But thats not stopping hospitals from opening up AOA residencies in everything. Each year they have new ones, at our local hospital they had surgery only, but now they have IM, FM, OB, EM, Derm. As far the quality of training, I am not sure. Lets just say try to get into a dual program if not ACGME. But surgery acgme is tough for DOs, most tend to go for AOA surgery.