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MEDLIB-L  November 2014, Week 4

MEDLIB-L November 2014, Week 4

Subject:

Re: ACGME Milestones

From:

Canadian Library of Family Medicine - Lynn Dunikowski <[log in to unmask]>

Reply-To:

Canadian Library of Family Medicine - Lynn Dunikowski <[log in to unmask]>

Date:

Mon, 24 Nov 2014 14:14:38 -0500

Content-Type:

text/plain

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text/plain (292 lines)

Hello Brenda,

 

Thanks for posting this.  Earlier this year I did a PubMed search for
milestones in residency training (family medicine in particular, although
there wasn't much).  I don't know whether my results
<http://www.ncbi.nlm.nih.gov/sites/myncbi/1n5QSW-As/collections/45901205/pub
lic/>  would be helpful, but here they are for what they're worth.

 

Regards,

 

Lynn. 

 

Lynn G. Dunikowski, MLS

Director, Library Services/Directrice des services bibliothécaires

The College of Family Physicians of Canada

Le Collège des médecins de famille du Canada

Rm. 106K Natural Sciences, Western University, London ON N6A 5B7

London:  519 661-3170   Fax/Téléc. 519 661-3880 

Mississauga:  905 629-0900 ext/poste 412

[log in to unmask]     

www.cfpc.ca/clfm    

 

 

-----Original Message-----
From: Medical Libraries Discussion List [mailto:[log in to unmask]] On
Behalf Of Pfannenstiel, Brenda, R
Sent: Monday, November 24, 2014 1:51 PM
To: [log in to unmask]
Subject: ACGME Milestones

 

I have been giving myself a crash course on Milestones.  A study is about to
come out looking at assessment instruments for pediatric milestones, as
indicated below.

 

Milestone Templates or report worksheets for each specialty are at
<https://www.acgme.org/acgmeweb/Portals/0/PDFs/Milestones/MilestonesByReport
ingDate.pdf>
https://www.acgme.org/acgmeweb/Portals/0/PDFs/Milestones/MilestonesByReporti
ngDate.pdf

The General Pediatrics Milestones report worksheet is here:

 
<http://acgme.org/acgmeweb/Portals/0/PDFs/Milestones/PediatricsMilestones.pd
f>
http://acgme.org/acgmeweb/Portals/0/PDFs/Milestones/PediatricsMilestones.pdf

See also
<http://www.acgme.org/acgmeweb/tabid/143/ProgramandInstitutionalAccreditatio
n/MedicalSpecialties/Pediatrics.aspx>
http://www.acgme.org/acgmeweb/tabid/143/ProgramandInstitutionalAccreditation
/MedicalSpecialties/Pediatrics.aspx

 

A number of institutions are using E*Value
<https://www.e-value.net/home-main.cfm>
https://www.e-value.net/home-main.cfm for tracking residency milestones.
This is a commercial product.  It is hard to tell without having a full
sales call and demonstration, but for milestones it appears to be more of a
reporting tool than anything else.  I cannot tell how well it guides
evaluators through the assessment process or what kinds of tools it might
use to determine where an individual resident might land on the milestones.

 

Apparently the individual resident can be assessed in all kinds of ways
during each practice rotation, and the methods are not determined by the
ACGME.  Direct observations, logging of procedures performed,
self-evaluations, complaints against the resident, exam scores, review of
patient records, how they perform on simulation exercises, OSCE, etc.

 

The American Board of Internal Medicine has listed several assessment tools
to help guide faculty members with trainee assessment for the ACGME
Milestones.  (FasTrack, Mini-CEX)
<http://www.abim.org/program-directors-administrators/assessment-tools.aspx>
http://www.abim.org/program-directors-administrators/assessment-tools.aspx

 

I looked at this presentation to understand the ACGME Milestones process:

 
<http://www.tsda.org/wp-content/uploads/2013/02/TSDA-General-Session.Milesto
nes-Update.Jan-203.pdf>
http://www.tsda.org/wp-content/uploads/2013/02/TSDA-General-Session.Mileston
es-Update.Jan-203.pdf

About assessment tools:

Must distinguish "Reporting of Competency" from "Assessment of Competency"

* The Milestones are a reporting tool

* Assessment must still be done locally, usually with multiple tools

Summary: Milestones

* Created by the specialty

* Provide narratives to describe trajectory from neophyte to practitioner

* Uses existing tools to track outcomes

* Will soon provide normative data

 

For further information on how the pediatrics specialty works with
milestones:

