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AOA Communication  |   March 2010
American Osteopathic Association Specialty Board Certification
Author Notes
  • From the departments of obstetrics and gynecology (Dr Ayres) and psychiatry (Dr Scheinthal) at the University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine in Stratford, where Dr Scheinthal also serves at the New Jersey Institute for Successful Aging. Also, from the American Osteopathic Association (AOA) Department of Education's Division of Certification and Trainee Services (Ms Gross and Ms Bell). Dr Ayres currently serves as chair of the AOA Bureau of Osteopathic Specialists, Dr Scheinthal as vice chair, and Ms Gross as secretary. 
  • Address correspondence to Department of Education, American Osteopathic Association, 142 E Ontario St, Chicago, IL 60611-2864. 
Article Information
AOA Communication   |   March 2010
American Osteopathic Association Specialty Board Certification
The Journal of the American Osteopathic Association, March 2010, Vol. 110, 183-192. doi:10.7556/jaoa.2010.110.3.183
The Journal of the American Osteopathic Association, March 2010, Vol. 110, 183-192. doi:10.7556/jaoa.2010.110.3.183
Web of Science® Times Cited: 88
Abstract

Specialty board certification is an important tool in recognizing physicians who take extra measures to establish their skills in any number of specialty areas. The American Osteopathic Association Bureau of Osteopathic Specialists, which oversees the 18 specialty certifying boards, continues to amend existing policies and implement new policies to improve the certification process. Among these policies, the authors describe new collaboration efforts, the development of the osteopathic continuous certification process, and revisions to board eligibility. An update on AOA certification awards, including certificates of added qualifications, is also provided.

The Bureau of Osteopathic Specialists (BOS) was created to assess the skills of osteopathic physician specialists in response to the growth of specialization in the osteopathic profession.1 It is the authoritative body that develops, reviews, and enforces all policies and requirements for American Osteopathic Association certification. The BOS views the certification process both as an assessment tool to enhance the quality of healthcare and also as a means to protect the public. Overseeing the work of 18 AOA specialty certifying boards, which are identified in Table 1, the BOS is composed of a chair, vice chair, one representative from each of the specialty certifying boards, and a public member. The public member serves a vital role on the BOS, providing governance oversight, monitoring, and accountability for the specialty certifying boards. The public member also provides perspective from the consumer and public points of view and advocates for the interests and needs of the public. 
Table 1
American Osteopathic Association: General Certification Awarded by Osteopathic Medical Specialty Boards, 2005-2009 *


Year
American Osteopathic Board of.../Specialty or Subspecialty
2005
2006
2007
2008
2009
Anesthesiology
□ Anesthesiology 20 (2) 12 (1) 12 (1) 19 (2) 21 (2)
Dermatology
□ Dermatology 18 (2) 22 (2) 20 (2) 31 (3) 28 (2)
Emergency Medicine
□ Emergency Medicine 120 (12) 118 (9) 119 (12) 144 (15) 152 (12)
Family Physicians
□ Family Practice and OMT 343 (34) 391 (30) 338 (34) 178 (18) 541 (42)
Internal Medicine
□ Cardiology 4 (<1) 29 (2) 0 28 (3) 22 (2)
□ Endocrinology1 (<1)002 (<1)3 (<1)
□ Gastroenterology 3 (<1) 12 (1) 1 (<1) 7 (1) 7 (1)
□ Hematology05 (<1)03 (<1)0
□ Infectious Diseases 0 6 (<1) 1 (<1) 2 (<1) 3 (<1)
□ Internal Medicine155 (15)259 (20)58 (6)169 (17)162 (13)
□ Nephrology 3 (<1) 4 (<1) 4 (<1) 4 (<1) 10 (1)
□ Oncology5 (<1)7 (1)2 (<1)04 (<1)
□ Pulmonary Diseases 5 (<1) 5 (<1) 3 (<1) 8 (1) 1 (<1)
□ Rheumatology03 (<1)02 (<1)3 (<1)
Nuclear Medicine
□ Nuclear Medicine00000
Neurology and Psychiatry
□ Child Neurology01 (<1)000
□ Child Psychiatry 4 (<1) 2 (<1) 3 (<1) 0 2 (<1)
□ Neurology1 (<1)20 (2)014 (1)13 (1)
□ Psychiatry 11 (1) 8 (1) 4 (<1) 10 (1) 14 (1)
Neuromusculoskeletal Medicine
□ Neuromusculoskeletal Medicine and OMM 62 (6) 110 (8) 43 (4) 13 (1) 20 (2)
Obstetrics and Gynecology
□ Gynecologic Oncology 1 (<1) 0 1 (<1) 0 0
□ Maternal and Fetal Medicine01 (<1)1 (<1)2 (<1)1 (<1)
□ Obstetrics and Gynecology 50 (5) 85 (6) 85 (9) 85 (9) 48 (4)
□ Reproductive Endocrinology2 (<1)0000
Ophthalmology and Otolaryngology
□ Facial Plastic Surgery00000
□ Ophthalmology 10 (1) 11 (1) 11 (1) 6 (1) 13 (1)
□ Otolaryngology1 (<1)0000
□ Otolaryngology and Facial Plastic Surgery 27 (3) 11 (1) 20 (2) 17 (2) 13 (1)
Orthopedic Surgery
□ Orthopedic Surgery 55 (5) 45 (3) 67 (7) 51 (5) 69 (5)
Pathology
□ Anatomic Pathology 0 1 (<1) 0 0 0
□ Anatomic Pathology and Laboratory Medicine00000
□ Forensic Pathology 0 0 0 0 0
□ Laboratory Medicine002 (<1)1 (<1)0
Pediatrics
□ Neonatology002 (<1)01 (<1)
□ Pediatric Allergy and Immunology NA NA NA NA 1 (<1)
□ Pediatric Pulmonology002 (<1)01 (<1)
□ Pediatrics 18 (2) 25 (2) 50 (5) 22 (2) 19 (1)
Physical Medicine and Rehabilitation
□ Physical Medicine and Rehabilitation Medicine 1 (<1) 6 (<1) 6 (1) 6 (1) 10 (1)
Preventive Medicine
□ Preventive Medicine and Aerospace Medicine 1 (<1) 2 (<1) 6 (1) 1 (<1) 3 (<1)
□ Preventive Medicine and Occupational-Environmental Medicine5 (<1)03 (<1)2 (<1)5 (<1)
□ Preventive Medicine and Public Health 0 2 (<1) 6 (1) 0 1 (<1)
Proctology
□ Proctology 0 0 2 (<1) 0 1 (<1)
Radiology
□ Diagnostic Radiology 19 (2) 29 (2) 26 (3) 28 (3) 23 (2)
□ Radiation Oncology1 (<1)3 (<1)01 (<1)1 (<1)
□ Radiology 0 0 0 0 NA
Surgery
□ General Vascular Surgery 7 (1) 7 (1) 3 (<1) 5 (1) 1 (<1)
□ Neurological Surgery3 (<1)6 (<1)5 (1)10 (1)9 (1)
□ Plastic and Reconstructive Surgery 2 (<1) 1 (<1) 3 (1) 5 (1) 2 (<1)
□ Surgery (General)39 (4)53 (4)61 (6)94 (10)33 (3)
□ Thoracic Cardiovascular Surgery 1 (<1) 2 (<1) 0 0 3 (<1)
□ Urological Surgery 5 (<1)
4 (<1)
13 (1)
16 (2)
16 (1)
Total 1003 1308 983 986 1280
 Abbreviations: NA, not applicable; OMM, osteopathic manipulative medicine.
 *Data are presented as No. (%). Some percentages do not total 100 because of rounding. Totals are calculated by date of final approval by the American Osteopathic Association Bureau of Osteopathic Specialists (December 31, 2009).
 Before July 1993, certificates were issued as General Practice. Beginning April 15, 2000, all new family practitioners are being recommended for certification in family practice and osteopathic manipulative treatment (OMT).
 Although Pediatric Pulmonology is no longer issued, the individuals included here were in the certification process before that change was made.
Table 1
American Osteopathic Association: General Certification Awarded by Osteopathic Medical Specialty Boards, 2005-2009 *


