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Entrustable Professional Activities and Curricular Milestones for Fellowship Training in Pulmonary and Critical Care MedicineMilestones and Entrustable Professional Activities: Report of a Multisociety Working Group

Henry E. Fessler, MD, FCCP; Doreen Addrizzo-Harris, MD, FCCP; James M. Beck, MD; John D. Buckley, MD; Stephen M. Pastores, MD, FCCP; Craig A. Piquette, MD, FCCP; James A. Rowley, MD; Antoinette Spevetz, MD, FCCP
Author and Funding Information

From Johns Hopkins University School of Medicine (Dr Fessler), Baltimore, MD; New York University School of Medicine (Dr Addrizzo-Harris), New York, NY; Memorial Sloan-Kettering Cancer Center (Dr Pastores), Weill Cornell Medical College, New York, NY; University of Colorado School of Medicine (Dr Beck) and Veterans Affairs Eastern Colorado Health Care System (Dr Beck), Denver, CO; Indiana University School of Medicine (Dr Buckley), Indianapolis, IN; University of Nebraska Medical Center (Dr Piquette) Omaha, NE; Wayne State University School of Medicine (Dr Rowley), Detroit, MI; and Cooper Medical School of Rowan University (Dr Spevetz), Camden, NJ.

CORRESPONDENCE TO: Henry E. Fessler MD, FCCP, Pulmonary and Critical Care Medicine, 1830 E Monument St, 5th floor, Baltimore, MD 21205; e-mail: hfessler@jhmi.edu


*Dr Addrizzo-Harris and Dr Buckley for the American College of Chest Physicians; Dr Beck and Dr Rowley for the American Thoracic Society; Dr Pastores and Dr Spevetz for the Society of Critical Care Medicine; Dr Fessler and Dr Piquette for the Association of Pulmonary and Critical Care Medicine Program Directors.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;146(3):813-834. doi:10.1378/chest.14-0710
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This article describes the curricular milestones and entrustable professional activities for trainees in pulmonary, critical care, or combined fellowship programs. Under the Next Accreditation System of the Accreditation Council for Graduate Medical Education (ACGME), curricular milestones compose the curriculum or learning objectives for training in these fields. Entrustable professional activities represent the outcomes of training, the activities that society and professional peers can expect fellowship graduates to be able to perform unsupervised. These curricular milestones and entrustable professional activities are the products of a consensus process from a multidisciplinary committee of medical educators representing the American College of Chest Physicians (CHEST), the American Thoracic Society, the Society of Critical Care Medicine, and the Association of Pulmonary and Critical Care Medicine Program Directors. After consensus was achieved using the Delphi process, the document was revised with input from the sponsoring societies and program directors. The resulting lists can serve as a roadmap and destination for trainees, program directors, and educators. Together with the reporting milestones, they will help mark trainees’ progress in the mastery of the six ACGME core competencies of graduate medical education.


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