Applying for Resolution 42:

[BigBank]

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I am a DO at an ACGME categorical anesthesia program. Currently in my intern year, I want to practice in one of the 5 states which require the waiver, I was looking at the rotation requirements needed. For anesthesia they require at least 1 month of OB/GYN, my program does not have any OB rotations during our intern year. How much of a issue is this, can this hold back me getting the waiver? I cant imagine that one OB rotation would hold me back from practicing anesthesia in the state of my choosing but you never know. If anyone has similar experience please share.

Thanks

 

[Mass Effect]

Where do you see a requirement for OB/GYN?

If you're talking about the list on page 3 of the pdf, read it again. It says "minimum of 6 months in any or all basic core disciplines" and OB/GYN is listed as one of them. When it says "any or all," I take that to mean that you don't have to do every single one.

 

[BigBank]

I am looking on page one under anesthesia 1st year requirements. http://www.osteopathic.org/inside-a...ng/Documents/resolution-42-core-rotations.pdf
it states:
1 month of family practice (preferable in an ambulatory setting)  3 months of general internal medicine  3 months of surgery, one of which is general surgery. (plastics, orthopedic and urologic)  1 month of pediatrics (inpatient or ambulatory) if available, or one additional month of anesthesia  1 month of obstetrics and gynecology, if available, or female reproductive medicine  3 months of anesthesia

 

[Mass Effect]

It says "if available." Obviously, it's not available with your curriculum, so I wouldn't sweat it.

 

[mcl]

I would check with the board in the state you want to practice to see what they would accept as an equivalent. It says OB/GYN or female reproductive medicine, so I doubt they'll completely waive the requirement, but you can get creative to find a solution that will work with your program. If your PD can't help you arrange an actual elective rotation, perhaps you could work out a schedule involving 7-10 weekend days in L&D, and use some vacation days across your residency to get some OB/GYN clinic and OR experience (target of 20 total days as equivalent to 4 Mon-Fri weeks). If that won't work, try to set up some kind of independent study with an OB/GYN faculty member who would work with you to develop a female reproductive medicine curriculum that he/she would be willing to validate that you completed. Be proactive and have some kind of plan to show that you've made efforts to meet the requirement.

 

[rokshana]

It says "if available." Obviously, it's not available with your curriculum, so I wouldn't sweat it.

bad advice...now is the time to sweat it...he has the ability to figure something out to satisfy the requirement...ignore it and not be able to get the waiver? it would suck to not be able to practice in the state he wants to just because he didn't follow directions...

 

[Mass Effect]

bad advice...now is the time to sweat it...he has the ability to figure something out to satisfy the requirement...ignore it and not be able to get the waiver? it would suck to not be able to practice in the state he wants to just because he didn't follow directions...

It specifically says "if available." That implies it's not a hard and firm requirement.

 

[rokshana]

It specifically says "if available." That implies it's not a hard and firm requirement.

if available OR female reproductive medicine...means you gotta do something...

 

[BobBarker]

Res 42 not required in Oklahoma or Florida if you complete an ACGME residency. So if one of those is your state then quit worrying about it.

 

[Mad Jack]

Hopefully by the time you are done training resolution 42 will be a thing of the past with the merger.

 

[buccsmf1]

Res 42 not required in Oklahoma or Florida if you complete an ACGME residency. So if one of those is your state then quit worrying about it.

is this correct? the only state on the list I care about is florida. where did you get this info from?

 

[MLT2MT2DO]

is this correct? the only state on the list I care about is florida. where did you get this info from?

Curious as well, why would someone in an AOA residency need the resolution.

 

[BobBarker]

is this correct? the only state on the list I care about is florida. where did you get this info from?

Can't get anything to paste from my phone on to here. Google: bobbarker sdn resolution 42. It is a thread titled new merger and intern year/resolution 42. I have the actual Florida regulations listed. It is at the very bottom of my post with the FL regs.

Paraphrasing "completion of an ACGME residency will be considered equivalent to completion of AOA internship".

 

[Mr. Mojo Risin]

Can't get anything to paste from my phone on to here. Google: bobbarker sdn resolution 42. It is a thread titled new merger and intern year/resolution 42. I have the actual Florida regulations listed. It is at the very bottom of my post with the FL regs.

Paraphrasing "completion of an ACGME residency will be considered equivalent to completion of AOA internship".

The way I'm reading it you not only have to demonstrate equivalency, but you must also demonstrate good cause for not doing an AOA internship. So while the regulation says that completion of an ACGME residency is considered equivalent to an AOA internship, you still need to provide evidence of good cause. Am I missing or not understanding something? There seems to be a huge AND in there.

 

[BobBarker]

Good cause to me is availability of spots, location, etc. Figure something out.

 

[Mr. Mojo Risin]

Sure, you can attempt to justify it through any of the scenarios they've listed in the regulation, but that good cause clause means you still have to apply for Resolution 42, correct?

Out of curiosity, is there a monetary fee associated with applying for the waiver?

 

[NYCDO1]

http://www.osteopathic.org/inside-a...tions/Documents/B-49-Resolution-29-repeal.pdf

See last paragraph on the second page of that. Does that mean most specialties are exempt from Resolution 42?