Year
American Osteopathic Board of.../Specialty or Subspecialty
2005
2006
2007
2008
2009
Anesthesiology
□ Anesthesiology 20 (2) 12 (1) 12 (1) 19 (2) 21 (2)
Dermatology
□ Dermatology 18 (2) 22 (2) 20 (2) 31 (3) 28 (2)
Emergency Medicine
□ Emergency Medicine 120 (12) 118 (9) 119 (12) 144 (15) 152 (12)
Family Physicians
□ Family Practice and OMT 343 (34) 391 (30) 338 (34) 178 (18) 541 (42)
Internal Medicine
□ Cardiology 4 (<1) 29 (2) 0 28 (3) 22 (2)
□ Endocrinology1 (<1)002 (<1)3 (<1)
□ Gastroenterology 3 (<1) 12 (1) 1 (<1) 7 (1) 7 (1)
□ Hematology05 (<1)03 (<1)0
□ Infectious Diseases 0 6 (<1) 1 (<1) 2 (<1) 3 (<1)
□ Internal Medicine155 (15)259 (20)58 (6)169 (17)162 (13)
□ Nephrology 3 (<1) 4 (<1) 4 (<1) 4 (<1) 10 (1)
□ Oncology5 (<1)7 (1)2 (<1)04 (<1)
□ Pulmonary Diseases 5 (<1) 5 (<1) 3 (<1) 8 (1) 1 (<1)
□ Rheumatology03 (<1)02 (<1)3 (<1)
Nuclear Medicine
□ Nuclear Medicine00000
Neurology and Psychiatry
□ Child Neurology01 (<1)000
□ Child Psychiatry 4 (<1) 2 (<1) 3 (<1) 0 2 (<1)
□ Neurology1 (<1)20 (2)014 (1)13 (1)
□ Psychiatry 11 (1) 8 (1) 4 (<1) 10 (1) 14 (1)
Neuromusculoskeletal Medicine
□ Neuromusculoskeletal Medicine and OMM 62 (6) 110 (8) 43 (4) 13 (1) 20 (2)
Obstetrics and Gynecology
□ Gynecologic Oncology 1 (<1) 0 1 (<1) 0 0
□ Maternal and Fetal Medicine01 (<1)1 (<1)2 (<1)1 (<1)
□ Obstetrics and Gynecology 50 (5) 85 (6) 85 (9) 85 (9) 48 (4)
□ Reproductive Endocrinology2 (<1)0000
Ophthalmology and Otolaryngology
□ Facial Plastic Surgery00000
□ Ophthalmology 10 (1) 11 (1) 11 (1) 6 (1) 13 (1)
□ Otolaryngology1 (<1)0000
□ Otolaryngology and Facial Plastic Surgery 27 (3) 11 (1) 20 (2) 17 (2) 13 (1)
Orthopedic Surgery
□ Orthopedic Surgery 55 (5) 45 (3) 67 (7) 51 (5) 69 (5)
Pathology
□ Anatomic Pathology 0 1 (<1) 0 0 0
□ Anatomic Pathology and Laboratory Medicine00000
□ Forensic Pathology 0 0 0 0 0
□ Laboratory Medicine002 (<1)1 (<1)0
Pediatrics
□ Neonatology002 (<1)01 (<1)
□ Pediatric Allergy and Immunology NA NA NA NA 1 (<1)
□ Pediatric Pulmonology002 (<1)01 (<1)
□ Pediatrics 18 (2) 25 (2) 50 (5) 22 (2) 19 (1)
Physical Medicine and Rehabilitation
□ Physical Medicine and Rehabilitation Medicine 1 (<1) 6 (<1) 6 (1) 6 (1) 10 (1)
Preventive Medicine
□ Preventive Medicine and Aerospace Medicine 1 (<1) 2 (<1) 6 (1) 1 (<1) 3 (<1)
□ Preventive Medicine and Occupational-Environmental Medicine5 (<1)03 (<1)2 (<1)5 (<1)
□ Preventive Medicine and Public Health 0 2 (<1) 6 (1) 0 1 (<1)
Proctology
□ Proctology 0 0 2 (<1) 0 1 (<1)
Radiology
□ Diagnostic Radiology 19 (2) 29 (2) 26 (3) 28 (3) 23 (2)
□ Radiation Oncology1 (<1)3 (<1)01 (<1)1 (<1)
□ Radiology 0 0 0 0 NA
Surgery
□ General Vascular Surgery 7 (1) 7 (1) 3 (<1) 5 (1) 1 (<1)
□ Neurological Surgery3 (<1)6 (<1)5 (1)10 (1)9 (1)
□ Plastic and Reconstructive Surgery 2 (<1) 1 (<1) 3 (1) 5 (1) 2 (<1)
□ Surgery (General)39 (4)53 (4)61 (6)94 (10)33 (3)
□ Thoracic Cardiovascular Surgery 1 (<1) 2 (<1) 0 0 3 (<1)
□ Urological Surgery 5 (<1)
4 (<1)
13 (1)
16 (2)
16 (1)
Total 1003 1308 983 986 1280
 Abbreviations: NA, not applicable; OMM, osteopathic manipulative medicine.
 *Data are presented as No. (%). Some percentages do not total 100 because of rounding. Totals are calculated by date of final approval by the American Osteopathic Association Bureau of Osteopathic Specialists (December 31, 2009).
 Before July 1993, certificates were issued as General Practice. Beginning April 15, 2000, all new family practitioners are being recommended for certification in family practice and osteopathic manipulative treatment (OMT).
 Although Pediatric Pulmonology is no longer issued, the individuals included here were in the certification process before that change was made.
×
In 2009, the BOS made great strides in improving its functioning by implementing tools for collaboration with stakeholders and continuing the development of Osteopathic Continuous Certification (OCC). 
Collaboration With Stakeholders
At its annual meeting in July 2009, the AOA Board of Trustees adopted Resolution B-12 (“Public Comment on New BOS Initiatives”), which recognizes that specialty certifying boards, specialty colleges, and other stakeholders (eg, specialty societies, members of the public) often have comments and concerns about the implementation of new BOS policies and initiatives. The resolution also confirms that in overseeing the AOA board certification process, it is in the best interest of the BOS to obtain input from key stakeholders before initiating new policies. 
The resolution requires that new policies and initiatives by the BOS be posted on the DO-Online Web site (http://www.do-online.org) and forwarded electronically to all specialty colleges and specialty certification boards for a 60-day “public comment” period. Following this period, the BOS will review all comments and make final decisions on any further action with those initiatives. This new process allows stakeholders in the certification process to have a voice in changes that may affect their training, certification, and profession. 
In 2009, under this new policy, two proposed resolutions were posted to the DO-Online Web site. The first of these resolutions proposed requiring lifetime certificate holders to participate in the OCC process, which will be in effect for all specialty certifying boards as of January 2013 (see the next section of the present report). However, the resolution exempted lifetime certificate holders from having to participate in the examination outlined in Component 3 (Clinical Assessment). After reviewing the comments received from specialty certifying boards, specialty colleges, and other stakeholders, the BOS voted to withdraw the resolution from further consideration. 
Currently, lifetime certificate holders are exempt from the OCC process. However, many states are moving to a Maintenance of Licensure process, which would require continuous maintenance of certification and practice competencies. As legislation is enacted, licensed physicians—regardless of lifetime certification status—will need to demonstrate participation in an approved maintenance of certification process in order to continue to practice medicine. All AOA specialty certifying boards are developing plans to allow lifetime certificate holders to participate in the OCC process. 
The second proposed resolution grew from an effort to differentiate nonclinical or academic osteopathic physicians from those in clinical practice. For non-clinical osteopathic physicians, Component 4 (Practice Assessment and Improvement) would not be possible to complete, as they do not have cases or patient records to submit or be reviewed. As initially written, the resolution insufficiently addressed the issue, which was evidenced by the public comments received by the BOS. The BOS will work to revise the resolution and, it will again be posted to DO-Online and forwarded to stakeholders for a 60-day public comment period. 
In other collaborative activities, the BOS has enlisted the assistance of the Administrators Work Group, which comprises specialty certifying board administrators and is chaired by Alvin Dubin, DO. These leaders oversee the process and business of certification and have insight into possible improvements and process changes. The BOS has established a small task force to address the efficiency of the certification process. Through regular meetings, this task force will make process change recommendations to the BOS, which will make the certification process more user friendly for applicants. 
Osteopathic Continuous Certification
The specialty certifying boards are working to develop the OCC process for diplomates holding time-limited certificates. The plans for OCC must be submitted to the BOS Standards Review Committee for review in April 2010, and the OCC must be fully implemented by all specialty certifying boards no later than January 1, 2013. 
The OCC process consists of the following five components: 
  • Component 1—Unrestricted Licensure. Physicians who are board-certified by the AOA must hold a valid, unrestricted license to practice medicine in the United States. If there is a restriction in any state, the license must be evaluated by the appropriate certifying board. In addition, these physicians are required to adhere to the AOA's Code of Ethics.2
  • Component 2—Lifelong Learning/Continuing Medical Education. Consistent with current commitment to lifelong learning, this component requires that all recertifying diplomates fulfill a minimum of 120 hours of continuing medical education (CME) credit during each 3-year CME cycle.3 Thirty credits must be in Category 1-A, and the remaining 90 hours may be in any of the four AOA categories (ie, 1-A, 1-B, 2-A, and 2-B).3 Certifying boards have license to require additional CME. Of the 120 hours or more CME credit, a minimum of 50 credit hours must be in the specialty area of certification. Self-assessment activities will be designated by each of the AOA's 18 approved specialty certifying boards.
  • Component 3—Cognitive Assessment. This component requires provision of one (or more) psychometrically valid and proctored examinations that assess a physician's specialty medical knowledge as well as core competencies in the provision of healthcare.
  • Component 4—Practice Performance Assessment and Improvement. This component, which is the only addition to the AOA's current requirement for recertification, requires that diplomates engage in continuous quality improvement through comparison of personal practice performance measured against national standards for his or her medical specialty.
  • Component 5—Continuous AOA Membership. Because membership in the professional osteopathic medical community provides physicians with online technology, practice management assistance, national advocacy for DOs and the profession, professional publications, and continuing medical education opportunities, diplomates are required to maintain AOA membership.
Board Eligibility
As of July 1, 2009, physicians who have completed their training programs have a maximum of 6 years to apply for “board eligibility.” The term is valid until December 31 of the sixth year following completion of the program. After 6 years, if a candidate has not obtained final certification (or if he or she hasn't applied for certification), the candidate may petition the board to re-enter the certification process. However, the term board eligibility is not available for candidates after 6 years post-residency. The board will grant the candidate the ability to reenter the process, but he or she will have to meet the established and published criteria. 
The candidate must start at the beginning of the certification process and must participate in the next available administration of the examination. The candidate will have two attempts to pass each step of the examination process. If a failure of any of the steps occurs, the candidate must retake that portion of the examination at the next available administration. After exhausting the above process, the candidate is not eligible to continue the process. However, he or she may re-petition the board to re-enter the certification process, which will follow the same steps as outlined above. Candidates who fail to achieve certification after the second reentry period are no longer eligible to pursue AOA board certification. 
Osteopathic physicians and others with questions about board eligibility or certification should contact the AOA Division of Certification at certification@osteopathic.org or by calling (800) 621-1773, extension 8266. 
Certification Growth
Since 1939, when the BOS (known as the Advisory Board of Osteopathic Specialists until 1993) was established by the AOA's Board of Trustees, the BOS has issued 33,349 primary certifications that include basic specialties, subspecialties, and added qualifications. As of late December 2009, a total of 23,005 osteopathic physicians were currently certified by the AOA and held a combined total of 25,326 active certificates. In 2009, a total of 1280 certificates were awarded in primary specialty and subspecialty areas (Table 1). In addition, 99 certificates of added qualifications were granted (Table 2), and 1034 recertifications were issued (Table 3). A listing of total number of active certifications by specialty is found in Table 4. 
Table 2
American Osteopathic Association: Certification of Added Qualifications Awarded by Osteopathic Medical Specialty Boards, 2005-2009 *


Year
American Osteopathic Board of.../Certification of Added Qualifications
2005
2006
2007
2008
2009
Anesthesiology
□ Critical Care Medicine 0 0 0 0 0
□ Pain Management02 (2)03 (7)2 (2)
Dermatology
□ Dermatopathology01 (1)01 (2)2 (2)
□ Mohs Micrographic Surgery 0 0 0 2 (5) 5 (5)
Emergency Medicine
□ Emergency Medical Services 0 1 (1) 0 0 0
□ Medical Toxicology004 (11)03 (3)
□ Sports Medicine 0 0 0 1 (2) 0
Family Physicians
□ Geriatrics 6 (17) 6 (7) 5 (14) 5 (12) 4 (4)
□ Sports Medicine1 (3)16 (18)7 (19)9 (21)20 (20)
Internal Medicine
□ Addiction Medicine00000
□ Clinical Cardiac Electrophysiology 0 4 (4) 0 3 (7) 0
□ Critical Care Medicine10 (29)7 (8)3 (8)013 (13)
□ Geriatric Medicine 0 4 (4) 0 0 0
□ Interventional Cardiology2 (6)36 (40)2 (6)015 (15)
□ Sports Medicine 0 0 2 (6) 2 (5) 1 (1)
Neurology and Psychiatry
□ Addiction Medicine 0 0 0 0 0
□ Neurophysiology01 (1)2 (6)3 (7)0
Neuromusculoskeletal Medicine
□ Sports Medicine00001 (1)
Ophthalmology and Otolaryngology
□ Otolaryngic Allergy3 (9)1 (1)000
Orthopedic Surgery
□ Hand Surgery2 (6)02 (6)2 (5)0
Pathology
□ Dermatopathology00000
Physical Medicine and Rehabilitation
□ Sports Medicine1 (3)0000
Preventive Medicine
□ Preventive Medicine (Occupational)3 (9)2 (2)4 (11)3 (7)8 (8)
□ Sports Medicine 0 0 0 0 0
Radiology
□ Body Imaging 0 1 (1) 0 0 0
□ Neuroradiology4 (11)01 (3)3 (7)3 (3)
□ Nuclear Radiology 0 0 0 0 0
□ Pediatric Radiology01 (1)3 (8)2 (5)4 (4)
□ Vascular and Interventional Radiology 2 (6) 2 (2) 1 (3) 0 1 (1)
Surgery
□ Surgical Critical Care 1 (3) 5 (6) 0 4 (9) 2 (2)
Conjoint—Available to All Specialties
□ Undersea and Hyperbaric Medicine NA
NA
NA
NA
14 (14)
Total
35
90
36
43
98
 *Data are presented as No. (%). Some percentages do not total 100 because of rounding. Totals are calculated by date of final approval by the American Osteopathic Association Bureau of Osteopathic Specialists (December 31, 2009).
 Certifications of Added Qualifications are not offered through the American Osteopathic Board of Nuclear Medicine, American Osteopathic Board of Obstetrics and Gynecology, American Osteopathic Board of Pediatrics, and American Osteopathic Board of Proctology.
 Undersea and Hyperbaric Medicine was previously not available (NA) and was added in 2009.
Table 2
American Osteopathic Association: Certification of Added Qualifications Awarded by Osteopathic Medical Specialty Boards, 2005-2009 *


