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The medical genetics residency milestones.

Medical genetics has been recognized as a distinct medical specialty by the American Board of Medical Specialties since 1991, and as such, medical genetics residency programs are accredited by the Accreditation Council for Graduate Medical Education (ACGME). As a component of the ACGME's Next Accreditation System (NAS), a process was initiated in 2011 to formulate Milestones for medical genetics residents. As with Milestone projects in other accredited specialties, the intent was to provide a system for evaluation of resident performance over the course of training, which also would serve as an indicator of the educational effectiveness of residency programs. 
 
The project was initiated at a propitious time in the history of medical genetics, as the discipline is experiencing a period of rapid expansion since the sequencing of the human genome. In 2011, the American College of Medical Genetics (ACMG) published a document, “Competencies for the Physician Geneticist in the 21st Century,” that was intended to help prepare the medical genetics community for the new era of genomic medicine.1 This document served as a template to guide the efforts of the Medical Genetics Milestone Project.