“…Early WBA studies used paper-based forms, including feedback forms, to document, record, and share assessment data in local contexts. 23–25,27,29,32,40,41,48,60,153–155 Following the move to the ACGME Next Accreditation System and the requirement for reporting ACGME Milestone ratings in 2013, studies shifted focus to implementing computer- and web-based tools to meet increasing demands for data usage and storage. 26,28,30,33,37,43–45,50,52–54,58,60,63,89,91,93,96,156 Surgical specialties in particular reported using multiple types of platforms to upload and store data reflecting a range of technological solutions, including web and mobile applications.…”