Year
American Osteopathic Board of.../Certification of Added Qualifications
2005
2006
2007
2008
2009
Anesthesiology
□ Critical Care Medicine 0 0 0 0 0
□ Pain Management02 (2)03 (7)2 (2)
Dermatology
□ Dermatopathology01 (1)01 (2)2 (2)
□ Mohs Micrographic Surgery 0 0 0 2 (5) 5 (5)
Emergency Medicine
□ Emergency Medical Services 0 1 (1) 0 0 0
□ Medical Toxicology004 (11)03 (3)
□ Sports Medicine 0 0 0 1 (2) 0
Family Physicians
□ Geriatrics 6 (17) 6 (7) 5 (14) 5 (12) 4 (4)
□ Sports Medicine1 (3)16 (18)7 (19)9 (21)20 (20)
Internal Medicine
□ Addiction Medicine00000
□ Clinical Cardiac Electrophysiology 0 4 (4) 0 3 (7) 0
□ Critical Care Medicine10 (29)7 (8)3 (8)013 (13)
□ Geriatric Medicine 0 4 (4) 0 0 0
□ Interventional Cardiology2 (6)36 (40)2 (6)015 (15)
□ Sports Medicine 0 0 2 (6) 2 (5) 1 (1)
Neurology and Psychiatry
□ Addiction Medicine 0 0 0 0 0
□ Neurophysiology01 (1)2 (6)3 (7)0
Neuromusculoskeletal Medicine
□ Sports Medicine00001 (1)
Ophthalmology and Otolaryngology
□ Otolaryngic Allergy3 (9)1 (1)000
Orthopedic Surgery
□ Hand Surgery2 (6)02 (6)2 (5)0
Pathology
□ Dermatopathology00000
Physical Medicine and Rehabilitation
□ Sports Medicine1 (3)0000
Preventive Medicine
□ Preventive Medicine (Occupational)3 (9)2 (2)4 (11)3 (7)8 (8)
□ Sports Medicine 0 0 0 0 0
Radiology
□ Body Imaging 0 1 (1) 0 0 0
□ Neuroradiology4 (11)01 (3)3 (7)3 (3)
□ Nuclear Radiology 0 0 0 0 0
□ Pediatric Radiology01 (1)3 (8)2 (5)4 (4)
□ Vascular and Interventional Radiology 2 (6) 2 (2) 1 (3) 0 1 (1)
Surgery
□ Surgical Critical Care 1 (3) 5 (6) 0 4 (9) 2 (2)
Conjoint—Available to All Specialties
□ Undersea and Hyperbaric Medicine NA
NA
NA
NA
14 (14)
Total
35
90
36
43
98
 *Data are presented as No. (%). Some percentages do not total 100 because of rounding. Totals are calculated by date of final approval by the American Osteopathic Association Bureau of Osteopathic Specialists (December 31, 2009).
 Certifications of Added Qualifications are not offered through the American Osteopathic Board of Nuclear Medicine, American Osteopathic Board of Obstetrics and Gynecology, American Osteopathic Board of Pediatrics, and American Osteopathic Board of Proctology.
 Undersea and Hyperbaric Medicine was previously not available (NA) and was added in 2009.
×
Table 3
American Osteopathic Association: Specialty, Subspecialty, and CAQ Recertifications Awarded by Osteopathic Medical Specialty Boards, 2005-2009 *


Year
American Osteopathic Board of.../Recertification
2005
2006
2007
2008
2009
Anesthesiology
□ Anesthesiology 0 3 (<1) 2 (<1) 0 2 (<1)
CAQ
— Critical Care Medicine NA NA NA NA NA
— Pain ManagementNANANANANA
Dermatology
□ Dermatology00005 (<1)
CAQ
— DermatopathologyNANA3 (<1)00
— Mohs Micrographic Surgery NA 4 (<1) 0 0 0
Emergency Medicine
□ Emergency Medicine 29 (6) 63 (8) 59 (5) 183 (25) 129 (12)
CAQ
— Emergency Medical Services NA 3 (<1) 2 (<1) 1 (<1) 0
— Medical ToxicologyNANANANANA
— Sports Medicine NA NA NA 1 (<1) 0
Family Physicians
□ Family Practice and OMT 229 (47) 435 (53) 971 (77) 200 (27) 530 (51)
CAQ
— Addiction Medicine NA NA NA 0 0
— Adolescent and Young Adult Medicine001 (<1)00
— Geriatric Medicine 2 (<1) 47 (6) 24 (2) 6 (1) 4 (<1)
— Sports Medicine5 (1)17 (2)5 (<1)8 (1)10 (1)
Internal Medicine
□ Allergy and Immunology 0 0 1 (<1) 0 0
□ Cardiology23 (5)12 (1)19 (1)016 (2)
□ Endocrinology 3 (1) 2 (<1) 0 0 2 (<1)
□ Gastroenterology12 (2)10 (1)9 (1)012 (1)
□ Hematology 0 1 (<1) 1 (<1) 0 2 (<1)
□ Infectious Diseases1 (<1)2 (<1)2 (<1)02 (<1)
□ Internal Medicine 71 (14) 84 (10) 17 (1) 174 (24) 105 (10)
□ Nephrology4 (1)3 (<1)3 (<1)3 (<1)9 (1)
□ Oncology 5 (1) 1 (<1) 0 0 5 (<1)
□ Pulmonary Diseases5 (1)6 (1)8 (1)07 (<1)
□ Rheumatology 2 (<1) 4 (<1) 0 0 3 (<1)
CAQ
- Addiction Medicine NA NA NA NA NA
- Clinical Cardiac Electrophysiology3 (1)5 (1)3 (<1)01 (<1)
- Critical Care Medicine 12 (2) 12 (1) 8 (1) 0 5 (<1)
- Geriatric Medicine6 (1)11 (1)3 (<1)04 (<1)
- Interventional Cardiology NA NA NA NA NA
- Sports Medicine01 (<1)01 (<1)1 (<1)
Nuclear Medicine
□ Nuclear Medicine0001 (<1)0
Neurology and Psychiatry
□ Child NeurologyNANANANANA
□ Child Psychiatry NA NA NA 1 (<1) 3 (<1)
□ NeurologyNA2 (<1)6 (<1)5 (1)4 (<1)
□ Psychiatry NA 4 (<1) 13 (1) 0 10 (1)
CAQ
- Addiction Medicine NA NA 3 (<1) 1 (<1) 0
- NeurophysiologyNANANANANA
Neuromusculoskeletal Medicine
□ Neuromusculoskeletal Medicine and OMM19 (4)13 (2)14 (1)6 (1)16 (2)
CAQ
- Sports MedicineNANANANA2 (<1)
Obstetrics and Gynecology
□ Gynecologic OncologyNANANANA1 (<1)
□ Maternal and Fetal Medicine NA NA NA NA 2 (<1)
□ Obstetrics and Gynecology02 (<1)030 (4)44 (4)
□ Reproductive Endocrinology NA NA NA NA NA
Ophthalmology and Otolaryngology
□ Ophthalmology 1 (<1) 0 0 0
□ Ophthalmology and OtolaryngologyNANANANANA
□ Otolaryngology 0 0 0 0 NA
□ Otolaryngology and Facial Plastic SurgeryNANANANANA
□ Otolaryngology—Head and Neck Surgery NA NA NA 0 0
CAQ
— Otolaryngic Allergy NA NA NA NA NA
Orthopedic Surgery
□ Orthopedic Surgery 47 (10) 29 (4) 38 (3) 0 38 (4)
CAQ
— Hand Surgery NA 7 (1) 0 3 (<1) 1 (<1)
Pathology
□ Allergy and Immunology NA NA NA NA NA
□ Anatomic PathologyNANA2 (<1)02 (<1)
□ Anatomic Pathology and Laboratory Medicine NA 1 (<1) NA NA 1 (<1)
□ Forensic PathologyNANANANA1 (<1)
□ Laboratory Medicine NA NA 2 (<1) 0 2 (<1)
□ Pathology00000
CAQ
— DermatopathologyNANA1 (<1)00
Pediatrics
□ Neonatology00004 (<1)
□ Pediatric Allergy and Immunology NA 1 (<1) 0 0 0
□ Pediatric EndocrinologyNA2 (<1)000
□ Pediatrics 1 (<1) 10 (1) 14 (1) 0 23 (2)
Physical Medicine and Rehabilitation
□ Physical Medicine and Rehabilitation Medicine 1 (<1) 6 (1) 0 0 0
CAQ
— Sports Medicine NA NA NA NA NA
Preventive Medicine
□ Preventive Medicine and Aerospace Medicine 0 0 0 0 2 (<1)
□ Preventive Medicine and Public Health00002 (<1)
□ Preventive Medicine and Occupational-Environmental Medicine 0 0 0 1 (<1) 9 (1)
□ Preventive Medicine and Occupational Medicine1 (<1)0000
CAQ
— Occupational Medicine006 (<1)1 (<1)4 (<1)
— Sports Medicine NA NA NA NA NA
Proctology
□ Proctology 1 (<1) 0 1 (<1) 0 0
Radiology
□ Diagnostic Radiology 3 (1) 10 (1) 5 (<1) 4 (1) 1 (<1)
□ Radiation OncologyNANANANANA
□ Radiology NA NA NA NA NA
CAQ
— Nuclear Radiology NA NA NA NA NA
— Pediatric RadiologyNANANANA1 (<1)
— Vascular and Interventional Radiology NA NA NA NA NA
Surgery
□ General Vascular Surgery NA NA NA 1 (<1) 2 (<1)
□ Neurological SurgeryNANANANA1 (<1)
□ Plastic and Reconstructive Surgery NA NA NA NA NA
□ Surgery (General)01 (<1)001 (<1)
□ Thoracic Cardiovascular Surgery NA NA 1 (<1) 0 1 (<1)
□ Urological Surgery00000
CAQ
— Surgical Critical Care NA
NA
1 (<1)
0
1 (<1)
Total 491 823 1267 731 1034
 Abbreviations: NA, not applicable (ie, recertification not offered in year indicated) or not available (ie, see †); OMM, osteopathic manipulative medicine; OMT, osteopathic manipulative treatment.
 *Recertification data for General Certification and Certification of Added Qualifications (CAQ) are presented as No. (%). Some percentages do not total 100 because of rounding. Totals are calculated by date of final approval by the American Osteopathic Association Bureau of Osteopathic Specialists (December 31, 2009). As of January 1, 2004, all 18 member boards had a time-limited certificate in place (ie, all new certificates are issued with an expiration date). Certificates issued before the time-limit requirement was instituted, however, are valid for the life of the physician.
 Reports published in previous editions of The Journal's Osteopathic Medical Education issue combined Anatomic Pathology and Laboratory Medicine under a single heading for recertification statistics. They have been separated here. Likewise, previous reports combined Ophthalmology and Otolaryngology as well as Neurology and Psychiatry under single headings. Beginning with the data reported for 2005 and 2006, respectively, these numbers were likewise separated.
Table 3
American Osteopathic Association: Specialty, Subspecialty, and CAQ Recertifications Awarded by Osteopathic Medical Specialty Boards, 2005-2009 *


