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Medical Education  |   February 2006
Osteopathic Graduate Medical Education
Author Notes
  • From the Division of Postdoctoral Training in the Department of Education, American Osteopathic Association. 
  • Please address correspondence to Joyce L. Obradovic, Department of Education, American Osteopathic Association, 142 E Ontario St, Chicago, IL 60611-2864E-mail: jobradovic@osteopathic.org 
Article Information
Medical Education / Graduate Medical Education
Medical Education   |   February 2006
Osteopathic Graduate Medical Education
The Journal of the American Osteopathic Association, February 2006, Vol. 106, 59-68. doi:10.7556/jaoa.2006.106.2.59
The Journal of the American Osteopathic Association, February 2006, Vol. 106, 59-68. doi:10.7556/jaoa.2006.106.2.59
In the past 3 years, since the September 2003 launch of the new Trainee Information, Verification, and Registration Audit (TIVRA) system—and in line with the American Osteopathic Association's (AOA) original projections—there has been a steadily increasing level of compliance from osteopathic internship and residency programs reporting required data to the AOA's division of postdoctoral training. The most recent and dramatic increase in these compliance levels appears to be the direct result of several osteopathic postdoctoral training institutions (OPTIs) introducing assistive software—either proprietary or self-designed—to their consortia, enabling more rapid and accurate processing of the data required by the TIVRA system. 
Annual data on osteopathic graduate medical education (OGME) is also reported based on the AOA's Intern/Resident Registration Program (ie, the “Match”). When compared with the data reported for the class of 2003 in THE JOURNAL's Osteopathic Medical Education 2004 issue,1 there has been a 5% increase in the number of graduates from colleges of osteopathic medicine (COMs) in the class of 2004. Concurrently, there has been an increase of 2.5% for approved internships available to these graduates during this time. 
So-called match rates through the AOA's Intern/Resident Registration Program have remained relatively steady at 48%, with 93% of participating COM graduates being matched to their first choice training program. For match participants, the majority (65%) seek and obtain traditional rotating internships, followed by internships in family practice (10%), internal medicine (10%), and emergency medicine (6%). 
Trainee Information, Verification, and Registration Audit
The AOA division of postdoctoral training launched the TIVRA system in September 2003 to replace the previous paper-based protocol for osteopathic internship and residency programs, all of which were required by the AOA to (1) submit signed intern and resident contracts to the AOA; (2) verify the status of all osteopathic medical interns, residents, and fellows who have completed training in the previous academic year; and (3) update AOA records with any program changes. Without this vital information from osteopathic internship and residency programs, the AOA is unable to finalize the certification process for osteopathic trainees. One additional advantage of the new system over the old paper-based system is that TIVRA allows the AOA to track the educational progression of osteopathic trainees from the moment they enter an internship or residency program. 
Strong, accurate, and verifiable OGME data is critical to the osteopathic medical community, which relies on the regular and accurate reporting of this information. The AOA's division of postdoctoral training provides statistics—based directly on TIVRA data—that are used by the Association for the following purposes: 
  • to define the osteopathic medical profession in terms of potential workforce strength,
  • to document trends in the various medical specialties,
  • to record internship and residency program “fill rates,”
  • to allow the Association to anticipate future shortages of OGME programs, and
  • to report on OGME positions funded through the Center for Medicare and Medicaid Services (CMS).
Finally, because it is not in the purview of the AOA to track allopathic training data for COM graduates, the OGME data available to the division of postdoctoral training allows the Association to make more accurate assumptions about the number of physicians who have opted to receive their residency training through programs accredited by the Accreditation Council for Graduate Medical Education (ACGME). 
In fact, low compliance rates with TIVRA reporting methods have had a direct impact on the “hassle factor” for osteopathic physicians. For example, some specialties (eg, family practice) allow their residents to take certifying examinations 6 months prior to graduation. However, when the internship and residency programs have not verified training completion for physicians, board certification certificates cannot be released. In addition, with regard to AOA advocacy efforts, data accuracy is needed when the AOA lobbies Capital Hill for issues concerning OGME (M.J. Hardy, JD, oral communication, January 2006). 
Accurate reporting of TIVRA data from the osteopathic internship and residency programs ensures the AOA's ability to represent the vitality and growth of the profession accurately. In the past, incomplete reporting on the part of osteopathic internship and residency programs may have underrepresented the strength of OGME in the United States, leading the programs themselves—as well as their constituents (eg, specialty colleges and COMs)—to make inaccurate conclusions based on the data presented by the AOA. 
For these reasons, the AOA determined that it was essential to establish a target date for osteopathic internship and residency programs to achieve a level of 100% compliance with TIVRA reporting methods. On the inception of TIVRA, the goal for compliance was set at 2007—and every year subsequent. As of publication, the division of postdoctoral training is pleased to announce that this goal seems well within reach. 
At the end of 2003, the AOA had 746 approved internship and residency programs, for a combined total of 7567 approved internship and residency positions. Out of those 746 internship and residency programs, however, the AOA noted a compliance rate of 45% for TIVRA reports. 
The AOA had 782 approved internship and residency programs in 2004, representing a total of 7817 approved positions. For that year, the AOA noted a compliance rate of 59% for the required TIVRA reports. 
In 2005, the AOA had 843 approved internship and residency programs, for a total of 8370 positions. For the 843 programs approved, the division of postdoctoral training recorded a TIVRA compliance rate of 93%. 
The division of postdoctoral training believes that the 34% increase in compliance rates seen in 2005 was due mainly to the diligence of two OPTIs: the OPTI partners of the Centers for Osteopathic Research and Education in Athens, Ohio, and the Statewide Campus System/Michigan State University College of Osteopathic Medicine (MSUCOM) OPTI in East Lansing. Both consortia were able to make use of systems for data importation that reduced the amount of manual entry required by consortia partners to provide comprehensive records to the AOA through TIVRA. As noted, one OPTI purchased proprietary software with data fields that match the data collected by TIVRA, while the other chose to design and create their own software to serve the same purpose. 
Since its inception in 2003, the TIVRA system has undergone annual revisions aimed at improving usability and the overall quality of the data collected. Past improvements have included: 
  • a help guide,
  • a toll-free telephone help line,
  • an e-mail address for end-user support,
  • data validation features,
  • a Copy function to reduce manual input,
  • a TIVRA report, and
  • additional import functions for some users.
Future versions of TIVRA are currently under development to assist the end-user's ability to import the most current OGME data. 
Although the division of postdoctoral training introduces updates and improvements to TIVRA each year to assist end users, it is the hope of the AOA that more OPTIs will seek to serve their partners in the role of facilitators in 2006, leading to a similar increase in their OPTI compliance levels in the TIVRA program. 
Match Data and OGME Program Data
When reviewing the data presented in this annually published JAOA article, readers are asked to note that the statistics related to the AOA's Intern/Resident Registration Program (ie, the “Match”) (Table 1 through Table 4) are generated at the conclusion of each match cycle (ie, February), months before the beginning of each academic year. 
Table 1
Number of Graduates From Colleges of Osteopathic Medicine and the Number of Osteopathic Medical Internship Positions Approved by the American Osteopathic Association: 5-Year Comparison


Year
Graduates and Internship Positions
2000
2001
2002
2003
2004
Graduates, Colleges of Osteopathic Medicine, No.24402544260226282769
□ Graduates Taking Osteopathic Internship Positions, No. (%)*1450 (59)1449 (57)1470 (56)1440 (55)1454 (53)
Osteopathic Medical Internship Positions
□ Approved, No.23192399247326562616
□ Funded, No.18141876198921302147
— Funded and Filled, %8077746868
 Source: Division of Postdoctoral Training, American Osteopathic Association, June 30, 2004. Data for the years 2000-2003 have been reported in JAOA—The Journal of the American Osteopathic Association.1-4
 *Data shown include military match and postmatch participants. For the 5-year period shown, the number of military postmatch participants was 145, 179, 158, 167, and 249, respectively.
Table 1
Number of Graduates From Colleges of Osteopathic Medicine and the Number of Osteopathic Medical Internship Positions Approved by the American Osteopathic Association: 5-Year Comparison


Year
Graduates and Internship Positions
2000
2001
2002
2003
2004
Graduates, Colleges of Osteopathic Medicine, No.24402544260226282769
□ Graduates Taking Osteopathic Internship Positions, No. (%)*1450 (59)1449 (57)1470 (56)1440 (55)1454 (53)
Osteopathic Medical Internship Positions
□ Approved, No.23192399247326562616
□ Funded, No.18141876198921302147
— Funded and Filled, %8077746868
 Source: Division of Postdoctoral Training, American Osteopathic Association, June 30, 2004. Data for the years 2000-2003 have been reported in JAOA—The Journal of the American Osteopathic Association.1-4
 *Data shown include military match and postmatch participants. For the 5-year period shown, the number of military postmatch participants was 145, 179, 158, 167, and 249, respectively.
×
Table 4
American Osteopathic Association Intern/Resident Registration Program Intern Match Summary for the Class of 2004 by Colleges of Osteopathic Medicine and Program Type


