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J Grad Med Educ. 2011 Jun;3(2):246-8. doi: 10.4300/JGME-D-10-00198.1.

Developing a Cultural Consensus Analysis Based on the Internal Medicine Milestones (M-CCA).


A national task force identified domains and developmental milestones from the national competencies for resident training. Cultural Consensus Analysis (CCA) is a standard anthropological technique that can identify value conflicts. We created a CCA based on the internal medicine milestones (M-CCA) in 3 steps: converted the 38 domains into active statements; reduced the total number to 12 by summarizing and combining; and simplified the wording. This M-CCA needs further validation, after which it may be useful for assessing the 6-competency model.

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