Year
American Osteopathic Board of.../Recertification
2005
2006
2007
2008
2009
Anesthesiology
□ Anesthesiology 0 3 (<1) 2 (<1) 0 2 (<1)
CAQ
— Critical Care Medicine NA NA NA NA NA
— Pain ManagementNANANANANA
Dermatology
□ Dermatology00005 (<1)
CAQ
— DermatopathologyNANA3 (<1)00
— Mohs Micrographic Surgery NA 4 (<1) 0 0 0
Emergency Medicine
□ Emergency Medicine 29 (6) 63 (8) 59 (5) 183 (25) 129 (12)
CAQ
— Emergency Medical Services NA 3 (<1) 2 (<1) 1 (<1) 0
— Medical ToxicologyNANANANANA
— Sports Medicine NA NA NA 1 (<1) 0
Family Physicians
□ Family Practice and OMT 229 (47) 435 (53) 971 (77) 200 (27) 530 (51)
CAQ
— Addiction Medicine NA NA NA 0 0
— Adolescent and Young Adult Medicine001 (<1)00
— Geriatric Medicine 2 (<1) 47 (6) 24 (2) 6 (1) 4 (<1)
— Sports Medicine5 (1)17 (2)5 (<1)8 (1)10 (1)
Internal Medicine
□ Allergy and Immunology 0 0 1 (<1) 0 0
□ Cardiology23 (5)12 (1)19 (1)016 (2)
□ Endocrinology 3 (1) 2 (<1) 0 0 2 (<1)
□ Gastroenterology12 (2)10 (1)9 (1)012 (1)
□ Hematology 0 1 (<1) 1 (<1) 0 2 (<1)
□ Infectious Diseases1 (<1)2 (<1)2 (<1)02 (<1)
□ Internal Medicine 71 (14) 84 (10) 17 (1) 174 (24) 105 (10)
□ Nephrology4 (1)3 (<1)3 (<1)3 (<1)9 (1)
□ Oncology 5 (1) 1 (<1) 0 0 5 (<1)
□ Pulmonary Diseases5 (1)6 (1)8 (1)07 (<1)
□ Rheumatology 2 (<1) 4 (<1) 0 0 3 (<1)
CAQ
- Addiction Medicine NA NA NA NA NA
- Clinical Cardiac Electrophysiology3 (1)5 (1)3 (<1)01 (<1)
- Critical Care Medicine 12 (2) 12 (1) 8 (1) 0 5 (<1)
- Geriatric Medicine6 (1)11 (1)3 (<1)04 (<1)
- Interventional Cardiology NA NA NA NA NA
- Sports Medicine01 (<1)01 (<1)1 (<1)
Nuclear Medicine
□ Nuclear Medicine0001 (<1)0
Neurology and Psychiatry
□ Child NeurologyNANANANANA
□ Child Psychiatry NA NA NA 1 (<1) 3 (<1)
□ NeurologyNA2 (<1)6 (<1)5 (1)4 (<1)
□ Psychiatry NA 4 (<1) 13 (1) 0 10 (1)
CAQ
- Addiction Medicine NA NA 3 (<1) 1 (<1) 0
- NeurophysiologyNANANANANA
Neuromusculoskeletal Medicine
□ Neuromusculoskeletal Medicine and OMM19 (4)13 (2)14 (1)6 (1)16 (2)
CAQ
- Sports MedicineNANANANA2 (<1)
Obstetrics and Gynecology
□ Gynecologic OncologyNANANANA1 (<1)
□ Maternal and Fetal Medicine NA NA NA NA 2 (<1)
□ Obstetrics and Gynecology02 (<1)030 (4)44 (4)
□ Reproductive Endocrinology NA NA NA NA NA
Ophthalmology and Otolaryngology
□ Ophthalmology 1 (<1) 0 0 0
□ Ophthalmology and OtolaryngologyNANANANANA
□ Otolaryngology 0 0 0 0 NA
□ Otolaryngology and Facial Plastic SurgeryNANANANANA
□ Otolaryngology—Head and Neck Surgery NA NA NA 0 0
CAQ
— Otolaryngic Allergy NA NA NA NA NA
Orthopedic Surgery
□ Orthopedic Surgery 47 (10) 29 (4) 38 (3) 0 38 (4)
CAQ
— Hand Surgery NA 7 (1) 0 3 (<1) 1 (<1)
Pathology
□ Allergy and Immunology NA NA NA NA NA
□ Anatomic PathologyNANA2 (<1)02 (<1)
□ Anatomic Pathology and Laboratory Medicine NA 1 (<1) NA NA 1 (<1)
□ Forensic PathologyNANANANA1 (<1)
□ Laboratory Medicine NA NA 2 (<1) 0 2 (<1)
□ Pathology00000
CAQ
— DermatopathologyNANA1 (<1)00
Pediatrics
□ Neonatology00004 (<1)
□ Pediatric Allergy and Immunology NA 1 (<1) 0 0 0
□ Pediatric EndocrinologyNA2 (<1)000
□ Pediatrics 1 (<1) 10 (1) 14 (1) 0 23 (2)
Physical Medicine and Rehabilitation
□ Physical Medicine and Rehabilitation Medicine 1 (<1) 6 (1) 0 0 0
CAQ
— Sports Medicine NA NA NA NA NA
Preventive Medicine
□ Preventive Medicine and Aerospace Medicine 0 0 0 0 2 (<1)
□ Preventive Medicine and Public Health00002 (<1)
□ Preventive Medicine and Occupational-Environmental Medicine 0 0 0 1 (<1) 9 (1)
□ Preventive Medicine and Occupational Medicine1 (<1)0000
CAQ
— Occupational Medicine006 (<1)1 (<1)4 (<1)
— Sports Medicine NA NA NA NA NA
Proctology
□ Proctology 1 (<1) 0 1 (<1) 0 0
Radiology
□ Diagnostic Radiology 3 (1) 10 (1) 5 (<1) 4 (1) 1 (<1)
□ Radiation OncologyNANANANANA
□ Radiology NA NA NA NA NA
CAQ
— Nuclear Radiology NA NA NA NA NA
— Pediatric RadiologyNANANANA1 (<1)
— Vascular and Interventional Radiology NA NA NA NA NA
Surgery
□ General Vascular Surgery NA NA NA 1 (<1) 2 (<1)
□ Neurological SurgeryNANANANA1 (<1)
□ Plastic and Reconstructive Surgery NA NA NA NA NA
□ Surgery (General)01 (<1)001 (<1)
□ Thoracic Cardiovascular Surgery NA NA 1 (<1) 0 1 (<1)
□ Urological Surgery00000
CAQ
— Surgical Critical Care NA
NA
1 (<1)
0
1 (<1)
Total 491 823 1267 731 1034
 Abbreviations: NA, not applicable (ie, recertification not offered in year indicated) or not available (ie, see †); OMM, osteopathic manipulative medicine; OMT, osteopathic manipulative treatment.
 *Recertification data for General Certification and Certification of Added Qualifications (CAQ) are presented as No. (%). Some percentages do not total 100 because of rounding. Totals are calculated by date of final approval by the American Osteopathic Association Bureau of Osteopathic Specialists (December 31, 2009). As of January 1, 2004, all 18 member boards had a time-limited certificate in place (ie, all new certificates are issued with an expiration date). Certificates issued before the time-limit requirement was instituted, however, are valid for the life of the physician.
 Reports published in previous editions of The Journal's Osteopathic Medical Education issue combined Anatomic Pathology and Laboratory Medicine under a single heading for recertification statistics. They have been separated here. Likewise, previous reports combined Ophthalmology and Otolaryngology as well as Neurology and Psychiatry under single headings. Beginning with the data reported for 2005 and 2006, respectively, these numbers were likewise separated.
×
Table 4
Active Certificates by Osteopathic Medical Specialty Board as of December 31, 2009

American Osteopathic Board of.../Certification

No (%)
Anesthesiology
□ Anesthesiology 562 (2)
CAQ
— Critical Care 5 (<1)
— Pain Management68 (<1)
Dermatology
□ Dermatology344 (1)
CAQ
— Dermatopathology6 (<1)
— MOHS Micrographic Surgery 16 (<1)
Emergency Medicine
□ Emergency Medicine 1860 (7)
CAQ
— Emergency Medical Services 11 (<1)
— Medical Toxicology9 (<1)
— Sports Medicine 5 (<1)
Family Physicians
□ Family Practice* 5181 (20)
□ Family Practice and OMT5448 (22)
CAQ
— Addiction Medicine*3 (<1)
— Adolescent and Young Adult Medicine* 7 (<1)
— Geriatric Medicine360 (1)
— Sports Medicine 138 (1)
Internal Medicine
□ Allergy and Immunology 11 (<1)
□ Cardiology372 (1)
□ Endocrinology 33 (<1)
□ Gastroenterology189 (1)
□ Hematology 40 (<1)
□ Infectious Diseases57 (<1)
□ Internal Medicine 2824 (11)
□ Nephrology112 (<1)
□ Oncology 92 (<1)
□ Pulmonary Diseases172 (1)
□ Rheumatology 52 (<1)
CAQ
— Clinical Cardiac Electrophysiology 19 (<1)
— Critical Care116 (1)
— Geriatric Medicine 58 (<1)
— Interventional Cardiology81 (<1)
— Sports Medicine 6 (<1)
Nuclear Medicine
□ Nuclear Medicine 34 (<1)
Neurology and Psychiatry
□ Child Neurology 3 (<1)
□ Child Psychiatry39 (<1)
□ Neurology 198 (1)
□ Neurology and Psychiatry*1 (<1)
□ Psychiatry 285 (1)
CAQ
— Addiction Medicine 4 (<1)
— Neurophysiology6 (<1)
Neuromusculoskeletal Medicine
□ Neuromusculoskeletal Medicine and OMM 420 (2)
□ Special Proficiency in OMM*135 (1)
CAQ
— Sports Medicine3 (<1)
Obstetrics and Gynecology
□ Gynecological Oncology6 (<1)
□ Maternal and Fetal Medicine 18 (<1)
□ Obstetrics and Gynecologic Surgery*64 (<1)
□ Obstetrics and Gynecology 916 (4)
□ Reproductive Endocrinology11 (<1)
Ophthalmology and Otolaryngology
□ Facial Plastic Surgery*7 (<1)
□ Ophthalmology 313 (1)
□ Otolaryngology and Facial Plastic Surgery331 (1)
□ Otolaryngology 9 (<1)
□ Otorhinolaryngology*36 (<1)
CAQ
— Otolaryngic Allergy25 (<1)
Orthopedic Surgery
□ Orthopedic Surgery977 (4)
CAQ
— Hand Surgery29 (<1)
Pathology
□ Anatomic Pathology27 (<1)
□ Anatomic Pathology and Laboratory Medicine 22 (<1)
□ Forensic Pathology3 (<1)
□ Laboratory Medicine 15 (<1)
CAQ
— Dermatopathology 2 (<1)
Pediatrics
□ Adolescent Medicine 1 (<1)
□ Neonatology30 (<1)
□ Pediatric Allergy and Immunology 3 (<1)
□ Pediatric Endocrinology2 (<1)
□ Pediatric Pulmonology* 2 (<1)
□ Pediatrics403 (2)
Physical Medicine and Rehabilitation
□ Physical Medicine and Rehabilitation219 (1)
CAQ
— Sports Medicine2 (<1)
Preventative Medicine
□ Preventive Medicine and Aerospace Medicine42 (<1)
□ Preventive Medicine and Occupational Medicine* 10 (<1)
□ Preventive Medicine and Public Health38 (<1)
□ Preventive Medicine and Occupational
-Environmental Medicine92 (<1)
CAQ
— Occupational Medicine55 (<1)
Proctology
□ Proctology24 (<1)
Radiology
□ Angiography and Intervention Radiology* 18 (<1)
□ Body Imaging*10 (<1)
□ Diagnostic Radiology 613 (2)
□ Diagnostic Roentgenology*3 (<1)
□ Diagnostic Ultrasound 1 (<1)
□ Neuroradiology*46 (<1)
□ Radiation Oncology 20 (<1)
□ Radiation Therapy*1 (<1)
□ Radiology 71 (<1)
CAQ
— Nuclear Radiology 6 (<1)
— Pediatric Radiology18 (<1)
— Angiography and Interventional Radiology 15 (<1)
Surgery
□ Cardiothoracic Surgery 3 (<1)
□ General Vascular Surgery106 (<1)
□ Neurological Surgery 77 (<1)
□ Plastic and Reconstructive Surgery46 (<1)
□ General Surgery 861 (3)
□ Thoracic Cardiovascular Surgery*58 (<1)
□ Thoracic Surgery* 7 (<1)
□ Urological Surgery176 (1)
CAQ
— Surgical Critical Care37 (<1)
Conjoint Certification—Available to All Specialties
□ Undersea Hyperbaric Medicine 14 (<1)
Total 25326 (100)
 Abbreviations: CAQ, Certification of Added Qualifications; OMT, osteopathic manipulative treatment; OMM, osteopathic manipulative medicine
 *No longer issued.
Table 4
Active Certificates by Osteopathic Medical Specialty Board as of December 31, 2009