Colleges of Osteopathic Medicine, No. (%)*
Internship Program Type
DMU/COM
KCOM/ATSU
KCUMBCOM
LECOM
MSUCOM
MWU/AZCOM
MWU/CCOM
NSUCOM
NYCOM/NYIT
OSUCOM
OUCOM
PCOM
PCSOM
TCOM
TUCOMCA
UMDNJSOM
UNECOM
Western U/COMP
WVSOM
Total
Anesthesiology02 (4)2 (3)02 (2)00001 (2)1 (2)000000008 (1)
Diagnostic radiology 0 0 2 (3) 0 2 (2) 0 0 0 0 0 0 0 0 0 1 (3) 0 0 0 0 5 (<1)
Emergency medicine4 (7)3 (6)6 (8)2 (2)7 (6)1 (4)11 (20)5 (6)15 (13)4 (9)1 (2)3 (2)001 (3)1 (2)2 (6)1 (2)2 (4)69 (6)
Family practice 9 (16) 4 (8) 8 (10) 7 (8) 9 (8) 6 (21) 3 (5) 9 (11) 16 (14) 10 (21) 7 (13) 11 (7) 1 (6) 4 (14) 3 (10) 3 (6) 3 (9) 3 (7) 4 (8) 120 (10)
Internal medicine3 (5)5 (10)7 (9)14 (15)12 (10)2 (7)2 (4)5 (6)6 (5)4 (9)8 (14)17 (10)4 (22)4 (14)2 (7)12 (24)1 (3)2 (5)6 (13)116 (10)
Internal medicine (Pediatrics) 0 0 0 0 0 0 0 0 0 0 0 1 (1) 0 0 0 0 0 0 0 1 (<1)
Obstetrics and gynecology2 (4)2 (4)3 (4)1 (1)6 (5)03 (5)3 (4)1 (1)2 (4)03 (2)04 (14)2 (7)000032 (3)
Otolaryngology and facial plastic surgery 1 (2) 3 (6) 2 (3) 1 (1) 3 (2.5) 1 (4) 1 (2) 0 0 0 1 (2) 0 0 0 0 1 (2) 0 0 0 14 (1)
Pediatrics3 (5)1 (2)1 (1)3 (3)1 (1)1 (4)01 (1)5 (4)3 (6)07 (4)01 (3)1 (3)3 (6)003 (6)34 (3)
Psychiatry 0 0 0 0 2 (2) 0 1 (2) 0 0 0 0 1 (1) 0 0 1 (3) 1 (2) 0 0 0 6 (1)
Traditional rotating33 (58)29 (57)46 (58)64 (70)69 (58)17 (61)34 (61)59 (72)71 (62)22 (47)38 (68)120 (74)12 (67)16 (55)19 (63)28 (57)26 (81)38 (86)33 (69)774 (65)
Surgery 2 (4) 2 (4) 3 (4) 0 5 (4) 0 1 (2) 0 1 (1) 1 (2) 0 0 0 0 0 0 0 0 0 15 (1)
Urological surgery 0
0
0
0
1 (1)
0
0
0
0
0
0
0
1 (6)
0
0
0
0
0
0
2 (<1)
Matched, No. 51 57 80 92 119 28 56 82 115 47 56 163 18 29 30 49 32 44 48 1196
 Source: Data provided by the National Matching Service, February 10, 2004.
 *The full names of the colleges of osteopathic medicine appear in the appendix with their abbreviations on pages 97-99 of this issue of JAOA—The Journal of the American Osteopathic Association.
 Indicates specialty track internship specialties. Except for traditional rotating internships, all other internship program types listed are special emphasis internship specialties. Pathology, though it is not included in this table, is also a special emphasis internship specialty.
 A total of 1196 graduates from colleges of osteopathic medicine in 2004 participated in the American Osteopathic Association's student match program and were matched to internships. This total does not include military match participants.
Table 4
American Osteopathic Association Intern/Resident Registration Program Intern Match Summary for the Class of 2004 by Colleges of Osteopathic Medicine and Program Type


Colleges of Osteopathic Medicine, No. (%)*
Internship Program Type
DMU/COM
KCOM/ATSU
KCUMBCOM
LECOM
MSUCOM
MWU/AZCOM
MWU/CCOM
NSUCOM
NYCOM/NYIT
OSUCOM
OUCOM
PCOM
PCSOM
TCOM
TUCOMCA
UMDNJSOM
UNECOM
Western U/COMP
WVSOM
Total
Anesthesiology02 (4)2 (3)02 (2)00001 (2)1 (2)000000008 (1)
Diagnostic radiology 0 0 2 (3) 0 2 (2) 0 0 0 0 0 0 0 0 0 1 (3) 0 0 0 0 5 (<1)
Emergency medicine4 (7)3 (6)6 (8)2 (2)7 (6)1 (4)11 (20)5 (6)15 (13)4 (9)1 (2)3 (2)001 (3)1 (2)2 (6)1 (2)2 (4)69 (6)
Family practice 9 (16) 4 (8) 8 (10) 7 (8) 9 (8) 6 (21) 3 (5) 9 (11) 16 (14) 10 (21) 7 (13) 11 (7) 1 (6) 4 (14) 3 (10) 3 (6) 3 (9) 3 (7) 4 (8) 120 (10)
Internal medicine3 (5)5 (10)7 (9)14 (15)12 (10)2 (7)2 (4)5 (6)6 (5)4 (9)8 (14)17 (10)4 (22)4 (14)2 (7)12 (24)1 (3)2 (5)6 (13)116 (10)
Internal medicine (Pediatrics) 0 0 0 0 0 0 0 0 0 0 0 1 (1) 0 0 0 0 0 0 0 1 (<1)
Obstetrics and gynecology2 (4)2 (4)3 (4)1 (1)6 (5)03 (5)3 (4)1 (1)2 (4)03 (2)04 (14)2 (7)000032 (3)
Otolaryngology and facial plastic surgery 1 (2) 3 (6) 2 (3) 1 (1) 3 (2.5) 1 (4) 1 (2) 0 0 0 1 (2) 0 0 0 0 1 (2) 0 0 0 14 (1)
Pediatrics3 (5)1 (2)1 (1)3 (3)1 (1)1 (4)01 (1)5 (4)3 (6)07 (4)01 (3)1 (3)3 (6)003 (6)34 (3)
Psychiatry 0 0 0 0 2 (2) 0 1 (2) 0 0 0 0 1 (1) 0 0 1 (3) 1 (2) 0 0 0 6 (1)
Traditional rotating33 (58)29 (57)46 (58)64 (70)69 (58)17 (61)34 (61)59 (72)71 (62)22 (47)38 (68)120 (74)12 (67)16 (55)19 (63)28 (57)26 (81)38 (86)33 (69)774 (65)
Surgery 2 (4) 2 (4) 3 (4) 0 5 (4) 0 1 (2) 0 1 (1) 1 (2) 0 0 0 0 0 0 0 0 0 15 (1)
Urological surgery 0
0
0
0
1 (1)
0
0
0
0
0
0
0
1 (6)
0
0
0
0
0
0
2 (<1)
Matched, No. 51 57 80 92 119 28 56 82 115 47 56 163 18 29 30 49 32 44 48 1196
 Source: Data provided by the National Matching Service, February 10, 2004.
 *The full names of the colleges of osteopathic medicine appear in the appendix with their abbreviations on pages 97-99 of this issue of JAOA—The Journal of the American Osteopathic Association.
 Indicates specialty track internship specialties. Except for traditional rotating internships, all other internship program types listed are special emphasis internship specialties. Pathology, though it is not included in this table, is also a special emphasis internship specialty.
 A total of 1196 graduates from colleges of osteopathic medicine in 2004 participated in the American Osteopathic Association's student match program and were matched to internships. This total does not include military match participants.
×
In addition, statistics related to approved internship and residency programs and the osteopathic trainees filling those programs (Table 5 and Table 6) are generated at the end of each academic year (ie, May). 
Table 5
American Osteopathic Association Registration Program: Number of Approved Osteopathic Medical Internship Positions by State and Academic Year *


Academic Year
State
2000-2001
2001-2002
2002-2003
2003-2004
2004-2005
Alabama50088
Arizona 41 47 41 37 37
Arkansas99988
California 80 92 68 80 77
Colorado71111118
Connecticut 15 13 15 13 13
Delaware814141919
Florida 146 146 146 164 156
Georgia1111111111
Illinois 105 87 80 122 132
Indiana1914191516
Iowa 20 20 6 10 10
Kansas1212122424
Kentucky 60 66 32 44 44
Louisiana02022
Maine 25 25 25 27 27
Massachusetts2828282222
Michigan 402 421 392 477 503
Minnesota0401414
Mississippi 6 6 0 6 6
Missouri6666666557
Nevada 6 6 6 10 32
New Hampshire00044
New Jersey 174 178 178 188 201
New Mexico44044
New York 380 429 423 388 386
North Carolina04088
Ohio 240 240 240 248 251
Oklahoma5660607964
Oregon 7 7 7 7 0
Pennsylvania434476463436470
South Carolina 0 0 0 4 4
Tennessee0100014
Texas 58 62 62 71 52
Virginia1812121928
Washington 4 4 0 0 0
West Virginia4346477176
Wisconsin 0 15 0 23 23
Wyoming 0
0
0
4
4
Total 2489 2647 2473 2743 2815
 Source: Training Programs by State: Year-End Reports (taken annually on May 31), Division of Postdoctoral Training, American Osteopathic Association.
 *Data shown represent the number of positions approved by the American Osteopathic Association's Council on Osteopathic Postdoctoral Training for the academic year indicated. Osteopathic medical internship positions are not currently approved in the District of Columbia or in the following eleven states: Alaska, Hawaii, Idaho, Maryland, Montana, Nebraska, North Dakota, Rhode Island, South Dakota, Utah, and Vermont.
Table 5
American Osteopathic Association Registration Program: Number of Approved Osteopathic Medical Internship Positions by State and Academic Year *


