Choose a section below to learn more about the resources ASCO provides to Training Program Directors relating to the Accreditation Council for Graduate Medical Education (ACGME), Next Accreditation System (NAS), and Milestones.

Milestones Toolkit for Hematology/Oncology Training Program Directors

Welcome to the Milestones Toolkit for Training Program Directors! The resources below are a collection of tools and materials submitted by oncology training programs for oncology training programs. These materials are intended to support training programs in the adoption of the ACGME Next Accreditation System (NAS). The documents listed below were reviewed by a group of members of the ASCO Oncology Training Programs Subcommittee, however they are not formally endorsed by ASCO.

The Milestones Toolkit represents the first efforts at sharing resources in an attempt to help oncology training program directors strengthen the quality of their programs. Materials will be posted as they become available. If you have materials to share, please complete this cover sheet and email your items to ASCO Professional Development

Nuts and Bolts: Background Information and Past ASCO Presentations
The below includes past presentations, materials, and a webinar that review the basics of the ACGME Milestones and Curricular Milestones.

Subspecialty Milestones

Curricular Milestones

Rotational EPAs and Milestones Organizational Tools

  • Milestones "Cheat Sheet": How Overall Terms fit into the Milestone Process, a handout provided at the May 2014 Annual Meeting
  • Example 1: University of Florida, Aligning Curricular Milestones with Rotations
  • Example 2: University of Michigan, Aligning Univ. of Michigan EPAs to Curricular and Reporting Milestones
  • Example 3: University of North Carolina, Aligning Milestones with Rotations and Assigning the Tool for Assessment
  • Example 4: Vanderbilt University, Rotational EPAs linked to Milestones

The following are examples of rotation-specific tools in use by oncology training programs. These examples are intended for oncology training programs to review and use or amend as appropriate for your program.

Continuity Clinic

Stem Cell Transplant

Oncology Consults

Heme Malignancy (Inpatient)

Classical Hematology/Non Neoplastic Hematology



  • Example 1: University of Florida
  • Example 2: Vanderbilt University
  • Example 3: Virginia Commonwealth University, Research Mentor Evaluation

Novel Evaluation Tools

Direct Observation Examples

  • Example 1: San Antonio Uniformed Health Services, Clinical Direct Observation Form
  • Example 2: San Antonio Uniformed Health Services, Transitions in Care Direct Observation Form
  • Example 3: Virginia Commonwealth University, Communication Assessment of Fellow
  • Example 4: Virginia Commonwealth University, Procedure Evaluation
  • Example 5: San Antonio Uniformed Health Services, Bone Marrow Aspirate & Biopsy Procedure Checklist
  • Example 6: San Antonio Uniformed Health Services, Lumbar Puncture/IT Chemo Evaluation
  • Example 7: San Antonio Uniformed Health Services, Ommaya Simulation Evaluation
  • Example 8: San Antonio Uniformed Health Services, PORTACATH Evaluation

Multisource Assessment

  • Example 1: University of California Davis, Clinical 360 (RNs, MAs, Pharmacy)
  • Example 2: University of California Davis, Coordinator 360 (Program Coordinator)
  • Example 3: University of Florida
  • Example 4: Virginia Commonwealth University, Resident of Fellow

Patient Surveys

Peer to Peer

Additional ACGME Resources

The Accreditation Council for Graduate Medical Education (ACGME) is responsible for the accreditation of post-MD medical training programs within the United States. Accreditation is accomplished through a peer review process and is based upon established standards and guidelines.

Below are details from the ACGME’s website that may assist you. If there are ACGME resources that you think would be helpful to display on, please email ASCO Professional Development.

Helpful Information & Accreditation

ACGME's Program Requirements

Additional Resources

The ACGME's webpage for Internal Medicine Subspecialties has many other resources available online. Please visit the Internal Medicine Page and see the list of "Common Resources" on the right-hand side of the page. Commonly used resources are also linked below: