Abstract
The 5 year transition period for American Osteopathic Association (AOA) training programs to apply for and receive Accreditation Council for Graduate Medical Education (ACGME) accreditation (i.e.,the single graduate medical education system) was completed June 30, 2020. Of the previously AOA accredited programs that applied for or received osteopathic recognition (OR), only 24.5% are nonprimary care specialty programs according to the ACGME. The reluctance of specialty programs to apply for OR may be because osteopathic principles and practices (OPP) are not assessed. In order for programs to receive OR, they must have a standard method of assessment to assess osteopathic knowledge, including OPP and osteopathic manipulative treatment. In this Commentary, based on our assessment of the results of a literature review, we propose a model to provide a focused osteopathic assessment for the purposes of maintaining OR within residency training based on the ACGME six core competencies. Examples of multiple choice and essay questions are provided, as is a rubric for grading. The model is applied to the field of dermatology in this article and could serve as a blueprint to other subspecialties. With this framework, collaboration among programs will streamline the process to obtain OR in the ACGME single accreditation system.
Highlights
The 5 year transition period for American Osteopathic Association (AOA) training programs to apply for and receive Accreditation Council for Graduate Medical Education (ACGME) accreditation was completed June 30, 2020
In this Commentary, based on our assessment of the results of a literature review, we propose a model to provide a focused osteopathic assessment for the purposes of maintaining osteopathic recognition (OR) within residency training based on the ACGME six core competencies
As of December 27, 2020, 743 formerly AOA accredited residency programs had applied for accreditation through the ACGME; 253 (34.1%) of those programs applied for OR [5], meaning that 490 (65.9%) formerly AOA accredited programs do not maintain OR as of this report
Summary
Utilizing the 2009 PRISMA guidelines [14], a literature search was performed on February 23, 2020 by one author (S.M.) in MEDLINE/PubMed database with the following search string: “osteopathic” and “recognition” (Figure 1); 219 articles were found. A perfect score would be five out of five in all seven domains, totaling 35 out of 35 possible points per essay response to indicate expert knowledge, utilization of OPP, and patient management (Table 3) This same grading system could be used on clinical evaluations upon the conclusion of clinical rotations. As noted in the “Background and Intent” section of the OR requirements [16], the goal of implementing standardized assessments is to provide osteopathic faculty and residents with information that allows for comparison of resident knowledge acquisition and progression This information will be utilized both internally (for longitudinal evaluation during residency) and externally (across residency programs). This centralization process is not currently available, nor being implemented anywhere
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