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Yes. If it's not black, then it's white.
And definitely not red, or any of the 50 shades of grey.
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Yes. If it's not black, then it's white.
Does correction of short = tall?
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Yes. If it's not black, then it's white.
Preventing a change is "keeping it the same".
Are you trying to prevent my comment of preventing bad=good?
Please continue...haven't got there yet.
Preventing a horrible future, thats good. Not sure if you really want to fight this one...
I love how me staying that Res 42 is going to be gone (which has been stated by AOA leaders) is ridiculous.
But you stating the DO profession won't bloody exist anymore is perfectly acceptable.
They state on their website that it is to be "discussed." Im not going to trust you over what is written on their own site. I don't care what fictitious source you think you have.
Let me get this straight.
Current: To do a (certain) ACGME fellowship, you must have completed ACGME residency.
By saying that is changing, you are saying that you no longer need to complete an ACGME residency to get those same ACGME fellowships. I'm not sure I follow, since all the AOA fellowships are going to fall under the ACGME. So those fellowships are still requiring ACGME residency completion unless they're going to start taking non-ACGME FMGs too.
The merger doesn't prevent a horrible future though.
They state on their website that it is to be "discussed." Im not going to trust you over what is written on their own site. I don't care what fictitious source you think you have.
Maybe you are legitimately confused...I thought you were trying to debate this.
I'll explain:
Your "current" is wrong. If we didn't have the current compromise (combined accreditation, etc) we would have a "current" of...if you complete an AOA residency, you would be denied any ACGME fellowships. This would be horrible (another word for bad ) This is actually almost exactly how the AOA explained it themselves btw.
To avoid this, the AOA and ACGME compromised and now we will have a combined match and any med student can compete for any residency and fellowship. There will still be bias both ways, but this is BETTER than the alternative.
Thats exactly what it did...read my above post for explanation
No, they will still be AOA programs, but will have the OK from the ACGME. Also, the AOA will be a part of the ACGME. There is a difference and the main thing is that the same people will be in power, but they will try to play nicer. Also, going to said AOA program will no longer restrict you to general surgery, general ortho, etc...Yes, and in the combined match, won't the AOA programs be governed by the ACGME? Thus making them ACGME residencies?
No, it changed the status quo. There are still infinite possibilities of a horrible future.
I think you hit the high pointsSo really:<br />
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<br />
Combined Match- good<br />
<br />
Bias- remains<br />
<br />
Avoiding ACGME sanctions- good<br />
<br />
Increased competition?- remains to be seen<br />
<br />
dual accreditation- ensured quality <br />
<br />
<br />
<br />
what else...
So really:
Combined Match- good
Bias- remains
Avoiding ACGME sanctions- good
Increased competition?- remains to be seen
dual accreditation- ensured quality
DO's will have less hoops to work in ACGME program - good
Resolution 42 gone - good
Potentially more international rights to DO's (I personally don't care) - good
what else...
Are you trying to prevent my comment of preventing bad=good?
Please continue...haven't got there yet.
Preventing a horrible future, thats good. Not sure if you really want to fight this one...
I think you hit the high points
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Edited. Call it a day.
Edited. Call it a day.
No, they will still be AOA programs, but will have the OK from the ACGME. Also, the AOA will be a part of the ACGME. There is a difference and the main thing is that the same people will be in power, but they will try to play nicer. Also, going to said AOA program will no longer restrict you to general surgery, general ortho, etc...
You misunderstand...it prevented A horrible future. Not EVERY horrible thing that could possible happen.
Thats a weak argument too, because there are an infinite possibilities of good futures too...
edit: but I am glad you question it. I did, and do...and we all should continue to evaluate it, objectively
Yes, and in the combined match, won't the AOA programs be governed by the ACGME? Thus making them ACGME residencies?
Edited. Call it a day.
The problem is that people are going "prevent bad=good" then they go
"Well good stuff is happening, so obbvs it means things are better than they were"
Then "things are better? Must be better cuz of x y and z!"
See the problem?
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There will be DO's on the ACGME board of directors so it's not giving up nearly as much "power" as some would lead you to believe. If anything it increases DO's influence to be honest.
There will be DO's on the ACGME board of directors so it's not giving up nearly as much "power" as some would lead you to believe. If anything it increases DO's influence to be honest.
Also they've added "osteopathic core tenets" into the ACGME tenets for all programs. Yes, that doesn't really mean anything, just thought it was interesting.
How are hoops affected?
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They are getting representation on the board. They will have ~25% vote. This should not be seen as gaining power so much as given the opportunity to have a voice in the decisions that will be handed down to them.
Don't need a unanimous vote
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I posted this previously a few posts back...
Many (if not all) MD programs required staff to have attended ACGME residencies. There were ways around this ( I have no idea what they were). With all programs becoming ACGME that eliminates this issue.
