Competencies and Milestones

To ensure the high-quality, person-centered care older people need, geriatricians should be able to demonstrate expertise in a number of core competencies as they advance through education. 

The Geriatrics Competencies for Medical Students, updated in 2021, categorize these competencies by the 5Ms: Mind, Mobility, Medications, Multicomplexity, and Matters Most.

The Minimum Geriatrics Competencies for IM & FM Residents include skills that address: 

  • Medication Management
  • Cognitive, Affective, and Behavioral Health
  • Complex or Chronic Illnesses
  • Palliative and End-of-Life Care
  • Patient Safety
  • Care Transitions
  • Ambulatory Care

Experts from the AGS and ADGAP collaborated to define specific competencies across the core domains that impact geriatrics care.

Learn more about these minimum geriatrics competencies for:


The most recent Geriatric Medicine Milestones were published in 2021 and are designed to evaluate Geriatrics fellows in the context of their participation in ACGME accredited fellowship programs. The Geriatric Medicine Milestones Supplemental Guide provides additional guidance and examples for the Geriatric Medicine Milestones. This is not designed to indicate any specific requirements for each level, but to provide insight into the thinking of the Milestone Work Group.

Geriatric Medicine Milestones

Supplemental Guide