The American Board of Pediatrics describes how residents become board
certified and it talks about evaluating clinical competence for milestones,
etc.  <https://www.abp.org/content/residents-and-fellows>
https://www.abp.org/content/residents-and-fellows

Pediatric Subcompetencies for reporting of milestones to ACGME
<http://www.pedsubs.org/issues/pdfs/Pediatrics_Subspecialty_Milestones_Repor
ted_Semi_annually.pdf>
http://www.pedsubs.org/issues/pdfs/Pediatrics_Subspecialty_Milestones_Report
ed_Semi_annually.pdf

 

 

February 2014 the APPD had this exchange with the ACGME:

Q: It is not possible for programs to develop Pediatrics Milestones (PM)
assessment instruments for all 21 Pediatrics Milestones. What is APPD doing
to communicate the tremendous burden reporting of summative PMs has on
programs?

A: The APPD Board of Directors has communicated to the ACGME leadership
(Mary Lieh-Lai) and Pediatrics Review Committee leadership (Joe Gilhooly)
that the reporting of the Pediatrics Milestones is too burdensome and that
without a valid assessment system, the reporting of these scores is not
meaningful. The ACGME requirements extended the reporting deadline until
June, 2014. The ACGME has stated that the scores will not be used for
program evaluation or for accreditation purposes.

 <https://www.appd.org/home/PDF/APPDLEARN_FAQ_2_25_14Rev2.pdf>
https://www.appd.org/home/PDF/APPDLEARN_FAQ_2_25_14Rev2.pdf

APPD Learn has these studies specifically on the Milestones and assessments
of residents:

Pediatrics Milestones Assessment Collaborative (PMAC) - Module 1 (in
progress)

Collaborators: APPD LEARN, American Board of Pediatrics, National Board of
Medical Examiners

Synopsis: Develop a national Pediatrics Milestones-based Assessment System -
an assessment system that will provide meaningful, feasible assessment
evidence that can be used by the program leadership and clinical competency
committee members to guide decisions for progression through increasing
levels of responsibility and independence.

Assessment of Pediatrics Milestones Pilot

PI: Patricia Hicks, MD (CHOP); Steve Clyman, PhD (NBME); Alan Schwartz, PhD
(UIC)

Synopsis: In partnership with the NBME, this study seeks to test the
feasibility of a set of assessment instruments constructed from nine
Pediatrics Milestones. Instruments are designed to inform decisions about
readiness to serve in the inpatient pediatric wards, based on ratings of
direct observations recorded on handheld devices. Study instruments include:
structured clinical observations for rounds and history taking; a
multisource feedback instrument; and, Pediatrics Milestones Classification
assessment form. Study learners include interns and sub-interns, with
faculty, residents, and nurses serving as raters. Features include
collection of de-identified learner data in APPD LEARN, individualized
learner feedback, faculty development materials for rater and feedback
provider training. Outcomes from this study will be used to inform further
development of the Pediatrics Milestones and APPD LEARN.

Status: Data collection ended June 2013. Data analyses and manuscript
writing in progress

 

APPD LEARN | Email:[log in to unmask]< <mailto:[log in to unmask]>
mailto:[log in to unmask]> | 6728 Old McLean Village Dr. | McLean, VA | 22101|
Phone: (703) 556-9222 | Fax: (703) 556-8729   <http://learn.appd.org>
http://learn.appd.org The APPD has a Share Warehouse of evaluation tools
that they use.  <https://www.appd.org/ed_res/share_warehouse.cfm>
https://www.appd.org/ed_res/share_warehouse.cfm

 

Lots of specialty organizations are developing their own Milestones
resources, such as the American Society of Clinical Oncology
<http://www.asco.org/professional-development/acgme-nas-and-milestones-resou
rces>
http://www.asco.org/professional-development/acgme-nas-and-milestones-resour
ces

 

 

Can the programs use the Milestone tables as assessment tools?

The Milestone tables were not designed to be used as evaluation forms for
specific rotations or experiences. The reporting Milestones are designed to
guide a synthetic judgment of progress roughly twice a year. Utilizing
language from the Milestones may be helpful as part of a mapping exercise to
determine what competencies are best covered in specific rotation and
curricular experiences. The reporting Milestones can also be used for
self-assessment by the resident/fellow in preparation for feedback sessions
and in creating individual learning plans. Residents and fellows should use
the Milestones for self-assessment with input and feedback from a faculty
advisor, mentor, or program director. It is imperative that programs
remember that the Milestones are not inclusive of the broader curriculum,
and limiting assessments to the Milestones could leave many topics without
proper and essential assessment and evaluation. (ACGME MILESTONES FAQ)

 

So there doesn't appear to be across the board agreement on what kinds of
assessment tools should be used and how to score the abilities of residents,
but there is lots of interest in these questions.  The establishment of
Milestones may guide the further development of such tools and perhaps more
standardized evaluations across the different programs, but the Milestones
themselves are new and may be tweaked in the coming years as the ACGME
collects data from programs across the country.

