{"id":{"repo_id":"uic","oai_identifier":"oai:figshare.com:article/30426313"},"canonical_url":"https://search.dev.ndltd.org/etd/uic/oai:figshare.com:article/30426313","repository":{"repo_id":"uic","name":"University of Illinois - Chicago","base_url":"https://api.figshare.com/v2/oai"},"display":{"title":"Longitudinal Alignment of ACGME Milestones for General Surgery Residency and Vascular Surgery Fellowship","abstract":"Objective: To understand the residency to subspecialty fellowship transition by exploring the alignment of graduating general surgery and initial vascular surgery fellowship ACGME Milestones 2.0 within: (1) harmonized and (2) non-harmonized competencies. Background: The harmonization of Milestones 2.0 across specialties presents an opportunity to evaluate a trainee’s progression from residency through fellowship. Understanding the alignment between general surgery residency and vascular surgery fellowship is important to identify struggling learners earlier and explore this transition. Methods: This is a retrospective review of a national cohort of vascular surgery fellows (starting 2022 and 2023) who previously completed general surgery residency. We compared ACGME Milestones from the final 2 years of residency to the first year of fellowship using descriptive statistics and a mixed effects regression model. Results: Milestones data were collected for 266 vascular surgery fellows from 2021-2024. PGY-5 end-year compared to year-1 vascular surgery fellowship end-year Milestones found a coefficient of 0.20 for PC (P=0.004), 0.13 for MK (P=0.027), 0.23 for PROF (P<0.001), and 0.17 for ICS (P=0.01). SBP and PBLI were not significantly aligned for PGY-5 end-year. The matched subcompetencies showed similar significant alignments: 3 of 4 PC, 2/2 MK, 4/4 PROF, and 2/3 of ICS subcompetencies. Conclusions: There is significant alignment between graduating general surgery and year-1 vascular surgery Milestones for non-harmonized competencies, PC and MK, and 2 of 4 harmonized competencies: PROF and ICS. These findings add internal structure validity evidence to Milestones 2.0 with potential to use the residency-fellowship hand-off to institute early improvement efforts for trainees.","abstract_html":"Objective: To understand the residency to subspecialty fellowship transition by exploring the alignment of graduating general surgery and initial vascular surgery fellowship ACGME Milestones 2.0 within: (1) harmonized and (2) non-harmonized competencies. Background: The harmonization of Milestones 2.0 across specialties presents an opportunity to evaluate a trainee’s progression from residency through fellowship. Understanding the alignment between general surgery residency and vascular surgery fellowship is important to identify struggling learners earlier and explore this transition. Methods: This is a retrospective review of a national cohort of vascular surgery fellows (starting 2022 and 2023) who previously completed general surgery residency. We compared ACGME Milestones from the final 2 years of residency to the first year of fellowship using descriptive statistics and a mixed effects regression model. Results: Milestones data were collected for 266 vascular surgery fellows from 2021-2024. PGY-5 end-year compared to year-1 vascular surgery fellowship end-year Milestones found a coefficient of 0.20 for PC (P=0.004), 0.13 for MK (P=0.027), 0.23 for PROF (P&lt;0.001), and 0.17 for ICS (P=0.01). SBP and PBLI were not significantly aligned for PGY-5 end-year. The matched subcompetencies showed similar significant alignments: 3 of 4 PC, 2/2 MK, 4/4 PROF, and 2/3 of ICS subcompetencies. Conclusions: There is significant alignment between graduating general surgery and year-1 vascular surgery Milestones for non-harmonized competencies, PC and MK, and 2 of 4 harmonized competencies: PROF and ICS. These findings add internal structure validity evidence to Milestones 2.0 with potential to use the residency-fellowship hand-off to institute early improvement efforts for trainees.","abstract_has_math":false,"creators":["Tawni M. Johnston (22483018)"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2025,"date_issued":"2025-08-01T00:00:00Z","date_published":"2025-08-01T00:00:00Z","updated_at":"2026-07-27T21:34:55Z","subjects":["Education","Health"],"languages":[],"rights":["In Copyright","Open Access after 2027-09-01"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://doi.org/10.25417/uic.30426313.v1","outbound_label":"DOI","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Tawni M. Johnston (22483018)"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2025-08-01T00:00:00Z"]},{"key":"dc:relation","label":"Dc Relation","values":["https://figshare.com/articles/thesis/Longitudinal_Alignment_of_ACGME_Milestones_for_General_Surgery_Residency_and_Vascular_Surgery_Fellowship/30426313"]},{"key":"dc:type","label":"Dc