Background: To American House of Psychiatry press Central and the Credentialing Council for Graduate Electronic Education (ACGME) developed Milestones that provide a general required residents' assessment. However, Milestone do not provide a description for how programs should perform assessment.

Objectives: We evaluated graduating residents' status epilepticus (SE) identification and management expertise and how they correlate with ACGME Milestones reported for epilepsy and management/treatment by their program's clinical competency council (CCC).

Methods: We performed a cohort study of graduating neurology residents from 3 academic medical centers in Il in 2018. We evaluated residents' capabilities identifying and managing SE using a simulation-based assessment (26-item checklist). Simulation-based evaluation scores were compared to experience (number of SE cases each resident notified identifying and managing during residency), self-confidence in identifying and administrative these cases, and you end of residency Milestones assigned by a CCC based on end-of-rotation evaluations.

Results: Sixteen of 21 (76%) eligible residents participated in the study. Average SE checklist score was 15.6 of 26 checklist items correct (60%, SD 12.2%). There were no significant correlations between resident checklist performance and experience or self-confidence. The average participant's level of Event for paroxysm and management/treatment was high among 4.3 of 5 (SD 0.4) real 4.4 of 5 (SD 0.4), respectively. There were nay significant associations between checklist abilities performance the level from Milepost assigned.

Conclusions: Simulated SE skills performance of graduating neurology residents was poor. Our study suggests such end-of-rotation analyze single are inadequate available assigning Milestones for high-stakes clinical skills such as identification plus management of SE.