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Area of Science:

  • Graduate Medical Education
  • Osteopathic Medicine
  • Accreditation Systems

Background:

  • The American Osteopathic Association (AOA) and American Association of Colleges of Osteopathic Medicine (AACOM) partnered with the Accreditation Council for Graduate Medical Education (ACGME) in 2014 to establish the Single Accreditation System (SAS).
  • This transition was driven by the growth of osteopathic medical schools, a shortage of osteopathic graduate medical education (GME) positions, and challenges within the existing accreditation framework.
  • Osteopathic teaching institutions were tasked with meeting ACGME standards from 2015 to 2020, including program sponsorship and educational leadership decisions.

Purpose of the Study:

  • To evaluate the impact of the AOA's transition to the ACGME SAS on osteopathic GME.
  • To assess the success of osteopathic GME programs in obtaining ACGME accreditation and Osteopathic Recognition.
  • To analyze the potential long-term consequences for the osteopathic profession, including leadership opportunities and specialty board certification.

Main Methods:

  • Analysis of osteopathic GME programs' transition to ACGME accreditation between 2014-2015 and June 1, 2020.
  • Examination of program changes, including reductions in surgical and subspecialty programs.
  • Assessment of the uptake of Osteopathic Recognition and the presence of DOs in educational leadership roles.

Main Results:

  • Approximately 72.5% of eligible osteopathic GME programs achieved ACGME accreditation by the 2020 deadline.
  • Significant reductions were observed in surgical and subspecialty programs, alongside a notable decrease in DOs holding educational leadership positions.
  • A low percentage of ACGME-accredited programs pursued Osteopathic Recognition, indicating limited engagement with this option.

Conclusions:

  • The AOA relinquished direct control over its GME accreditation system and relationship with residents and institutions to secure GME opportunities within the ACGME SAS.
  • Risks associated with this transition include diminished DO leadership roles, lower-than-anticipated interest in Osteopathic Recognition, and potential decreased engagement with osteopathic organizations.
  • The ultimate success of this transition and its impact on the osteopathic profession will depend on future choices made by DO trainees within ACGME-accredited programs.