Type","values":["Text","Thesis"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Education","Health"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:rights","label":"Dc Rights","values":["In Copyright","Open Access after 2027-09-01"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["10.25417/uic.30426313.v1"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Objective: To understand the residency to subspecialty fellowship transition by exploring the alignment of graduating general surgery and initial vascular surgery fellowship ACGME Milestones 2.0 within: (1) harmonized and (2) non-harmonized competencies. Background: The harmonization of Milestones 2.0 across specialties presents an opportunity to evaluate a trainee’s progression from residency through fellowship. Understanding the alignment between general surgery residency and vascular surgery fellowship is important to identify struggling learners earlier and explore this transition. Methods: This is a retrospective review of a national cohort of vascular surgery fellows (starting 2022 and 2023) who previously completed general surgery residency. We compared ACGME Milestones from the final 2 years of residency to the first year of fellowship using descriptive statistics and a mixed effects regression model. Results: Milestones data were collected for 266 vascular surgery fellows from 2021-2024. PGY-5 end-year compared to year-1 vascular surgery fellowship end-year Milestones found a coefficient of 0.20 for PC (P=0.004), 0.13 for MK (P=0.027), 0.23 for PROF (P<0.001), and 0.17 for ICS (P=0.01). SBP and PBLI were not significantly aligned for PGY-5 end-year. The matched subcompetencies showed similar significant alignments: 3 of 4 PC, 2/2 MK, 4/4 PROF, and 2/3 of ICS subcompetencies. Conclusions: There is significant alignment between graduating general surgery and year-1 vascular surgery Milestones for non-harmonized competencies, PC and MK, and 2 of 4 harmonized competencies: PROF and ICS. These findings add internal structure validity evidence to Milestones 2.0 with potential to use the residency-fellowship hand-off to institute early improvement efforts for trainees."]},{"key":"dc:title","label":"Title","values":["Longitudinal Alignment of ACGME Milestones for General Surgery Residency and Vascular Surgery Fellowship"]}]}],"canonical_facts":{"dc:creator":["Tawni M. Johnston (22483018)"],"dc:date":["2025-08-01T00:00:00Z"],"dc:description":["Objective: To understand the residency to subspecialty fellowship transition by exploring the alignment of graduating general surgery and initial vascular surgery fellowship ACGME Milestones 2.0 within: (1) harmonized and (2) non-harmonized competencies. Background: The harmonization of Milestones 2.0 across specialties presents an opportunity to evaluate a trainee’s progression from residency through fellowship. Understanding the alignment between general surgery residency and vascular surgery fellowship is important to identify struggling learners earlier and explore this transition. Methods: This is a retrospective review of a national cohort of vascular surgery fellows (starting 2022 and 2023) who previously completed general surgery residency. We compared ACGME Milestones from the final 2 years of residency to the first year of fellowship using descriptive statistics and a mixed effects regression model. Results: Milestones data were collected for 266 vascular surgery fellows from 2021-2024. PGY-5 end-year compared to year-1 vascular surgery fellowship end-year Milestones found a coefficient of 0.20 for PC (P=0.004), 0.13 for MK (P=0.027), 0.23 for PROF (P<0.001), and 0.17 for ICS (P=0.01). SBP and PBLI were not significantly aligned for PGY-5 end-year. The matched subcompetencies showed similar significant alignments: 3 of 4 PC, 2/2 MK, 4/4 PROF, and 2/3 of ICS subcompetencies. Conclusions: There is significant alignment between graduating general surgery and year-1 vascular surgery Milestones for non-harmonized competencies, PC and MK, and 2 of 4 harmonized competencies: PROF and ICS. These findings add internal structure validity evidence to Milestones 2.0 with potential to use the residency-fellowship hand-off to institute early improvement efforts for trainees."],"dc:identifier":["10.25417/uic.30426313.v1"],"dc:relation":["https://figshare.com/articles/thesis/Longitudinal_Alignment_of_ACGME_Milestones_for_General_Surgery_Residency_and_Vascular_Surgery_Fellowship/30426313"],"dc:rights":["In Copyright","Open Access after 2027-09-01"],"dc:subject":["Education","Health"],"dc:title":["Longitudinal Alignment of ACGME Milestones for General Surgery Residency and Vascular Surgery Fellowship"],"dc:type":["Text","Thesis"]},"updated_at":"2026-07-27T21:34:55Z"}