Making the McMOST out of Milestones and Objectives: Reimagining Standard Setting Using the McMaster Milestones and Objectives Stratification Technique

摘要

BackgroundAs we enter the era of milestones and competency‐based medical education (CBME), there is an increasing need to examine the procedures for stratifying objectives into levels of achievement. Most techniques used to date (e.g., Delphi surveys) involve some sort of consensus‐based process, essentially crowd‐sourcing wisdom of multiple educators to set anticipated milestones. In most graduate education settings, however, many simply use the judgment of one or two educators when setting educational objectives. Meanwhile, standard‐setting procedures have been historically used in medical education for setting cut‐points to determine levels of acceptable performance and do so in a more robust manner.