AOA Internship?

[DoctorMom78]

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I am confused. When I graduate from DCOM, do I need to do an AOA internship before I do my residency? What if I do an allopathic residency? Is there a different intership or requirement for allopathic and osteopathic residencies? Sorry, I am totally ignorant when it comes to this subject. I tried searching on my own and didn't really find a good answer. It probably doesn't matter, but I am going to specialize in FM (like you all don't know that already😉 ). Can someone please explain the process to me? Thanks!

 

[MD/DO ALMOST]

I think it goes like this. If you are a D.O., you need to do an AOA internship year before you begin your Osteopathic residency- ESPECIALLY in the five states that require it for licensure. If you apply to allo residency programs, you can skip the extra year of internship, as the internship is often integrated for the first year or so of say, a three year program. The same three year residency in an Osteopathic program will really require four years total due to the internship year. Furthermore, if you get into a non-linked program, you will have to do the 'match' twice. Sound like fun? It gets better; If you do apply to the osteopathic programs and you match, you have to forego the allopathic match, meaning you CANNOT get an allo residency. This is bad considering the Osteo match is before the allo one.... Confused?! Good, join the club! 🙂

(there is actually more to it than this, but this is kind of the main "idea")


Oh, and some people have had problems getting the AOA to recognize allo residencies for licensure, but for the most part, I think it is not insurmountable.

 

[DoctorMom78]

Say what?!?!😕 😱 LOL! OK, that is complicated. I want to apply and do my residency at the allopathic FM program at UT in Knoxville. But, I was also thinking that I would apply to the osteopathic FM program at Albany Med which is where I am from. So, what you are saying is that if I apply to Albany Med and get accepted, then I can't do the one at UT and I would have to do the internship at Albany Med before the residency. But, if I only apply to allopathic residencies and end up at UT, then I would just have to do the three years of the residency and not an internship. Right? Wow, I didn't realize it was this complicated.🙄

 

[bkpa2med]

You should post these type of Q's in the Osteopathic, not pre-DO forum. I'm sure you would get better feedback there.

 

[Taus]

It is very rare for anyone, especially in primary care, to do an extra internship year (regardless of the 5 states). Most of the Osteopathic programs are "fast-tracked" and include the internship year (so still 3 years total for FM). If you do an Allo FP residency and don't care about the 5 states...then do your 3 years and be done w/ it. If you do care about those 5 states...then apply to the AOA through resolution 42 to get the first year of your Allo FP residency approved as an internship. It shouldn't be too hard, especially in FM, to meet the requirements for it.

 

[DoctorMom78]

OK, sounds good. Yea, not too many people wanting to go into FM these days.

 

[Taus]

OK, sounds good. Yea, not too many people wanting to go into FM these days.

either way....there are even less people who would be willing to do 4 years of residency for it...

 

[DrMom]

I am confused. When I graduate from DCOM, do I need to do an AOA internship before I do my residency? What if I do an allopathic residency? Is there a different intership or requirement for allopathic and osteopathic residencies?

depends on the program you end up at.

I think it goes like this. If you are a D.O., you need to do an AOA internship year before you begin your Osteopathic residency- ESPECIALLY in the five states that require it for licensure.

you can get an MD internship approved in lieu of the DO internship by using AOA resolution 42. the vast majority of these are approved by the AOA.

If you apply to allo residency programs, you can skip the extra year of internship, as the internship is often integrated for the first year or so of say, a three year program. The same three year residency in an Osteopathic program will really require four years total due to the internship year.

Most of the time the intern year is rolled into the total time of the training. Most specialties don't add on extra time to compensate for the internship because many of the rotations you do as a DO intern are the same kinds of things you'll be doing as an MD PGY1 (same thing as intern, but the MDs don't really use the term anymore).

Furthermore, if you get into a non-linked program, you will have to do the 'match' twice. Sound like fun? It gets better; If you do apply to the osteopathic programs and you match, you have to forego the allopathic match, meaning you CANNOT get an allo residency. This is bad considering the Osteo match is before the allo one.... Confused?! Good, join the club! 🙂

If you match DO, you cannot go through the MD match for an equivalent program. ie: if you match DO for a FM residency (PGY 1-3) you're out of the MD match. but...if you match for a DO internship only (PGY1) you can still participate in the MD match for a PGY2 spot (so that you don't have to reapply the next year). There are specialties that expect you to do a separate internship & then join the residency as a PGY2, so this isn't an odd deal.

It is very rare for anyone, especially in primary care, to do an extra internship year (regardless of the 5 states). Most of the Osteopathic programs are "fast-tracked" and include the internship year (so still 3 years total for FM). If you do an Allo FP residency and don't care about the 5 states...then do your 3 years and be done w/ it. If you do care about those 5 states...then apply to the AOA through resolution 42 to get the first year of your Allo FP residency approved as an internship. It shouldn't be too hard, especially in FM, to meet the requirements for it.

virtually all FM residencies will be a shoo-in for resolution 42 approval. In fact, many are pre-approved by the AOA even if they aren't a dually-accredited program.





Overall, don't worry about match issues now, DoctorMom. You'll have many options an won't be looking at any extra training time.

 

[LINYKid]

does anyone know about the # of yrs for peds is it 3 + 1 or sports medicine (not sure how many)?

 

[DrMom]

Peds is 3
sports medicine is a fellowship after residency in IM, FM, peds, or EM. I think it is 1 year.

 

[LINYKid]

thanks !

 

[DoctorMom78]

depends on the program you end up at.

you can get an MD internship approved in lieu of the DO internship by using AOA resolution 42. the vast majority of these are approved by the AOA.

Most of the time the intern year is rolled into the total time of the training. Most specialties don't add on extra time to compensate for the internship because many of the rotations you do as a DO intern are the same kinds of things you'll be doing as an MD PGY1 (same thing as intern, but the MDs don't really use the term anymore).

If you match DO, you cannot go through the MD match for an equivalent program. ie: if you match DO for a FM residency (PGY 1-3) you're out of the MD match. but...if you match for a DO internship only (PGY1) you can still participate in the MD match for a PGY2 spot (so that you don't have to reapply the next year). There are specialties that expect you to do a separate internship & then join the residency as a PGY2, so this isn't an odd deal.

virtually all FM residencies will be a shoo-in for resolution 42 approval. In fact, many are pre-approved by the AOA even if they aren't a dually-accredited program.

Overall, don't worry about match issues now, DoctorMom. You'll have many options an won't be looking at any extra training time.

Thank you very much! You cleared everything up!🙂 👍

 

[Dr JPH]

Moms helping moms! 👍