OSTEOPATHIC UPDATES/FAQ'Spafp.com/Documents/2019_PDWksp_Osteopathic_Update.pdfOSTEOPATHIC...

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OSTEOPATHIC UPDATES/FAQ'S Jackie Weaver-Agostoni, DO, MPH, FACOFP Program Director, UPMC Shadyside Family Medicine Residency PAFP Assembly of Program Directors Faculty Development Workshop September 13, 2019

Transcript of OSTEOPATHIC UPDATES/FAQ'Spafp.com/Documents/2019_PDWksp_Osteopathic_Update.pdfOSTEOPATHIC...

Page 1: OSTEOPATHIC UPDATES/FAQ'Spafp.com/Documents/2019_PDWksp_Osteopathic_Update.pdfOSTEOPATHIC UPDATES/FAQ'S Jackie Weaver-Agostoni, DO, MPH, FACOFP Program Director, UPMC Shadyside Family

OSTEOPATHIC UPDATES/FAQ'S

Jackie Weaver-Agostoni, DO, MPH, FACOFP

Program Director, UPMC Shadyside Family Medicine Residency

PAFP Assembly of Program Directors Faculty Development Workshop

September 13, 2019

Page 2: OSTEOPATHIC UPDATES/FAQ'Spafp.com/Documents/2019_PDWksp_Osteopathic_Update.pdfOSTEOPATHIC UPDATES/FAQ'S Jackie Weaver-Agostoni, DO, MPH, FACOFP Program Director, UPMC Shadyside Family

Agenda

1. ACGME/Osteopathic Statistics

2. Current Status of the Combined Match

3. COMLEX Updates

4. ITE Updates

5. Osteopathic Board Certification Updates

6. PA Requirement for Osteopathic Internship

Page 3: OSTEOPATHIC UPDATES/FAQ'Spafp.com/Documents/2019_PDWksp_Osteopathic_Update.pdfOSTEOPATHIC UPDATES/FAQ'S Jackie Weaver-Agostoni, DO, MPH, FACOFP Program Director, UPMC Shadyside Family

ACGME/Osteopathic Statistics◦ Last update from Dr. Nasca's presentation to AOA House of Delegates July 26,

2019

◦ Addition of six DOs in various key roles on the ACGME Board of Directors

◦ Two more to join the Board upon completion of the transition next year

◦ The ACGME Review and Recognition Committees now include 67 osteopathic physicians, including four chairs and four vice chairs.

◦ Ninety-two percent of AOA-approved programs that have applied have been accredited by the ACGME

◦ As of beginning of Aug, 219 programs have Osteopathic Recognition (OR) or have applied

◦ 15% OR are previously just ACGME

ACGME Website: https://www.acgme.org/Newsroom/Newsroom-Details/articleId/9545 and POFPS Conference Report

Page 4: OSTEOPATHIC UPDATES/FAQ'Spafp.com/Documents/2019_PDWksp_Osteopathic_Update.pdfOSTEOPATHIC UPDATES/FAQ'S Jackie Weaver-Agostoni, DO, MPH, FACOFP Program Director, UPMC Shadyside Family

2019 PA FM Match Data◦ Total Number of Positions: 214

◦ Positions Filled: 189

◦ US Current MD Grads: 95

◦ US Past Grads: 3

◦ DOs: 33 (17.5%)

◦ US IMG: 35 (18.5%)

◦ IMG: 22 (11.6%)

◦ Canada: 1

◦ % filled by US Seniors: 44.4

◦ Total % filled: 88.3

https://mk0nrmp3oyqui6wqfm.kinstacdn.com/wp-content/uploads/2019/04/Match-Rate-by-Specialty-and-State-2019-1.pdf

Page 5: OSTEOPATHIC UPDATES/FAQ'Spafp.com/Documents/2019_PDWksp_Osteopathic_Update.pdfOSTEOPATHIC UPDATES/FAQ'S Jackie Weaver-Agostoni, DO, MPH, FACOFP Program Director, UPMC Shadyside Family

Combined Match

◦ 2020 will be the first

◦ OR Track vs. Entire Program

https://thedo.osteopathic.org/2019/06/the-nrmp-2020-match-and-eras-timeline-for-residency-applicants/

Page 6: OSTEOPATHIC UPDATES/FAQ'Spafp.com/Documents/2019_PDWksp_Osteopathic_Update.pdfOSTEOPATHIC UPDATES/FAQ'S Jackie Weaver-Agostoni, DO, MPH, FACOFP Program Director, UPMC Shadyside Family

COMLEX Updates◦ Updated the exam starting in 2018, and now all portions updated

◦ Updates based on 10 years of work in evidence-based design

◦ Passing score = 400

◦ Steps 1 and 2 scores between 500-540 tend to be 50th percentile

◦ Really good for all specialties = 600+ (80th percentile)

◦ Osteopathic medical schools vary re: USMLE requirements

◦ Likely COMLEX will continue

◦ AMA officially recognizes COMLEX as equivalent to USMLE

◦ ACGME acknowledges both

https://thedo.osteopathic.org/2018/12/ama-officially-recognizes-comlex-as-equivalent-to-usmle/

Page 7: OSTEOPATHIC UPDATES/FAQ'Spafp.com/Documents/2019_PDWksp_Osteopathic_Update.pdfOSTEOPATHIC UPDATES/FAQ'S Jackie Weaver-Agostoni, DO, MPH, FACOFP Program Director, UPMC Shadyside Family

COMLEX and USMLE

◦ Formulas to convert COMLEX to USMLE exist- Use Caution!

