ACGME 里程碑系統（the Milestones）的發展歷史
1999 - The ACGME and American Board of Medical Specialties (ABMS) establish the six Core Competencies Designed to shift emphasis from process-oriented to outcomes-oriented standards in physician education ACGME required residency/fellowship programs to use them as a rubric (a.k.a., the “Outcome Project”) 2002 - Public and political pressure on the GME community to produce physicians capable of cost-conscious, patient-centered care begins to increase 2009 - The ACGME, ABMS boards, specialty colleges/academies, residency/fellowship program directors, and residents/fellows begin to define the “Milestones” 2012 - Alpha test sites begin to implement Milestones at the individual program level 2013 - NAS Phase I programs implement Milestones 2014 - The NAS is in place across all specialties; all programs must implement Milestones 資料來源："The Next Accreditation System: A Resident Perspective" ACGME