New merger and intern year/Res. 42

[okayplayer]

Anybody found anything on how this acgme/aoa residency merger will affect the 4 states with the AOA intern year requirement? This is my situation:

In 18 months I'm finishing an acgme categorical anesthesia program that included its own TY as part of the program. In 6 months my wife is finishing an acgme IM program. Obviously neither of us did any aoa postgrad training. Neither of has applied for resolution 42. I am unclear if we can work in the 4 states affected, if we would still have to apply for the resolution, if we are even eligible for the resolution, or if now it is a moot point with this merger.

Anyone have any ideas?

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[group_theory]

Anybody found anything on how this acgme/aoa residency merger will affect the 4 states with the AOA intern year requirement? This is my situation:

In 18 months I'm finishing an acgme categorical anesthesia program that included its own TY as part of the program. In 6 months my wife is finishing an acgme IM program. Obviously neither of us did any aoa postgrad training. Neither of has applied for resolution 42. I am unclear if we can work in the 4 states affected, if we would still have to apply for the resolution, if we are even eligible for the resolution, or if now it is a moot point with this merger.

Anyone have any ideas?

Not sure how the AOA intern year requirement will be handle in the future (with this merger) with the 4 states who require an AOA approved intern year. The states will have to change their laws (or interpret the current law with a different set of eyes, or the AOA will find a way to say your acgme pgy1 year is aoa-approved)

But for now, both you and your wife are ineligible for licensure in the 4 states that require an AOA intern year ... even if this merger goes through and the AOA/states figure out how do address the AOA PGY1 requirement. You will have to apply via Resolution 42, get it approved, and your options are kept open in the future (not applying has the same result as applying and getting rejected). The merger is still in talks, still preliminary, and no one knows how many years this will take OR if they plan to grandfather in people who did acgme PGY1 year instead of an AOA PGY1 year (and didn't go through the resolution 42 process)

 

[BobBarker]

I have actually looked at the Oklahoma and Florida bylaws. The osteopathic intern year requirement is waived by either state if you have completed a residency. Oklahoma also doesn't really require an osteopathic internship at all, just one they deem equivalent to one.

 

[okayplayer]

Very helpful, thx. Out of curiosity can you point me in the right direction to those bylaws?

 

[BobBarker]

Oklahoma

http://www.ok.gov/osboe/documents/RULES.pdf

510:10-3-1. General licensure requirements
(a) Licensure by Board required. It is the general requirement in the State of Oklahoma that
practitioners of osteopathic medicine and surgery be licensed by the State Board of Osteopathic
Examiners.
(b) Temporary license. The Osteopathic Medicine Act does not authorize the Board to issue a
temporary license for any purpose.
(c) Postgraduate training. One year of postgraduate training is a requirement for licensure. This
experience must be in the form of a rotating internship or its equivalent, in an accredited internship or
residency program acceptable to the Board. To be deemed equivalent to a rotating internship and,
acceptable to the Board, a program must provide the following:
(1) The program must provide the following core experience:
(A) One (1) month - General Practice
(B) Two (2) months - General Internal Medicine
(C) One (1) month - General Surgery
(D) One (1) month - Obstetrics/Gynecology
(E) One (1) month - Pediatrics
(2) This core experience must be supplemented by three (3) months of Selectives and three (3)
months of Electives, accounting for a total of twelve (12) months. A Selective may be defined as any
core category or Emergency Medicine. An Elective may be any category of experience chosen by the
intern or resident.
(3) If an applicant has completed an ACGME accredited residency training program and become
specialty board eligible or attained specialty board certification, the Board may consider this standing as
equivalent training.