◦ The USMLE Step 1 scores, on average, were higher than those predicted by the

formulas derived by Slocum and Louder and by Sarko et al.

◦ Here is the link to the COMLEX-USA score converter. If an applicant includes a

COMLEX-USA transcript as part of their application, you will also find the score

converter link under the "Exams/Licenses" tab in View Applications.

Slocum PC, Louder JS. How to predict USMLE scores from COMLEX-USA scores: a guide for directors of ACGME-accredited residency programs. JAm Osteopath Assoc. 2006;106(9):568–569.

Lee AS, Chang L, Feng E, et al. Reliability and Validity of Conversion Formulas Between Comprehensive Osteopathic Medical Licensing Examination of the United States Level 1 and United States Medical Licensing Examination Step 1. JGME. 2014:280-283. Available at: https://www.jgme.org/doi/pdf/10.4300/JGME-D-13-00302.1.ERAS PDWS User Digest for Wednesday September 4, 2019.

Page 8: OSTEOPATHIC UPDATES/FAQ'Spafp.com/Documents/2019_PDWksp_Osteopathic_Update.pdfOSTEOPATHIC UPDATES/FAQ'S Jackie Weaver-Agostoni, DO, MPH, FACOFP Program Director, UPMC Shadyside Family

Formative Assessment Exams (ITE's)

◦ ABFM

◦ ACOFP

◦ CORTEX

Page 9: OSTEOPATHIC UPDATES/FAQ'Spafp.com/Documents/2019_PDWksp_Osteopathic_Update.pdfOSTEOPATHIC UPDATES/FAQ'S Jackie Weaver-Agostoni, DO, MPH, FACOFP Program Director, UPMC Shadyside Family

Formative Assessment Exams◦ In-Service Exam Plus (ISE+)- new formative exam that will fulfill the AOA basic standard

and ACGME requirements. It also includes an osteopathic component that will fulfill ACGME’s OPP/OMM formative assessment requirement for programs that have Osteopathic Recognition (OR). This is open to DOs, INTERNS AND MDs in AOA ACCREDITED and ACGME ACCREDITED programs WITH OSTEOPATHIC RECOGNITION.

The traditional ACOFP In-Service Exam (ISE) is a formative exam that will fulfill the AOA basic standard and will fulfill ACGME’s formative assessment requirement for programs without OR. This is open to DOs, INTERNS AND MDs.

◦ CORTEx (Clinical Osteopathic Recognition Training Exam) is a formative stand-alone OPP/OMM exam that will fulfill the Osteopathic Recognition ACGME requirement. This is open to DOs, INTERNS AND MDs in AOA ACCREDITED and ACGME ACCREDITED programs WITH OSTEOPATHIC RECOGNITION.

https://www.acofp.org/acofpimis/Acofporg/Members/Program_Directors/Acofporg/Program_

Directors/Residency_Program_Directors.aspx?hkey=4e598c68-8175-4e2e-b39f-16d3a49990fd

Page 10: OSTEOPATHIC UPDATES/FAQ'Spafp.com/Documents/2019_PDWksp_Osteopathic_Update.pdfOSTEOPATHIC UPDATES/FAQ'S Jackie Weaver-Agostoni, DO, MPH, FACOFP Program Director, UPMC Shadyside Family

Family Medicine Boards

◦ ABFM/AOBFP- one or both?

Page 11: OSTEOPATHIC UPDATES/FAQ'Spafp.com/Documents/2019_PDWksp_Osteopathic_Update.pdfOSTEOPATHIC UPDATES/FAQ'S Jackie Weaver-Agostoni, DO, MPH, FACOFP Program Director, UPMC Shadyside Family

Approval of non-AOA postdoctoral training

◦ If you completed residency or fellowship training in an ACGME program,

applying for AOA recognition of your training allows you to be eligible for AOA

board certification in your specialty. You’ll also need to obtain it if you:

◦ Plan to practice in Florida or Pennsylvania, since these states require DOs to have

completed an OGME-1 year in order to become licensed. (Michigan and Oklahoma

no longer require DOs to have completed an AOA-approved internship for

licensure.)

◦ Are a resident physician who is transferring from an ACGME residency program to an

AOA residency program.

Available at: https://osteopathic.org/residents/recognition-of-training

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Early Entry Certification (EEC)

• Starts Jan 2020

• Any PGY-3's who have "successfully complete two ACOFP in-service exams" (as

approved by the PD) can sit in January for an abbreviated/less expensive version of

the ABOFP exam.

• Practical will now be optional nationally• Certificates will either say Board Certified in Family Medicine or Board Certified in Family

Medicine and OMT.

• Passing the early exam will also fulfill the first 3 years of OCC requirements

(theoretically)

Page 13: OSTEOPATHIC UPDATES/FAQ'Spafp.com/Documents/2019_PDWksp_Osteopathic_Update.pdfOSTEOPATHIC UPDATES/FAQ'S Jackie Weaver-Agostoni, DO, MPH, FACOFP Program Director, UPMC Shadyside Family

ANY QUESTIONS?