Introduction and commentary on the psychiatry milestones

Objective: The Psychiatry Milestones are a major change in the accreditation of residency training and evaluation of residents and programs. This introduction provides an overview of the papers in this issue describing the Psychiatry Milestones and a commentary on the process of their development. Methods: The author describes the challenges and experiences in creating the Psychiatry Milestones as a member of the Working Group and Advisory Group. Results: While there were many potential obstacles in development, the Psychiatry Milestones were created due to the efforts of all those involved. Conclusion: The inclusive and participatory process was successful and serves as a model for the implementation and further development of the Psychiatry Milestones.