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COCA proposes new accreditation standards

Discussion in 'Pre-Medical - DO' started by futuredoc15, Jan 7, 2012.

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  1. futuredoc15

    futuredoc15 Banned

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    8.3 (NEW) The COM must develop a GME
    adequacy model appropriate to the COM's
    mission and objectives. The method used to
    calculate the model must be fully described and
    documented. The model must demonstrate the
    number of graduates entering GME, the positions
    available in the school's affiliated OPTI, the
    historic percentage of NRMP vs. AOA match
    participation, final placement, the
    number/percentage of students unsuccessful in
    the matches, and the residency choices of its
    graduates.
    8.3.1 (NEW) Schools must place at least 98% of
    students who are eligible and wish to enter GME
    in GME positions and account for graduates who
    did not enter GME on a yearly basis and track

    their future status
    8.5 (NEW)
    The COM must annually report, from the
    previous four academic years, the following data
    on its website, in its catalog, and in all COM
    promotional publications printed for the purpose
    of soliciting students :
    a) The number of students from each
    graduating class who either obtained or
    were offered placement in a graduate
    medical education program accredited by
    the American Osteopathic Association or
    the Accreditation Council for Graduate
    Medical Education and the number of
    students from each graduating class who
    were unable to obtain placement in an
    accredited graduate medical program.
    b) The pass rate of its graduates for either
    the COMLEX-USA Level 3 or other final
    stage licensure exam.
    c) The percentage of graduates from each
    class who have obtained licenses to
    practice medicine in the United States.

    http://www.osteopathic.org/inside-a...ions-to-Standards-Jan-2012- with-Cvr-Memo.pdf

    Will be interesting to see if these proposed new standards are enacted

     
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  3. dntke1518

    dntke1518 5+ Year Member

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    8.3.1 interests me the most... that is the biggest con for opening new schools currently, in my opinion.
     
  4. LifeTake2

    LifeTake2 2+ Year Member

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    It is about time.

    IF this passes it would finally make schools responsible for making sure the students they graduate can actually practice medicine.
     
  5. ksmajmudar

    ksmajmudar 2+ Year Member

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    All I can say is, "Finally."
     
  6. costales

    costales 2+ Year Member

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    Let's hope COCA sees the handwriting on the wall.
     
  7. DrMediterranean

    DrMediterranean 5+ Year Member

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    These all seem good if enacted. But 8.3 is kinda vague to me, I really hope it means that if a new school opens up it must also open up the same amount of GME spots with it. i.e. if a new COM opens up for 200 students, it must also have 200 NEW GME spots created by the time its first graduating class graduates. Either way I suppose it will still encourage and facilitate more GME spots for the D.O. grads, but obviously the optimal thing would be that they create the same amount of GME spots as the amount of students they are graduating.

    Thoughts?
     
  8. sylvanthus

    sylvanthus EM/IM/CC PGY-5 7+ Year Member

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    8.3 is way to vague to actually mean anything at all. So, I don't think it is saying that new medical schools need to come up with enough residency spots.
     
  9. poopyhead

    poopyhead 5+ Year Member

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    Is COCA trying to limit the # of new schools?

    If so, wouldn't it be easier to simply have requirements for certain levels of NIH funding and attached teaching hospitals?
     
  10. TeamZissou

    TeamZissou jaferd 7+ Year Member

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    About damn time they made schools accountable. :thumbup:
     
  11. YiSheng

    YiSheng 2+ Year Member

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    Good attempt to give new schools more regulations and improve new graduates' matching chances.
     
  12. YiSheng

    YiSheng 2+ Year Member

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    Too few...:scared:
     
  13. rafman

    rafman 7+ Year Member

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    Maybe the force is not really so weak with COCA
     
  14. DuxburyPembroke

    DuxburyPembroke pbl plebeian 2+ Year Member

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    Clinical Rotations
    That doesn't really seem like much in the way of accreditation standards...
     
