The Taiwan Version of the Milestones 2.0 Project for Physical Medicine and Rehabilitation Residents

Background: Milestones provide a framework for evaluating the trajectory of residency performance, which is one of the important works promoted by the Joint Commission of Taiwan for improving the quality of residency training. The current report aims to (1) introduce the translation and modification of the Taiwan version of the Milestones 2.0 Project for Physical Medicine and Rehabilitation Residents (Taiwan PMR Milestones 2.0 Project), (2) document the preliminary data in the first year and (3) highlight the ongoing and future plan. Methods: In January 2022, the Taiwan Academy of Physical Medicine and Rehabilitation organised a Milestones working group consisting of up to 20 members comprising clinical instructors, former or present residency training programme directors or directors of the rehabilitation department of various residency training hospitals. The translation and modification of the Taiwan PMR Milestones 2.0 Project was divided into two stages each having a duration of 6 months. Moreover, 6 competencies and 24 sub-competencies were completed at the end of the second stage. Two pilot tests were then conducted to evaluate the residency competencies at 12 teaching hospitals. Results: It was found that the Taiwan PMR Milestones 2.0 Project had high internal consistency and time-dependent progression of residency performance. The feedback from the assessors reflected five domains of suggestions, including the context of assessment, evaluation method, time cost, standard of competencies, teaching and learning plan. Conclusion: Our suggestions in this study could serve as a reference to further modify and improve the implementation of the Taiwan PMR Milestones 2.0 Project.