 

 

Brenda R. Pfannenstiel, MALS, MA, AHIP

Manager of Library Services

Children's Mercy Hospitals & Clinics

816-234-3900

 <mailto:[log in to unmask]:[log in to unmask]>
[log in to unmask]<mailto:[log in to unmask]>

 <http://www.childrensmercy.org%3chttp:/www.childrensmercy.org>
www.childrensmercy.org<http://www.childrensmercy.org>

[cid:[log in to unmask]]

 

 

________________________________

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November 2007, Week 3
November 2007, Week 2
November 2007, Week 1
October 2007, Week 5
October 2007, Week 4
October 2007, Week 3
October 2007, Week 2
October 2007, Week 1
September 2007, Week 5
September 2007, Week 4
September 2007, Week 3
September 2007, Week 2
September 2007, Week 1
August 2007, Week 5
August 2007, Week 4
August 2007, Week 3
August 2007, Week 2
August 2007, Week 1
July 2007, Week 5
July 2007, Week 4
July 2007, Week 3
July 2007, Week 2
July 2007, Week 1
June 2007, Week 5
June 2007, Week 4
June 2007, Week 3
June 2007, Week 2
June 2007, Week 1
May 2007, Week 5
May 2007, Week 4
May 2007, Week 3
May 2007, Week 2
May 2007, Week 1
April 2007, Week 4
April 2007, Week 3
April 2007, Week 2
April 2007, Week 1
March 2007, Week 5
March 2007, Week 4
March 2007, Week 3
March 2007, Week 2
March 2007, Week 1
February 2007, Week 4
February 2007, Week 3
February 2007, Week 2
February 2007, Week 1
January 2007, Week 5
January 2007, Week 4
January 2007, Week 3
January 2007, Week 2
January 2007, Week 1
December 2006, Week 5
December 2006, Week 4
December 2006, Week 3
December 2006, Week 2
December 2006, Week 1
November 2006, Week 5
November 2006, Week 4
November 2006, Week 3
November 2006, Week 2
November 2006, Week 1
October 2006, Week 5
October 2006, Week 4
October 2006, Week 3
October 2006, Week 2
October 2006, Week 1
September 2006, Week 5
September 2006, Week 4
September 2006, Week 3
September 2006, Week 2
September 2006, Week 1
August 2006, Week 5
August 2006, Week 4
August 2006, Week 3
August 2006, Week 2
August 2006, Week 1
July 2006, Week 5
July 2006, Week 4
July 2006, Week 3
July 2006, Week 2
July 2006, Week 1
June 2006, Week 5
June 2006, Week 4
June 2006, Week 3
June 2006, Week 2
June 2006, Week 1
May 2006, Week 5
May 2006, Week 4
May 2006, Week 3
May 2006, Week 2
May 2006, Week 1
April 2006, Week 4
April 2006, Week 3
April 2006, Week 2
April 2006, Week 1
March 2006, Week 5
March 2006, Week 4
March 2006, Week 3
March 2006, Week 2
March 2006, Week 1
February 2006, Week 4
February 2006, Week 3
February 2006, Week 2
February 2006, Week 1
January 2006, Week 5
January 2006, Week 4
January 2006, Week 3
January 2006, Week 2
January 2006, Week 1
December 2005, Week 5
December 2005, Week 4
December 2005, Week 3
December 2005, Week 2
December 2005, Week 1
November 2005, Week 5
November 2005, Week 4
November 2005, Week 3
November 2005, Week 2
November 2005, Week 1
October 2005, Week 5
October 2005, Week 4
October 2005, Week 3
October 2005, Week 2
October 2005, Week 1
September 2005, Week 5
September 2005, Week 4
September 2005, Week 3
September 2005, Week 2
September 2005, Week 1
August 2005, Week 5
August 2005, Week 4
August 2005, Week 3
August 2005, Week 2
August 2005, Week 1
July 2005, Week 5
July 2005, Week 4
July 2005, Week 3
July 2005, Week 2
July 2005, Week 1
June 2005, Week 5
June 2005, Week 4
June 2005, Week 3
June 2005, Week 2
June 2005, Week 1
May 2005, Week 5
May 2005, Week 4
May 2005, Week 3
May 2005, Week 2
May 2005, Week 1
April 2005, Week 5
April 2005, Week 4
April 2005, Week 3
April 2005, Week 2
April 2005, Week 1
March 2005, Week 5
March 2005, Week 4
March 2005, Week 3
March 2005, Week 2
March 2005, Week 1
February 2005, Week 4
February 2005, Week 3
February 2005, Week 2
February 2005, Week 1
January 2005, Week 5
January 2005, Week 4
January 2005, Week 3
January 2005, Week 2
January 2005, Week 1
December 2004, Week 5
December 2004, Week 4
December 2004, Week 3
