GETTING AOA APPROVAL for INTERNSHIP

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DO-Riz

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HEy Guys
Just wanted to know if there were any current DO residents who got their first year of ACGME accredited residency approved by the AOA as equivalent tot he internship......And if so how difficult was the process???
I really think this rule needs to change for these 5 states and especially for people going into Psych. It makes no sense and is causing unnecessary stress already to a stressful process!!
Anyways any input regarding this Resolution 42 and how to avoid doing the Osteo internship will be GREATLY appreciated
and best luck to evryone else here on MATCH DAY

Rizwan
 
DO-Riz said:
HEy Guys
Just wanted to know if there were any current DO residents who got their first year of ACGME accredited residency approved by the AOA as equivalent tot he internship......And if so how difficult was the process???
I really think this rule needs to change for these 5 states and especially for people going into Psych. It makes no sense and is causing unnecessary stress already to a stressful process!!
Anyways any input regarding this Resolution 42 and how to avoid doing the Osteo internship will be GREATLY appreciated
and best luck to evryone else here on MATCH DAY

Rizwan

a couple of helpful links if you have not seen these already...

http://www.do-online.osteotech.org/index.cfm?PageID=sir_faqmain

http://www.do-online.osteotech.org/index.cfm?PageID=sir_postdocprotocol

http://www.do-online.osteotech.org/index.cfm?PageID=sir_postdocabtres42

sometimes these are difficult to find on the aoa website.

a comment: this is an absolutley mis-use of licensure, and it should be stopped. the purpose of licensure is to protect the public - nothing more or less.

under the current system, i could be a DO, go to a great ACGME program, be chief resident, become board certified by the 'allopathic' board certifification organization (e.g. - ABIM for internal medicine), be well respected in the medical community, ... but still be a "danger to the public" in 5 states, but ok in 45 states.

requiring an aoa internship for aoa board certification is more reasonable - but requiring it for licensure is nothing more than a mis-use of licensure, and works against the best interests of the public.

this needs to change - DOs in the 5 states need to stand up for what's right.

you can tell i don't feel strongly about this 🙂 - my 2 cents...
 
TCOM-2006 said:
a comment: this is an absolutley mis-use of licensure, and it should be stopped. the purpose of licensure is to protect the public - nothing more or less.

under the current system, i could be a DO, go to a great ACGME program, be chief resident, become board certified by the 'allopathic' board certifification organization (e.g. - ABIM for internal medicine), be well respected in the medical community, ... but still be a "danger to the public" in 5 states, but ok in 45 states.

requiring an aoa internship for aoa board certification is more reasonable - but requiring it for licensure is nothing more than a mis-use of licensure, and works against the best interests of the public.

this needs to change - DOs in the 5 states need to stand up for what's right.

you can tell i don't feel strongly about this 🙂 - my 2 cents...

Couldn't agree more! as I gaze into the future, I become more irritated and wonder if/how I could transfer to an allo school to train at the SAME residencies and end up practicing a year sooner 😡
 
MountaineerDoc said:
Couldn't agree more! as I gaze into the future, I become more irritated and wonder if/how I could transfer to an allo school to train at the SAME residencies and end up practicing a year sooner 😡

This is a big reason why I'm seriously considering going allopathic instead of osteopathic. Psych is one of the things I'm most interested in, and I might very well want to practice in one of those five states. They should realize that they're losing good people because of that requirement.
 
Hey ALl
I am very dismayed by the AOA right now.......I called up their main office and asked about the approval process and they were very adamant that you had to complete their 6 rotation requirements within the PGY-1 year or they wouldnt even consider you.
this is so aggravating. As you all know for Psychiatry you have to do 2 months of Neuro in PGY-1 and 6 months of Inpatient PSychiatry in order to meet their board requirements!!!!
There is a 2-month time crunch and because of that they wont approve it!!!!!! how frustrating is that. On top of that this stupid rule applies in Only 5 states....but 1 of them had to be Florida I suppose.....;(
Anyways I emailed the program director at the residency I want to goto and explained to him my circumstances and see if he would be willing to be flexible with my rotations...
But I am seriously getting a migraine and just considering doing my residency outside of Florida.....
If anyone knows of how to get around this Resolution......Please share................it is really driving me mad...
 
