Appendix R – ACGME Dermatology Milestones 2.0

Dermatology Milestones
The Accreditation Council for Graduate Medical Education
AGGME
Second Revision: April 2020
First Revision: June 2014
©2020 Accreditation Council for Graduate Medical Education (ACGME)
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Dermatology Milestones
The Milestones are designed only for use in evaluation of residents in the context of their participation in
ACGME-accredited residency programs. The Milestones provide a framework for the assessment of the
development of the resident in key dimensions of the elements of physician competence in a specialty or
subspecialty. They neither represent the entirety of the dimensions of the six domains of physician competency,
nor are they designed to be relevant in any other context.
©2020 Accreditation Council for Graduate Medical Education (ACGME)
All rights reserved except the copyright owners grant third parties the right to use the Dermatology Milestones on a non-exclusive basis for educational purposes.

Dermatology Milestones
Work Group
William Aughenbaugh, MD
Anna Bruckner, MD
Laura Edgar, EdD, CAE
Alexa Leone, DO
Erin Mathes, MD
Kiran Motaparthi, MD
Andrea Murina, MD
Ronald Rapini, MD
David Rubenstein, FACHE
Erik Stratman, MD
Ashley Wysong, MD, MS
The ACGME would like to thank the following organizations for their continued support in the
development of the Milestones:
American Board of Dermatology
Review Committee for Dermatology
At 020 reserved Cout he Copyride Me a lie a racine monto us the Demadog Milestones on an exclusive as or educational purposes.
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Understanding Milestone Levels and Reporting
This document presents the Milestones, which programs use in a semi-annual review of resident performance, and then report to
the ACGME. Milestones are knowledge, skills, attitudes, and other attributes for each of the ACME Competencies organized in a
developmental framework. The narrative descriptions are targets for resident performance throughout their educational program.
Milestones are arranged into levels. Tracking from Level 1 to Level 5 is synonymous with moving from novice to expert resident in
the specialty or subspecialty. For each reporting period, the Clinical Competency Committee will review the completed evaluations
to select the milestone levels that best describe each learner’s current performance, abilities, and attributes for each
subcompetency.
These levels do not correspond with post-graduate year of education. Depending on previous experience, a junior resident may
achieve higher levels early in his/her educational program just as a senior resident may be at a lower level later in his/her
educational program. There is no predetermined timing for a resident to attain any particular level. Residents may also regress in
achievement of their milestones. This may happen for many reasons, such as over scoring in a previous review, a disjointed
experience in a particular procedure, or a significant act by the resident.
Selection of a level implies the resident substantially demonstrates the milestones in that level, as well as those in lower levels
(see the diagram on page vi).
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Additional Notes
Level 4 is designed as a graduation goal but does not represent a graduation requirement. Making decisions about readiness for
graduation and unsupervised practice is the purview of the program director. Furthermore, Milestones 2.0 include revisions and
changes that preclude using Milestones as a sole assessment in high-stakes decisions (i.e., determination of eligibility for
certification or credentialing). Level 5 is designed to represent an expert resident whose achievements in a subcompetency are
greater than the expectation. Milestones are primarily designed for formative, developmental purposes to support continuous
quality improvement for individual learners, education programs, and the specialty. The ACME and its partners will continue to
evaluate and perform research on the Milestones to assess their impact and value.
Examples are provided for some milestones within this document. Please note: the examples are not the required element or
outcome; they are provided as a way to share the intent of the element.
Some milestone descriptions include statements about performing independently. These activities must occur in conformity to
ACGME supervision guidelines as described in the Program Requirements, as well as to institutional and program policies. For
example, a resident who performs a procedure independently must, at a minimum, be supervised through oversight.
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 the program director and Clinical Competency Committee, 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.acqme.org
©2020 Accreditation Council for Graduate Medical Education (ACGME)
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The diagram below presents an example set of milestones for one sub-competency in the same format as the ACGME
Report Worksheet. For each reporting period, a resident’s performance on the milestones for each sub-competency will be
indicated by selecting the level of milestones that best describes that resident’s performance in relation to those milestones.