December 2004, Week 2
December 2004, Week 1
November 2004, Week 5
November 2004, Week 4
November 2004, Week 3
November 2004, Week 2
November 2004, Week 1
October 2004, Week 5
October 2004, Week 4
October 2004, Week 3
October 2004, Week 2
October 2004, Week 1
September 2004, Week 5
September 2004, Week 4
September 2004, Week 3
September 2004, Week 2
September 2004, Week 1
August 2004, Week 5
August 2004, Week 4
August 2004, Week 3
August 2004, Week 2
August 2004, Week 1
July 2004, Week 5
July 2004, Week 4
July 2004, Week 3
July 2004, Week 2
July 2004, Week 1
June 2004, Week 5
June 2004, Week 4
June 2004, Week 3
June 2004, Week 2
June 2004, Week 1
May 2004, Week 4
May 2004, Week 3
May 2004, Week 2
May 2004, Week 1
April 2004, Week 5
April 2004, Week 4
April 2004, Week 3
April 2004, Week 2
April 2004, Week 1
March 2004, Week 5
March 2004, Week 4
March 2004, Week 3
March 2004, Week 2
March 2004, Week 1
February 2004, Week 5
February 2004, Week 4
February 2004, Week 3
February 2004, Week 2
February 2004, Week 1
January 2004, Week 5
January 2004, Week 4
January 2004, Week 3
January 2004, Week 2
January 2004, Week 1
December 2003, Week 5
December 2003, Week 4
December 2003, Week 3
December 2003, Week 2
December 2003, Week 1
November 2003, Week 5
November 2003, Week 4
November 2003, Week 3
November 2003, Week 2
November 2003, Week 1
October 2003, Week 5
October 2003, Week 4
October 2003, Week 3
October 2003, Week 2
October 2003, Week 1
September 2003, Week 5
September 2003, Week 4
September 2003, Week 3
September 2003, Week 2
September 2003, Week 1
August 2003, Week 5
August 2003, Week 4
August 2003, Week 3
August 2003, Week 2
August 2003, Week 1
July 2003, Week 5
July 2003, Week 4
July 2003, Week 3
July 2003, Week 2
July 2003, Week 1
June 2003, Week 5
June 2003, Week 4
June 2003, Week 3
June 2003, Week 2
June 2003, Week 1
May 2003, Week 5
May 2003, Week 4
May 2003, Week 3
May 2003, Week 2
May 2003, Week 1
April 2003, Week 5
April 2003, Week 4
April 2003, Week 3
April 2003, Week 2
April 2003, Week 1
March 2003, Week 5
March 2003, Week 4
March 2003, Week 3
March 2003, Week 2
March 2003, Week 1
February 2003, Week 4
February 2003, Week 3
February 2003, Week 2
February 2003, Week 1
January 2003, Week 5
January 2003, Week 4
January 2003, Week 3
January 2003, Week 2
January 2003, Week 1
December 2002, Week 5
December 2002, Week 4
December 2002, Week 3
December 2002, Week 2
December 2002, Week 1
November 2002, Week 5
November 2002, Week 4
November 2002, Week 3
November 2002, Week 2
November 2002, Week 1
October 2002, Week 5
October 2002, Week 4
October 2002, Week 3
October 2002, Week 2
October 2002, Week 1
September 2002, Week 5
September 2002, Week 4
September 2002, Week 3
September 2002, Week 2
September 2002, Week 1
August 2002, Week 5
August 2002, Week 4
August 2002, Week 3
August 2002, Week 2
August 2002, Week 1
July 2002, Week 5
July 2002, Week 4
July 2002, Week 3
July 2002, Week 2
July 2002, Week 1
June 2002, Week 5
June 2002, Week 4
June 2002, Week 3
June 2002, Week 2
June 2002, Week 1
May 2002, Week 5
May 2002, Week 4
May 2002, Week 3
May 2002, Week 2
May 2002, Week 1
April 2002, Week 5
April 2002, Week 4
April 2002, Week 3
April 2002, Week 2
April 2002, Week 1
March 2002, Week 5
March 2002, Week 4
March 2002, Week 3
March 2002, Week 2
March 2002, Week 1
February 2002, Week 4
February 2002, Week 3
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February 2002, Week 1
January 2002, Week 5
January 2002, Week 4
January 2002, Week 3
January 2002, Week 2
January 2002, Week 1
December 2001, Week 5
December 2001, Week 4
December 2001, Week 3
December 2001, Week 2
December 2001, Week 1
November 2001, Week 5
November 2001, Week 4
November 2001, Week 3
November 2001, Week 2
November 2001, Week 1
October 2001, Week 5
October 2001, Week 4
October 2001, Week 3
October 2001, Week 2
October 2001, Week 1
September 2001, Week 5