As I understand it, the AOA used to approve pretty much any waiver request that came across their desks. It has been rumored in the past 2 years that they have become much more stringent with their requirements and hardships.

For this reason, I elected to just complete the internship year - rather than having to fight with the AOA over it. They better not believe I'm gonna keep my AOA membership any longer than I am required, however. The way they treat their members is just ridiculous.

jd
 
why is it soo important to get AOA approval in the long run?
 
AwesomeO-DO said:
why is it soo important to get AOA approval in the long run?

There are five states (Fl, MI, PA...) where licensure is conditioned to being AOA approved.
 
medhacker said:
There are five states (Fl, MI, PA...) where licensure is conditioned to being AOA approved.
outside of those 5 states, is it still important to get AOA approval for ACGME internships and residencies?
 
which are the five states. i've done some searches and sometimes ohio is one of the states sometimes it's not. Does anyone know for sure?
The states I generally see are Michigan, Pennsylvnia, oklahoma, west virginia, florida.

thanks
 
AwesomeO-DO said:
outside of those 5 states, is it still important to get AOA approval for ACGME internships and residencies?

Not unless you want to run for AOA office, which is not likely if you did an ACGME residency anyway.
 
what I guess I am wondering is, outside of those 5 states, if I do both a ACGME internship and residency, but don't seek AOA approval, will there be ramifications in the future, like if I want to switch states, or just staying licensed.
Do you get anything out of staying linked to the AOA? besides being able to give them more money.
 
AwesomeO-DO said:
what I guess I am wondering is, outside of those 5 states, if I do both a ACGME internship and residency, but don't seek AOA approval, will there be ramifications in the future, like if I want to switch states, or just staying licensed.
Do you get anything out of staying linked to the AOA? besides being able to give them more money.

1. You will not be allowed to practice in the 5 states.
2. You will not be able to run for office within the AOA.

THAT'S ALL.
 
OSUdoc08 said:
1. You will not be allowed to practice in the 5 states.
2. You will not be able to run for office within the AOA.

THAT'S ALL.

You will also not be allowed to function as program director for an AOA residency.
 
kahoo99 said:
which are the five states. i've done some searches and sometimes ohio is one of the states sometimes it's not. Does anyone know for sure?
The states I generally see are Michigan, Pennsylvnia, oklahoma, west virginia, florida.

thanks


ohio is NOT one of the 5 states so far as i know. if it is - i'm in trouble, b/c i'm ranking lots of acgme im programs there.
 
I'm sorry and this may sound silly to some of you, but I am totally ignorant..if one wanted to do an AOA residency outside of those 5 states, nor would ever practice in those 5 states, can they skip the rotating year? Im thinking--probably not. I just think it is ridiculous for those who aren't gonna do a residency nor practice in 1 of those states to make them do an extra year. Are there any 3 year programs out there like the ACMGE which includes internship?
 
Raven Feather said:
I'm sorry and this may sound silly to some of you, but I am totally ignorant..if one wanted to do an AOA residency outside of those 5 states, nor would ever practice in those 5 states, can they skip the rotating year? Im thinking--probably not. I just think it is ridiculous for those who aren't gonna do a residency nor practice in 1 of those states to make them do an extra year. Are there any 3 year programs out there like the ACMGE which includes internship?

for licensure in the 5 states mentioned AND in order to become board certified by an osteopathic board organization - one must complete an AOA approved internship. it does not have to be an AOA "traditional rotating internship" - it may be an AOA "specialty emphasis" or "specialty track" internship. see the AOA website for details about the differences with these:

http://www.do-online.osteotech.org/index.cfm?PageID=sir_postdoc

http://www.do-online.osteotech.org/index.cfm?PageID=sir_faqmain

hopefully this answers your questions...
 
while we're on this topic - here's a seperate, but related issue:

are osteopathic internships and residencies really that different than acgme internships / residencies of comparable size?

in other words - is there truly a significant emphasis on continues omm training and osteopathic principles? ... or is it just a difference that the aoa pretends to exist?

does it vary with different specialties (e.g. perhaps an AOA family medicine program would lend itself better to continued 'osteopathic' training - but how is an osteopathic radiology program different than an acgme radiology program?)