Academic Year
State
2000-2001
2001-2002
2002-2003
2003-2004
2004-2005
Alabama50088
Arizona 41 47 41 37 37
Arkansas99988
California 80 92 68 80 77
Colorado71111118
Connecticut 15 13 15 13 13
Delaware814141919
Florida 146 146 146 164 156
Georgia1111111111
Illinois 105 87 80 122 132
Indiana1914191516
Iowa 20 20 6 10 10
Kansas1212122424
Kentucky 60 66 32 44 44
Louisiana02022
Maine 25 25 25 27 27
Massachusetts2828282222
Michigan 402 421 392 477 503
Minnesota0401414
Mississippi 6 6 0 6 6
Missouri6666666557
Nevada 6 6 6 10 32
New Hampshire00044
New Jersey 174 178 178 188 201
New Mexico44044
New York 380 429 423 388 386
North Carolina04088
Ohio 240 240 240 248 251
Oklahoma5660607964
Oregon 7 7 7 7 0
Pennsylvania434476463436470
South Carolina 0 0 0 4 4
Tennessee0100014
Texas 58 62 62 71 52
Virginia1812121928
Washington 4 4 0 0 0
West Virginia4346477176
Wisconsin 0 15 0 23 23
Wyoming 0
0
0
4
4
Total 2489 2647 2473 2743 2815
 Source: Training Programs by State: Year-End Reports (taken annually on May 31), Division of Postdoctoral Training, American Osteopathic Association.
 *Data shown represent the number of positions approved by the American Osteopathic Association's Council on Osteopathic Postdoctoral Training for the academic year indicated. Osteopathic medical internship positions are not currently approved in the District of Columbia or in the following eleven states: Alaska, Hawaii, Idaho, Maryland, Montana, Nebraska, North Dakota, Rhode Island, South Dakota, Utah, and Vermont.
×
Table 6
American Osteopathic Association—Approved Residency Programs and Residents Filling Available Positions as Reported* by Academic Year and Specialty, No.


2002-2003

2003-2004

2004-2005

Programs
Positions
Residents
Programs
Positions
Residents
Programs
Positions
Residents
Anesthesiology104826116845117050
□ Anesthesiology and pain management000120120
Dermatology 15 73 46 19 97 53 18 95 56
Diagnostic radiology12997512103791310974
□ Radiation oncology000000000
□ Radiology (Vascular interventional)000110111
Emergency medicine 34 559 367 38 616 360 39 640 365
□ Emergency medicine and internal medicine 12 104 51 12 106 70 13 109 64
Family practice135155570214315965801471632557
□ Family practice and emergency medicine320154241342412
Geriatrics§ 7 19 4 8 26 5 5 20 4
Internal medicine525932725461624663735237
□ Cardiology136835137130158644
□ Cardiology (Interventional)000000351
□ Critical care medicine361361361
□ Endocrinology000000000
□ Gastroenterology619126211472415
□ Hematology and oncology121120121
□ Infectious diseases281281281
□ Internal medicine and rheumatology000000360
□ Nephrology243393394
□ Oncology000130130
□ Pulmonary (Critical care)24331253127
□ Pulmonary medicine242241120
Neurology 6 39 15 6 39 20 6 39 25
Neuromusculoskeletal medicine and osteopathic manual medicine**115019136027146224
Obstetrics and gynecology††313061753231715631320159
□ Maternal and fetal medicine130130130
Ophthalmology 8 36 27 9 42 29 9 42 30
Orthopedic surgery292792362929220028316235
Otolaryngology and facial plastic surgery‡‡ 19 86 70 19 91 72 19 92 68
Pathology000000000
Pediatrics 14 160 66 15 162 29 15 162 59
□ Pediatric emergency medicine 1 4 2 1 4 1 1 4 1
□ Pediatric radiology 0 0 0 1 3 0 1 3 0
□ Pediatrics (Internal medicine) 2 10 4 2 10 3 2 10 5
Physical medicine and rehabilitation medicine195194196
Preventive medicine and public health 1 3 1 1 3 2 1 3 1
Preventive medicine (Occupational and environmental)000130130
Proctology 1 2 1 1 2 1 1 2 0
Psychiatry33316542444219
□ Child psychiatry121120120
Sports medicine§§ 17 23 4 12 37 7 13 44 5
Surgery (General)373252263733521236329217
□ General vascular surgery922592237181
□ Neurological surgery10491610533295238
□ Plastic and reconstructive surgery296296298
□ Thoracic cardiovascular surgery211321133130
□ Urological surgery 5
37
18
5
37
10
5
37
27
Total 522 4683 2532 552 4979 2327 568 5216 2422
 Sources: AOA Intern/Resident Contracts received by the division of postdoctoral training for the academic years shown (taken annually on May 31); and AOA's Trainee Information, Verification, and Registration Audit system, academic year 2004-2005. Data for the 2002-2003 and 2003-2004 academic years have been reported previously in JAOA—The Journal of the American Osteopathic Association.1,2
 *As noted, the data shown for residency programs, positions, and residents is reported by the residency programs to the American Osteopathic Association's (AOA) division of postdoctoral training through the AOA's Trainee Information, Verification, and Registration Audit system. Although Match data does not change in a given year, program data does change because the AOA's Postdoctoral Training Review Committee meets quarterly, and residency programs and positions are approved and added to the AOA database at that time.
 Emergency medicine includes Emergency medical services.
 Family practice includes Family practice and osteopathic manipulative medicine as well as Family practice and osteopathic manipulative treatment.
 §Geriatrics includes Geriatrics and family practice as well as Geriatrics and internal medicine.
 Data is also available for interns and residents in their first year on the following specialty tracks: Internal medicine (2002-2003, 113; 2003-2004, 118; and 2004-2005, 110), Obstetrics and gynecology (2002-2003, 36; 2003-2004, 45; and 2004-2005, 33), Otolaryngology and facial plastic surgery (2002-2003, 15, and 2004-2005, 14), and Pediatrics (2003-2004, 30, and 2004-2005, 34). These numbers are exclusive of residency number. The total number of tracked internships for each academic year noted is as follows: 2002-2003, 149; 2003-2004, 208; and 2004-2005, 191.
 Critical care medicine includes Critical care (Surgery).
 **Neuromusculoskeletal medicine and osteopathic manual medicine includes Neuromusculoskeletal medicine +1.
 ††Obstetrics and gynecology includes Gynecological oncology.
 ‡‡Otolaryngology and facial plastic surgery includes Otolaryngology and otolaryngologic allergy.
 §§Sports medicine includes Sports medicine and family practice.
Table 6
American Osteopathic Association—Approved Residency Programs and Residents Filling Available Positions as Reported* by Academic Year and Specialty, No.


