
Level1
Level 1 Level 2 Level 3 Level 4 Level 5

Comments