September 2001, Week 4
September 2001, Week 3
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September 2001, Week 1
August 2001, Week 5
August 2001, Week 4
August 2001, Week 3
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August 2001, Week 1
July 2001, Week 5
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July 2001, Week 1
June 2001, Week 5
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June 2001, Week 3
June 2001, Week 2
June 2001, Week 1
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May 2001, Week 3
May 2001, Week 2
May 2001, Week 1
April 2001, Week 5
April 2001, Week 4
April 2001, Week 3
April 2001, Week 2
April 2001, Week 1
March 2001, Week 5
March 2001, Week 4
March 2001, Week 3
March 2001, Week 2
March 2001, Week 1
February 2001, Week 4
February 2001, Week 3
February 2001, Week 2
February 2001, Week 1
January 2001, Week 5
January 2001, Week 4
January 2001, Week 3
January 2001, Week 2
January 2001, Week 1
December 2000, Week 5
December 2000, Week 4
December 2000, Week 3
December 2000, Week 2
December 2000, Week 1
November 2000, Week 5
November 2000, Week 4
November 2000, Week 3
November 2000, Week 2
November 2000, Week 1
October 2000, Week 5
October 2000, Week 4
October 2000, Week 3
October 2000, Week 2
October 2000, Week 1
September 2000, Week 5
September 2000, Week 4
September 2000, Week 3
September 2000, Week 2
September 2000, Week 1
August 2000, Week 5
August 2000, Week 4
August 2000, Week 3
August 2000, Week 2
August 2000, Week 1
July 2000, Week 5
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July 2000, Week 3
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July 2000, Week 1
June 2000, Week 5
June 2000, Week 4
June 2000, Week 3
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June 2000, Week 1
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May 2000, Week 2
May 2000, Week 1
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April 2000, Week 3
April 2000, Week 2
April 2000, Week 1
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March 2000, Week 4
March 2000, Week 3
March 2000, Week 2
March 2000, Week 1
February 2000, Week 5
February 2000, Week 4
February 2000, Week 3
February 2000, Week 2
February 2000, Week 1
January 2000, Week 5
January 2000, Week 4
January 2000, Week 3
January 2000, Week 2
January 2000, Week 1
December 1999, Week 5
December 1999, Week 4
December 1999, Week 3
December 1999, Week 2
December 1999, Week 1
November 1999, Week 5
November 1999, Week 4
November 1999, Week 3
November 1999, Week 2
November 1999, Week 1
October 1999, Week 5
October 1999, Week 4
October 1999, Week 3
October 1999, Week 2
October 1999, Week 1
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June 1999, Week 1
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May 1999, Week 2
May 1999, Week 1
April 1999, Week 5
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April 1999, Week 3
April 1999, Week 2
April 1999, Week 1
March 1999, Week 5
March 1999, Week 4
March 1999, Week 3
March 1999, Week 2
March 1999, Week 1
February 1999, Week 4
February 1999, Week 3
February 1999, Week 2
February 1999, Week 1
January 1999, Week 5
January 1999, Week 4
January 1999, Week 3
January 1999, Week 2
January 1999, Week 1
December 1998, Week 5
December 1998, Week 4
December 1998, Week 3
December 1998, Week 2
December 1998, Week 1
November 1998, Week 5
November 1998, Week 4
November 1998, Week 3
November 1998, Week 2
November 1998, Week 1
October 1998, Week 5
October 1998, Week 4
October 1998, Week 3
October 1998, Week 2
October 1998, Week 1
September 1998, Week 5
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September 1998, Week 3
September 1998, Week 2
September 1998, Week 1
August 1998, Week 5
August 1998, Week 4
August 1998, Week 3
August 1998, Week 2
August 1998, Week 1
July 1998, Week 5
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July 1998, Week 3
July 1998, Week 2