2002-2003

2003-2004

2004-2005

Programs
Positions
Residents
Programs
Positions
Residents
Programs
Positions
Residents
Anesthesiology104826116845117050
□ Anesthesiology and pain management000120120
Dermatology 15 73 46 19 97 53 18 95 56
Diagnostic radiology12997512103791310974
□ Radiation oncology000000000
□ Radiology (Vascular interventional)000110111
Emergency medicine 34 559 367 38 616 360 39 640 365
□ Emergency medicine and internal medicine 12 104 51 12 106 70 13 109 64
Family practice135155570214315965801471632557
□ Family practice and emergency medicine320154241342412
Geriatrics§ 7 19 4 8 26 5 5 20 4
Internal medicine525932725461624663735237
□ Cardiology136835137130158644
□ Cardiology (Interventional)000000351
□ Critical care medicine361361361
□ Endocrinology000000000
□ Gastroenterology619126211472415
□ Hematology and oncology121120121
□ Infectious diseases281281281
□ Internal medicine and rheumatology000000360
□ Nephrology243393394
□ Oncology000130130
□ Pulmonary (Critical care)24331253127
□ Pulmonary medicine242241120
Neurology 6 39 15 6 39 20 6 39 25
Neuromusculoskeletal medicine and osteopathic manual medicine**115019136027146224
Obstetrics and gynecology††313061753231715631320159
□ Maternal and fetal medicine130130130
Ophthalmology 8 36 27 9 42 29 9 42 30
Orthopedic surgery292792362929220028316235
Otolaryngology and facial plastic surgery‡‡ 19 86 70 19 91 72 19 92 68
Pathology000000000
Pediatrics 14 160 66 15 162 29 15 162 59
□ Pediatric emergency medicine 1 4 2 1 4 1 1 4 1
□ Pediatric radiology 0 0 0 1 3 0 1 3 0
□ Pediatrics (Internal medicine) 2 10 4 2 10 3 2 10 5
Physical medicine and rehabilitation medicine195194196
Preventive medicine and public health 1 3 1 1 3 2 1 3 1
Preventive medicine (Occupational and environmental)000130130
Proctology 1 2 1 1 2 1 1 2 0
Psychiatry33316542444219
□ Child psychiatry121120120
Sports medicine§§ 17 23 4 12 37 7 13 44 5
Surgery (General)373252263733521236329217
□ General vascular surgery922592237181
□ Neurological surgery10491610533295238
□ Plastic and reconstructive surgery296296298
□ Thoracic cardiovascular surgery211321133130
□ Urological surgery 5
37
18
5
37
10
5
37
27
Total 522 4683 2532 552 4979 2327 568 5216 2422
 Sources: AOA Intern/Resident Contracts received by the division of postdoctoral training for the academic years shown (taken annually on May 31); and AOA's Trainee Information, Verification, and Registration Audit system, academic year 2004-2005. Data for the 2002-2003 and 2003-2004 academic years have been reported previously in JAOA—The Journal of the American Osteopathic Association.1,2
 *As noted, the data shown for residency programs, positions, and residents is reported by the residency programs to the American Osteopathic Association's (AOA) division of postdoctoral training through the AOA's Trainee Information, Verification, and Registration Audit system. Although Match data does not change in a given year, program data does change because the AOA's Postdoctoral Training Review Committee meets quarterly, and residency programs and positions are approved and added to the AOA database at that time.
 Emergency medicine includes Emergency medical services.
 Family practice includes Family practice and osteopathic manipulative medicine as well as Family practice and osteopathic manipulative treatment.
 §Geriatrics includes Geriatrics and family practice as well as Geriatrics and internal medicine.
 Data is also available for interns and residents in their first year on the following specialty tracks: Internal medicine (2002-2003, 113; 2003-2004, 118; and 2004-2005, 110), Obstetrics and gynecology (2002-2003, 36; 2003-2004, 45; and 2004-2005, 33), Otolaryngology and facial plastic surgery (2002-2003, 15, and 2004-2005, 14), and Pediatrics (2003-2004, 30, and 2004-2005, 34). These numbers are exclusive of residency number. The total number of tracked internships for each academic year noted is as follows: 2002-2003, 149; 2003-2004, 208; and 2004-2005, 191.
 Critical care medicine includes Critical care (Surgery).
 **Neuromusculoskeletal medicine and osteopathic manual medicine includes Neuromusculoskeletal medicine +1.
 ††Obstetrics and gynecology includes Gynecological oncology.
 ‡‡Otolaryngology and facial plastic surgery includes Otolaryngology and otolaryngologic allergy.
 §§Sports medicine includes Sports medicine and family practice.
×
In other words, the time differential between the reported match statistics and the statistics reported on OGME programs and osteopathic trainees is more than a year. Because of this time differential, the data reported in these two groups of tables do not lend themselves to direct comparison. 
The Match: Academic Training Year 2004–2005
The COMs awarded degrees to 2769 students in 2004 (Table 1), reflecting a 5% increase over the data reported for 2003.1 Conversely, the number of approved internship positions open to COM graduates decreased nearly 2%, from 2659 positions in 20031 to 2616 positions in 2004. 
The AOA's Intern/Resident Registration Program provides osteopathic medical students with an opportunity to secure osteopathic internship positions before graduation. Data on students in the past two graduating classes who participated in the AOA's Intern/Resident Registration Program is presented in Table 2. A total of 48% of participating graduates were matched to internships through this program in the 2004–2005 academic year. Although a large number of COMs had more than 50% of their participating graduates matched to internships through this program (Figure 1), MSUCOM once again had the highest percentage of participating graduates matched, with 89% of its graduates securing internship positions through the Match during the 2004–2005 academic year.14 Participation in the AOA's Intern/Resident Registration Program is generally lower for COMs located in states with fewer osteopathic postdoctoral training opportunities. Of participating students, approximately 93% were matched to the internship positions they listed as their first choice (Table 3). 
Table 2
American Osteopathic Association Intern/Resident Registration Program Intern Match by Graduating Class: Matched Participants by Colleges of Osteopathic Medicine


Class of 2003

Class of 2004
College*
Graduates, No.
Matched, No. (%)
Graduates, No.
Matched, No. (%)
DMU/COM20376 (37)19571 (36)
KCOM/ATSU 171 83 (49) 145 68 (47)
KCUMB-COM20981 (39)21294 (44)
LECOM 136 102 (75) 168 110 (65)
MSUCOM138121 (88)134122 (91)
MWU/AZCOM 123 34 (28) 130 40 (31)
MWU/CCOM15151 (34)16558 (35)
NSU-COM 182 107 (59) 174 95 (55)
NYCOM/NYIT265111 (42)307124 (40)
OSU-COM 83 53 (64) 87 55 (63)
OU-COM10963 (58)11059 (54)
PCOM 233 174 (75) 248 182 (73)
PCSOM5528 (51)6118 (30)
TCOM 111 25 (23) 120 34 (28)
TUCOM-CA8527 (32)10736 (34)
UMDNJ-SOM 72 54 (75) 83 49 (59)
UNECOM10939 (36)11235 (31)
Western U/COMP 161 45 (28) 184 57 (31)
WVSOM 74
47 (64)
77
58 (75)
Total 2670 1321 (49) 2819 1365 (48)
 Source: Data provided by the National Matching Service, February 10, 2004.
 *The full names of the colleges of osteopathic medicine appear in the appendix with their abbreviations on pages 97-99 of this issue of JAOA—The Journal of the American Osteopathic Association.
 Total of 2670 graduates represents the class of 2003 and includes 42 graduates from previous years. This total does not include military match participants.
 Total of 2819 graduates represents the class of 2004 and includes 50 graduates from previous years. This total includes 249 military match participants.
Table 2
American Osteopathic Association Intern/Resident Registration Program Intern Match by Graduating Class: Matched Participants by Colleges of Osteopathic Medicine


Class of 2003

Class of 2004
College*
Graduates, No.
Matched, No. (%)
Graduates, No.
Matched, No. (%)
DMU/COM20376 (37)19571 (36)
KCOM/ATSU 171 83 (49) 145 68 (47)
KCUMB-COM20981 (39)21294 (44)
LECOM 136 102 (75) 168 110 (65)
MSUCOM138121 (88)134122 (91)
MWU/AZCOM 123 34 (28) 130 40 (31)
MWU/CCOM15151 (34)16558 (35)
NSU-COM 182 107 (59) 174 95 (55)
NYCOM/NYIT265111 (42)307124 (40)
OSU-COM 83 53 (64) 87 55 (63)
OU-COM10963 (58)11059 (54)
PCOM 233 174 (75) 248 182 (73)
PCSOM5528 (51)6118 (30)
TCOM 111 25 (23) 120 34 (28)
TUCOM-CA8527 (32)10736 (34)
UMDNJ-SOM 72 54 (75) 83 49 (59)
UNECOM10939 (36)11235 (31)
Western U/COMP 161 45 (28) 184 57 (31)
WVSOM 74
47 (64)
77
58 (75)
Total 2670 1321 (49) 2819 1365 (48)
 Source: Data provided by the National Matching Service, February 10, 2004.
 *The full names of the colleges of osteopathic medicine appear in the appendix with their abbreviations on pages 97-99 of this issue of JAOA—The Journal of the American Osteopathic Association.
 Total of 2670 graduates represents the class of 2003 and includes 42 graduates from previous years. This total does not include military match participants.
 Total of 2819 graduates represents the class of 2004 and includes 50 graduates from previous years. This total includes 249 military match participants.
×
Table 3
American Osteopathic Association Registration Program Intern Match Class of 2004
Participants Matched to First Choice Osteopathic Medical Internship Positions by Colleges of Osteopathic Medicine

College*

Graduates, No.

Total Matched, No. (%)

Matched With First Choice, No. (%)
DMU/COM19358 (30)54 (93)
KCOM/ATSU 142 51 (36) 50 (98)
KCUMB-COM21180 (38)73 (91)
LECOM 165 94 (57) 83 (88)
MSUCOM133119 (89)114 (96)
MWU/AZCOM 129 28 (22) 28 (100)
MWU/CCOM16556 (34)53 (95)
NSU-COM 171 84 (49) 79 (94)
NYCOM/NYIT296116 (39)107 (92)
OSU-COM 86 47 (55) 43 (91)
OU-COM10857 (53)54 (95)
PCOM 246 163 (66) 153 (94)
PCSOM5818 (31)16 (89)
TCOM 119 29 (24) 29 (100)
TUCOM-CA10730 (28)28 (93)
UMDNJ-SOM 80 49 (61) 43 (88)
UNECOM11033 (30)31 (94)
Western U/COMP 175 45 (26) 40 (89)
WVSOM 75
48 (64)
46 (96)
Total 2769 1205 (44) 1124 (93)
 Source: Data provided by the National Matching Service, February 10, 2004.
 *The full names of the colleges of osteopathic medicine appear in the appendix with their abbreviations on pages 97-99 of this issue of JAOA—The Journal of the American Osteopathic Association.
 Total of 2769 graduates represents the class of 2004 and includes 42 graduates from previous years. This total does not include military match participants.
Table 3
American Osteopathic Association Registration Program Intern Match Class of 2004
Participants Matched to First Choice Osteopathic Medical Internship Positions by Colleges of Osteopathic Medicine

College*

Graduates, No.