I always thought 25% was more than 0%. 25% is influence, I didn't say they would make HUGE changes and pass crazy resolutions. Your bias is showing...
they are being given 8 seats which is comparable to their weight in terms of people. They are only being considered a daughter group on the board not unlike the ama. Your bias is showing because you are still attributing arbitrary meaning to things that could just as easily (or more easily) go the other way. I tell ya what, if your predictions come true go get a lotto ticket
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So yes, I'm correct. It's a fact, not potential.Potentially
they are being given 8 seats which is comparable to their weight in terms of people. They are only being considered a daughter group on the board not unlike the ama. Your bias is showing because you are still attributing arbitrary meaning to things that could just as easily (or more easily) go the other way. I tell ya what, if your predictions come true go get a lotto ticket
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So yes, I'm correct. It's a fact, not potential.
What predictions? I've stated facts.
Riiiiiiight. It is my opinion that my opinion is fact and that's a fact
Homosexual Satanic achondroplastic women are not barred by any policy from becoming president. So super easy for them to do it right?
As long as the AOA stays a distinct entity there will always be a line that can be drawn to isolate them. I doubt this provisional accredidation is going to mean as much as you think. I also dont think many ACGME programs had policy expressly barring DOs from becoming staff. I think you made that up
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Riiiiiiight. It is my opinion that my opinion is fact and that's a fact
Homosexual Satanic achondroplastic women are not barred by any policy from becoming president. So super easy for them to do it right?
As long as the AOA stays a distinct entity there will always be a line that can be drawn to isolate them. I doubt this provisional accredidation is going to mean as much as you think. I also dont think many ACGME programs had policy expressly barring DOs from becoming staff. I think you made that up
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It's a fact they by having all residencies be ACGME accredited that all DO's graduating this program will be ACGME accredited. The issue was with DO's NOT being ACGME accredited. Now they ALL will be. Hoop eliminated. Fact. End of story. I'm not sure how you're disputing this. It's clear as day.
I never stated DO's were "barred" from being staff. Where do you come up with this stuff? For the final time. ACGME programs wanted staff that was ACGME certified. Previously AOA residencies were not ACGME certified. I'm sure there were ways around this, but now it's a non issue. Dr. Boozer stated this in the Town Hall webcast.
Riiiiiiight. It is my opinion that my opinion is fact and that's a fact
Homosexual Satanic achondroplastic women are not barred by any policy from becoming president. So super easy for them to do it right?
As long as the AOA stays a distinct entity there will always be a line that can be drawn to isolate them. I doubt this provisional accredidation is going to mean as much as you think. I also dont think many ACGME programs had policy expressly barring DOs from becoming staff. I think you made that up
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Everything you are saying acts as if there haven't been hundreds of DOs matching ACGME and none of this being an issue for the last several decades (or whatever). Again this is of negligible impact for a number of reasons.
You're also mincing words. Don't do that. It makes it look like you're grasping at straws. Unbecoming
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Everything you are saying acts as if there haven't been hundreds of DOs matching ACGME and none of this being an issue for the last several decades (or whatever). Again this is of negligible impact for a number of reasons.
You're also mincing words. Don't do that. It makes it look like you're grasping at straws. Unbecoming
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Yeah, I'm the one grasping at straws.
I don't really care if you trust me, you're wrong. It was stated in a "town hall" meeting held by the AACOM president. I guess you just don't like actual evidence.
Written word versus your hearsay. Which is better evidence?
Do you mean short term or long term impact? I could see an argument short term (though having a combined match is hardly negligible) but long term is an even tougher sell
None of what you say if going to change the fact that you're wrong. I don't know why you keep going on about this. It's common knowledge by now. I'm not trying to be mean, but you're just being ridiculous at this point. For the last time, believe what you want. It has no bearing on you anyway.
^I'll second that halflistic. Hopefully we cleared SOME things up through this discussion.
Hmm than one of two things is going on:
1) The website of the AOA is incorrect and needs to be updated. (not good and misleading)
2) It is NOT common knowledge and in fact you are wrong.
Either one is bad. The website providing false information or you just plain assuming you are correct without being correct.
It is not ridiculous to point out factual, written information that contradicts your belief.
Well, it's been a good Sunday eve discussion...
I'm calling it a night for my SDN play
Hmm than one of two things is going on:
1) The website of the AOA is incorrect and needs to be updated. (not good and misleading)
2) It is NOT common knowledge and in fact you are wrong.
Either one is bad. The website providing false information or you just plain assuming you are correct without being correct.
It is not ridiculous to point out factual, written information that contradicts your belief.