American Osteopathic Board of.../Certification

No (%)
Anesthesiology
□ Anesthesiology 562 (2)
CAQ
— Critical Care 5 (<1)
— Pain Management68 (<1)
Dermatology
□ Dermatology344 (1)
CAQ
— Dermatopathology6 (<1)
— MOHS Micrographic Surgery 16 (<1)
Emergency Medicine
□ Emergency Medicine 1860 (7)
CAQ
— Emergency Medical Services 11 (<1)
— Medical Toxicology9 (<1)
— Sports Medicine 5 (<1)
Family Physicians
□ Family Practice* 5181 (20)
□ Family Practice and OMT5448 (22)
CAQ
— Addiction Medicine*3 (<1)
— Adolescent and Young Adult Medicine* 7 (<1)
— Geriatric Medicine360 (1)
— Sports Medicine 138 (1)
Internal Medicine
□ Allergy and Immunology 11 (<1)
□ Cardiology372 (1)
□ Endocrinology 33 (<1)
□ Gastroenterology189 (1)
□ Hematology 40 (<1)
□ Infectious Diseases57 (<1)
□ Internal Medicine 2824 (11)
□ Nephrology112 (<1)
□ Oncology 92 (<1)
□ Pulmonary Diseases172 (1)
□ Rheumatology 52 (<1)
CAQ
— Clinical Cardiac Electrophysiology 19 (<1)
— Critical Care116 (1)
— Geriatric Medicine 58 (<1)
— Interventional Cardiology81 (<1)
— Sports Medicine 6 (<1)
Nuclear Medicine
□ Nuclear Medicine 34 (<1)
Neurology and Psychiatry
□ Child Neurology 3 (<1)
□ Child Psychiatry39 (<1)
□ Neurology 198 (1)
□ Neurology and Psychiatry*1 (<1)
□ Psychiatry 285 (1)
CAQ
— Addiction Medicine 4 (<1)
— Neurophysiology6 (<1)
Neuromusculoskeletal Medicine
□ Neuromusculoskeletal Medicine and OMM 420 (2)
□ Special Proficiency in OMM*135 (1)
CAQ
— Sports Medicine3 (<1)
Obstetrics and Gynecology
□ Gynecological Oncology6 (<1)
□ Maternal and Fetal Medicine 18 (<1)
□ Obstetrics and Gynecologic Surgery*64 (<1)
□ Obstetrics and Gynecology 916 (4)
□ Reproductive Endocrinology11 (<1)
Ophthalmology and Otolaryngology
□ Facial Plastic Surgery*7 (<1)
□ Ophthalmology 313 (1)
□ Otolaryngology and Facial Plastic Surgery331 (1)
□ Otolaryngology 9 (<1)
□ Otorhinolaryngology*36 (<1)
CAQ
— Otolaryngic Allergy25 (<1)
Orthopedic Surgery
□ Orthopedic Surgery977 (4)
CAQ
— Hand Surgery29 (<1)
Pathology
□ Anatomic Pathology27 (<1)
□ Anatomic Pathology and Laboratory Medicine 22 (<1)
□ Forensic Pathology3 (<1)
□ Laboratory Medicine 15 (<1)
CAQ
— Dermatopathology 2 (<1)
Pediatrics
□ Adolescent Medicine 1 (<1)
□ Neonatology30 (<1)
□ Pediatric Allergy and Immunology 3 (<1)
□ Pediatric Endocrinology2 (<1)
□ Pediatric Pulmonology* 2 (<1)
□ Pediatrics403 (2)
Physical Medicine and Rehabilitation
□ Physical Medicine and Rehabilitation219 (1)
CAQ
— Sports Medicine2 (<1)
Preventative Medicine
□ Preventive Medicine and Aerospace Medicine42 (<1)
□ Preventive Medicine and Occupational Medicine* 10 (<1)
□ Preventive Medicine and Public Health38 (<1)
□ Preventive Medicine and Occupational
-Environmental Medicine92 (<1)
CAQ
— Occupational Medicine55 (<1)
Proctology
□ Proctology24 (<1)
Radiology
□ Angiography and Intervention Radiology* 18 (<1)
□ Body Imaging*10 (<1)
□ Diagnostic Radiology 613 (2)
□ Diagnostic Roentgenology*3 (<1)
□ Diagnostic Ultrasound 1 (<1)
□ Neuroradiology*46 (<1)
□ Radiation Oncology 20 (<1)
□ Radiation Therapy*1 (<1)
□ Radiology 71 (<1)
CAQ
— Nuclear Radiology 6 (<1)
— Pediatric Radiology18 (<1)
— Angiography and Interventional Radiology 15 (<1)
Surgery
□ Cardiothoracic Surgery 3 (<1)
□ General Vascular Surgery106 (<1)
□ Neurological Surgery 77 (<1)
□ Plastic and Reconstructive Surgery46 (<1)
□ General Surgery 861 (3)
□ Thoracic Cardiovascular Surgery*58 (<1)
□ Thoracic Surgery* 7 (<1)
□ Urological Surgery176 (1)
CAQ
— Surgical Critical Care37 (<1)
Conjoint Certification—Available to All Specialties
□ Undersea Hyperbaric Medicine 14 (<1)
Total 25326 (100)
 Abbreviations: CAQ, Certification of Added Qualifications; OMT, osteopathic manipulative treatment; OMM, osteopathic manipulative medicine
 *No longer issued.
×
Conclusion
Dedicated to the development and oversight of AOA osteopathic specialty certifications, the BOS looks forward to continuing collaboration with stakeholders as it develops and implements new processes and policies to better assure the public of excellence in osteopathic certification. 
American Osteopathic Association. Handbook of the Bureau of Osteopathic Specialists. Chicago, IL: American Osteopathic Association; 2009. http://www.do-online.org/pdf/crt_%20bos_handbook_%2032009.pdf. Accessed March 5, 2010.
Code of Ethics. American Osteopathic Association Web site. http://www.osteopathic.org/index.cfm?PageID=aoa_ethics. Accessed February 25, 2010.
Rodgers DJ. AOA continuing medical education. J Am Osteopath Assoc. 2010;110(3):168-182.
Ayres RE, Scheinthal S, Gross C, Bell EC. Osteopathic specialty board certification. J Am Osteopath Assoc. 2009;109(3):181-190. Available at: http://www.jaoa.org/cgi/content/full/109/3/181. Accessed February 26, 2010.
Table 1
American Osteopathic Association: General Certification Awarded by Osteopathic Medical Specialty Boards, 2005-2009 *


Year
American Osteopathic Board of.../Specialty or Subspecialty
2005
2006
2007
2008
2009
Anesthesiology
□ Anesthesiology 20 (2) 12 (1) 12 (1) 19 (2) 21 (2)
Dermatology
□ Dermatology 18 (2) 22 (2) 20 (2) 31 (3) 28 (2)
Emergency Medicine
□ Emergency Medicine 120 (12) 118 (9) 119 (12) 144 (15) 152 (12)
Family Physicians
□ Family Practice and OMT 343 (34) 391 (30) 338 (34) 178 (18) 541 (42)
Internal Medicine
□ Cardiology 4 (<1) 29 (2) 0 28 (3) 22 (2)
□ Endocrinology1 (<1)002 (<1)3 (<1)
□ Gastroenterology 3 (<1) 12 (1) 1 (<1) 7 (1) 7 (1)
□ Hematology05 (<1)03 (<1)0
□ Infectious Diseases 0 6 (<1) 1 (<1) 2 (<1) 3 (<1)
□ Internal Medicine155 (15)259 (20)58 (6)169 (17)162 (13)
□ Nephrology 3 (<1) 4 (<1) 4 (<1) 4 (<1) 10 (1)
□ Oncology5 (<1)7 (1)2 (<1)04 (<1)
□ Pulmonary Diseases 5 (<1) 5 (<1) 3 (<1) 8 (1) 1 (<1)
□ Rheumatology03 (<1)02 (<1)3 (<1)
Nuclear Medicine
□ Nuclear Medicine00000
Neurology and Psychiatry
□ Child Neurology01 (<1)000
□ Child Psychiatry 4 (<1) 2 (<1) 3 (<1) 0 2 (<1)
□ Neurology1 (<1)20 (2)014 (1)13 (1)
□ Psychiatry 11 (1) 8 (1) 4 (<1) 10 (1) 14 (1)
Neuromusculoskeletal Medicine
□ Neuromusculoskeletal Medicine and OMM 62 (6) 110 (8) 43 (4) 13 (1) 20 (2)
Obstetrics and Gynecology
□ Gynecologic Oncology 1 (<1) 0 1 (<1) 0 0
□ Maternal and Fetal Medicine01 (<1)1 (<1)2 (<1)1 (<1)
□ Obstetrics and Gynecology 50 (5) 85 (6) 85 (9) 85 (9) 48 (4)
□ Reproductive Endocrinology2 (<1)0000
Ophthalmology and Otolaryngology
□ Facial Plastic Surgery00000
□ Ophthalmology 10 (1) 11 (1) 11 (1) 6 (1) 13 (1)
□ Otolaryngology1 (<1)0000
□ Otolaryngology and Facial Plastic Surgery 27 (3) 11 (1) 20 (2) 17 (2) 13 (1)
Orthopedic Surgery
□ Orthopedic Surgery 55 (5) 45 (3) 67 (7) 51 (5) 69 (5)
Pathology
□ Anatomic Pathology 0 1 (<1) 0 0 0
□ Anatomic Pathology and Laboratory Medicine00000
□ Forensic Pathology 0 0 0 0 0
□ Laboratory Medicine002 (<1)1 (<1)0
Pediatrics
□ Neonatology002 (<1)01 (<1)
□ Pediatric Allergy and Immunology NA NA NA NA 1 (<1)
□ Pediatric Pulmonology002 (<1)01 (<1)
□ Pediatrics 18 (2) 25 (2) 50 (5) 22 (2) 19 (1)
Physical Medicine and Rehabilitation
□ Physical Medicine and Rehabilitation Medicine 1 (<1) 6 (<1) 6 (1) 6 (1) 10 (1)
Preventive Medicine
□ Preventive Medicine and Aerospace Medicine 1 (<1) 2 (<1) 6 (1) 1 (<1) 3 (<1)
□ Preventive Medicine and Occupational-Environmental Medicine5 (<1)03 (<1)2 (<1)5 (<1)
□ Preventive Medicine and Public Health 0 2 (<1) 6 (1) 0 1 (<1)
Proctology
□ Proctology 0 0 2 (<1) 0 1 (<1)
Radiology
□ Diagnostic Radiology 19 (2) 29 (2) 26 (3) 28 (3) 23 (2)
□ Radiation Oncology1 (<1)3 (<1)01 (<1)1 (<1)
□ Radiology 0 0 0 0 NA
Surgery
□ General Vascular Surgery 7 (1) 7 (1) 3 (<1) 5 (1) 1 (<1)
□ Neurological Surgery3 (<1)6 (<1)5 (1)10 (1)9 (1)
□ Plastic and Reconstructive Surgery 2 (<1) 1 (<1) 3 (1) 5 (1) 2 (<1)
□ Surgery (General)39 (4)53 (4)61 (6)94 (10)33 (3)
□ Thoracic Cardiovascular Surgery 1 (<1) 2 (<1) 0 0 3 (<1)
□ Urological Surgery 5 (<1)
4 (<1)
13 (1)
16 (2)
16 (1)
Total 1003 1308 983 986 1280
 Abbreviations: NA, not applicable; OMM, osteopathic manipulative medicine.
 *Data are presented as No. (%). Some percentages do not total 100 because of rounding. Totals are calculated by date of final approval by the American Osteopathic Association Bureau of Osteopathic Specialists (December 31, 2009).
 Before July 1993, certificates were issued as General Practice. Beginning April 15, 2000, all new family practitioners are being recommended for certification in family practice and osteopathic manipulative treatment (OMT).
 Although Pediatric Pulmonology is no longer issued, the individuals included here were in the certification process before that change was made.
Table 1
American Osteopathic Association: General Certification Awarded by Osteopathic Medical Specialty Boards, 2005-2009 *