Total Matched, No. (%)

Matched With First Choice, No. (%)
DMU/COM19358 (30)54 (93)
KCOM/ATSU 142 51 (36) 50 (98)
KCUMB-COM21180 (38)73 (91)
LECOM 165 94 (57) 83 (88)
MSUCOM133119 (89)114 (96)
MWU/AZCOM 129 28 (22) 28 (100)
MWU/CCOM16556 (34)53 (95)
NSU-COM 171 84 (49) 79 (94)
NYCOM/NYIT296116 (39)107 (92)
OSU-COM 86 47 (55) 43 (91)
OU-COM10857 (53)54 (95)
PCOM 246 163 (66) 153 (94)
PCSOM5818 (31)16 (89)
TCOM 119 29 (24) 29 (100)
TUCOM-CA10730 (28)28 (93)
UMDNJ-SOM 80 49 (61) 43 (88)
UNECOM11033 (30)31 (94)
Western U/COMP 175 45 (26) 40 (89)
WVSOM 75
48 (64)
46 (96)
Total 2769 1205 (44) 1124 (93)
 Source: Data provided by the National Matching Service, February 10, 2004.
 *The full names of the colleges of osteopathic medicine appear in the appendix with their abbreviations on pages 97-99 of this issue of JAOA—The Journal of the American Osteopathic Association.
 Total of 2769 graduates represents the class of 2004 and includes 42 graduates from previous years. This total does not include military match participants.
×
Figure 1.
The colleges of osteopathic medicine listed had more than 50% of their participating graduates matched to internships through the American Osteopathic Association's Intern/Resident Registration Program in the 2004–2005 academic year.
Figure 1.
The colleges of osteopathic medicine listed had more than 50% of their participating graduates matched to internships through the American Osteopathic Association's Intern/Resident Registration Program in the 2004–2005 academic year.
Sixty-five percent of COM students in the class of 2004 chose a traditional rotating internship (Table 4). Collectively, about 26% of the matched students in this graduating class chose internships in emergency medicine (6%), family practice (10%), or internal medicine (10%). These figures are comparable to data previously reported for the class of 2003,1 in which 63% were matched with a traditional rotating internship and approximately 27% chose emergency medicine (5%), family practice (13%), or internal medicine (9%). 
Osteopathic Graduate Medical Education Programs
Approximately 70% of all AOA-approved internship training positions available are located in six states (Table 5): Florida, Michigan, New Jersey, New York, Ohio, and Pennsylvania. When compared with data for the 2003–2004 academic year,1 though the number of approved internship positions for the 2004–2005 academic year increased in ten states and decreased in eight states (Figure 2), the AOA noted a slight overall increase (2.5%) in the number of approved internship training positions. 
According to the AOA Basic Document on Postdoctoral Training5 any internship or residency training program that has been inactive for 3 consecutive years shall be considered “lapsed.” It will therefore be closed administratively by the Council on Osteopathic Postdoctoral Training's Program and Trainee Review Committee. For example, one state, Tennessee, began offering osteopathic internship positions again in the 2004–2005 academic year after having no available positions and being lapsed/closed for the 2 previous years. 
Figure 2.
American Osteopathic Association's Intern/Resident Registration Program. When compared to data reported for 2003–2004,1 the number of approved osteopathic medical internships in the 2004–2005 academic year has increased in ten states but decreased in eight states. The number of internship positions added or lost in each state noted is provided in parentheses.
Figure 2.
American Osteopathic Association's Intern/Resident Registration Program. When compared to data reported for 2003–2004,1 the number of approved osteopathic medical internships in the 2004–2005 academic year has increased in ten states but decreased in eight states. The number of internship positions added or lost in each state noted is provided in parentheses.
For the previous 4 academic years, COM graduates have been able to register for internship and residency programs that link osteopathic medical internships to AOA-approved second-year residency programs.14 Once again, with the 2004–2005 Match, every medical specialty that is offered in either specialty-tracked internships or in traditional rotating internships linked with specialties was represented.13 Out of the 913 linked internship and residency positions offered in 2004–2005 (as compared with 866 in 2003–20041), 68% were filled. Although anecdotal evidence indicates that COM graduates are receptive to this combined offering because it provides stability and security for subsequent training years, our most recent data indicates a 5% increase in the number of linked positions offered, with a lower percentage filled compared to 2003–2004.1 In the previous year, 73% of linked positions were filled.1 
In the 2004–2005 academic year, there were 558 AOA-approved residency programs (Table 6), representing a 1.6% increase over the 549 approved programs in the 2003–2004 academic year.1 In addition, there were 2420 residents in AOA-approved training programs in 2004–2005, representing a 4% increase from the 2327 residents in training during 2003–2004.1 
The AOA has established mechanisms by which osteopathic physicians may obtain approval for training provided through the ACGME (ie, Resolution 42 [A/2000]—Approval of ACGME Training as an AOA-Approved Internship). This approval is key for those osteopathic physicians seeking medical licensure in states requiring an osteopathic internship and for those physicians desiring osteopathic board certification. Between July 2001 and June 2005, a total of 822 osteopathic physicians have petitioned the AOA for approval of their first year of ACGME postgraduate training (ie, a 50% increase in total approvals). Since June 2004,1 274 osteopathic physicians have petitioned for approval. 
Conclusion
The division of postdoctoral training continues to look forward to working with osteopathic internship and residency programs and their OPTIs in the coming year as they strive toward the goal of 100% compliance for 2007 for data reported to the AOA through the TIVRA system. Achieving this goal together ensures the AOA's ability to accurately represent the vitality and growth of the osteopathic medical profession. 
The number of postdoctoral internship opportunities available currently exceeds the number of graduates choosing to avail themselves of those offerings. However, the rate of growth seen in of number of osteopathic medical graduates is increasing faster than the number of approved internship positions, which may lead to increased competition for internship positions within the profession in the coming years. Postdoctoral residency training continues to demonstrate positive growth in geographic regions where osteopathic opportunities have been limited for graduates of our COMs. The AOA is committed to working collaboratively with other stakeholders in OGME to provide high-quality training opportunities to graduates of our COMs. 
Obradovic JL, Beaudry SW, Winslow-Falbo P. Osteopathic graduate medical education. J Am Osteopath Assoc. 2004;104(11):468–478. Available at: http://www.jaoa.org/cgi/content/full/104/11/468. Accessed January 12, 2006.
Obradovic JL, Winslow-Falbo P. Osteopathic graduate medical education [published correction appears in J Am Osteopath Assoc. 2004;104:147]. JAm Osteopath Assoc. 2003;103:513–522. Available at: http://www.jaoa.org/cgi/reprint/103/11/513. Accessed November 7, 2005.
Obradovic JL, Bronersky VM, Winslow-Falbo P. Osteopathic graduate medical education [published correction appears in J Am Osteopath Assoc. 2003;103:215]. J Am Osteopath Assoc. 2002;102:582–589. Available at: http://www.jaoa.org/cgi/reprint/102/11/582. Accessed November 7, 2005.
Swartwout JE, Bronersky VM, Winslow-Falbo P. Osteopathic graduate medical education. J Am Osteopath Assoc. 2001;101:653 –659.
Division of Postdoctoral Training, Department of Education, American Osteopathic Association. General program requirements for intern and residency programs: adverse program actions (standard 3.40c). Accreditation Document for Osteopathic Postdoctoral Training Institutions (OPTI) and the Basic Document for Postdoctoral Training Programs. February 2005. Chicago, Ill: American Osteopathic Association. Available at: http://www.osteopathic.org/pdf/sir_postdoctrainproced.pdf. Accessed January 26, 2006.
Figure 1.
The colleges of osteopathic medicine listed had more than 50% of their participating graduates matched to internships through the American Osteopathic Association's Intern/Resident Registration Program in the 2004–2005 academic year.
Figure 1.
The colleges of osteopathic medicine listed had more than 50% of their participating graduates matched to internships through the American Osteopathic Association's Intern/Resident Registration Program in the 2004–2005 academic year.
Figure 2.
American Osteopathic Association's Intern/Resident Registration Program. When compared to data reported for 2003–2004,1 the number of approved osteopathic medical internships in the 2004–2005 academic year has increased in ten states but decreased in eight states. The number of internship positions added or lost in each state noted is provided in parentheses.
Figure 2.
American Osteopathic Association's Intern/Resident Registration Program. When compared to data reported for 2003–2004,1 the number of approved osteopathic medical internships in the 2004–2005 academic year has increased in ten states but decreased in eight states. The number of internship positions added or lost in each state noted is provided in parentheses.
Table 1
Number of Graduates From Colleges of Osteopathic Medicine and the Number of Osteopathic Medical Internship Positions Approved by the American Osteopathic Association: 5-Year Comparison


Year
Graduates and Internship Positions
2000
2001
2002
2003
2004
Graduates, Colleges of Osteopathic Medicine, No.24402544260226282769
□ Graduates Taking Osteopathic Internship Positions, No. (%)*1450 (59)1449 (57)1470 (56)1440 (55)1454 (53)
Osteopathic Medical Internship Positions
□ Approved, No.23192399247326562616
□ Funded, No.18141876198921302147
— Funded and Filled, %8077746868
 Source: Division of Postdoctoral Training, American Osteopathic Association, June 30, 2004. Data for the years 2000-2003 have been reported in JAOA—The Journal of the American Osteopathic Association.1-4
 *Data shown include military match and postmatch participants. For the 5-year period shown, the number of military postmatch participants was 145, 179, 158, 167, and 249, respectively.
Table 1
Number of Graduates From Colleges of Osteopathic Medicine and the Number of Osteopathic Medical Internship Positions Approved by the American Osteopathic Association: 5-Year Comparison


Year
Graduates and Internship Positions
2000
2001
2002
2003
2004
Graduates, Colleges of Osteopathic Medicine, No.24402544260226282769
□ Graduates Taking Osteopathic Internship Positions, No. (%)*1450 (59)1449 (57)1470 (56)1440 (55)1454 (53)
Osteopathic Medical Internship Positions
□ Approved, No.23192399247326562616
□ Funded, No.18141876198921302147
— Funded and Filled, %8077746868
 Source: Division of Postdoctoral Training, American Osteopathic Association, June 30, 2004. Data for the years 2000-2003 have been reported in JAOA—The Journal of the American Osteopathic Association.1-4
 *Data shown include military match and postmatch participants. For the 5-year period shown, the number of military postmatch participants was 145, 179, 158, 167, and 249, respectively.
×
Table 4
American Osteopathic Association Intern/Resident Registration Program Intern Match Summary for the Class of 2004 by Colleges of Osteopathic Medicine and Program Type