Systems-Based Practice 2: System Navigation for Patient Centered Care
Level 1
Demonstrates
knowledge of care
coordination
Identifies key elements
for safe and effective
transitions of care and
handoffs
Level 2
Coordinates care of
patients in routine clinical
situations effectively
utilizing the roles of the
interprofessional teams
Performs safe and
effective transitions of
care/handoffs in routine
clinical situations
Level 3
Coordinates care of
patients in complex
clinical situations
effectively utilizing the
roles of their
interprotessional teams
Performs safe and
effective transitions of
care/handoffs in complex
clinical situations
Level 4
Leads effective
coordination of patient-
centered care among
different disciplines and
specialties
Level 5
Analyzes the process of
care coordination and
leads in the design and
implementation of
improvements
Demonstrates
knowledge of population
and community health
needs and disparities
Identifies specific
population and
community health needs
and inequities for their
local population
Uses local resources
effectively to meet the
needs of a patient
population and
community
Advocates for safe and
effective transitions of
care/handoffs within
and across healthcare
delivery systems
Improves quality of
transitions of care within
and across healthcare
delivery systems to
optimize patient outcomes
including outpatient
settings
Participates in changing
Leads innovations and
and adapting practice to
advocates for populations
provide for the needs of
and communities with
specific populations
health care inequities
Comments:
Selecting a response box in the
middle of a level implies that
milestones in that level and in lower
levels have been substantially
demonstrated.
Not Yet Completed Level 1
Selecting a response box on the line in
between levels indicates that milestones
in lower levels have been substantially
demonstrated as well as some
milestones in the higher level(s).
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Version 2
Patient Care 1: Medical Dermatology
Level 1
Obtains basic
dermatologic history and
physical exam
Identifies management
options for common
dermatologic conditions
Level 2
Evaluates patients with
common dermatologic
conditions, with
assistance
Manages patients with
common dermatologic
conditions, with
assistance
Dermatology, ACGME Report Worksheet
Level 3
Independently evaluates
patients with common
dermatologic conditions
Independently manages
patients with common
dermatologic conditions
Level 4
Independently evaluates
patients with complex
dermatologic conditions
Independently manages
patients with complex
dermatologic conditions
and/or comorbidities
Level 5
Independently evaluates
and manages patients
with rare, atypical, or
refractory dermatologic
conditions
Comments:
Not Yet Completed Level 1
Not Yet Assessable
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Version 2
Patient Care 2: Pediatric Dermatology
Level 1
Obtains basic
dermatologic history and
physical exam in a
pediatric patient
Identifies management
options for common
pediatric dermatologic
conditions
Level 2
Evaluates patients with
common pediatric
dermatologic conditions,
with assistance
Manages patients with
common pediatric
dermatologic conditions,
with attention to age,
weight, and psychosocial
considerations, with
assistance
Describes the challenges
of procedures on
Assists in procedures on
pediatric patients
pediatric patients
Dermatology, ACGME Report Worksheet
Level 3
Independently evaluates
patients with common
pediatric dermatologic
conditions
Independently manages
patients with common
pediatric dermatologic
conditions with attention
to age, weight, and
psychosocial
considerations
Performs basic
procedures on pediatric
patients with assistance
using patient comfort
strategies
Level 4
Independently
evaluates patients with
complex pediatric
dermatologic conditions
Level 5
Independently evaluates
and manages pediatric
patients with rare,
Independently manages
atypical, or refractory
patients with complex
dermatologic conditions
pediatric dermatologic
conditions and/or
comorbidities, with
attention to age, weight,
and psychosocial
considerations
Independently performs
Independently performs a
basic procedures on
range of procedures in
pediatric patients using
pediatric patients using
patient comfort
strategies
patient comfort strategies
Comments:
Not Yet Completed Level 1