here's the aoa's reasons on why DO students should continue their training:

"The AOA-approved residency is designed to build upon the osteopathic physician’s education through the predoctoral level and continuing into the internship experience. Therefore, it is also designed to build upon the education in uniquely osteopathic disciplines of osteopathic principles and practices and osteopathic manipulative therapy. Like the AOA-approved internship, AOA-approved residencies are offered under the leadership of qualified osteopathic physician educators who are dedicated to education of osteopathic physicians who will be well-grounded in osteopathic principles and practices and osteopathic manipulative therapy."

from
http://www.do-online.osteotech.org/index.cfm?PageID=sir_faq5

thoughts? it would be especially helpful to hear honest feedback from current DO residents / interns in AOA programs...

ps - now that i have given you something interesting to think about - let me ask a stupid question: what does "bump" mean when posted on these forums?
 
TCOM-2006 said:
let me ask a stupid question: what does "bump" mean when posted on these forums?

bump ( P ) Pronunciation Key (bmp)
v. bumped, bump·ing, bumps


To raise; boost: bump up the price of gasoline


Raise a post TCOM-2006 🙂
 
TCOM-2006 said:
while we're on this topic - here's a seperate, but related issue:

are osteopathic internships and residencies really that different than acgme internships / residencies of comparable size?

in other words - is there truly a significant emphasis on continues omm training and osteopathic principles? ... or is it just a difference that the aoa pretends to exist?

does it vary with different specialties (e.g. perhaps an AOA family medicine program would lend itself better to continued 'osteopathic' training - but how is an osteopathic radiology program different than an acgme radiology program?)

here's the aoa's reasons on why DO students should continue their training:

"The AOA-approved residency is designed to build upon the osteopathic physician’s education through the predoctoral level and continuing into the internship experience. Therefore, it is also designed to build upon the education in uniquely osteopathic disciplines of osteopathic principles and practices and osteopathic manipulative therapy. Like the AOA-approved internship, AOA-approved residencies are offered under the leadership of qualified osteopathic physician educators who are dedicated to education of osteopathic physicians who will be well-grounded in osteopathic principles and practices and osteopathic manipulative therapy."

from
http://www.do-online.osteotech.org/index.cfm?PageID=sir_faq5

thoughts? it would be especially helpful to hear honest feedback from current DO residents / interns in AOA programs...

ps - now that i have given you something interesting to think about - let me ask a stupid question: what does "bump" mean when posted on these forums?


"bump"--sorta like when a person bumps into you, it gets your attention. It just means that someone is interested in getting more comments on the subject before it dies.

Thanks for the links.
 
Hey TCOM-2006 -

From what I've seen, most AOA internships (dont know about residencies, since I won't be doing one) profess to include OMM/OMT training in their curricula. How this is actually included varies from place to place. I've seen everything from nothing, to monthly 1 hour lectures, to twice monthly meetings to work on OMT skills, to responsibilities in an actual OMT clinic part time for 2-3 months during the year as well as lectures.

I think it really varies based on the specific hospitals' dedication to the AOA.

And BTW, there are a pretty good number of the AOA internships that are dually accredited by the ACGME as well. I applied to about 10 of them 🙂 Those, in my opinion, are your best bet for getting the best training if you're going to do an internship, or at the very least at a big hospital with a lot of other ACGME residencies and a separate ACGME transitional internship - the training is the same for all interns.

I guess we'll see next year how I fared -

jd
 
OSUdoc08 said:
1. You will not be allowed to practice in the 5 states.
2. You will not be able to run for office within the AOA.

THAT'S ALL.
Thanks
I don't plan on doing either
 
DO-Riz said:
Hey ALl
I am very dismayed by the AOA right now.......I called up their main office and asked about the approval process and they were very adamant that you had to complete their 6 rotation requirements within the PGY-1 year or they wouldnt even consider you.
this is so aggravating. As you all know for Psychiatry you have to do 2 months of Neuro in PGY-1 and 6 months of Inpatient PSychiatry in order to meet their board requirements!!!!
There is a 2-month time crunch and because of that they wont approve it!!!!!! how frustrating is that. On top of that this stupid rule applies in Only 5 states....but 1 of them had to be Florida I suppose.....;(
Anyways I emailed the program director at the residency I want to goto and explained to him my circumstances and see if he would be willing to be flexible with my rotations...
But I am seriously getting a migraine and just considering doing my residency outside of Florida.....
If anyone knows of how to get around this Resolution......Please share................it is really driving me mad...