Colleges of Osteopathic Medicine, No. (%)*
Internship Program Type
DMU/COM
KCOM/ATSU
KCUMBCOM
LECOM
MSUCOM
MWU/AZCOM
MWU/CCOM
NSUCOM
NYCOM/NYIT
OSUCOM
OUCOM
PCOM
PCSOM
TCOM
TUCOMCA
UMDNJSOM
UNECOM
Western U/COMP
WVSOM
Total
Anesthesiology02 (4)2 (3)02 (2)00001 (2)1 (2)000000008 (1)
Diagnostic radiology 0 0 2 (3) 0 2 (2) 0 0 0 0 0 0 0 0 0 1 (3) 0 0 0 0 5 (<1)
Emergency medicine4 (7)3 (6)6 (8)2 (2)7 (6)1 (4)11 (20)5 (6)15 (13)4 (9)1 (2)3 (2)001 (3)1 (2)2 (6)1 (2)2 (4)69 (6)
Family practice 9 (16) 4 (8) 8 (10) 7 (8) 9 (8) 6 (21) 3 (5) 9 (11) 16 (14) 10 (21) 7 (13) 11 (7) 1 (6) 4 (14) 3 (10) 3 (6) 3 (9) 3 (7) 4 (8) 120 (10)
Internal medicine3 (5)5 (10)7 (9)14 (15)12 (10)2 (7)2 (4)5 (6)6 (5)4 (9)8 (14)17 (10)4 (22)4 (14)2 (7)12 (24)1 (3)2 (5)6 (13)116 (10)
Internal medicine (Pediatrics) 0 0 0 0 0 0 0 0 0 0 0 1 (1) 0 0 0 0 0 0 0 1 (<1)
Obstetrics and gynecology2 (4)2 (4)3 (4)1 (1)6 (5)03 (5)3 (4)1 (1)2 (4)03 (2)04 (14)2 (7)000032 (3)
Otolaryngology and facial plastic surgery 1 (2) 3 (6) 2 (3) 1 (1) 3 (2.5) 1 (4) 1 (2) 0 0 0 1 (2) 0 0 0 0 1 (2) 0 0 0 14 (1)
Pediatrics3 (5)1 (2)1 (1)3 (3)1 (1)1 (4)01 (1)5 (4)3 (6)07 (4)01 (3)1 (3)3 (6)003 (6)34 (3)
Psychiatry 0 0 0 0 2 (2) 0 1 (2) 0 0 0 0 1 (1) 0 0 1 (3) 1 (2) 0 0 0 6 (1)
Traditional rotating33 (58)29 (57)46 (58)64 (70)69 (58)17 (61)34 (61)59 (72)71 (62)22 (47)38 (68)120 (74)12 (67)16 (55)19 (63)28 (57)26 (81)38 (86)33 (69)774 (65)
Surgery 2 (4) 2 (4) 3 (4) 0 5 (4) 0 1 (2) 0 1 (1) 1 (2) 0 0 0 0 0 0 0 0 0 15 (1)
Urological surgery 0
0
0
0
1 (1)
0
0
0
0
0
0
0
1 (6)
0
0
0
0
0
0
2 (<1)
Matched, No. 51 57 80 92 119 28 56 82 115 47 56 163 18 29 30 49 32 44 48 1196
 Source: Data provided by the National Matching Service, February 10, 2004.
 *The full names of the colleges of osteopathic medicine appear in the appendix with their abbreviations on pages 97-99 of this issue of JAOA—The Journal of the American Osteopathic Association.
 Indicates specialty track internship specialties. Except for traditional rotating internships, all other internship program types listed are special emphasis internship specialties. Pathology, though it is not included in this table, is also a special emphasis internship specialty.
 A total of 1196 graduates from colleges of osteopathic medicine in 2004 participated in the American Osteopathic Association's student match program and were matched to internships. This total does not include military match participants.
Table 4
American Osteopathic Association Intern/Resident Registration Program Intern Match Summary for the Class of 2004 by Colleges of Osteopathic Medicine and Program Type


Colleges of Osteopathic Medicine, No. (%)*
Internship Program Type
DMU/COM
KCOM/ATSU
KCUMBCOM
LECOM
MSUCOM
MWU/AZCOM
MWU/CCOM
NSUCOM
NYCOM/NYIT
OSUCOM
OUCOM
PCOM
PCSOM
TCOM
TUCOMCA
UMDNJSOM
UNECOM
Western U/COMP
WVSOM
Total
Anesthesiology02 (4)2 (3)02 (2)00001 (2)1 (2)000000008 (1)
Diagnostic radiology 0 0 2 (3) 0 2 (2) 0 0 0 0 0 0 0 0 0 1 (3) 0 0 0 0 5 (<1)
Emergency medicine4 (7)3 (6)6 (8)2 (2)7 (6)1 (4)11 (20)5 (6)15 (13)4 (9)1 (2)3 (2)001 (3)1 (2)2 (6)1 (2)2 (4)69 (6)
Family practice 9 (16) 4 (8) 8 (10) 7 (8) 9 (8) 6 (21) 3 (5) 9 (11) 16 (14) 10 (21) 7 (13) 11 (7) 1 (6) 4 (14) 3 (10) 3 (6) 3 (9) 3 (7) 4 (8) 120 (10)
Internal medicine3 (5)5 (10)7 (9)14 (15)12 (10)2 (7)2 (4)5 (6)6 (5)4 (9)8 (14)17 (10)4 (22)4 (14)2 (7)12 (24)1 (3)2 (5)6 (13)116 (10)
Internal medicine (Pediatrics) 0 0 0 0 0 0 0 0 0 0 0 1 (1) 0 0 0 0 0 0 0 1 (<1)
Obstetrics and gynecology2 (4)2 (4)3 (4)1 (1)6 (5)03 (5)3 (4)1 (1)2 (4)03 (2)04 (14)2 (7)000032 (3)
Otolaryngology and facial plastic surgery 1 (2) 3 (6) 2 (3) 1 (1) 3 (2.5) 1 (4) 1 (2) 0 0 0 1 (2) 0 0 0 0 1 (2) 0 0 0 14 (1)
Pediatrics3 (5)1 (2)1 (1)3 (3)1 (1)1 (4)01 (1)5 (4)3 (6)07 (4)01 (3)1 (3)3 (6)003 (6)34 (3)
Psychiatry 0 0 0 0 2 (2) 0 1 (2) 0 0 0 0 1 (1) 0 0 1 (3) 1 (2) 0 0 0 6 (1)
Traditional rotating33 (58)29 (57)46 (58)64 (70)69 (58)17 (61)34 (61)59 (72)71 (62)22 (47)38 (68)120 (74)12 (67)16 (55)19 (63)28 (57)26 (81)38 (86)33 (69)774 (65)
Surgery 2 (4) 2 (4) 3 (4) 0 5 (4) 0 1 (2) 0 1 (1) 1 (2) 0 0 0 0 0 0 0 0 0 15 (1)
Urological surgery 0
0
0
0
1 (1)
0
0
0
0
0
0
0
1 (6)
0
0
0
0
0
0
2 (<1)
Matched, No. 51 57 80 92 119 28 56 82 115 47 56 163 18 29 30 49 32 44 48 1196
 Source: Data provided by the National Matching Service, February 10, 2004.
 *The full names of the colleges of osteopathic medicine appear in the appendix with their abbreviations on pages 97-99 of this issue of JAOA—The Journal of the American Osteopathic Association.
 Indicates specialty track internship specialties. Except for traditional rotating internships, all other internship program types listed are special emphasis internship specialties. Pathology, though it is not included in this table, is also a special emphasis internship specialty.
 A total of 1196 graduates from colleges of osteopathic medicine in 2004 participated in the American Osteopathic Association's student match program and were matched to internships. This total does not include military match participants.
×
Table 5
American Osteopathic Association Registration Program: Number of Approved Osteopathic Medical Internship Positions by State and Academic Year *


Academic Year
State
2000-2001
2001-2002
2002-2003
2003-2004
2004-2005
Alabama50088
Arizona 41 47 41 37 37
Arkansas99988
California 80 92 68 80 77
Colorado71111118
Connecticut 15 13 15 13 13
Delaware814141919
Florida 146 146 146 164 156
Georgia1111111111
Illinois 105 87 80 122 132
Indiana1914191516
Iowa 20 20 6 10 10
Kansas1212122424
Kentucky 60 66 32 44 44
Louisiana02022
Maine 25 25 25 27 27
Massachusetts2828282222
Michigan 402 421 392 477 503
Minnesota0401414
Mississippi 6 6 0 6 6
Missouri6666666557
Nevada 6 6 6 10 32
New Hampshire00044
New Jersey 174 178 178 188 201
New Mexico44044
New York 380 429 423 388 386
North Carolina04088
Ohio 240 240 240 248 251
Oklahoma5660607964
Oregon 7 7 7 7 0
Pennsylvania434476463436470
South Carolina 0 0 0 4 4
Tennessee0100014
Texas 58 62 62 71 52
Virginia1812121928
Washington 4 4 0 0 0
West Virginia4346477176
Wisconsin 0 15 0 23 23
Wyoming 0
0
0
4
4
Total 2489 2647 2473 2743 2815
 Source: Training Programs by State: Year-End Reports (taken annually on May 31), Division of Postdoctoral Training, American Osteopathic Association.
 *Data shown represent the number of positions approved by the American Osteopathic Association's Council on Osteopathic Postdoctoral Training for the academic year indicated. Osteopathic medical internship positions are not currently approved in the District of Columbia or in the following eleven states: Alaska, Hawaii, Idaho, Maryland, Montana, Nebraska, North Dakota, Rhode Island, South Dakota, Utah, and Vermont.
Table 5
American Osteopathic Association Registration Program: Number of Approved Osteopathic Medical Internship Positions by State and Academic Year *