Year
American Osteopathic Board of.../Specialty or Subspecialty
2005
2006
2007
2008
2009
Anesthesiology
□ Anesthesiology 20 (2) 12 (1) 12 (1) 19 (2) 21 (2)
Dermatology
□ Dermatology 18 (2) 22 (2) 20 (2) 31 (3) 28 (2)
Emergency Medicine
□ Emergency Medicine 120 (12) 118 (9) 119 (12) 144 (15) 152 (12)
Family Physicians
□ Family Practice and OMT 343 (34) 391 (30) 338 (34) 178 (18) 541 (42)
Internal Medicine
□ Cardiology 4 (<1) 29 (2) 0 28 (3) 22 (2)
□ Endocrinology1 (<1)002 (<1)3 (<1)
□ Gastroenterology 3 (<1) 12 (1) 1 (<1) 7 (1) 7 (1)
□ Hematology05 (<1)03 (<1)0
□ Infectious Diseases 0 6 (<1) 1 (<1) 2 (<1) 3 (<1)
□ Internal Medicine155 (15)259 (20)58 (6)169 (17)162 (13)
□ Nephrology 3 (<1) 4 (<1) 4 (<1) 4 (<1) 10 (1)
□ Oncology5 (<1)7 (1)2 (<1)04 (<1)
□ Pulmonary Diseases 5 (<1) 5 (<1) 3 (<1) 8 (1) 1 (<1)
□ Rheumatology03 (<1)02 (<1)3 (<1)
Nuclear Medicine
□ Nuclear Medicine00000
Neurology and Psychiatry
□ Child Neurology01 (<1)000
□ Child Psychiatry 4 (<1) 2 (<1) 3 (<1) 0 2 (<1)
□ Neurology1 (<1)20 (2)014 (1)13 (1)
□ Psychiatry 11 (1) 8 (1) 4 (<1) 10 (1) 14 (1)
Neuromusculoskeletal Medicine
□ Neuromusculoskeletal Medicine and OMM 62 (6) 110 (8) 43 (4) 13 (1) 20 (2)
Obstetrics and Gynecology
□ Gynecologic Oncology 1 (<1) 0 1 (<1) 0 0
□ Maternal and Fetal Medicine01 (<1)1 (<1)2 (<1)1 (<1)
□ Obstetrics and Gynecology 50 (5) 85 (6) 85 (9) 85 (9) 48 (4)
□ Reproductive Endocrinology2 (<1)0000
Ophthalmology and Otolaryngology
□ Facial Plastic Surgery00000
□ Ophthalmology 10 (1) 11 (1) 11 (1) 6 (1) 13 (1)
□ Otolaryngology1 (<1)0000
□ Otolaryngology and Facial Plastic Surgery 27 (3) 11 (1) 20 (2) 17 (2) 13 (1)
Orthopedic Surgery
□ Orthopedic Surgery 55 (5) 45 (3) 67 (7) 51 (5) 69 (5)
Pathology
□ Anatomic Pathology 0 1 (<1) 0 0 0
□ Anatomic Pathology and Laboratory Medicine00000
□ Forensic Pathology 0 0 0 0 0
□ Laboratory Medicine002 (<1)1 (<1)0
Pediatrics
□ Neonatology002 (<1)01 (<1)
□ Pediatric Allergy and Immunology NA NA NA NA 1 (<1)
□ Pediatric Pulmonology002 (<1)01 (<1)
□ Pediatrics 18 (2) 25 (2) 50 (5) 22 (2) 19 (1)
Physical Medicine and Rehabilitation
□ Physical Medicine and Rehabilitation Medicine 1 (<1) 6 (<1) 6 (1) 6 (1) 10 (1)
Preventive Medicine
□ Preventive Medicine and Aerospace Medicine 1 (<1) 2 (<1) 6 (1) 1 (<1) 3 (<1)
□ Preventive Medicine and Occupational-Environmental Medicine5 (<1)03 (<1)2 (<1)5 (<1)
□ Preventive Medicine and Public Health 0 2 (<1) 6 (1) 0 1 (<1)
Proctology
□ Proctology 0 0 2 (<1) 0 1 (<1)
Radiology
□ Diagnostic Radiology 19 (2) 29 (2) 26 (3) 28 (3) 23 (2)
□ Radiation Oncology1 (<1)3 (<1)01 (<1)1 (<1)
□ Radiology 0 0 0 0 NA
Surgery
□ General Vascular Surgery 7 (1) 7 (1) 3 (<1) 5 (1) 1 (<1)
□ Neurological Surgery3 (<1)6 (<1)5 (1)10 (1)9 (1)
□ Plastic and Reconstructive Surgery 2 (<1) 1 (<1) 3 (1) 5 (1) 2 (<1)
□ Surgery (General)39 (4)53 (4)61 (6)94 (10)33 (3)
□ Thoracic Cardiovascular Surgery 1 (<1) 2 (<1) 0 0 3 (<1)
□ Urological Surgery 5 (<1)
4 (<1)
13 (1)
16 (2)
16 (1)
Total 1003 1308 983 986 1280
 Abbreviations: NA, not applicable; OMM, osteopathic manipulative medicine.
 *Data are presented as No. (%). Some percentages do not total 100 because of rounding. Totals are calculated by date of final approval by the American Osteopathic Association Bureau of Osteopathic Specialists (December 31, 2009).
 Before July 1993, certificates were issued as General Practice. Beginning April 15, 2000, all new family practitioners are being recommended for certification in family practice and osteopathic manipulative treatment (OMT).
 Although Pediatric Pulmonology is no longer issued, the individuals included here were in the certification process before that change was made.
×
Table 2
American Osteopathic Association: Certification of Added Qualifications Awarded by Osteopathic Medical Specialty Boards, 2005-2009 *


Year
American Osteopathic Board of.../Certification of Added Qualifications
2005
2006
2007
2008
2009
Anesthesiology
□ Critical Care Medicine 0 0 0 0 0
□ Pain Management02 (2)03 (7)2 (2)
Dermatology
□ Dermatopathology01 (1)01 (2)2 (2)
□ Mohs Micrographic Surgery 0 0 0 2 (5) 5 (5)
Emergency Medicine
□ Emergency Medical Services 0 1 (1) 0 0 0
□ Medical Toxicology004 (11)03 (3)
□ Sports Medicine 0 0 0 1 (2) 0
Family Physicians
□ Geriatrics 6 (17) 6 (7) 5 (14) 5 (12) 4 (4)
□ Sports Medicine1 (3)16 (18)7 (19)9 (21)20 (20)
Internal Medicine
□ Addiction Medicine00000
□ Clinical Cardiac Electrophysiology 0 4 (4) 0 3 (7) 0
□ Critical Care Medicine10 (29)7 (8)3 (8)013 (13)
□ Geriatric Medicine 0 4 (4) 0 0 0
□ Interventional Cardiology2 (6)36 (40)2 (6)015 (15)
□ Sports Medicine 0 0 2 (6) 2 (5) 1 (1)
Neurology and Psychiatry
□ Addiction Medicine 0 0 0 0 0
□ Neurophysiology01 (1)2 (6)3 (7)0
Neuromusculoskeletal Medicine
□ Sports Medicine00001 (1)
Ophthalmology and Otolaryngology
□ Otolaryngic Allergy3 (9)1 (1)000
Orthopedic Surgery
□ Hand Surgery2 (6)02 (6)2 (5)0
Pathology
□ Dermatopathology00000
Physical Medicine and Rehabilitation
□ Sports Medicine1 (3)0000
Preventive Medicine
□ Preventive Medicine (Occupational)3 (9)2 (2)4 (11)3 (7)8 (8)
□ Sports Medicine 0 0 0 0 0
Radiology
□ Body Imaging 0 1 (1) 0 0 0
□ Neuroradiology4 (11)01 (3)3 (7)3 (3)
□ Nuclear Radiology 0 0 0 0 0
□ Pediatric Radiology01 (1)3 (8)2 (5)4 (4)
□ Vascular and Interventional Radiology 2 (6) 2 (2) 1 (3) 0 1 (1)
Surgery
□ Surgical Critical Care 1 (3) 5 (6) 0 4 (9) 2 (2)
Conjoint—Available to All Specialties
□ Undersea and Hyperbaric Medicine NA
NA
NA
NA
14 (14)
Total
35
90
36
43
98
 *Data are presented as No. (%). Some percentages do not total 100 because of rounding. Totals are calculated by date of final approval by the American Osteopathic Association Bureau of Osteopathic Specialists (December 31, 2009).
 Certifications of Added Qualifications are not offered through the American Osteopathic Board of Nuclear Medicine, American Osteopathic Board of Obstetrics and Gynecology, American Osteopathic Board of Pediatrics, and American Osteopathic Board of Proctology.
 Undersea and Hyperbaric Medicine was previously not available (NA) and was added in 2009.
Table 2
American Osteopathic Association: Certification of Added Qualifications Awarded by Osteopathic Medical Specialty Boards, 2005-2009 *