Not Yet Assessable
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Version 2
Patient Care 3: Dermatologic Procedures and Surgery
Level 1
Performs pre-operative
assessment for basic
procedures, with
guidance
Performs basic
procedures, with
guidance
Level 2
Performs pre-operative
assessment for basic
procedures
Performs basic
procedures
Provides basic wound
care instructions
Provides anticipatory
guidance for procedural
outcomes
Dermatology, ACGME Report Worksheet
Level 3
Performs pre-operative
assessment and
counseling of risk for
excisions and layered
closures, with guidance
Performs excisions and
layered closures, with
guidance
Level 4
Performs pre-operative
assessment and
counseling of risk for
complex procedures
Performs excisions with
layered closures;
designs flaps and grafts
where indicated
Identifies and manages
Identifies and manages
procedural complications,
procedural
with guidance
complications
Level 5
Performs flaps and grafts,
micrographic surgery, or
other advanced
procedures
Comments:
Not Yet Completed Level 1
Not Yet Assessable
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Version 2
Patient Care 4: Dermatopathology
Level 1
Identifies key structural
and cellular components
of the skin, hair, and
nails
Level 2
Identifies microscopic
features of common
neoplasms and
inflammatory reaction
patterns
Reviews reported
histologic findings
Performs
clinicopathologic
correlation, with guidance
Dermatology, ACGME Report Worksheet
Level 3
Level 4
Level 5
Interprets microscopic
features of common
Independently interprets
Independently interprets
disorders of the skin, hair,
microscopic features of
atypical or subtle
common and
and nails, with guidance
microscopic features of
uncommon disorders of
disorders of the skin, hair,
the skin, hair, and nails
and nails
Independently performs
clinicopathologic
correlation for
straightforward
presentations
Independently performs
clinicopathologic
correlation for atypical
or complex
presentations
Comments:
Not Yet Completed Level 1
Not Yet Assessable
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Version 2
Patient Care 5: Cosmetic Care
Level 1
Identifies patients with a
cosmetic concern
Dermatology, ACGME Report Worksheet
Level 2
Gathers patient data,
including cosmetic and
relevant medical history
Describes available
cosmetic treatments
Level 3
Evaluates patient and
Level 4
Independently
recommends
evaluates routine
interventions to meet
patient and
patient goals for cosmetic
care, with assistance
recommends
interventions to meet
patient goals for
cosmetic care
Selects cosmetic
Delivers cosmetic
treatment, with assistance
treatment and manages
complications, with
assistance
Level 5
Independently evaluates
and counsels the patient
with complex cosmetic
concerns
Delivers cosmetic
treatment and manages
complications
Comments:
Not Yet Completed Level 1
Not Yet Assessable
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Version 2
Patient Care 6: Diagnostics
Level 1
escribes indications
and steps involved in in
office testing
Dermatology, ACGME Report Worksheet
Level 2
Selects and performs in-
office tests, with
assistance
Describes laboratory,
imaging, and other
diagnostic testing used
in dermatology
Selects laboratory,
imaging, and other
diagnostic tests for
common presentations,
with assistance
Level 3
Independently selects and
Level 4
Independently selects,
performs in-office test;
performs, and interprets
interprets in-office
a full spectrum of in-
diagnostic tests, with
office tests
assistance
Independently interprets
laboratory, imaging, and
other diagnostic tests for
common presentations
Independently interprets
laboratory, imaging, and
other diagnostic tests
for complex or rare
presentations
U
Level 5
Evaluates the application
of novel and emerging
diagnostic tests
Comments:
C
Not Yet Completed Level 1
Not Yet Assessable
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Version 2
Patient Care 7: Critical Thinking/Differential Diagnosis
Level 1
Develops a differential
diagnosis for common
presentations, with
guidance
Level 2
Independently develops a
differential diagnosis for
common presentations
Dermatology, ACGME Report Worksheet
Level 3
Develops a prioritized
reasoning errors
Level 4
Pursues and
synthesizes additiona
information to reach
high-probability
diagnoses with
continuous re-appraisal
Level 5
Integrates additional data
