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Pros and Cons of Dual Accreditation

Pros and Cons of Dual Accreditation. John B. Bulger, DO, FACOI, FACP Director, Osteopathic Medical Education Geisinger Health System AACOM Annual Meeting June 25, 2004. Overview. Is there a crisis? What do the numbers show? What are the pragmatic challenges to getting from here to there?

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Pros and Cons of Dual Accreditation

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  1. Pros and Cons of Dual Accreditation John B. Bulger, DO, FACOI, FACP Director, Osteopathic Medical EducationGeisinger Health System AACOM Annual MeetingJune 25, 2004

  2. Overview • Is there a crisis? What do the numbers show? • What are the pragmatic challenges to getting from here to there? • Why would a hospital do this? • Vision for the future – integrated medical education system which maintains osteopathic distinctiveness

  3. Is there a crisis?

  4. That depends on your perspective…

  5. AOA/ACGME Task Force

  6. DO’s in ACGME programs 6.0% 2.9% JAMA. 2003;290:1197-1202.

  7. DO’s in ACGME programs 5% 14% 7% 2% 5% 2% JAMA. 2003;290:1197-1202.

  8. DO’s in ACGME programs JAMA. 2003;290:1197-1202.

  9. Overview • Is there a crisis? What do the numbers show? • What are the practical challenges to getting from here to there? • Why would a hospital do this? • Vision for the future – integrated medical education system which maintains osteopathic distinctiveness

  10. ACGME program fees • 5 or fewer residents = $2000 • 6 or more residents = $2500 • this yearly fee includes institution, site reviews, etc. • extra charges except for new application fees, appeal fees, etc.

  11. AOA program fees • $300 per program • $120 per trainee • PLUS…

  12. OPTI fees • $5000 membership fee plus • $255 per intern • $255 per resident • PLUS…

  13. Extras • AOA Dues = $60 per trainee • AOA Dues for DME = $655 • AODME Dues for DME = $300 • DME Travel to AODME • COH Dues = $2500 (optional)

  14. Our Example

  15. PD requirements • Internship program directors and residency program directors must be: • AOA board certified • AOA members • Osteopathic specialty college members

  16. Board certification • 80% rule • If you have enough DO’s – this can be a challenge • Year 1 – 1:2, 50% • Year 2 – 1:1, 66% • Year 3 – 6:6, 89%, but if 5:6, 78%

  17. Overview • Is there a crisis? What do the numbers show? • What are the practical challenges to getting from here to there? • Why would a hospital do this? • Vision for the future – integrated medical education system which maintains osteopathic distinctiveness

  18. Recruitment What are residency programs looking for? • Competent communication skills • Possibility for staff recruitment • Proven commodity

  19. Recruitment • $15,000 - $25,000 for primary care • Up to $50,000 for certain specialists

  20. Recruitment AOA/ACGME Task Force

  21. IMG’s in ACGME programs 26% 24% JAMA. 2003;290:1197-1202.

  22. IMG’s in ACGME programs 46% 14% 51% 7% 16% 10% 13% 6% JAMA. 2003;290:1197-1202.

  23. Overview • Is there a crisis? What do the numbers show? • What are the practical challenges to getting from here to there? • Why would a hospital do this? • Vision for the future – integrated medical education system which maintains osteopathic distinctiveness

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