Year
American Osteopathic Board of.../Certification of Added Qualifications
2005
2006
2007
2008
2009
Anesthesiology
□ Critical Care Medicine 0 0 0 0 0
□ Pain Management02 (2)03 (7)2 (2)
Dermatology
□ Dermatopathology01 (1)01 (2)2 (2)
□ Mohs Micrographic Surgery 0 0 0 2 (5) 5 (5)
Emergency Medicine
□ Emergency Medical Services 0 1 (1) 0 0 0
□ Medical Toxicology004 (11)03 (3)
□ Sports Medicine 0 0 0 1 (2) 0
Family Physicians
□ Geriatrics 6 (17) 6 (7) 5 (14) 5 (12) 4 (4)
□ Sports Medicine1 (3)16 (18)7 (19)9 (21)20 (20)
Internal Medicine
□ Addiction Medicine00000
□ Clinical Cardiac Electrophysiology 0 4 (4) 0 3 (7) 0
□ Critical Care Medicine10 (29)7 (8)3 (8)013 (13)
□ Geriatric Medicine 0 4 (4) 0 0 0
□ Interventional Cardiology2 (6)36 (40)2 (6)015 (15)
□ Sports Medicine 0 0 2 (6) 2 (5) 1 (1)
Neurology and Psychiatry
□ Addiction Medicine 0 0 0 0 0
□ Neurophysiology01 (1)2 (6)3 (7)0
Neuromusculoskeletal Medicine
□ Sports Medicine00001 (1)
Ophthalmology and Otolaryngology
□ Otolaryngic Allergy3 (9)1 (1)000
Orthopedic Surgery
□ Hand Surgery2 (6)02 (6)2 (5)0
Pathology
□ Dermatopathology00000
Physical Medicine and Rehabilitation
□ Sports Medicine1 (3)0000
Preventive Medicine
□ Preventive Medicine (Occupational)3 (9)2 (2)4 (11)3 (7)8 (8)
□ Sports Medicine 0 0 0 0 0
Radiology
□ Body Imaging 0 1 (1) 0 0 0
□ Neuroradiology4 (11)01 (3)3 (7)3 (3)
□ Nuclear Radiology 0 0 0 0 0
□ Pediatric Radiology01 (1)3 (8)2 (5)4 (4)
□ Vascular and Interventional Radiology 2 (6) 2 (2) 1 (3) 0 1 (1)
Surgery
□ Surgical Critical Care 1 (3) 5 (6) 0 4 (9) 2 (2)
Conjoint—Available to All Specialties
□ Undersea and Hyperbaric Medicine NA
NA
NA
NA
14 (14)
Total
35
90
36
43
98
 *Data are presented as No. (%). Some percentages do not total 100 because of rounding. Totals are calculated by date of final approval by the American Osteopathic Association Bureau of Osteopathic Specialists (December 31, 2009).
 Certifications of Added Qualifications are not offered through the American Osteopathic Board of Nuclear Medicine, American Osteopathic Board of Obstetrics and Gynecology, American Osteopathic Board of Pediatrics, and American Osteopathic Board of Proctology.
 Undersea and Hyperbaric Medicine was previously not available (NA) and was added in 2009.
×
Table 3
American Osteopathic Association: Specialty, Subspecialty, and CAQ Recertifications Awarded by Osteopathic Medical Specialty Boards, 2005-2009 *


Year
American Osteopathic Board of.../Recertification
2005
2006
2007
2008
2009
Anesthesiology
□ Anesthesiology 0 3 (<1) 2 (<1) 0 2 (<1)
CAQ
— Critical Care Medicine NA NA NA NA NA
— Pain ManagementNANANANANA
Dermatology
□ Dermatology00005 (<1)
CAQ
— DermatopathologyNANA3 (<1)00
— Mohs Micrographic Surgery NA 4 (<1) 0 0 0
Emergency Medicine
□ Emergency Medicine 29 (6) 63 (8) 59 (5) 183 (25) 129 (12)
CAQ
— Emergency Medical Services NA 3 (<1) 2 (<1) 1 (<1) 0
— Medical ToxicologyNANANANANA
— Sports Medicine NA NA NA 1 (<1) 0
Family Physicians
□ Family Practice and OMT 229 (47) 435 (53) 971 (77) 200 (27) 530 (51)
CAQ
— Addiction Medicine NA NA NA 0 0
— Adolescent and Young Adult Medicine001 (<1)00
— Geriatric Medicine 2 (<1) 47 (6) 24 (2) 6 (1) 4 (<1)
— Sports Medicine5 (1)17 (2)5 (<1)8 (1)10 (1)
Internal Medicine
□ Allergy and Immunology 0 0 1 (<1) 0 0
□ Cardiology23 (5)12 (1)19 (1)016 (2)
□ Endocrinology 3 (1) 2 (<1) 0 0 2 (<1)
□ Gastroenterology12 (2)10 (1)9 (1)012 (1)
□ Hematology 0 1 (<1) 1 (<1) 0 2 (<1)
□ Infectious Diseases1 (<1)2 (<1)2 (<1)02 (<1)
□ Internal Medicine 71 (14) 84 (10) 17 (1) 174 (24) 105 (10)
□ Nephrology4 (1)3 (<1)3 (<1)3 (<1)9 (1)
□ Oncology 5 (1) 1 (<1) 0 0 5 (<1)
□ Pulmonary Diseases5 (1)6 (1)8 (1)07 (<1)
□ Rheumatology 2 (<1) 4 (<1) 0 0 3 (<1)
CAQ
- Addiction Medicine NA NA NA NA NA
- Clinical Cardiac Electrophysiology3 (1)5 (1)3 (<1)01 (<1)
- Critical Care Medicine 12 (2) 12 (1) 8 (1) 0 5 (<1)
- Geriatric Medicine6 (1)11 (1)3 (<1)04 (<1)
- Interventional Cardiology NA NA NA NA NA
- Sports Medicine01 (<1)01 (<1)1 (<1)
Nuclear Medicine
□ Nuclear Medicine0001 (<1)0
Neurology and Psychiatry
□ Child NeurologyNANANANANA
□ Child Psychiatry NA NA NA 1 (<1) 3 (<1)
□ NeurologyNA2 (<1)6 (<1)5 (1)4 (<1)
□ Psychiatry NA 4 (<1) 13 (1) 0 10 (1)
CAQ
- Addiction Medicine NA NA 3 (<1) 1 (<1) 0
- NeurophysiologyNANANANANA
Neuromusculoskeletal Medicine
□ Neuromusculoskeletal Medicine and OMM19 (4)13 (2)14 (1)6 (1)16 (2)
CAQ
- Sports MedicineNANANANA2 (<1)
Obstetrics and Gynecology
□ Gynecologic OncologyNANANANA1 (<1)
□ Maternal and Fetal Medicine NA NA NA NA 2 (<1)
□ Obstetrics and Gynecology02 (<1)030 (4)44 (4)
□ Reproductive Endocrinology NA NA NA NA NA
Ophthalmology and Otolaryngology
□ Ophthalmology 1 (<1) 0 0 0
□ Ophthalmology and OtolaryngologyNANANANANA
□ Otolaryngology 0 0 0 0 NA
□ Otolaryngology and Facial Plastic SurgeryNANANANANA
□ Otolaryngology—Head and Neck Surgery NA NA NA 0 0
CAQ
— Otolaryngic Allergy NA NA NA NA NA
Orthopedic Surgery
□ Orthopedic Surgery 47 (10) 29 (4) 38 (3) 0 38 (4)
CAQ
— Hand Surgery NA 7 (1) 0 3 (<1) 1 (<1)
Pathology
□ Allergy and Immunology NA NA NA NA NA
□ Anatomic PathologyNANA2 (<1)02 (<1)
□ Anatomic Pathology and Laboratory Medicine NA 1 (<1) NA NA 1 (<1)
□ Forensic PathologyNANANANA1 (<1)
□ Laboratory Medicine NA NA 2 (<1) 0 2 (<1)
□ Pathology00000
CAQ
— DermatopathologyNANA1 (<1)00
Pediatrics
□ Neonatology00004 (<1)
□ Pediatric Allergy and Immunology NA 1 (<1) 0 0 0
□ Pediatric EndocrinologyNA2 (<1)000
□ Pediatrics 1 (<1) 10 (1) 14 (1) 0 23 (2)
Physical Medicine and Rehabilitation
□ Physical Medicine and Rehabilitation Medicine 1 (<1) 6 (1) 0 0 0
CAQ
— Sports Medicine NA NA NA NA NA
Preventive Medicine
□ Preventive Medicine and Aerospace Medicine 0 0 0 0 2 (<1)
□ Preventive Medicine and Public Health00002 (<1)
□ Preventive Medicine and Occupational-Environmental Medicine 0 0 0 1 (<1) 9 (1)
□ Preventive Medicine and Occupational Medicine1 (<1)0000
CAQ
— Occupational Medicine006 (<1)1 (<1)4 (<1)
— Sports Medicine NA NA NA NA NA
Proctology
□ Proctology 1 (<1) 0 1 (<1) 0 0
Radiology
□ Diagnostic Radiology 3 (1) 10 (1) 5 (<1) 4 (1) 1 (<1)
□ Radiation OncologyNANANANANA
□ Radiology NA NA NA NA NA
CAQ
— Nuclear Radiology NA NA NA NA NA
— Pediatric RadiologyNANANANA1 (<1)
— Vascular and Interventional Radiology NA NA NA NA NA
Surgery
□ General Vascular Surgery NA NA NA 1 (<1) 2 (<1)
□ Neurological SurgeryNANANANA1 (<1)
□ Plastic and Reconstructive Surgery NA NA NA NA NA
□ Surgery (General)01 (<1)001 (<1)
□ Thoracic Cardiovascular Surgery NA NA 1 (<1) 0 1 (<1)
□ Urological Surgery00000
CAQ
— Surgical Critical Care NA
NA
1 (<1)
0
1 (<1)
Total 491 823 1267 731 1034
 Abbreviations: NA, not applicable (ie, recertification not offered in year indicated) or not available (ie, see †); OMM, osteopathic manipulative medicine; OMT, osteopathic manipulative treatment.
 *Recertification data for General Certification and Certification of Added Qualifications (CAQ) are presented as No. (%). Some percentages do not total 100 because of rounding. Totals are calculated by date of final approval by the American Osteopathic Association Bureau of Osteopathic Specialists (December 31, 2009). As of January 1, 2004, all 18 member boards had a time-limited certificate in place (ie, all new certificates are issued with an expiration date). Certificates issued before the time-limit requirement was instituted, however, are valid for the life of the physician.
 Reports published in previous editions of The Journal's Osteopathic Medical Education issue combined Anatomic Pathology and Laboratory Medicine under a single heading for recertification statistics. They have been separated here. Likewise, previous reports combined Ophthalmology and Otolaryngology as well as Neurology and Psychiatry under single headings. Beginning with the data reported for 2005 and 2006, respectively, these numbers were likewise separated.
Table 3
American Osteopathic Association: Specialty, Subspecialty, and CAQ Recertifications Awarded by Osteopathic Medical Specialty Boards, 2005-2009 *