Academic Year
State
2000-2001
2001-2002
2002-2003
2003-2004
2004-2005
Alabama50088
Arizona 41 47 41 37 37
Arkansas99988
California 80 92 68 80 77
Colorado71111118
Connecticut 15 13 15 13 13
Delaware814141919
Florida 146 146 146 164 156
Georgia1111111111
Illinois 105 87 80 122 132
Indiana1914191516
Iowa 20 20 6 10 10
Kansas1212122424
Kentucky 60 66 32 44 44
Louisiana02022
Maine 25 25 25 27 27
Massachusetts2828282222
Michigan 402 421 392 477 503
Minnesota0401414
Mississippi 6 6 0 6 6
Missouri6666666557
Nevada 6 6 6 10 32
New Hampshire00044
New Jersey 174 178 178 188 201
New Mexico44044
New York 380 429 423 388 386
North Carolina04088
Ohio 240 240 240 248 251
Oklahoma5660607964
Oregon 7 7 7 7 0
Pennsylvania434476463436470
South Carolina 0 0 0 4 4
Tennessee0100014
Texas 58 62 62 71 52
Virginia1812121928
Washington 4 4 0 0 0
West Virginia4346477176
Wisconsin 0 15 0 23 23
Wyoming 0
0
0
4
4
Total 2489 2647 2473 2743 2815
 Source: Training Programs by State: Year-End Reports (taken annually on May 31), Division of Postdoctoral Training, American Osteopathic Association.
 *Data shown represent the number of positions approved by the American Osteopathic Association's Council on Osteopathic Postdoctoral Training for the academic year indicated. Osteopathic medical internship positions are not currently approved in the District of Columbia or in the following eleven states: Alaska, Hawaii, Idaho, Maryland, Montana, Nebraska, North Dakota, Rhode Island, South Dakota, Utah, and Vermont.
×
Table 6
American Osteopathic Association—Approved Residency Programs and Residents Filling Available Positions as Reported* by Academic Year and Specialty, No.


2002-2003

2003-2004

2004-2005

Programs
Positions
Residents
Programs
Positions
Residents
Programs
Positions
Residents
Anesthesiology104826116845117050
□ Anesthesiology and pain management000120120
Dermatology 15 73 46 19 97 53 18 95 56
Diagnostic radiology12997512103791310974
□ Radiation oncology000000000
□ Radiology (Vascular interventional)000110111
Emergency medicine 34 559 367 38 616 360 39 640 365
□ Emergency medicine and internal medicine 12 104 51 12 106 70 13 109 64
Family practice135155570214315965801471632557
□ Family practice and emergency medicine320154241342412
Geriatrics§ 7 19 4 8 26 5 5 20 4
Internal medicine525932725461624663735237
□ Cardiology136835137130158644
□ Cardiology (Interventional)000000351
□ Critical care medicine361361361
□ Endocrinology000000000
□ Gastroenterology619126211472415
□ Hematology and oncology121120121
□ Infectious diseases281281281
□ Internal medicine and rheumatology000000360
□ Nephrology243393394
□ Oncology000130130
□ Pulmonary (Critical care)24331253127
□ Pulmonary medicine242241120
Neurology 6 39 15 6 39 20 6 39 25
Neuromusculoskeletal medicine and osteopathic manual medicine**115019136027146224
Obstetrics and gynecology††313061753231715631320159
□ Maternal and fetal medicine130130130
Ophthalmology 8 36 27 9 42 29 9 42 30
Orthopedic surgery292792362929220028316235
Otolaryngology and facial plastic surgery‡‡ 19 86 70 19 91 72 19 92 68
Pathology000000000
Pediatrics 14 160 66 15 162 29 15 162 59
□ Pediatric emergency medicine 1 4 2 1 4 1 1 4 1
□ Pediatric radiology 0 0 0 1 3 0 1 3 0
□ Pediatrics (Internal medicine) 2 10 4 2 10 3 2 10 5
Physical medicine and rehabilitation medicine195194196
Preventive medicine and public health 1 3 1 1 3 2 1 3 1
Preventive medicine (Occupational and environmental)000130130
Proctology 1 2 1 1 2 1 1 2 0
Psychiatry33316542444219
□ Child psychiatry121120120
Sports medicine§§ 17 23 4 12 37 7 13 44 5
Surgery (General)373252263733521236329217
□ General vascular surgery922592237181
□ Neurological surgery10491610533295238
□ Plastic and reconstructive surgery296296298
□ Thoracic cardiovascular surgery211321133130
□ Urological surgery 5
37
18
5
37
10
5
37
27
Total 522 4683 2532 552 4979 2327 568 5216 2422
 Sources: AOA Intern/Resident Contracts received by the division of postdoctoral training for the academic years shown (taken annually on May 31); and AOA's Trainee Information, Verification, and Registration Audit system, academic year 2004-2005. Data for the 2002-2003 and 2003-2004 academic years have been reported previously in JAOA—The Journal of the American Osteopathic Association.1,2
 *As noted, the data shown for residency programs, positions, and residents is reported by the residency programs to the American Osteopathic Association's (AOA) division of postdoctoral training through the AOA's Trainee Information, Verification, and Registration Audit system. Although Match data does not change in a given year, program data does change because the AOA's Postdoctoral Training Review Committee meets quarterly, and residency programs and positions are approved and added to the AOA database at that time.
 Emergency medicine includes Emergency medical services.
 Family practice includes Family practice and osteopathic manipulative medicine as well as Family practice and osteopathic manipulative treatment.
 §Geriatrics includes Geriatrics and family practice as well as Geriatrics and internal medicine.
 Data is also available for interns and residents in their first year on the following specialty tracks: Internal medicine (2002-2003, 113; 2003-2004, 118; and 2004-2005, 110), Obstetrics and gynecology (2002-2003, 36; 2003-2004, 45; and 2004-2005, 33), Otolaryngology and facial plastic surgery (2002-2003, 15, and 2004-2005, 14), and Pediatrics (2003-2004, 30, and 2004-2005, 34). These numbers are exclusive of residency number. The total number of tracked internships for each academic year noted is as follows: 2002-2003, 149; 2003-2004, 208; and 2004-2005, 191.
 Critical care medicine includes Critical care (Surgery).
 **Neuromusculoskeletal medicine and osteopathic manual medicine includes Neuromusculoskeletal medicine +1.
 ††Obstetrics and gynecology includes Gynecological oncology.
 ‡‡Otolaryngology and facial plastic surgery includes Otolaryngology and otolaryngologic allergy.
 §§Sports medicine includes Sports medicine and family practice.
Table 6
American Osteopathic Association—Approved Residency Programs and Residents Filling Available Positions as Reported* by Academic Year and Specialty, No.


