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Can anyone tell me what the 1 year internship between D.O. Med School and residency is all about?
Thanks!
Thanks!
Internships?
- Thread starter Satellite
- Start date
Satellite,
The 1 year DO internship following graduation from an osteopathic med school is similar to the first year of residency in MD residencies. This DO internship is rotating, where the doctor gets to sample many fields of medicine before starting specialty training. I know for a fact that the DO internship can be applied for the first year of residency for an MD family practice program. Most MD residencies are now specialty track, so you begin doing pediatrics say if you do a pediatric residency. Many years ago, most MD residencies resembled the DO internship in that they too were rotating in nature.
Maybe Dr. Lee Burnett can shed some more light on this issue, he is currently a family med resident.
EDGAR
The 1 year DO internship following graduation from an osteopathic med school is similar to the first year of residency in MD residencies. This DO internship is rotating, where the doctor gets to sample many fields of medicine before starting specialty training. I know for a fact that the DO internship can be applied for the first year of residency for an MD family practice program. Most MD residencies are now specialty track, so you begin doing pediatrics say if you do a pediatric residency. Many years ago, most MD residencies resembled the DO internship in that they too were rotating in nature.
Maybe Dr. Lee Burnett can shed some more light on this issue, he is currently a family med resident.
EDGAR
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The 'osteopathic, rotating, transitional, or traditional internship' are really a confusing terms. I think it should be replaced with just 'PGY-I: Post Graduate Year One.'
Usually the PGY-I year is part of an entire residency program. Occasionally a physician will complete the PGY-I year and then transfer to another program. This occurs frequently in both the allopathic and osteopathic programs. I did this -- I did the PGY-I year in an AOA hospital-based FP program, then transferred into the PGY-II year at an ACGME unversity-based FP program.
So, don't be mislead into thinking that the internship is an extra year -- it isn't. And if you transfer programs, you'll usually get full credit for the year -- it's a benefit of the strong PGY-I at most AOA programs.
Best regards,
Lee
Usually the PGY-I year is part of an entire residency program. Occasionally a physician will complete the PGY-I year and then transfer to another program. This occurs frequently in both the allopathic and osteopathic programs. I did this -- I did the PGY-I year in an AOA hospital-based FP program, then transferred into the PGY-II year at an ACGME unversity-based FP program.
So, don't be mislead into thinking that the internship is an extra year -- it isn't. And if you transfer programs, you'll usually get full credit for the year -- it's a benefit of the strong PGY-I at most AOA programs.
Best regards,
Lee
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Whether or not you should do a DO internship depends on both the field
you wish to enter and the state in which you intend to practice. For
example, Arkansas, Maryland, Michigan, Pennsylvania and West Virginia
are the only states that still require an AOA internship (as of 1995).
Secondly, there are two types of ACGME residencies: categorical and
advanced. With categorical residencies your first year out of med
school is your PGY-1 year, in other words, you don't actually do an
internship per se. Depending on the field and program, they may or may
not accept your AOA internship as the PGY-1 year. Advanced residencies
on the other hand only take those who have completed an internship
(osteo or allo). Your first year in these programs would be as a PGY-2.
But again, whether or not they accept the osteo internship as your PGY-1
year depends on the program. Therefore, the basic problem, with either
type of residency is that one may find themselves doing the PGY-1 year
twice! The solution to this problem is to make sure you know the
requirements of all the programs you're interested in. The primary
source of info regarding residencies is the "Green Book" ie., the NRMP
directory. Keep in mind that if you don't live in one of the afore-
mentioned states, you can avoid all the confusion by foregoing the
internship altogether and just doing a categorical residency (assuming
the field you choose offers categorical programs). Hope this info helps.
you wish to enter and the state in which you intend to practice. For
example, Arkansas, Maryland, Michigan, Pennsylvania and West Virginia
are the only states that still require an AOA internship (as of 1995).
Secondly, there are two types of ACGME residencies: categorical and
advanced. With categorical residencies your first year out of med
school is your PGY-1 year, in other words, you don't actually do an
internship per se. Depending on the field and program, they may or may
not accept your AOA internship as the PGY-1 year. Advanced residencies
on the other hand only take those who have completed an internship
(osteo or allo). Your first year in these programs would be as a PGY-2.
But again, whether or not they accept the osteo internship as your PGY-1
year depends on the program. Therefore, the basic problem, with either
type of residency is that one may find themselves doing the PGY-1 year
twice! The solution to this problem is to make sure you know the
requirements of all the programs you're interested in. The primary
source of info regarding residencies is the "Green Book" ie., the NRMP
directory. Keep in mind that if you don't live in one of the afore-
mentioned states, you can avoid all the confusion by foregoing the
internship altogether and just doing a categorical residency (assuming
the field you choose offers categorical programs). Hope this info helps.
prefontaine
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DEB, FYI. States requiring a DO internship are FL, OK, PA, WV and MI (not MD and AR). Did you consult Jeremy Weiss's error filled book?
Due to Medicare restrictions, some grads are finding that they (actually the hospital) cannot be funded for a second PG-1 and are being passed over for some residency positions and the program is not willing to give credit for the AOA internship or to fund it themslves.
In the mid-Atlantic states, there are many ACGME programs that do not accept the AOA internship, with FP being a usual exception.
sattelite, consider the AOA internship to be a fifth year of osteopathic school, with the major difference being that one is paid.
Because of changes in Medicare funding, the previously mentioned states are finding it difficult to deny a license to a DO that 'only' completed an ACGME PG-1. The current AOA president is suggesting that ACGME PG-1 training should be accepted for licensure and for AOA BE/BC. By the time most of you graduate, this will probably be a non-issue.
Due to Medicare restrictions, some grads are finding that they (actually the hospital) cannot be funded for a second PG-1 and are being passed over for some residency positions and the program is not willing to give credit for the AOA internship or to fund it themslves.
In the mid-Atlantic states, there are many ACGME programs that do not accept the AOA internship, with FP being a usual exception.
sattelite, consider the AOA internship to be a fifth year of osteopathic school, with the major difference being that one is paid.
Because of changes in Medicare funding, the previously mentioned states are finding it difficult to deny a license to a DO that 'only' completed an ACGME PG-1. The current AOA president is suggesting that ACGME PG-1 training should be accepted for licensure and for AOA BE/BC. By the time most of you graduate, this will probably be a non-issue.
ACGME: Accreditation Council for Graduate Medical Education
PGY: Post Graduate Year
Check out http://www.acgme.org/
PGY: Post Graduate Year
Check out http://www.acgme.org/
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Prefontaine
I stand corrected and agree that the Weiss book has some errors, but
it is the only such resource I have been able to find. If you know of
something better, please share. Also, the state licensing board in OK
(that's where I'm from) indicated that circumventing their rules would
not be a problem (hopefully the other states will be as lenient). With
any luck though, your prediction will come to pass and when the time
comes, we won't even have to worry about it.
PS: How did the match go? Where are you headed?
I stand corrected and agree that the Weiss book has some errors, but
it is the only such resource I have been able to find. If you know of
something better, please share. Also, the state licensing board in OK
(that's where I'm from) indicated that circumventing their rules would
not be a problem (hopefully the other states will be as lenient). With
any luck though, your prediction will come to pass and when the time
comes, we won't even have to worry about it.
PS: How did the match go? Where are you headed?
