Original Publication
Open Access

Demonstration of the Medical Knowledge Pediatric Milestone

Published: November 17, 2015 | 10.15766/mep_2374-8265.10263

Included in this publication:

  • Medical Knowledge Pediatric Milestone Instructor's Guide.doc
  • Instructions for Facilitators Demonstration of the Medical Knowledge Pediatric Milestone.doc
  • Demographics, Character Rating and Feedback form.pdf
  • Intended Ratings of Video Characters (Discussion Guide).pdf
  • Pediatric Milestone Project.mp4

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


Introduction: The Accreditation Council for Graduate Medical Education (ACGME) pediatric section now requires every pediatric residency program to report the developmental progress of each of its residents in each of the 21 pediatric milestones. Pediatric program directors are expected to educate faculty and residents on how to assess the pediatric milestones. To date, most of the education has consisted of theoretical framework and potential tools to evaluate resident performance of milestones. This video was developed primarily as a faculty development tool for the pediatric milestones, using the medical knowledge milestone as an example. Methods: The video demonstrates a typical inpatient pediatric medical team rounding. Specifically, it contains a typical inpatient rounding scenario with an attending, two residents, and a medical student. The scenario was the presentation of a toddler with an acute wheezing episode (a common pediatric inpatient diagnosis) and the team members arriving at the most appropriate diagnosis based on medical knowledge and knowledge of resources (pediatric milestone of medical knowledge). During the video learners complete the included Demographics, Character Rating, and Feedback Form, before participating in a debriefing. Results: This resource was produced as a scholarly project for the Association of Pediatric Program Directors Leadership in Educational Academic Development (LEAD). The full project was described to the entire LEAD 2014 cohort in March 2014.  It has also been shared with at least 12 program directors, with > 90% noting that it has “very helpful” or “helpful” and 100% wanting additional information. Two programs reported using it with their faculty and thought it was very helpful. Discussion: This resource has several limitations. Firstly, the participants must have baseline knowledge of the Pediatric Milestone Project and agree that Milestones are a good way to evaluate learners.  If this is not the case, the participants’ discussion may focus on the validity of Milestones as a means to evaluate resident performance, as opposed to how to effectively evaluate learners using the Milestones. Secondly, participants should understand that while this video demonstrates a common scenario, residents should demonstrate behaviors consistently over time to be evaluated at that level. However, the greatest strength of this educational resource is its universality. It can also be tailored to complement any curricula for both faculty and residents.

Educational Objectives

By the end of this session, learners will be able to:

  1. Recognize the pediatric medical knowledge milestone.
  2. Evaluate learners' performance at different medical knowledge milestone levels.
  3. Compare learners at different levels of the medical knowledge milestone.

Author Information

  • Sandra Moore, MD: Morehouse School of Medicine
  • Meisha Graham, MD: Morehouse School of Medicine
  • Yolanda Wimberly, MD: Morehouse School of Medicine
  • Yasmin Tyler-Hill, MD: Morehouse School of Medicine
  • Chevon Brooks, MD: Morehouse School of Medicine
  • Fengxia Yan, MD: Morehouse School of Medicine
  • John Frohna, MD, MPH: University of Wisconsin School of Medicine and Public Health

None to report.

None to report.


Hicks PJ, Schumacher DJ, Benson BJ, et al. The pediatrics milestones: conceptual framework, guiding principles, and approach to development. J Grad Med Educ. 2010;2(3):410-418. http://dx.doi.org/10.4300/JGME-D-10-00126.1


Moore S, Graham M, Wimberly Y, et al. Demonstration of the medical knowledge pediatric milestone. MedEdPORTAL. 2015;11:10263. https://doi.org/10.15766/mep_2374-8265.10263