2002-2003

2003-2004

2004-2005

Programs
Positions
Residents
Programs
Positions
Residents
Programs
Positions
Residents
Anesthesiology104826116845117050
□ Anesthesiology and pain management000120120
Dermatology 15 73 46 19 97 53 18 95 56
Diagnostic radiology12997512103791310974
□ Radiation oncology000000000
□ Radiology (Vascular interventional)000110111
Emergency medicine 34 559 367 38 616 360 39 640 365
□ Emergency medicine and internal medicine 12 104 51 12 106 70 13 109 64
Family practice135155570214315965801471632557
□ Family practice and emergency medicine320154241342412
Geriatrics§ 7 19 4 8 26 5 5 20 4
Internal medicine525932725461624663735237
□ Cardiology136835137130158644
□ Cardiology (Interventional)000000351
□ Critical care medicine361361361
□ Endocrinology000000000
□ Gastroenterology619126211472415
□ Hematology and oncology121120121
□ Infectious diseases281281281
□ Internal medicine and rheumatology000000360
□ Nephrology243393394
□ Oncology000130130
□ Pulmonary (Critical care)24331253127
□ Pulmonary medicine242241120
Neurology 6 39 15 6 39 20 6 39 25
Neuromusculoskeletal medicine and osteopathic manual medicine**115019136027146224
Obstetrics and gynecology††313061753231715631320159
□ Maternal and fetal medicine130130130
Ophthalmology 8 36 27 9 42 29 9 42 30
Orthopedic surgery292792362929220028316235
Otolaryngology and facial plastic surgery‡‡ 19 86 70 19 91 72 19 92 68
Pathology000000000
Pediatrics 14 160 66 15 162 29 15 162 59
□ Pediatric emergency medicine 1 4 2 1 4 1 1 4 1
□ Pediatric radiology 0 0 0 1 3 0 1 3 0
□ Pediatrics (Internal medicine) 2 10 4 2 10 3 2 10 5
Physical medicine and rehabilitation medicine195194196
Preventive medicine and public health 1 3 1 1 3 2 1 3 1
Preventive medicine (Occupational and environmental)000130130
Proctology 1 2 1 1 2 1 1 2 0
Psychiatry33316542444219
□ Child psychiatry121120120
Sports medicine§§ 17 23 4 12 37 7 13 44 5
Surgery (General)373252263733521236329217
□ General vascular surgery922592237181
□ Neurological surgery10491610533295238
□ Plastic and reconstructive surgery296296298
□ Thoracic cardiovascular surgery211321133130
□ Urological surgery 5
37
18
5
37
10
5
37
27
Total 522 4683 2532 552 4979 2327 568 5216 2422
 Sources: AOA Intern/Resident Contracts received by the division of postdoctoral training for the academic years shown (taken annually on May 31); and AOA's Trainee Information, Verification, and Registration Audit system, academic year 2004-2005. Data for the 2002-2003 and 2003-2004 academic years have been reported previously in JAOA—The Journal of the American Osteopathic Association.1,2
 *As noted, the data shown for residency programs, positions, and residents is reported by the residency programs to the American Osteopathic Association's (AOA) division of postdoctoral training through the AOA's Trainee Information, Verification, and Registration Audit system. Although Match data does not change in a given year, program data does change because the AOA's Postdoctoral Training Review Committee meets quarterly, and residency programs and positions are approved and added to the AOA database at that time.
 Emergency medicine includes Emergency medical services.
 Family practice includes Family practice and osteopathic manipulative medicine as well as Family practice and osteopathic manipulative treatment.
 §Geriatrics includes Geriatrics and family practice as well as Geriatrics and internal medicine.
 Data is also available for interns and residents in their first year on the following specialty tracks: Internal medicine (2002-2003, 113; 2003-2004, 118; and 2004-2005, 110), Obstetrics and gynecology (2002-2003, 36; 2003-2004, 45; and 2004-2005, 33), Otolaryngology and facial plastic surgery (2002-2003, 15, and 2004-2005, 14), and Pediatrics (2003-2004, 30, and 2004-2005, 34). These numbers are exclusive of residency number. The total number of tracked internships for each academic year noted is as follows: 2002-2003, 149; 2003-2004, 208; and 2004-2005, 191.
 Critical care medicine includes Critical care (Surgery).
 **Neuromusculoskeletal medicine and osteopathic manual medicine includes Neuromusculoskeletal medicine +1.
 ††Obstetrics and gynecology includes Gynecological oncology.
 ‡‡Otolaryngology and facial plastic surgery includes Otolaryngology and otolaryngologic allergy.
 §§Sports medicine includes Sports medicine and family practice.
×
Table 2
American Osteopathic Association Intern/Resident Registration Program Intern Match by Graduating Class: Matched Participants by Colleges of Osteopathic Medicine


Class of 2003

Class of 2004
College*
Graduates, No.
Matched, No. (%)
Graduates, No.
Matched, No. (%)
DMU/COM20376 (37)19571 (36)
KCOM/ATSU 171 83 (49) 145 68 (47)
KCUMB-COM20981 (39)21294 (44)
LECOM 136 102 (75) 168 110 (65)
MSUCOM138121 (88)134122 (91)
MWU/AZCOM 123 34 (28) 130 40 (31)
MWU/CCOM15151 (34)16558 (35)
NSU-COM 182 107 (59) 174 95 (55)
NYCOM/NYIT265111 (42)307124 (40)
OSU-COM 83 53 (64) 87 55 (63)
OU-COM10963 (58)11059 (54)
PCOM 233 174 (75) 248 182 (73)
PCSOM5528 (51)6118 (30)
TCOM 111 25 (23) 120 34 (28)
TUCOM-CA8527 (32)10736 (34)
UMDNJ-SOM 72 54 (75) 83 49 (59)
UNECOM10939 (36)11235 (31)
Western U/COMP 161 45 (28) 184 57 (31)
WVSOM 74
47 (64)
77
58 (75)
Total 2670 1321 (49) 2819 1365 (48)
 Source: Data provided by the National Matching Service, February 10, 2004.
 *The full names of the colleges of osteopathic medicine appear in the appendix with their abbreviations on pages 97-99 of this issue of JAOA—The Journal of the American Osteopathic Association.
 Total of 2670 graduates represents the class of 2003 and includes 42 graduates from previous years. This total does not include military match participants.
 Total of 2819 graduates represents the class of 2004 and includes 50 graduates from previous years. This total includes 249 military match participants.
Table 2
American Osteopathic Association Intern/Resident Registration Program Intern Match by Graduating Class: Matched Participants by Colleges of Osteopathic Medicine


Class of 2003

Class of 2004
College*
Graduates, No.
Matched, No. (%)
Graduates, No.
Matched, No. (%)
DMU/COM20376 (37)19571 (36)
KCOM/ATSU 171 83 (49) 145 68 (47)
KCUMB-COM20981 (39)21294 (44)
LECOM 136 102 (75) 168 110 (65)
MSUCOM138121 (88)134122 (91)
MWU/AZCOM 123 34 (28) 130 40 (31)
MWU/CCOM15151 (34)16558 (35)
NSU-COM 182 107 (59) 174 95 (55)
NYCOM/NYIT265111 (42)307124 (40)
OSU-COM 83 53 (64) 87 55 (63)
OU-COM10963 (58)11059 (54)
PCOM 233 174 (75) 248 182 (73)
PCSOM5528 (51)6118 (30)
TCOM 111 25 (23) 120 34 (28)
TUCOM-CA8527 (32)10736 (34)
UMDNJ-SOM 72 54 (75) 83 49 (59)
UNECOM10939 (36)11235 (31)
Western U/COMP 161 45 (28) 184 57 (31)
WVSOM 74
47 (64)
77
58 (75)
Total 2670 1321 (49) 2819 1365 (48)
 Source: Data provided by the National Matching Service, February 10, 2004.
 *The full names of the colleges of osteopathic medicine appear in the appendix with their abbreviations on pages 97-99 of this issue of JAOA—The Journal of the American Osteopathic Association.
 Total of 2670 graduates represents the class of 2003 and includes 42 graduates from previous years. This total does not include military match participants.
 Total of 2819 graduates represents the class of 2004 and includes 50 graduates from previous years. This total includes 249 military match participants.
×
Table 3
American Osteopathic Association Registration Program Intern Match Class of 2004
Participants Matched to First Choice Osteopathic Medical Internship Positions by Colleges of Osteopathic Medicine

College*

Graduates, No.

Total Matched, No. (%)

Matched With First Choice, No. (%)
DMU/COM19358 (30)54 (93)
KCOM/ATSU 142 51 (36) 50 (98)
KCUMB-COM21180 (38)73 (91)
LECOM 165 94 (57) 83 (88)
MSUCOM133119 (89)114 (96)
MWU/AZCOM 129 28 (22) 28 (100)
MWU/CCOM16556 (34)53 (95)
NSU-COM 171 84 (49) 79 (94)
NYCOM/NYIT296116 (39)107 (92)
OSU-COM 86 47 (55) 43 (91)
OU-COM10857 (53)54 (95)
PCOM 246 163 (66) 153 (94)
PCSOM5818 (31)16 (89)
TCOM 119 29 (24) 29 (100)
TUCOM-CA10730 (28)28 (93)
UMDNJ-SOM 80 49 (61) 43 (88)
UNECOM11033 (30)31 (94)
Western U/COMP 175 45 (26) 40 (89)
WVSOM 75
48 (64)
46 (96)
Total 2769 1205 (44) 1124 (93)
 Source: Data provided by the National Matching Service, February 10, 2004.
 *The full names of the colleges of osteopathic medicine appear in the appendix with their abbreviations on pages 97-99 of this issue of JAOA—The Journal of the American Osteopathic Association.
 Total of 2769 graduates represents the class of 2004 and includes 42 graduates from previous years. This total does not include military match participants.
Table 3
American Osteopathic Association Registration Program Intern Match Class of 2004
Participants Matched to First Choice Osteopathic Medical Internship Positions by Colleges of Osteopathic Medicine

College*

Graduates, No.

Total Matched, No. (%)

Matched With First Choice, No. (%)
DMU/COM19358 (30)54 (93)
KCOM/ATSU 142 51 (36) 50 (98)
KCUMB-COM21180 (38)73 (91)
LECOM 165 94 (57) 83 (88)
MSUCOM133119 (89)114 (96)
MWU/AZCOM 129 28 (22) 28 (100)
MWU/CCOM16556 (34)53 (95)
NSU-COM 171 84 (49) 79 (94)
NYCOM/NYIT296116 (39)107 (92)
OSU-COM 86 47 (55) 43 (91)
OU-COM10857 (53)54 (95)
PCOM 246 163 (66) 153 (94)
PCSOM5818 (31)16 (89)
TCOM 119 29 (24) 29 (100)
TUCOM-CA10730 (28)28 (93)
UMDNJ-SOM 80 49 (61) 43 (88)
UNECOM11033 (30)31 (94)
Western U/COMP 175 45 (26) 40 (89)
WVSOM 75
48 (64)
46 (96)
Total 2769 1205 (44) 1124 (93)
 Source: Data provided by the National Matching Service, February 10, 2004.
 *The full names of the colleges of osteopathic medicine appear in the appendix with their abbreviations on pages 97-99 of this issue of JAOA—The Journal of the American Osteopathic Association.
 Total of 2769 graduates represents the class of 2004 and includes 42 graduates from previous years. This total does not include military match participants.
×