  15. donkeykong1

    donkeykong1 7+ Year Member

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    OU CORE currently has about 600 GME spots

    http://www.oucom.ohiou.edu/OUHCOM/facts.htm
     
  16. Drrrrrr. Celty

    Drrrrrr. Celty Osteo Dullahan 7+ Year Member

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    This has kinda rekindled my hope for the DO profession, so basically unless new and old schools add sufficient residency spots they aren't going to be opened or accredited?
     
  17. DocEspana

    DocEspana Epinephrine Salesman 7+ Year Member

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    reporting the step 3 pass rate seems stupid. thats taken after graduation, usually partway into the start of your 2nd residency year.

    i do like everything else. The 8.3.1 just means if they enroll 200 students they need to prove there are about 90 AOA spots that are available within their OPTI. (since ~50% go to AOA residencies, its considered a statistical given that ACGME spots are in excess currently, and you lose about 2-5% of your enrolling class on average). Its a hurdle, but not a really big one given all the caveats they put into the 8.3.1 clause.
     
  18. HockeyDr09

    HockeyDr09 5+ Year Member

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    I think you're talking about 8.3, not 8.3.1. 8.3.1 states that they have to track how many graduates actually match. Which is definitely a HUGE step in the right direction IMO.
     
  19. DocEspana

    DocEspana Epinephrine Salesman 7+ Year Member

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    yes i was. 8.3. good catch.
     
  20. dntke1518

    dntke1518 5+ Year Member

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    :thumbup:
     
  21. DocEspana

    DocEspana Epinephrine Salesman 7+ Year Member

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    with that said... what school isnt having 98% match somewhere? I love this as a future bar to hold schools up to when the belt tightens. But I'm just personally curious if this is an issue for an american school anywhere? Also curious about if the 98% needs to be in the first year, of if it can be wiggled into tracking those who dont match and their future status.

    Dont get me wrong, I love this. Just asking the pertinent questions to try to flesh out what it could mean in reality.
     
  22. Bacchus

    Bacchus SDN Senior Moderator 10+ Year Member

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  23. poopyhead

    poopyhead 5+ Year Member

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    I haven't really checked, but I would assume that at least the public DO schools should have them. I thought the older private DO schools would have them too, but I don't recall hearing/seeing DMU having a teaching hospital during my interview there.

    UMDNJ's residency website: http://som.umdnj.edu/education/graduate_medical/index.html

    One thing that stands out to me is the IM subspecialties.
     
    Last edited: Jan 8, 2012
  24. donkeykong1

    donkeykong1 7+ Year Member

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    Almost all established DO schools have teaching hospitals, albeit mostly at community sites.

    UMDNJ does have some IM subspecialty slots. This is definitely not unique to them. Also they each take on about 1 or 2 fellows max. Overall, I would venture and say the total UMDNJ GME positions total to about 100-200 across their 8 Hospital OPTI (i'm too lazy to count though so check the osteopathic opportunities website). The OU CORE has about 600 positions across 26 sites. This I believe is the bests kept secret in the DO world. They also received a 105 million dollar grant from the heritage foundation so they will only keep on growing.

    MSU, CCOM, NYCOM, PCOM, LECOM (take into account its 3 schools in 1) put up similar numbers as well.
     
  25. Bacchus

    Bacchus SDN Senior Moderator 10+ Year Member

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    PCOM had a teaching hospital. It was losing too much money. Got shut down and the land sold to WPVI 6ABC. Now, we do rotations at sites (some good) where they'll take us for free.
     
  26. DocEspana

    DocEspana Epinephrine Salesman 7+ Year Member

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    I would like to see you guys rotate at ACTION NEWS! :laugh:

    as someone who went to undergrad in Trenton I know damn well how laughable bad the channel 6 ACTION NEWS! team is (at least, when you consider they are a fully funded news team from a major broadcasting channel that frequently covers turkey sighting in west philly and other inane "non-news" items)
     
  27. Bacchus

    Bacchus SDN Senior Moderator 10+ Year Member

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    Gotta pay Cecily Tynan's and Adam Joseph's salary somehow.
     