 

[BobBarker]

Florida

64B15-16.002 Procedure.
(1) Any applicant who has failed to complete an AOA (American Osteopathic Association)-approved internship must apply to the AOA for approval of the PGY (post-graduate year)-1 year of the ACGME (Accreditation Council on Graduate Medical Education) residency for educational equivalence. Upon acceptance of the PGY-1 year for educational equivalence of the ACGME residency by the AOA, the Board of Osteopathic Medicine will approve for licensure applicants who are otherwise qualified for licensure, and who demonstrate good cause as delineated below for having taken the ACGME residency in lieu of an AOA internship.
(2) When the AOA denies educational equivalency, the Board of Osteopathic Medicine will not review the equivalency of the PGY-1 year.
(3) When the AOA approves the ACGME residency’s PGY-1 year for educational equivalency and denies the demonstration of good cause for having taken the ACGME residency, the Board of Osteopathic Medicine shall review the applicant’s demonstration of good cause. Good cause for having taken a non-AOA approved rotating internship shall be:
(a) Personal limitation created by a documented physical or medical disability.
(b) Unique documented opportunity otherwise unavailable that meets a practice area of critical need.
(c) Documented legal restriction which requires physical presence in a particular state or local area.
(d) Documented unusual or exceptional family circumstances which limit training opportunities.
(e) Previous program met all AOA requirements but, due to documented circumstances beyond the control of the applicant, was discontinued.
(f) Documented inability to relocate to another geographic area without undue hardship.
(g) Documented inability to obtain an AOA rotating internship.
(4) Any applicant who completes an ACGME-approved residency shall be deemed to have met the educational equivalence of an AOA rotating internship. It shall remain the responsibility of the applicant to demonstrate good cause, as defined above, for having not taken an AOA-approved internship.

 

[okayplayer]

Thanks man, appreciate it. Here was the AOA response to my inquiry on the topic:

Dear Dr.:

Thank you for contacting the AOA regarding your situation and how you will be affected by the merger. Many trainees are wondering what will happen to the traditional osteopathic rotating internship required in some states, including whether it will become a transitional year for ACGME purposes. This will be determined in discussions with ACGME, but it is certainly possible that the Residency Review Committee that oversees transitional year programs will also be responsible for current AOA-accredited rotating internships. However, some state licensing boards may choose to do away with the internship requirement if discussions are successful on the unified accreditation system.

As you mention, Resolution 42 is the current mechanism used by the AOA to evaluate DOs who have trained in ACGME programs for their PGY1 year for approval as satisfying the requirements of OGME1 year. Resolution 42 will remain available for the foreseeable future for DOs who are currently completing or have already completed ACGME training. After implementation of a unified accreditation system in July 2015, the AOA will reevaluate the situation and determine if Resolution 42 will still be needed.

Thus, since you will both be graduating before the unified system launches in 2015, Resolution 42 will still be the mechanism you will need to use to have your PGY1 year approved as an OGME1 year if you plan to practice in one of the states that requires the internship.

We understand that the osteopathic community will have many more questions on this issue as it evolves over the next three years. Osteopathic.org has a wealth of information, including “Frequently Asked Questions” and a timeline of events. We will be sharing information with the osteopathic family as it is developed. Above all, preserving OGME and protecting the future of the osteopathic medical profession remain our top goals.

Best regards,

Amy Bolivar
Manager of Executive Projects and Communications
AMERICAN OSTEOPATHIC ASSOCIATION
142 E. Ontario St.
Chicago, IL 60611-2864
Toll free: (800) 621-1773, ext. 8004
Phone: (312) 202-8004
Fax: (312) 202-8304
www.osteopathic.org
Find the AOA on Facebook, Twitter, and

 

[TriagePreMed]

The webcast they had said that resolution 42 will be eliminated as no longer will there be a need for an AOA internship since all will be accredited under the same body. Remember, they won't be "dually accredited." They will be completely accredited by a new body even if the "originally AOA" residencies will retain their osteopathic focus.

 

[Igor4sugry]

I would participate in an osteopathic conference in the next 6 months. Then get all the required paperwork from your & your wife's PD. And apply for Resolution 42.
Much easier to get it all done now.

 

[IDBasco]

I've never heard of anyone having trouble getting their intern year approved. More hassle, sure, but I don't think there is anything to worry about.