and coaches others to
minimize clinical
reasoning errors
Comments:
Not Yet Completed Level 1
Not Yet Assessable
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Version 2
Patient Care 8: Therapeutics Management
Level 1
Level 2
Identifies patients who
Provides appropriate
are candidates for topical counseling regarding
and systemic therapy
adverse effects and
reasonable risks
Identifies available
treatment options for
common skin disorders
Selects treatment options
for common skin
disorders, with guidance
Dermatology, ACGME Report Worksheet
Identifies therapeutic
agents which require
laboratory monitoring
Selects appropriate
laboratory monitoring for
systemic treatments, with
guidance
Level 3
Consistently evaluates
treatment response and
counsels patients on
expectations of therapy
With guidance, selects
therapeutic modalities for
common and uncommon
skin disorders while
balancing risks and
benefits
Level 4
Consistently identifies
refractory disease and
independently escalates
therapy as necessary
Independently selects
therapeutic modalities
for common and
uncommon skin
disorders based on
stepwise therapeutic
ladders
Selects appropriate
Independently orders
laboratory monitoring and
appropriate laboratory
manages adverse effects,
monitoring and
with guidance
manages adverse
effects
Level 5
Independently manages
rare and complex
diseases based on
emerging evidence
Evaluates the application
of novel and emerging
therapeutic modalities or
unique applications of
existing drugs
Develops systems for
safety monitoring
Comments:
Not Yet Completed Level 1
Not Yet Assessable
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Version 2
Dermatology, ACGME Report Worksheet
Medical Knowledge 1: Knowledge of Dermatologic Disease
Level 1
Describes fundamental
cutaneous anatomy and
physiology
Demonstrates
knowledge of the clinical
features of common
dermatologic disorders
Level 2
Describes
pathophysiology of
common skin disorders
Demonstrates knowledge
of the clinical features,
associations, treatments,
and expected course of
common dermatologic
disorders
Level 3
Demonstrates knowledge
of the pathophysiology of
complex skin disorders
Demonstrates knowledge
of the clinical features,
associations, treatments,
and expected course of
uncommon and complex
dermatologic disorders
Level 4
Synthesizes knowledge
of pathophysiology of
skin disorders from
multiple sources
Demonstrates
comprehensive
knowledge of the
clinical features,
associations,
treatments, and
expected course of
common, uncommon,
and complex
dermatologic disorders
Level 5
Teaches emerging
concepts in cutaneous
pathophysiology
Teaches emerging
concepts in clinical
features, associations,
treatments, or expected
course of common,
uncommon, and complex
dermatologic disorders
Comments:
Not Yet Completed Level 1
Not Yet Assessable
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Version 2
Medical Knowledge 2: Visual Recognition
Level 1
Identifies common
diseases with
characteristic findings
Defines primary lesions
and secondary features
Level 2
Identifies uncommon
diseases with
characteristic findings
Describes morphology,
with assistance
Dermatology, ACME Report Worksheet
Level 3
Identifies variable
presentations of common
disease
Describes morphology
with fluency
Integrates visual
diagnostic tools (e.g.,
dermoscopy), with
assistance
Level 4
Identifies variable
presentations of
uncommon and rare
disease
Identifies subtle
morphologic variability
Independently
integrates visual
diagnostic tools
Level 5
Integrates visual
diagnostic tools for a wide
range of diagnoses of the
skin, hair, and nails
Comments:
Not Yet Completed Level 1
Not Yet Assessable
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Version 2
Dermatology, ACGME Report Worksheet
Systems-Based Practice 1: Patient Safety and Quality Improvement
Level 1
Demonstrates
knowledge of common
safety events
Level 2
Identifies system factors
that lead to safety events
Level 3
Participates in analysis of
safety events (simulated
or actual)
Demonstrates
knowledge of how to
report patient safety
events
Demonstrates
knowledge of basic
quality improvement
methodologies and
metrics
Reports patient safety
events through
institutional reporting
systems
Describes local quality
improvement initiatives
(e.g., handwashing,
needle stick prevention,
wrong site surgery
prevention)
Participates in disclosure
of patient safety events to
