To date, the Athletic Training (AT) Milestones have been used to evaluate individual clinical behaviors within the Boston University and the St. Luke’s athletic training residency programs. Details are provided below from each of those programs regarding how they are currently using the AT Milestones to assess resident performance and progression. These illustrative cases are provided to help both professional degree program and residency program administrators determine how to best implement the AT Milestones into their comprehensive program evaluation plan. Additional information regarding milestones assessment is provided in the ‘Resources’ page.
The AT Milestones Project Team will continue to update this information and is actively seeking additional cases and testimonials to add to this site. Eventually, it is our hope to develop a community of program administrators, faculty, preceptors, and residents, working collaboratively to develop best practice recommendations for student and resident assessment using the AT Milestones.
We invite you to submit your implementation case or testimonial
Boston University Athletic Training Residency Program
"It became evident during development and analysis of our objectives and outcomes that I needed a more in-depth tool to measure all the intricacies of each of our residency programs. I felt we had a decent grasp on the content areas for each of our programs and how to assess those, however I felt that I wanted to go much deeper in order to appropriately assess depth and breadth of knowledge and skills in a more concise, consistent way. Additionally, the core competencies are integrated throughout each of our residency programs on a daily basis as well as in our didactic components, however I felt those also weren’t being measured in the best way possible.
We had developed a tool that we believed covered all aspects of our program, both in area of specialty and core competencies, but seemed to have trouble with agreement and consistency across our core faculty and preceptors in assessing each of our residents. We found we were having trouble defining criteria for scores and interpreting growth along the continuum differently depending on the grader. Thus, development of the Athletic Training (AT) Milestones began.
In this tool, we were able to target exactly what we were looking for across a continuum of learning, easily being able to define what criteria and thresholds were required to meet the standard of a Resident in terms of knowledge, skills, and expertise compared to other athletic trainers. We have found this tool to be extremely easy to use, in both efficiency and definition, that has resulted in consistency of self-assessment by our residents as well as with the grading between our entire core faculty. These AT Milestones have helped to drive change for individual resident growth as it provides clarity, as well as growth of our program to tailor the needs of each of our residents.
We currently use the AT Milestones at the beginning of our residency year to get a baseline measure of where the resident perceives they are at in order to clearly relay expectations as well as develop individual and programmatic goals for the resident. We then utilize the tool at mid-year, with both our residents and core faculty, to identify areas where they have achieved expectations of a resident, areas where growth and focus is required for the second half of the resident, and areas where they are on track to meet standards of graduation.Finally, we will use the AT Milestones as an assessment tool at the end of the resident experience to track overall growth of the resident from entrance to exit and help determine any change required within our comprehensive assessment plan to meet our mission and vision, programmatic goals, and to achieve excellence within our program in order to advance and promote growth and change in the profession."
Director, Boston University Athletic Training Residency Programs