Hi DO-Riz,

When I did my psychology residency at UM/JMH two years ago there were at least two DO psychiatry residents there that got approval to waive the AOA requirement (I believe it was based on the idea that since there was no AOA psychiatry internship/residency anywhere near FL the AOA req would represent an undue burden on the resident and his/her family).
Maybe you can contact them.
Also, NSU should be helping you with this (I'm assuming that you're there because you're location is listed as FTL).
Anyway, please keep us posted. As a possible NSU student and a future psychiatrist that would like to work in FL, I'm very interested in how all of this turns out.
Peace.
 
A very simple solution to the problem would be to talk to the state medical societies (MD) in those five states and ask them to lobby the legislatures to change the law and bring their DO licensure requirements in line with those in the rest of the country.

The MD medical societies, if they are anything like here, will have many more DO members than the state AOA chapter anyway.
 
Old_Mil said:
A very simple solution to the problem would be to talk to the state medical societies (MD) in those five states and ask them to lobby the legislatures to change the law and bring their DO licensure requirements in line with those in the rest of the country.

The MD medical societies, if they are anything like here, will have many more DO members than the state AOA chapter anyway.


Lobbying for the cause of physicians is not a business with much interest on behalf of the physicians. I would suspect the same could be said about medical students. Unfortunately, what I have seen is that physicians are not a very united group. Developing enough cohesion from them to pursue a political goal is quite a hard task.
 
Old_Mil said:
A very simple solution to the problem would be to talk to the state medical societies (MD) in those five states and ask them to lobby the legislatures to change the law and bring their DO licensure requirements in line with those in the rest of the country.

The MD medical societies, if they are anything like here, will have many more DO members than the state AOA chapter anyway.

well, if you have read my past posts on "allopathic / MD organizations", you know that i'm a little particular in how i talk about them - i.e., i don't think they should be called "MD" organizations if they have DO members - they are organizations that represent the medical community (DO and MD alide). you probably don't disagree with me, and it's kinda a minor terminology issue, but i get your point.

i really think that the state medical orgs would be hesitant to advocate for this change - it would really be seen as stepping on the toes of the DOs, which now they try not to do, in general. i think it has to come from within the DO community itself. we need to convince the DO leadership that it is inappropriate, and potentially not in patients' best interests for this rule to exist ... but of course this is being used as a stick to maintain high DO enrollment in AOA programs in these states. GME choice should be driven by carrots, not sticks - and the choice should be the applicant's.
 
Say I wanted to do a Gen Surg residency at an allopathic program, but eventually wanted to practice in Michigan. In theory could I do an AOA internship and then apply for the allopathic programs as a PGY-1 (since most of the allopathic programs include PGY-1 in their programs linked to the residency)? Obviously it would suck to have to do 2 internships, but if I thought I could get into a better program by going allopathic, is that an option? Let me know if anyone has any ideas.
 
Say I wanted to do a Gen Surg residency at an allopathic program. Couldn't I do an AOA internship to qualify to practice in those 5 states and then apply to allopathic programs as a PGY-1 (since most allopathic surg residencies link internships)? Although it would suck to be a PGY-1 twice, is this possible?
 
SpartyDO said:
Say I wanted to do a Gen Surg residency at an allopathic program, but eventually wanted to practice in Michigan. In theory could I do an AOA internship and then apply for the allopathic programs as a PGY-1 (since most of the allopathic programs include PGY-1 in their programs linked to the residency)? Obviously it would suck to have to do 2 internships, but if I thought I could get into a better program by going allopathic, is that an option? Let me know if anyone has any ideas.

i would check with the MI osteopathic medical board - see:
http://www.michigan.gov/mdch/0,1607,7-132-27417_27529_27547---,00.html

but it's my impression that would be ok (do an aoa internship, and then start acgme surgery at the pgy-1 level)
 
TCOM-2006 said:
i would check with the MI osteopathic medical board - see:
http://www.michigan.gov/mdch/0,1607,7-132-27417_27529_27547---,00.html

but it's my impression that would be ok (do an aoa internship, and then start acgme surgery at the pgy-1 level)

The problem with this is that you will not likely be funded for the final year of your residency. You will also be working with all the "benefits" of being a PGY-1 even if it is your second year of training.
 
