AOA Internship/Residency Changes - 2008

[BWalkerMSU]

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Starting July 2008, the AOA has done away with the rotating internship year for most specialties.

https://www.do-online.org/pdf/sir_postdocinternrestructure0708.pdf


It looks like if you match into a residency of (most) specialties you don't have to petition the AOA to let year 1 count!

 

[medhacker]

Praise God for the AOA

 

[spicedmanna]

Starting July 2008, the AOA has done away with the rotating internship year for most specialties.

https://www.do-online.org/pdf/sir_postdocinternrestructure0708.pdf


It looks like if you match into a residency of (most) specialties you don't have to petition the AOA to let year 1 count!

So the the AOA basically removed the 1-year traditional rotating internship year for a majority of specialty residencies, huh? That means that an IM residency, let's say, will take 3 years total, instead of 4, because we don't need to do the extra internship year, right?

 

[StrengthDoc]

It looks like if you match into a residency of (most) specialties you don't have to petition the AOA to let year 1 count!

This is not exactly accurate. The AOA has incorporated the internship into many of the osteopathic residency programs, but has not eliminated the requirement. If you intend to go into an allopathic (ACGME) residency, the traditional internship (Option 3 in the linked document) will still need to be completed or resolution 42 for the five states.

 

[spicedmanna]

This is not exactly accurate. The AOA has incorporated the internship into many of the osteopathic residency programs, but has not eliminated the requirement. If you intend to go into an allopathic (ACGME) residency, the traditional internship (Option 3 in the linked document) will still need to be completed or resolution 42 for the five states.

What exactly does "incorporated" mean in reference to the AOA residency programs? (In other words, what's the impact that we will feel?)

 

[BWalkerMSU]

No, that's not what it means... The residencies are still the same length in years... Just for osteo residencies, the first year will count as the internship.

 

[spicedmanna]

No, that's not what it means... The residencies are still the same length in years... Just for osteo residencies, the first year will count as the internship.

I see. So there isn't any impact at all, they are just saying it's PGY-1 (resident) now instead of a PGY-1 (intern). Thus, an AOA IM residency is now formally 4 years, while in the past it was 3-years residency + 1 year internship. Got it.

"A rose by any other name..." 🙄

 

[scpod]

What exactly does "incorporated" mean in reference to the AOA residency programs?

They made a name change.

 

[StrengthDoc]

For July 1, 2008 the internship year has evolved into three distinct types:

• OPTION 1 - The first postdoctoral year will be the first year of residency. This is the same as the current specialty track model. All trainees will receive residency credit for this 1st year of training. These positions will be known as OGME-1 Resident
• OPTION 2 - The first postdoctoral year is not included in the residency, but is a specific preliminary entrance requirement into the specialty to produce an enhanced educational opportunity for that specialty. The trainee will have been accepted into the OGME-2 specialty while a senior in osteopathic medical school. These positions will be recorded by the AOA as Preliminary interns and be known as OGME-1 Preliminary.
• OPTION 3 – This first postdoctoral year is not included in the residency, but is available in the format of a Traditional Rotating Internship. It may be utilized by any osteopathic graduate uncertain of residency plans or those who want a single year program. These positions will be recorded by the AOA as OGME-1 Traditional.

Per scpod's point, Option 1 is a re-badged version of the specialty tack (See Bold). Option 3 is the one still available to anyone going into non-linked AOA programs and anyone pursuing ACGME programs since Options 1 and 2 are for those going into specific AOA residencies.

 

[DrMom]

I see. So there isn't any impact at all, they are just saying it's PGY-1 (resident) now instead of a PGY-1 (intern). Thus, an AOA IM residency is now formally 4 years, while in the past it was 3-years residency + 1 year internship. Got it.

"A rose by any other name..." 🙄

All of the DO IM Programs I know of are 3 years, just like the MD ones. Same for FM and peds.

 

[spicedmanna]

All of the DO IM Programs I know of are 3 years, just like the MD ones. Same for FM and peds.

That's good to know. Thanks, DrMom.

 

[Dr JPH]

All of the DO IM Programs I know of are 3 years, just like the MD ones. Same for FM and peds.

Exactly.

I dont know where people get this idea that DOs need to spend more time in residency.

The only time that occurs is when a DO wants to complete an entirely allopathic training program and intends to practice in the 5 states...AND their allopathic internship wont be approved by the AOA

 

[group_theory]

I see. So there isn't any impact at all, they are just saying it's PGY-1 (resident) now instead of a PGY-1 (intern). Thus, an AOA IM residency is now formally 4 years, while in the past it was 3-years residency + 1 year internship. Got it.

"A rose by any other name..." 🙄

The old way ... your PGY-1 year is "Intern" and then you begin 2 year residency in internal medicine (PGY2 and PGY3). Total years = 3. Under the old method, you could have done your internship either in a traditional intern, specialty-tracked internship, and speciality emphasized internship ... the difference which were confusing to everyone.

So now to make it less confusing, the AOA has changed it to be more similar to the ACGME style

Option 1: Internship is now linked with residency ... so instead of PGY1 (intern), it's PGY1 (resident).

Option 2: Osteopathic internship that is an analog to the transition year internship seen in the allopathic side ... for those whose residency starts at the PGY2 level (radiology, PM&R, etc)

Option 3: Your traditional rotating internship


If doing an osteopathic residency, the time you spent should be the same as your allopathic counterpart. If you want to do an allopathic residency and wish to be licensed in the 5 states, then you can either petition the AOA to approve your ACGME PGY1 year as an AOA-approved year, OR you can do an osteopathic internship and then go into an allopathic residency (and adding an extra year to your postgraduate training)

 

[spicedmanna]

The old way ... your PGY-1 year is "Intern" and then you begin 2 year residency in internal medicine (PGY2 and PGY3). Total years = 3. Under the old method, you could have done your internship either in a traditional intern, specialty-tracked internship, and speciality emphasized internship ... the difference which were confusing to everyone.

So now to make it less confusing, the AOA has changed it to be more similar to the ACGME style

Option 1: Internship is now linked with residency ... so instead of PGY1 (intern), it's PGY1 (resident).

Option 2: Osteopathic internship that is an analog to the transition year internship seen in the allopathic side ... for those whose residency starts at the PGY2 level (radiology, PM&R, etc)

Option 3: Your traditional rotating internship


If doing an osteopathic residency, the time you spent should be the same as your allopathic counterpart. If you want to do an allopathic residency and wish to be licensed in the 5 states, then you can either petition the AOA to approve your ACGME PGY1 year as an AOA-approved year, OR you can do an osteopathic internship and then go into an allopathic residency (and adding an extra year to your postgraduate training)

Thank you. That's crystal clear. 👍

 

[simpleman]

I am ignorant about this issue, but what are the 5 states?

 

[DrMom]

PA, OK, FL, WV and MI

(but as I posted somewhere else, OK doesn't actually require an AOA internship for licensure, just that you do certain rotations during your intern year)