July 1998, Week 1
June 1998, Week 5
June 1998, Week 4
June 1998, Week 3
June 1998, Week 2
June 1998, Week 1
May 1998, Week 5
May 1998, Week 4
May 1998, Week 3
May 1998, Week 2
May 1998, Week 1
April 1998, Week 5
April 1998, Week 4
April 1998, Week 3
April 1998, Week 2
April 1998, Week 1
March 1998, Week 5
March 1998, Week 4
March 1998, Week 3
March 1998, Week 2
March 1998, Week 1
February 1998, Week 4
February 1998, Week 3
February 1998, Week 2
February 1998, Week 1
January 1998, Week 5
January 1998, Week 4
January 1998, Week 3
January 1998, Week 2
January 1998, Week 1
December 1997, Week 5
December 1997, Week 4
December 1997, Week 3
December 1997, Week 2
December 1997, Week 1
November 1997, Week 5
November 1997, Week 4
November 1997, Week 3
November 1997, Week 2
November 1997, Week 1
October 1997, Week 5
October 1997, Week 4
October 1997, Week 3
October 1997, Week 2
October 1997, Week 1
September 1997, Week 5
September 1997, Week 4
September 1997, Week 3
September 1997, Week 2
September 1997, Week 1
August 1997, Week 5
August 1997, Week 4
August 1997, Week 3
August 1997, Week 2
August 1997, Week 1
July 1997, Week 5
July 1997, Week 4
July 1997, Week 3
July 1997, Week 2
July 1997, Week 1
June 1997, Week 5
June 1997, Week 4
June 1997, Week 3
June 1997, Week 2
June 1997, Week 1
May 1997, Week 5
May 1997, Week 4
May 1997, Week 3
May 1997, Week 2
May 1997, Week 1
April 1997, Week 5
April 1997, Week 4
April 1997, Week 3
April 1997, Week 2
April 1997, Week 1
March 1997, Week 5
March 1997, Week 4
March 1997, Week 3
March 1997, Week 2
March 1997, Week 1
February 1997, Week 4
February 1997, Week 3
February 1997, Week 2
February 1997, Week 1
January 1997, Week 5
January 1997, Week 4
January 1997, Week 3
January 1997, Week 2
January 1997, Week 1
December 1996, Week 5
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December 1996, Week 3
December 1996, Week 2
December 1996, Week 1
November 1996, Week 5
November 1996, Week 4
November 1996, Week 3
November 1996, Week 2
November 1996, Week 1
October 1996, Week 5
October 1996, Week 4
October 1996, Week 3
October 1996, Week 2
October 1996, Week 1
September 1996, Week 5
September 1996, Week 4
September 1996, Week 3
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September 1996, Week 1
August 1996, Week 5
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May 1996, Week 1
April 1996, Week 5
April 1996, Week 4
April 1996, Week 3
April 1996, Week 2
April 1996, Week 1
March 1996, Week 5
March 1996, Week 4
March 1996, Week 3
March 1996, Week 2
March 1996, Week 1
February 1996, Week 5
February 1996, Week 4
February 1996, Week 3
February 1996, Week 2
February 1996, Week 1
January 1996, Week 5
January 1996, Week 4
January 1996, Week 3
January 1996, Week 2
January 1996, Week 1
December 1995, Week 5
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December 1995, Week 3
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August 1995, Week 3
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August 1995, Week 1
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July 1995, Week 3
July 1995, Week 2
July 1995, Week 1
June 1995, Week 5
June 1995, Week 4
June 1995, Week 3
June 1995, Week 2
June 1995, Week 1
May 1995, Week 5
May 1995, Week 4
May 1995, Week 3
May 1995, Week 2
May 1995, Week 1
April 1995, Week 5
April 1995, Week 4
April 1995, Week 3
April 1995, Week 2
April 1995, Week 1
March 1995, Week 5
March 1995, Week 4
March 1995, Week 3
March 1995, Week 2
March 1995, Week 1
February 1995, Week 5
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February 1995, Week 3
February 1995, Week 2
February 1995, Week 1
January 1995, Week 5
January 1995, Week 4
January 1995, Week 3
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January 1995, Week 1
December 1994, Week 5
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December 1994, Week 3
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