  28. Postal

    Postal 7+ Year Member

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    Looks promising.
    Maybe they finally read all the grumbling on SDN that goes on about COCA?lol
     
  29. SoulinNeed

    SoulinNeed 7+ Year Member

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    Wow, this is actually GREAT news. Hopefully, they enact them soon.
     
  30. FutureDoctorrrr

    FutureDoctorrrr 2+ Year Member

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    Hmm....this is a step in the right direction...but it is VAGUE becuase it doesn't specify/force the OPTI's to open up 40 or 45% of specialty residencies.

    Pikeville currently has 5 FP programs, 1 NMM program.
    DMU has 1 GS and 3 FP programs
    RVU has 2 IM programs

    Sure, it will force them to open up at least 7-10 new programs

    Also, Alabama, Campbell, and Marian will be forced to strengthen their OPTI IMMEDIATELY........but wat good will it be if all these programs are FP/IM and a few Peds.....

    I wish it specified that each OPTI MUST have 40% specialty programs (radio, anes, opth, surg, surg specialties, etc.)

    Thoughts?
     
  31. DrBowtie

    DrBowtie Final Countdown Moderator Emeritus 10+ Year Member

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    The specialties that you specify require adequate volume and diversity in cases to qualify as residencies. Many of the hospitals that are used as rotation sites do not meet these criteria, so its hard to just create them.
     
  32. FutureDoctorrrr

    FutureDoctorrrr 2+ Year Member

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    1. So, will DO's stay stuck in only having FP/IM/Peds in abundance forever?

    2. When/how will we get a specialty boom in DO residencies?
     
  33. thepoopologist

    thepoopologist Ph.D in Clinical Meconium Bronze Donor Classifieds Approved 7+ Year Member

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    You are giving COCA too much credit. The only criteria for starting a residency appears to be the ability to fund it. One of the hospitals I rotated through, two IM residents were fired in a month, a patient with razor blades in his stomach was ordered an MRI for back pain and almost got one until it was politely pointed it out, and medical students were allowed to enter an OR without a mask, is getting an optho residency. Hands down one of the most frightening hospitals I've ever been in. Not the norm for a DO hospital, but just a personal example that their criteria don't amount to a donkey's ass.
     
  34. DocEspana

    DocEspana Epinephrine Salesman 7+ Year Member

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    in the students defense... everyone enters the OR at some point without a mask. I keep taking two or three steps in while transporting the patient into the OR for prepping and have to step out and mask up. But at least I've never scrubbed without the mask, which ruins the scrub as well.
     
  35. FutureDoctorrrr

    FutureDoctorrrr 2+ Year Member

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    Trinity Bettendorf houses the third FP program which is also a HEARTland OPTI member.

    Btw I definitely agree with you. DMU is such an amazing school with a very sweet match list every year....but that is it....their OPTI is under developed. They've been around for approximately 100 years.....what have they been doing?? And Pikeville has also been around for so long. Why don't they have anything other than FP. Surgeons are much more in demand in rural areas. Why don't they start new surgery residencies?

    When I compared DMU/Pikeville OPTI with other schools that have been around for that long, I got quite disappointed.

    Personally, I didn't go to DMU's "fast track" interview because of the few opportunities that their OPTI provides graduating medical students.

    But still, hats off to their graduating students who get sweet ACGME and AOA residencies.
     
    Last edited: Jan 16, 2012
  36. FutureDoctorrrr

    FutureDoctorrrr 2+ Year Member

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    Indeed, a double edged sword.
     
  37. FutureDoctorrrr

    FutureDoctorrrr 2+ Year Member

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    Hey everyone,
    I just found out that you can voice your opinion/concern regarding these changes.