patients and families
(simulated or actual)
Participates in local
quality improvement
initiatives
Level 4
Conducts analysis of
safety events and offers
error prevention
strategies (simulated or
actual)
Discloses patient safety
events to patients and
families (simulated or
actual)
Demonstrates the skills
required to identify,
develop, implement,
and analyze a quality
improvement project
Level 5
Actively engages teams
and processes to modify
systems to prevent safety
events
Mentors others in the
disclosure of patient
safety events
Creates, implements, and
assesses quality
improvement initiatives at
the institutional or
community level
Comments:
Not Yet Completed Level 1
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Version 2
Dermatology, ACGME Report Worksheet
Systems-Based Practice 2: System Navigation for Patient-Centered Care
Level 1
Demonstrates
knowledge of care
coordination
Identifies key elements
for safe and effective
transitions of care and
hand-offs
Level 2
Coordinates care of
patients in routine clinical
situations effectively using
the roles of the
interprofessional teams
Performs safe and
effective transitions of
care/hand-offs in routine
clinical situations
Level 3
Coordinates care of
patients in complex
clinical situations
effectively using the roles
of their interprofessional
teams
Performs safe and
effective transitions of
care/hand-offs in complex
clinical situations
Demonstrates
knowledge of population
and community health
needs and disparities
Identifies specific
population and
community health needs
and inequities for their
local population
Uses local resources
effectively to meet the
needs of a patient
population and
community
Level 4
Leads effective
coordination of patient-
centered care among
different disciplines and
specialties
Advocates for safe and
effective transitions of
care/hand-offs within
and across health care
delivery systems
including outpatient
settings
Participates in changing
and adapting practice to
provide for the needs of
specific populations
Level 5
Analyzes the process of
care coordination and
leads in the design and
implementation of
improvements
Improves quality of
transitions of care within
and across health care
delivery systems to
optimize patient outcomes
Leads innovations and
advocates for populations
and communities with
health care inequities
Comments:
Not Yet Completed Level 1
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12

Version 2
Dermatology, ACGME Report Worksheet
Systems-Based Practice 3: Physician Role in Health Care Systems
Level 1
Identifies key
components of the
complex health care
system
Describes basic health
payment systems and
practice models
Level 2
Describes how
components of a complex
health care system are
interrelated, and how this
impacts patient care
Delivers care with
consideration of each
patient’s payment model
Level 3
Discusses how individual
practice affects the
broader system
Engages with patients in
shared-decision making,
intormed by each
patient’s payment models
Identifies basic practice
Describes core
Demonstrates use of
management knowledge
administrative knowledge
information technology
domains for effective
needed for transition to
transition to practice
practice
required for medical
practice
Level 4
Manages various
components of the
complex health care
system to provide
efficient and effective
patient care
Advocates for patient
care needs with
consideration of the
limitations of each
patient’s payment
model
Analyzes individual
practice patterns and
professional
requirements in
preparation for practice
Level 5
Advocates for or leads
systems change that
enhances high-value,
efficient, and effective
patient care
Participates in health
policy advocacy activities
Educates others to
prepare them for
transition to practice
Comments:
Not Yet Completed Level 1
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Version 2
Dermatology, ACGME Report Worksheet
Practice-Based Learning and Improvement 1: Evidence-Based and Informed Practice
Level 1
Level 2
Demonstrates how to
access and use available
Articulates clinical
questions and elicits
evidence, and
patient preferences and
incorporate patient
preferences and values
values in order to guide
evidence-based care
in order to take care of a
routine patient
Level 3
Locates and applies the
best available evidence,
integrated with patient
preference, to the care of