DocEspana said:Real talk time. And this is in no way extensive.... just a few points that I think need a big ol' dose of "admit-the-damn-truth"
- Anyone who says this is anything other than fantastic for those who wished to apply to both ACGME and AOA (As DO students) is completely wrong. You need to have witnessed the unique pain that is interview season and ranking to understand the very visceral way in which you are wrong. Being able to list off all of your preferences in numeric order regardless of what training affiliation they are is an immeasurable win for anyone who would be applying AOA+ACGME or even ACGME only. It lets the former rank the list exactly how they truly prefer and lets the former have a safety net that they previously had to make the hard choice to exclude. And there is no DO student in the history of "insert esoteric timeframe here" that wouldnt sleep better at night with a few AOA residencies tacked onto the end of their rank list.
- Biases exist. Period. On both sides. I know anecdotally from my friends trying for AOA ortho that some of the program directors are bitterly anti-MD. I can tell you first hand that *most* of the AOA urology programs are bitterly anti-MD. Not all, but numerically most. Any discussion of dual accreditation at those sites is met with venom and "why the hell would I want an MD when there are qualified DOs who want the spot." Integrating programs will not lead to the tsunami of MDs taking AOA spots in high demand fields because degree bias does go both ways.
- It goes both ways. A program that didn't take DOs on principle before, isnt gonna change either.
- Both of the above points will mellow (not erase) with time as this gives huge legitimacy to DO students (not PGY spots... but students) as these programs that always accepted DO students will be shown to have identical standards as the ones who only accepted MD students. Vis-A-Vis the applicants can be compared based on merits without a stigma (though it will never change that neither a DO school nor a low level MD school is ever gonna be a high level MD school)
- Some AOA programs will close. It will probably be 10 years from now. It will probably be very few. this number will be smaller than the number of new AOA and ACGME programs that will open in the same time period.
- This is in no way going to cripple the AOA nor bring about the end of its existence and prominence in our lives, and all of our glorious complaints about them will not change in the next 3-10 years barring an unexpected massive change. (this, for example, was an unexpected massive change)
- You will still have to pay the AOA all your fun licensing fees. Thats actually one of the other non-negotiables of the AOA's deal. They get to keep their membership fees from people trained under their residencies past and future.
- IM, FM, Peds. These are fields with many many unfilled spots nationwide if counting only american students. American student will still > american, foreign trained > foreign long term physician > foreign recent graduate. That won't change. IMGs will not be a serious threat to any AOA position except in cases of nepotism or insanely overqualified applicant, which is the only times they are threats to ACGME positions that are desired by american grads.
- This actively opens a world of education to DOs. Previously DO graduates could not be core faculty or program directors at an ACGME residency unless they both went to an ACGME residency AND jumped through a few arduous hoops (ACGME residency was not enough). This has entirely been abolished and any american residency graduate can now be core educational faculty. AOA has agreed to loosen their standards on this too to allow ACGME trained DOs to be core faculty and program directors and MDs to be core faculty without jumping through hoops, though I have not heard confirmed that MDs can be program directors.
- This is good news if ONLY because so many people had accepted the fellowship futures as limited/dead. Those who negatively rip on it here are not being pragmatic, are not being prophetic, are not being intuitive. They are being antagonistic and purposely ignoring the situations that surrounded this debate in months immediately prior to the announcement. AOA programs were having educational series on how to handle the loss of ACGME fellowship access as recently as August (I sat through one). The most nefarious thing here is (the fact) that some AOA residencies wont make it to 2022. But none of us will even BE in residency in 2022 (only exception, current 1st years who become neurosurgeons will be chief residents.... all 13, maximum, of you given current training numbers)
- At this moment there is zero acceptance of MDs into AOA programs. But the fact of the matter is they should be allowed in. Hell they should be allowed in without OMT training unless the program can prove they utilize OMT. But they will all claim they do and make up **** to prove it. So that last part is neither here nor there. But the fact is that the integration of MD students into AOA programs is entirely under debate and most of the details here have been accepted with this being one of the major "still under discussion" parts. The AOA is not opposed to it, but they are resistant. Real talk: they will lose that debate and the residencies will open. But under what time frame? Probably closer to the 10 year window set for all changes, than the 3 year window set for the single match.
- Haven't we all moaned on and on about how combining matches/degrees/diplomas/chromatin/lunchbox contents would lead to more respect for DO's? I know of only a very small number of you who have ever argued against that. They're excused from this comment. The rest of you, show some balls and embrace the fact that this is y/our chance to prove respect is deserved and parity exists by becoming one with the mother organization.
- The whole "ACGME will never be neutral because AAMC is a part of it". Well.... big deal. The AMA is a part of it too. As are about 4 other organizations. so 5 out of 6 (or 4 out of 5, i forget) controlling organizations represent both groups of physicians and of those groups its fair to argue that the AAMC has one of the lowest vested interest in residency. Unlike the AMA or the associated state medical societies.
This hasn't been worked out, but that's what they hinted. The majority believe it'll still be in your best interest to take both.so does single residency match system mean do students only need to take the comlex?
From now on DO students will take the usmlex
Does anyone else besides the DMU dean call it the "u-smile"?
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Does anyone else besides the DMU dean call it the "u-smile"?
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