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Core Outcomes, Competencies, Subcompetencies, and Milestones

Under the ACGME accreditation system, all residents are evaluated using a competency-based assessment model. The ACGME's assessment model includes six domains of clinical competence: patient care, medical knowledge, systems-based practice, interpersonal and communications skills, and practice-based learning and improvement. These general competencies apply to all specialties. The subcompetencies and the Milestones, which further divide the general clinical competencies into meaningful components, provide key observable behaviors and are specialty-specific.

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