complex patients
Level 4
Critically appraises and
applies evidence even
in the face of
uncertainty and
conflicting evidence to
guide care, tailored to
the individual patient
Comments:
Level 5
Coaches others to
critically appraise and
apply evidence for
complex patients; and/or
participates in the
development of guidelines
Not Yet Completed Level 1
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Version 2
Dermatology, ACGME Report Worksheet
Practice-Based Learning and Improvement 2: Reflective Practice and Commitment to Personal Growth
Level 1
Accepts responsibility for
personal and
professional
development by
establishing goals
Identifies the factors
which contribute to
gap(s) between
expectations and actual
performance
Actively seeks
opportunities to improve
Level 2
Demonstrates openness
to performance data
(feedback and other
input) in order to inform
goals
Analyzes and reflects on
the factors which
contribute to gap(s)
between expectations and
actual performance
Designs and implements
a learning plan, with
prompting
Level 3
Seeks performance data
episodically, with
adaptability and humility
Analyzes, reflects on, and
institutes behavioral
change(s) to narrow the
gap(s) between
expectations and actual
performance
Independently creates
and implements a
learning plan
Level 4
Intentionally seeks
performance data
consistently with
adaptability and humility
Challenges own
assumptions and
considers alternatives in
narrowing the gap(s)
between expectations
and actual performance
Uses performance data
to measure the
effectiveness of the
learning plan and when
necessary, improves it
Level 5
Role models consistently
seeking performance data
with adaptability and
humility
Coaches others on
reflective practice
Facilitates the design and
implementing learning
plans for others
Comments:
Not Yet Completed Level 1
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Version 2
Dermatology, ACGME Report Worksheet
Professionalism 1: Professional Behavior and Ethical Principles
Level 1
Identifies and describes
potential triggers for
professionalism lapses
Level 2
Demonstrates insight into
professional behavior in
routine situations
Level 3
Demonstrates
professional behavior in
complex or stressful
situations
Level 4
Recognizes situations
that may trigger
professionalism lapses
and intervenes to
prevent lapses in self
and others
Level 5
Coaches others when
their behavior fails to
meet professional
expectations
Describes when and how Takes responsibility for
to appropriately report
own professionalism
professionalism lapses,
lapses
including strategies for
addressing common
barriers
Demonstrates
knowledge of medical
ethical principles
Analyzes straightforward
situations using ethical
principles
Comments:
Recognizes need to seek
help in managing and
resolving complex ethical
situations
Recognizes and uses
appropriate resources
for managing and
resolving ethical
dilemmas, as needed
Analyzes complex
situations using ethical
principles
Identifies and seeks to
address system-level
factors that induce or
exacerbate ethical
problems or impede their
resolution
Serves as resource for
colleagues who face
ethical dilemmas
Not Yet Completed Level 1
L
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Version 2
Professionalism 2: Accountability/Conscientiousness
Level 1
Responds promptly to
requests or reminders to
complete tasks
Takes responsibility for
failure to complete tasks
and responsibilities
Level 2
Performs tasks and
responsibilities in a timely
manner with appropriate
attention to detail in
routine situations
Recognizes situations
that may impact own
ability to complete tasks
and responsibilities in a
timely manner
Dermatology, ACGME Report Worksheet
Level 3
Level 4
Performs tasks and
Mitigates situations that
responsibilities in a timely
may impact others’
manner with appropriate
ability to complete tasks
attention to detail in
and responsibilities in a
complex or stressful
timely manner
situations
Proactively ensures that
the needs of patients are
met
Implements strategies
to enhance
accountability of team
members involved in
patient care
Level 5
Takes ownership of
system outcomes and
revises systems to
enhance accountability
Comments:
Not Yet Completed Level 1
A go reserve enCe le copyrig Mers gran third partie the right to use the Dermatology Milestones on a non-exclusive basis for educational purposes.
