DO em residents Resolution 42

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KasaNOVA

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Just wondering for all the D.O. EM residents in allopathic programs like myself, How did you successfully complete the resolution 42 for practice in the 5 states req. intern year??

Any words of wisdom?

Thanxxx
 
Just wondering for all the D.O. EM residents in allopathic programs like myself, How did you successfully complete the resolution 42 for practice in the 5 states req. intern year??

Any words of wisdom?

Thanxxx

I know that this was done recently by a resident in Phoenix at Maricopa in order to return to Oklahoma. She said it was a long and difficult paper trail.
 
I did it back in 2004, and found it actually to be pretty darn easy. You just have to read resolution 42 and write a letter to the AOA and try to get everyhting to "stick." Just give them every reason you picked that place that might fit into the resolution and see what happens.

I had no difficulty nor did another DO who was one year behind me.

Q
 
I know that this was done recently by a resident in Phoenix at Maricopa in order to return to Oklahoma. She said it was a long and difficult paper trail.

And she was right. Im in the midst of this move myself. It is a pain.

Strangely, her dad is my dad's orthodontist.
 
I've been putting it off but need to get started with this too, since i'm almost half way into 2nd year. guess i keep hoping those 5 states will do away with the whole thing any time now.
 
I've been putting it off but need to get started with this too, since i'm almost half way into 2nd year. guess i keep hoping those 5 states will do away with the whole thing any time now.


Please let me know what you do, as I called about this and got the answer "go to the website it has all the information". When I asked specific questions they said they did not know. I'd love to get this thing knocked out.


Wook
 
I'm the resident from oklahoma who finally got approval, after much blood, sweat, and tears! It wasn't that easy for me but I found a loophole. If you go to the AOA website and look at resolution 19 it gives a list of special circumstances for approval, which includes maintaining AOA membership status, beginning this application process within 90 days after the start of your allopathic residency, completing all AOA-approved traditional internship requirements (which ER does except one month of family practice, which can be done during an elective month), and attend 1 AOA annual convention. Along with this, you have to have one of the following: financial hardship?!, spouse or child illness, legal restrictions which require your presence in a state which lacks a DO program, spouse in a position that prohibits relocation, or if you can prove that your program is federally designated as a health profession shortage area (HPSA). I figured out that maricopa (in spite of being in the heart of Phoenix) was a designated HPSA d/t our large indigent care population and, therefore, got approval (after sending in tons of population statistics and hospital stats designating us as HPSA status!) It was a huge pain in the ass but I'm glad I did it not only because I plan to move back to oklahoma but, also, because I plan on going into academics and not having this approval is a huge roadblock for any academic position. Good luck to all of you and I hope this helps in any way!
 
whatadrag
The FP requirement is a sticker. I cannot blow one of my two elective months on a rotation useless to my specialty.
I am getting monthly AOA notices from a couple of internship requiring states right now.
I have started my Quixotesque assault by writing the local delegations letting them know I will be happy to participate as soon as they accept my internship. It includes IM, Peds, OB, 4 months of mostly primary care (I mean EM) as well as the growing OMM sessions where staff line up for some manipulation.
Pointless? Probably.

Could I use some like-minded friends?
You bet!
 
...or if you can prove that your program is federally designated as a health profession shortage area (HPSA). I figured out that maricopa (in spite of being in the heart of Phoenix) was a designated HPSA d/t our large indigent care population and, therefore, got approval (after sending in tons of population statistics and hospital stats designating us as HPSA status!)

Thanks. I'm guessing most of the South would qualify for this.
 
whatadrag
The FP requirement is a sticker. I cannot blow one of my two elective months on a rotation useless to my specialty.

Agreed. I would love to get the waiver, but was told two years ago that I must do an FP month. No can do, my elective months are already accounted for. I'm not sure the utility of this requirement, but obviously the 5 do not have a shortage of doctors to have this ridiculous requirement. Just plain silly.



Wook
 
Just because...can anyone officially list all 5 states this involves? I have been searching, but I guess in all the wrong places. Thanks!
 
Thanks to both of you. I can always remember 3-4, but never all 5. Sounds like my pharm memorization right now.
 
So I have a question if you live in FL and try and attend an allo residency that is three years, how do you go about doing this extra year? And what does it entail?
 
all of my quotes are from my own life, I'm afraid. 😉

No...you're not the one out there crying in the darkness.
Or are you Pretty Penny?




Are we just a bunch of old John Bigbootays?
 
I know it seems rediculous to waste a rotation on family practice so, find an FP who works 2-3 days per week, then do what you want the rest of the month. The AOA dosn't say how many days, or how much time, you have to have to qualify (and, for all the guilty catholics, think of all those hours of FP you did in med school, which should have counted!) It's doable, if you really want to make it happen. Good luck, I'm glad I did it and now never have to worry about it for whatever job I take in the future.
 
This whole thing gets me so frustrated. I also would like to go into academics, but am not going to do prop 42 just on the principle of the thing (honestly I just don't want to deal with it). I could make the argument that by NOT doing an FP month and instead doing some extra U/S or admin or tox I am bringing more to the table as an attending. Additionally, we are being penalized for wanting to go to big academic centers with well known reputations and world reknown experts in their fields to teach us and mentor us. But, no, I haven't done your FP month or given a one hour lecture on craniosacral so I guess I am of no use to you. Sorry to vent, the AOA just really gets under my skin sometimes.
 
Call the AOA folks who handle resolution 42. I remember calling and them telling me that spending however many hours with a random FP didn't count, since "preceptorship" didn't count. It had to be affiliated with a recognized academic institution. I had this conversation in September.


I know it seems rediculous to waste a rotation on family practice so, find an FP who works 2-3 days per week, then do what you want the rest of the month. The AOA dosn't say how many days, or how much time, you have to have to qualify (and, for all the guilty catholics, think of all those hours of FP you did in med school, which should have counted!) It's doable, if you really want to make it happen. Good luck, I'm glad I did it and now never have to worry about it for whatever job I take in the future.
 
If the EM program I want to go in FL, does not have peds at all in the first year, and no electives in the first year, am I screwed then at that program?
 
If the EM program I want to go in FL, does not have peds at all in the first year, and no electives in the first year, am I screwed then at that program?

I would recommend talking with the folks at AOA. After reading their website per their instructions, I just submitted the application. After doing so, I provided them with some data and was able to get it waived. I did not do any peds until my second year in residency which was PICU. I don't remember all the details, but it was a fairly simple process. It just took time to give them the data they requested.



Wook
 
I would recommend talking with the folks at AOA. After reading their website per their instructions, I just submitted the application. After doing so, I provided them with some data and was able to get it waived. I did not do any peds until my second year in residency which was PICU. I don't remember all the details, but it was a fairly simple process. It just took time to give them the data they requested.



Wook

thanks for the reply. I think the FL program itself may be reluctant to accept DOs without completing internship. I am doing an away rotation there now and had the news passed down to me, I will ask the program director tomorrow. One of the reasons I was given is that since Peds (PICU) is the first semester of second year, it does not qualify.

I am upset I wasted one my limited elective rotations here not knowing this.
 
thanks for the reply. I think the FL program itself may be reluctant to accept DOs without completing internship. I am doing an away rotation there now and had the news passed down to me, I will ask the program director tomorrow. One of the reasons I was given is that since Peds (PICU) is the first semester of second year, it does not qualify.

I am upset I wasted one my limited elective rotations here not knowing this.

I'm going to PM you.
 
FYI: For those who aren't interested in doing a family medicine elective, sports medicine does count.
 
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