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I was reviewing the resolutions for the upcoming AOA House of Delegates and came across this
I'm on the fence about whether or not this is a good idea. It will be voted on by the AOA HOD by end of the week, and we'll be discussing it on Wednesday at the National Osteopathic Student Caucus in Chicago. Should be an interesting debate.
EDIT: Add .pdf of ALL resolutions (there are quite a few)
SUBJECT: LIAISON COMMITTEE ON MEDICAL EDUCATION (LCME)
STUDENT ADMISSIONS TO AMERICAN OSTEOPATHIC
ASSOCIATION RESIDENCIES
SUBMITTED BY: Osteopathic Physicians and Surgeons of California
REFERRED TO: Committee on Educational Affairs
1 WHEREAS, the Accreditation Council of Graduate Medical Education (ACGME) currently
2 allows admission into their graduate training programs, allopathic physicians from
3 schools certified by both the Liaison Committee on Medical Education (LCME), non-
4 LCME institutions (foreign medical schools) and all American Osteopathic Association
5 (AOA) accredited Osteopathic medical school graduates; and
6 WHEREAS, there is a projected physician shortage of 200,000 physicians by 2020; and
7 WHEREAS, both LCME accredited medical schools and AOA accredited medical schools have
8 increased in either class size or school numbers, however little increase has been
9 recognized in licensed physicians practicing medicine due to the lack of commensurate
10 increase in residency size and or number; and
11 WHEREAS, the AOA and osteopathic medical schools have made considerable headway in the
12 development of new graduate medical education programs despite significant
13 impediments in program development due to the inability of allopathic physicians to
14 train in these new programs; and
15 WHEREAS, the AOA residency standards allow allopathic physicians as preceptors in resident
16 training in every AOA approved residency/fellowship despite the fact they do not allow
17 allopathic physicians to train in any AOA residency/fellowship program; and
18 WHEREAS, the AOA and American Academy of Osteopathy (AAO) have allowed allopathic
19 physicians to receive training in dual approved AOA/ACGME residencies; and
20 WHEREAS, ACGME has expressed concerns about the prerequisite training requirements in
21 non-ACGME and AOA residency/fellowships and has considered exclusion of
22 matriculates from these non-ACGME programs to participate in ACGME residencies
23 and fellowships; and
24 WHEREAS, the AOA does not have the oversight or ability to determine the medical
25 equivalency of non-LCME institutions to assess whether residency prerequisite
26 requirements are met; and
27 WHEREAS, four states in the United States require AOA approved PGY-1 positions for
28 osteopathic physicians to obtain state licensure; and
RES. NO. H-206 - A/2012 Page 2
1 WHEREAS, the percentage of graduates that become AOA board certified in dual approved
2 ACGME and AOA programs is less than 20%; and
3 WHEREAS, the AOA has deeming authority from the Centers for Medicare and Medicaid
4 Services (CMS) for oversight of residencies and board certifications for their member
5 providers; now, therefore be it
6 RESOLVED, that the American Osteopathic Association allow Liaison Committee on Medical
7 Education (LCME) graduates participate in new AOA residency and fellowship training
8 and become eligible to take that residencys corresponding certifying AOA board with
9 AOA membership; and, be it further
10 RESOLVED, that the AOA assure the revised residency and fellowship standards retain
11 osteopathic autonomy such as maintaining the seven core competencies to include
12 osteopathic manipulative principles and practices and an osteopathic program director;
13 and, be it further
14 RESOLVED, that current AOA accredited residency or fellowship programs are exempt from
15 any standards allowing participation of LCME graduates.
I'm on the fence about whether or not this is a good idea. It will be voted on by the AOA HOD by end of the week, and we'll be discussing it on Wednesday at the National Osteopathic Student Caucus in Chicago. Should be an interesting debate.
EDIT: Add .pdf of ALL resolutions (there are quite a few)
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