17

Version 2
Professionalism 3: Self-Awareness and Help-Seeking
Level 1
Recognizes status of
personal and
professional well-being,
with assistance
Recognizes limits in
one’s own knowledge/
skills, with assistance
Level 2
Independently recognizes
status of personal and
professional well-being
Independently recognizes
limits in one’s own
knowledge/skills and
seeks help when
appropriate
Dermatology, ACGME Report Worksheet
Level 3
Proposes a plan to
optimize personal and
professional well-being,
with assistance
Proposes a plan to
remediate or improve
limits in one’s own
knowledge/skills, with
assistance
Level 4
Independently develops
a plan to optimize
personal and
professional well-being
Independently develops
a plan to remediate or
improve limits in one’s
own knowledge/skills
Level 5
Coaches others to
optimize personal and
professional well-being
Comments:
Not Yet Completed Level 1
02020 Accreditation Council for Graduate Medical Education (ACGME
ill rights reserved except the copyright owners grant third parties the right to use the Dermatology Milestones on a non-exclusive basis for educational purposes
18

Version 2
Dermatology, ACGME Report Worksheet
Interpersonal and Communication Skills 1: Patient- and Family-Centered Communication
Level 1
Level 2
Uses language and
nonverbal behavior to
Establishes a therapeutic
relationship in
demonstrate respect and
straightforward
establish rapport
encounters using active
listening and clear
language
Identifies common
barriers (e.g., language)
to effective
communication
Identifies complex
barriers (e.g., health
literacy) to effective
communication
Identifies the importance
of engaging in shared
decision making
Identifies elements of
shared decision making
Level 3
Level 4
Establishes a therapeutic
| Independently
relationship in challenging
establishes a
patient encounters, with
therapeutic relationship
guidance
in challenging patient
encounters
When prompted, reflects
on personal biases while
attempting to minimize
communication barriers
Independently
recognizes personal
biases while attempting
to proactively minimize
communication barriers
Uses shared decision
making to make a
personalized care plan,
with guidance
Independently uses
shared decision making
to make a personalized
care plan
Level 5
Mentors others in
situational awareness and
critical self-reflection to
consistently develop
positive therapeutic
relationships
Independently uses
shared decision making to
make a personalized care
plan when there is a high
degree of uncertainty
Comments:
Not Yet Completed Level 1
A go reserve enCep i copyrig or Mers gran third partie the right to use the Dermatology Milestones on a non-exclusive basis for educational purposes.
19

Version 2
Dermatology, ACGME Report Worksheet
Interpersonal and Communication Skills 2: Interprofessional and Team Communication
Level 1
Respectfully requests a
consultation
Respectfully receives a
consultation request
Uses language that
values all members of
the health care team
Level 2
Clearly and concisely
requests a consultation
Clearly and concisely
responds to a
consultation request
Solicits feedback on
performance as a
member of the health
care team
Level 3
Checks own
understanding of
consultant
recommendations
Level 4
Checks understanding of
recommendations when
providing consultation
Communicates concerns
and provides feedback to
peers and learners
Level 5
Coordinates
recommendations from
different members of
the health care team to
optimize patient care
Communicates
feedback and
constructive criticism to
Superiors
Role models flexible
communication strategies
that value input from all
health care team
members, resolving
conflict when needed
Facilitates regular health
care team-based
feedback in complex
situations
Comments:
Not Yet Completed Level 1
A go reserve enCep i copyrig o Mers gran third partie the right to use the Dermatology Milestones on a non-exclusive basis for educational purposes.
20

Version 2
Dermatology, ACGME Report Worksheet
Interpersonal and Communication Skills 3: Communication within Health Care Systems
Level 1
Accurately records
information in the
electronic health record
(EHR) in a timely
manner
Safeguards protected
health information by
using appropriate
communication channels
Level 2
Demonstrates organized
diagnostic and
therapeutic reasoning
through notes in the EHR
Uses documentation tools
and short cuts (e.g.,
copy/paste) accurately
and appropriately, per
institutional policy
Level 3
Concisely reports
diagnostic and
therapeutic reasoning in
the EHR
Level 4
Communicates clearly,
concisely, and in an
organized written form.
including anticipatory
guidance
Appropriately selects and
Achieves written or
uses direct (e.g.,
verbal communication
telephone, in-person) and
(e.g., patient notes,
indirect (e.g., progress
notes, text and inbox
email) that serves as an
example for others to
messages) forms of
communication based on
follow
context
Level 5
Coaches others to
improve written
communication
Guides departmental or
institutional
communication around
policies and procedures
Comments:
Not Yet Completed Level 1
Al o20 Accreditation Council for Graduate Medical Education (ACe reht to use the Dermatology Milestones on a non-exclusive basis for educational purposes.
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