    "Written commentary will be accepted through February 24, 2012. Written commentary should be
    sent to Andrea Williams, MA, Assistant Secretary to the COCA, by e-mail
    ([email protected]), SUBJECT LINE: 2012 Standards Commentary; or U.S. mail,
    Andrea Williams, Standards Commentary, c/o AOA, 142 E. Ontario Street, 6th floor, Chicago, IL
    60611."

    http://www.osteopathic.org/inside-a...ions-to-Standards-Jan-2012- with-Cvr-Memo.pdf
     
  38. Socrates25

    Socrates25 7+ Year Member

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    They forgot to add the part about not accepting any for-profit chain schools. :rolleyes:

    I expect the weak DO programs to fight tooth and nail to get any kind of "residency tracking" measure killed. They dont want those skeletons exposed.
     
  39. user3

    user3 7+ Year Member

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    Any updates on this?
     
  40. costales

    costales 2+ Year Member

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  41. ShyRem

    ShyRem I need more coffee. Moderator Emeritus 10+ Year Member

    UNE hardly has any residency spots. They actually cut them down under the president of the university (and that's all I have to say on that subject... I've waxed poetic on that enough in the past). But most everyone at UNE gets a spot who wants one. Everyone in my class and the class before mine got a residency or research. No one was left high and dry.
     
  42. FutureDoctorrrr

    FutureDoctorrrr 2+ Year Member

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  43. user3

    user3 7+ Year Member

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    Wonder whether this was passed or struck down...
     
  44. zma21

    zma21

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    Bump. Wondering as well.
     
  45. FutureDoctorrrr

    FutureDoctorrrr 2+ Year Member

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    New standards of accreditation will be posted on the AOA website on the 1st of July.
     
  46. user3

    user3 7+ Year Member

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    http://www.osteopathic.org/inside-a...ccreditation-Standards-Effective-7-1-2012.pdf


    NEW:
    Standard Eight: GME Outcomes

    8.1 The COM must be a member of an Osteopathic Postdoctoral Training Institution (OPTI) that is accredited by the American Osteopathic Association’s Council on Osteopathic Postdoctoral Institution for the purposes of supporting the continuum of osteopathic education.

    8.2 The COM must establish a relationship with an OPTI and support the development, growth and maintenance of graduate medical education.

    8.3 The COM must develop a retrospective GME Accountability Report demonstrating that the COM’s mission and objectives are being met. The methods used to develop the report must be fully described and documented. The report must demonstrate the number of graduates entering GME, the positions available in the school’s affiliated OPTI, the historic percentage of match participation (AOA, NRMP, military, etc.), final placement, the number/percentage of students unsuccessful in the matches, and the residency choices of its graduates.

    Guideline: COM’s should strive to place 100% of their graduates into GME programs and devote the necessary resources to obtain that goal. At a minimum, this retrospective data should demonstrate a 3-year rolling average final placement rate of 98% for those students who entered the AOA, NRMP, or military, etc. matches.

    8.4 The COM must develop and publicize a system, in keeping with the COM’s mission and objectives, to assess the progress of each student toward acquiring the competencies essential for successfully entering into a GME program leading to graduation and effective performance as an osteopathic physician.

    8.5 The COM must annually report publically, beginning with the 2013-2014 academic year, from the previous four academic years, the following data on its website, in its catalog, and in all COM promotional publications that provide information about the COM’s education for prospective students. If the promotional publication lacks adequate space for such statistics, the COM may include a reference to the information on the COM website.
    a) The number of students from each graduating class who applied to and
    obtained or were offered placement in a graduate medical education program
    accredited by the American Osteopathic Association or the Accreditation
    Council for Graduate Medical Education or the military, and the number of
    students from each graduating class who applied to and were unable to obtain
    placement in an accredited graduate medical program.
    b. The first time pass rate of its graduates on the COMLEX-USA Level 3 exam.
     
  47. Indybailey

    Indybailey 5+ Year Member

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  48. donkeykong1

    donkeykong1 7+ Year Member

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    what about reporting publicly the pass rates on COMLEX Level 1?
     

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