DeLaughterDO said:
Hey TCOM-2006 -

From what I've seen, most AOA internships (dont know about residencies, since I won't be doing one) profess to include OMM/OMT training in their curricula. How this is actually included varies from place to place. I've seen everything from nothing, to monthly 1 hour lectures, to twice monthly meetings to work on OMT skills, to responsibilities in an actual OMT clinic part time for 2-3 months during the year as well as lectures.

I think it really varies based on the specific hospitals' dedication to the AOA.

And BTW, there are a pretty good number of the AOA internships that are dually accredited by the ACGME as well. I applied to about 10 of them 🙂 Those, in my opinion, are your best bet for getting the best training if you're going to do an internship, or at the very least at a big hospital with a lot of other ACGME residencies and a separate ACGME transitional internship - the training is the same for all interns.

I guess we'll see next year how I fared -

jd
Is there a site that lists ACGME internships that are AOA approved, or are all ACGME internships considered non AOA approved?
BTW, if you call the AOA, expect little to no help on this issue and expect a very rude person to field this call.
 
I just wanted to chime in that I recently got my internship AOA approved and I was AMAZED at how quick the process went. I agree that they do not always seem (the AOA) super helpful or firendly on the phone, but the info on the site is pretty self-explanatory.

Based on my experience I would say that it was a painless and remarkable effecient process. I did not have a great hardship reason. They did not give me a hassle.

I did meet the ER and family med requirements, the rest of my year was IM inpt. No OB or peds.

I did a presentation on OMT, did not attend AOA or AAO that year.

Also, I applied about 2 years after the fact.

-2 cents
 
I just wanted to chime in that I recently got my internship AOA approved and I was AMAZED at how quick the process went. I agree that they do not always seem (the AOA) super helpful or firendly on the phone, but the info on the site is pretty self-explanatory.

Based on my experience I would say that it was a painless and remarkable effecient process. I did not have a great hardship reason. They did not give me a hassle.

I did meet the ER and family med requirements, the rest of my year was IM inpt. No OB or peds.

I did a presentation on OMT, did not attend AOA or AAO that year.

Also, I applied about 2 years after the fact.

-2 cents
That's very encouraging. Thanks for posting your experience.🙂
 
Don't forget their is a bill proposal in WV now to abolish it. The only reason these states are different is because they have SEPERATE DO and MD licensure groups. The other 45 states have just one and that is the reason they do not require the internship year.

As for PA. If you go on the POMA website they have a listed of hospitals with ACGME programs they have preapproved to be acceptable as equivalent to the DO internship year. Just make sure you find out if hospitals in those five states will consider a DO without doing an AOA year. I know for a fact that University of Pittsburgh Childrens will not consider a DO applicant unless they have completed the year because they don't want to take the chance of their resident not being able to have a license in PA.
 
I also had my internship approved, and I can agree that it was relatively smooth. It took about 5 months to get it approved after I first submitted all of their paperwork. No cost, and as someone posted earlier, pretty self-explanatory on the do-online website. And I also did it in my 3rd year of residency.

Since I am doing a sports med D.O. fellowship (I did an MD Fam Med residency) I had to also get the residency AOA approved, which took about 6 months before becoming eligible for the osteopathic FP boards. Actually, I am in Denver right now about to take the written portion of the boards tomorrow. In case anyone is wondering, I am already board certified by the ABFM, so this will be my 2nd certification (which will also say OMT certifed, which is nice).

The part that sucks is the waiting period...it has to go to a review committee that doesn't meet very often, and because of this I missed the initial deadline for the osteopathic FP boards, and ended up paying an additional $200!

Also, to the poster (psych field) who was concerned they wouldn't be able to meet the rotation requirements. Though this would kind of suck, you could always use your elective rotations in your residency to help fulfill those requirements.

