The Clinician Educator Milestone Project: A Joint Initiative of
The Clinician Educator Milestone Project: A Joint Initiative of
A Joint Initiative of
The Accreditation Council for Graduate Medical Education
The Accreditation Council for Continuing Medical Education
The Association of American Medical Colleges
The American Association of Colleges of Osteopathic Medicine
August 2022
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
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Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Work Group
Thomas Boyle, DO, MBA Lisa Howley, PhD
Calvin Chou, MD, PhD Joseph Kaczmarczyk, DO, MPH, MBA
Nicole Croom, MD, MPH John D. Mahan, MD
Tyler Cymet, DO Katie Marney, OMS-III
Rebecca Daniel, MD, FACP Amy Miller Juve, MEd, EdD
Nancy Davis, PhD Brijen Shah, MD
Daniel Dent, MD Janine Shapiro, MD
Laura Edgar, EdD, CAE Christine Stabler, MD, MBA
Janae Heath, MD, MSCE
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
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Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
The Clinician Educator Milestones are not an accreditation requirement and are not intended to become one in
the future.
The Clinician Educator Milestones provide a framework for assessment of educational skills of faculty members who
teach undergraduate, graduate, or continuing medical education. Faculty members can use these milestones for their own
self-assessment as educators, or with a trusted peer to provide feedback and assessment. The ultimate goal of these
milestones is to provide faculty members with tools to help them with lifelong growth and development as educators. They
are designed for:
• Educators
• Educational scholars
• Educational leaders (administrators, program directors)
Each subcompetency covers a different area of professional development and offers stand-alone assessment of a specific
teaching skill or method. Individuals may choose to focus on one or more of the milestones, but do not need to assess
against all the milestones.
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
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Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Selection of a level implies the educator substantially demonstrates the milestones in that level, as well as those in lower
levels (see the diagram on page 4).
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 in assessment 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.
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
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Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
The diagram below presents an example set of milestones for one subcompetency. Performance on the milestones for
each subcompetency will be indicated by selecting the level of milestones that best describes knowledge, skill, and/or
ability in relation to those milestones.
Selecting a response box in the middle Selecting a response box on the line in
of a level implies that milestones in between levels indicates that milestones
that level and in lower levels have in lower levels have been substantially
been substantially demonstrated. demonstrated as well as some
milestones in the higher level(s).
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
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Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Competency Statements
Universal Pillars for All Clinician Educators
Demonstrate the commitment to lifelong learning and enhancing one's own behaviors as a clinician educator.
Administration
Demonstrate administrative skills relevant to their professional role, program management, and the learning environment that leads
to best health outcomes.
Well-Being
Apply principles of well-being to develop and model a learning environment that supports behaviors which promote personal and
learner psychological, emotional, and physical health.
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
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Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Report Worksheet
Identifies the factors that Analyzes and reflects Analyzes, reflects on, Challenges personal Coaches others on
contribute to gap(s) on the factors that and institutes behavioral assumptions and reflective practice
between expectations contribute to gap(s) change(s) to narrow the considers alternatives
and actual performance between expectations gap(s) between in narrowing the
and actual expectations and actual gap(s) between
performance performance expectations and
actual performance
Actively seeks Designs and Independently creates Uses performance Facilitates the design
opportunities to improve implements a learning and implements a data to measure the and implementation of
plan, with prompting learning plan effectiveness of the learning plans for others
learning plan and,
when necessary,
improves it
Comments:
Not Yet Completed Level 1
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
1
Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Comments:
Not Yet Completed Level 1
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
2
Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Comments:
Not Yet Completed Level 1
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
3
Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Comments:
Not Yet Completed Level 1
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
4
Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Discusses lessons Identifies that own Intentionally role models Intentionally role Works collaboratively to
implicitly learned (e.g., behavior (role modeling) desired practice models desired develop educators’
hidden curriculum) is part of the hidden behaviors to aid behaviors to aid ability to demonstrate
curriculum learners learners across evidence-based
multiple settings teaching behaviors
Comments:
Not Yet Completed Level 1
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
5
Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Comments:
Not Yet Completed Level 1
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
6
Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Comments:
Not Yet Completed Level 1
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
7
Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Describes importance of Reviews feedback about Actively solicits general Consistently solicits Guides others to solicit,
soliciting feedback in self, manages emotional feedback from learners specific feedback from reflect on, and
developing a growth reactions to feedback, learners that leads to incorporate feedback
mindset and incorporates relevant behavior change
items
Describes importance of Role models exemplary Role models exemplary Supports learning Demonstrates expertise
establishing a learning feedback practices feedback practices and environment in which in explicitly constructing
environment that values without explicitly setting explicitly states all learners and faculty and maintaining learning
feedback up the learning importance of feedback engage in actionable environment in which all
environment in the learning feedback learners give and receive
environment feedback to improve
performance
Comments:
Not Yet Completed Level 1
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
8
Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Comments:
Not Yet Completed Level 1
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
9
Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Carries out an action Describes how to create Creates an action plan Uses varied Disseminates
plan designed by others an action plan to address areas approaches to interventions that
to address areas identified as needing address programmatic support programmatic
identified as needing improvement areas of improvement improvement
improvement
Comments:
Not Yet Completed Level 1
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
10
Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Comments:
Not Yet Completed Level 1
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
11
Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Comments:
Not Yet Completed Level 1
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
12
Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Comments:
Not Yet Completed Level 1
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
13
Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Defines different roles Describes the value of Engages effectively in Creates and manages Coaches others in
and how they contribute an interprofessional interprofessional effective development of
to the interprofessional team-based approach in learning environments interprofessional effective
learning environment the learning learning environments interprofessional
environment learning environments
Comments:
Not Yet Completed Level 1
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
14
Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Comments:
Not Yet Completed Level 1
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
15
Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Describes signs of Recognizes learners or Intervenes and identifies Guides learners or Guides others in
physical, emotional, colleagues in apparent resources for a specific colleagues in distress recognizing learners in
and/or professional distress situation and provides on-going distress and educates
distress support them in available
resources
Comments:
Not Yet Completed Level 1
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
16
Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Comments:
Not Yet Completed Level 1
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
17
Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Describes components Identifies relevant Employs effective Consistently integrates Leads and guides
of legal, regulatory, and resources for legal, approaches to perform legal, regulatory, and others in legal,
accreditation functions regulatory, and legal, regulatory, and accreditation functions regulatory, and
accreditation functions accreditation functions into practice accreditation functions
Comments:
Not Yet Completed Level 1
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
18
Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Comments:
Not Yet Completed Level 1
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
19
Version 1 Clinician Educator Milestones, ACGME, ACCME, AAMC, AACOM Worksheet
Comments:
Not Yet Completed Level 1
©2022 Accreditation Council for Graduate Medical Education (ACGME), Accreditation Council for Continuing Medical Education (ACCME), Association of
American Medical Colleges (AAMC), American Association of Colleges of Osteopathic Medicine (AACOM)
All rights reserved except the copyright owners grant third parties the right to use the Clinician Educator Milestones on a non-exclusive basis for educational
purposes.
20