It is terrible that we have to jump through all of these extra hoops, and someone should change the archaic laws in the 5 states. But, the pathway to getting things AOA approved isn't all that difficult and also has no financial fee. It's worth it to get it all done.

For me, when all of this is done, I will be triple-board certified, which is a nice marketing tool as well. 🙂

Hope this helps.
 
...you could always use your elective rotations in your residency to help fulfill those requirements.

It's good to know that the application process wasn't all that bad. The challenge I've got is that I'm using my electives to focus on my niche and therefore this would not work for me. I do believe that this system of extra rotations (in family medicine) is of minimal utility to one's specialty and hope that this will change in the 5 states.



Wook
 
It's good to know that the application process wasn't all that bad. The challenge I've got is that I'm using my electives to focus on my niche and therefore this would not work for me. I do believe that this system of extra rotations (in family medicine) is of minimal utility to one's specialty and hope that this will change in the 5 states.



Wook

I agree and I'm in the same boat. What utility does an elective FM rotation have for a FM resident with precious few electives? I don't think an FM rotation is of any utility for anyone except FM residents. Do EM residents in DO programs have to do FM rotations? I would assume so. Anyone know?
 
My rotations as an intern in FM counted as the "FM electives" so I didn't have to do any "extra" rotations. All I had to do was list all of my rotations. Of course, this may/would pose a problem in other specialties, thus the option of using up elective time.
 
I agree and I'm in the same boat. What utility does an elective FM rotation have for a FM resident with precious few electives? I don't think an FM rotation is of any utility for anyone except FM residents. Do EM residents in DO programs have to do FM rotations? I would assume so. Anyone know?


Generally, we do not have to do FM rotations as they would not have alot of applicability to the ED. We see plenty of FM stuff in the ED mixed in with critical stuff (eg colds, rashes, etc).


Wook
 
Just a few comments on changing legislation in the 5 states...
The bill being considered in WV has been effectively tabled for this legislative session but will likely be revisited. Naturally the AOA has strongly opposed it, as did representatives from WVSOM.
While as a WV student looking to match into an allopathic residency I support this legislation, by speaking with the dean of GME at WVSOM I got a little more perspective on the issue. The bill (SB 554 ) doesn't just address the AOA internship requirement, it is a revision of a bill that addresses all physician licensing in WV. A concern is that if this bill is brought to the floor, the door will be opened to non-physician practitioners (DC's, NP's, PharmD's, etc.) to add amendments that increase their scope of practice, change licensing requirements, set the boogy man on us, or something. He claimed that he had seen this happen in other states, and it was a mess. While I see that this could be an undesirable consequence of tinkering with licensing legislation, I still support the bill and have emailed all of the delegates on the committee that considered it to tell them so. About half have emailed me back and seemed receptive to my input. Of the 7 people who spoke to the committee while they were considering the bill, all 7 opposed it. I think they are finally hearing from more students supporting the bill, and based on this they might be willing to reconsider in the future.
I'm keeping my fingers crossed :luck:
 
Just a few comments on changing legislation in the 5 states...
The bill being considered in WV has been effectively tabled for this legislative session but will likely be revisited. Naturally the AOA has strongly opposed it, as did representatives from WVSOM.
While as a WV student looking to match into an allopathic residency I support this legislation, by speaking with the dean of GME at WVSOM I got a little more perspective on the issue. The bill (SB 554 ) doesn't just address the AOA internship requirement, it is a revision of a bill that addresses all physician licensing in WV. A concern is that if this bill is brought to the floor, the door will be opened to non-physician practitioners (DC's, NP's, PharmD's, etc.) to add amendments that increase their scope of practice, change licensing requirements, set the boogy man on us, or something. He claimed that he had seen this happen in other states, and it was a mess. While I see that this could be an undesirable consequence of tinkering with licensing legislation, I still support the bill and have emailed all of the delegates on the committee that considered it to tell them so. About half have emailed me back and seemed receptive to my input. Of the 7 people who spoke to the committee while they were considering the bill, all 7 opposed it. I think they are finally hearing from more students supporting the bill, and based on this they might be willing to reconsider in the future.
I'm keeping my fingers crossed :luck:

Thanks for the update and please keep us in the loop.


Wook
 
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