Year
American Osteopathic Board of.../Recertification
2005
2006
2007
2008
2009
Anesthesiology
□ Anesthesiology 0 3 (<1) 2 (<1) 0 2 (<1)
CAQ
— Critical Care Medicine NA NA NA NA NA
— Pain ManagementNANANANANA
Dermatology
□ Dermatology00005 (<1)
CAQ
— DermatopathologyNANA3 (<1)00
— Mohs Micrographic Surgery NA 4 (<1) 0 0 0
Emergency Medicine
□ Emergency Medicine 29 (6) 63 (8) 59 (5) 183 (25) 129 (12)
CAQ
— Emergency Medical Services NA 3 (<1) 2 (<1) 1 (<1) 0
— Medical ToxicologyNANANANANA
— Sports Medicine NA NA NA 1 (<1) 0
Family Physicians
□ Family Practice and OMT 229 (47) 435 (53) 971 (77) 200 (27) 530 (51)
CAQ
— Addiction Medicine NA NA NA 0 0
— Adolescent and Young Adult Medicine001 (<1)00
— Geriatric Medicine 2 (<1) 47 (6) 24 (2) 6 (1) 4 (<1)
— Sports Medicine5 (1)17 (2)5 (<1)8 (1)10 (1)
Internal Medicine
□ Allergy and Immunology 0 0 1 (<1) 0 0
□ Cardiology23 (5)12 (1)19 (1)016 (2)
□ Endocrinology 3 (1) 2 (<1) 0 0 2 (<1)
□ Gastroenterology12 (2)10 (1)9 (1)012 (1)
□ Hematology 0 1 (<1) 1 (<1) 0 2 (<1)
□ Infectious Diseases1 (<1)2 (<1)2 (<1)02 (<1)
□ Internal Medicine 71 (14) 84 (10) 17 (1) 174 (24) 105 (10)
□ Nephrology4 (1)3 (<1)3 (<1)3 (<1)9 (1)
□ Oncology 5 (1) 1 (<1) 0 0 5 (<1)
□ Pulmonary Diseases5 (1)6 (1)8 (1)07 (<1)
□ Rheumatology 2 (<1) 4 (<1) 0 0 3 (<1)
CAQ
- Addiction Medicine NA NA NA NA NA
- Clinical Cardiac Electrophysiology3 (1)5 (1)3 (<1)01 (<1)
- Critical Care Medicine 12 (2) 12 (1) 8 (1) 0 5 (<1)
- Geriatric Medicine6 (1)11 (1)3 (<1)04 (<1)
- Interventional Cardiology NA NA NA NA NA
- Sports Medicine01 (<1)01 (<1)1 (<1)
Nuclear Medicine
□ Nuclear Medicine0001 (<1)0
Neurology and Psychiatry
□ Child NeurologyNANANANANA
□ Child Psychiatry NA NA NA 1 (<1) 3 (<1)
□ NeurologyNA2 (<1)6 (<1)5 (1)4 (<1)
□ Psychiatry NA 4 (<1) 13 (1) 0 10 (1)
CAQ
- Addiction Medicine NA NA 3 (<1) 1 (<1) 0
- NeurophysiologyNANANANANA
Neuromusculoskeletal Medicine
□ Neuromusculoskeletal Medicine and OMM19 (4)13 (2)14 (1)6 (1)16 (2)
CAQ
- Sports MedicineNANANANA2 (<1)
Obstetrics and Gynecology
□ Gynecologic OncologyNANANANA1 (<1)
□ Maternal and Fetal Medicine NA NA NA NA 2 (<1)
□ Obstetrics and Gynecology02 (<1)030 (4)44 (4)
□ Reproductive Endocrinology NA NA NA NA NA
Ophthalmology and Otolaryngology
□ Ophthalmology 1 (<1) 0 0 0
□ Ophthalmology and OtolaryngologyNANANANANA
□ Otolaryngology 0 0 0 0 NA
□ Otolaryngology and Facial Plastic SurgeryNANANANANA
□ Otolaryngology—Head and Neck Surgery NA NA NA 0 0
CAQ
— Otolaryngic Allergy NA NA NA NA NA
Orthopedic Surgery
□ Orthopedic Surgery 47 (10) 29 (4) 38 (3) 0 38 (4)
CAQ
— Hand Surgery NA 7 (1) 0 3 (<1) 1 (<1)
Pathology
□ Allergy and Immunology NA NA NA NA NA
□ Anatomic PathologyNANA2 (<1)02 (<1)
□ Anatomic Pathology and Laboratory Medicine NA 1 (<1) NA NA 1 (<1)
□ Forensic PathologyNANANANA1 (<1)
□ Laboratory Medicine NA NA 2 (<1) 0 2 (<1)
□ Pathology00000
CAQ
— DermatopathologyNANA1 (<1)00
Pediatrics
□ Neonatology00004 (<1)
□ Pediatric Allergy and Immunology NA 1 (<1) 0 0 0
□ Pediatric EndocrinologyNA2 (<1)000
□ Pediatrics 1 (<1) 10 (1) 14 (1) 0 23 (2)
Physical Medicine and Rehabilitation
□ Physical Medicine and Rehabilitation Medicine 1 (<1) 6 (1) 0 0 0
CAQ
— Sports Medicine NA NA NA NA NA
Preventive Medicine
□ Preventive Medicine and Aerospace Medicine 0 0 0 0 2 (<1)
□ Preventive Medicine and Public Health00002 (<1)
□ Preventive Medicine and Occupational-Environmental Medicine 0 0 0 1 (<1) 9 (1)
□ Preventive Medicine and Occupational Medicine1 (<1)0000
CAQ
— Occupational Medicine006 (<1)1 (<1)4 (<1)
— Sports Medicine NA NA NA NA NA
Proctology
□ Proctology 1 (<1) 0 1 (<1) 0 0
Radiology
□ Diagnostic Radiology 3 (1) 10 (1) 5 (<1) 4 (1) 1 (<1)
□ Radiation OncologyNANANANANA
□ Radiology NA NA NA NA NA
CAQ
— Nuclear Radiology NA NA NA NA NA
— Pediatric RadiologyNANANANA1 (<1)
— Vascular and Interventional Radiology NA NA NA NA NA
Surgery
□ General Vascular Surgery NA NA NA 1 (<1) 2 (<1)
□ Neurological SurgeryNANANANA1 (<1)
□ Plastic and Reconstructive Surgery NA NA NA NA NA
□ Surgery (General)01 (<1)001 (<1)
□ Thoracic Cardiovascular Surgery NA NA 1 (<1) 0 1 (<1)
□ Urological Surgery00000
CAQ
— Surgical Critical Care NA
NA
1 (<1)
0
1 (<1)
Total 491 823 1267 731 1034
 Abbreviations: NA, not applicable (ie, recertification not offered in year indicated) or not available (ie, see †); OMM, osteopathic manipulative medicine; OMT, osteopathic manipulative treatment.
 *Recertification data for General Certification and Certification of Added Qualifications (CAQ) are presented as No. (%). Some percentages do not total 100 because of rounding. Totals are calculated by date of final approval by the American Osteopathic Association Bureau of Osteopathic Specialists (December 31, 2009). As of January 1, 2004, all 18 member boards had a time-limited certificate in place (ie, all new certificates are issued with an expiration date). Certificates issued before the time-limit requirement was instituted, however, are valid for the life of the physician.
 Reports published in previous editions of The Journal's Osteopathic Medical Education issue combined Anatomic Pathology and Laboratory Medicine under a single heading for recertification statistics. They have been separated here. Likewise, previous reports combined Ophthalmology and Otolaryngology as well as Neurology and Psychiatry under single headings. Beginning with the data reported for 2005 and 2006, respectively, these numbers were likewise separated.
×
Table 4
Active Certificates by Osteopathic Medical Specialty Board as of December 31, 2009

American Osteopathic Board of.../Certification

No (%)
Anesthesiology
□ Anesthesiology 562 (2)
CAQ
— Critical Care 5 (<1)
— Pain Management68 (<1)
Dermatology
□ Dermatology344 (1)
CAQ
— Dermatopathology6 (<1)
— MOHS Micrographic Surgery 16 (<1)
Emergency Medicine
□ Emergency Medicine 1860 (7)
CAQ
— Emergency Medical Services 11 (<1)
— Medical Toxicology9 (<1)
— Sports Medicine 5 (<1)
Family Physicians
□ Family Practice* 5181 (20)
□ Family Practice and OMT5448 (22)
CAQ
— Addiction Medicine*3 (<1)
— Adolescent and Young Adult Medicine* 7 (<1)
— Geriatric Medicine360 (1)
— Sports Medicine 138 (1)
Internal Medicine
□ Allergy and Immunology 11 (<1)
□ Cardiology372 (1)
□ Endocrinology 33 (<1)
□ Gastroenterology189 (1)
□ Hematology 40 (<1)
□ Infectious Diseases57 (<1)
□ Internal Medicine 2824 (11)
□ Nephrology112 (<1)
□ Oncology 92 (<1)
□ Pulmonary Diseases172 (1)
□ Rheumatology 52 (<1)
CAQ
— Clinical Cardiac Electrophysiology 19 (<1)
— Critical Care116 (1)
— Geriatric Medicine 58 (<1)
— Interventional Cardiology81 (<1)
— Sports Medicine 6 (<1)
Nuclear Medicine
□ Nuclear Medicine 34 (<1)
Neurology and Psychiatry
□ Child Neurology 3 (<1)
□ Child Psychiatry39 (<1)
□ Neurology 198 (1)
□ Neurology and Psychiatry*1 (<1)
□ Psychiatry 285 (1)
CAQ
— Addiction Medicine 4 (<1)
— Neurophysiology6 (<1)
Neuromusculoskeletal Medicine
□ Neuromusculoskeletal Medicine and OMM 420 (2)
□ Special Proficiency in OMM*135 (1)
CAQ
— Sports Medicine3 (<1)
Obstetrics and Gynecology
□ Gynecological Oncology6 (<1)
□ Maternal and Fetal Medicine 18 (<1)
□ Obstetrics and Gynecologic Surgery*64 (<1)
□ Obstetrics and Gynecology 916 (4)
□ Reproductive Endocrinology11 (<1)
Ophthalmology and Otolaryngology
□ Facial Plastic Surgery*7 (<1)
□ Ophthalmology 313 (1)
□ Otolaryngology and Facial Plastic Surgery331 (1)
□ Otolaryngology 9 (<1)
□ Otorhinolaryngology*36 (<1)
CAQ
— Otolaryngic Allergy25 (<1)
Orthopedic Surgery
□ Orthopedic Surgery977 (4)
CAQ
— Hand Surgery29 (<1)
Pathology
□ Anatomic Pathology27 (<1)
□ Anatomic Pathology and Laboratory Medicine 22 (<1)
□ Forensic Pathology3 (<1)
□ Laboratory Medicine 15 (<1)
CAQ
— Dermatopathology 2 (<1)
Pediatrics
□ Adolescent Medicine 1 (<1)
□ Neonatology30 (<1)
□ Pediatric Allergy and Immunology 3 (<1)
□ Pediatric Endocrinology2 (<1)
□ Pediatric Pulmonology* 2 (<1)
□ Pediatrics403 (2)
Physical Medicine and Rehabilitation
□ Physical Medicine and Rehabilitation219 (1)
CAQ
— Sports Medicine2 (<1)
Preventative Medicine
□ Preventive Medicine and Aerospace Medicine42 (<1)
□ Preventive Medicine and Occupational Medicine* 10 (<1)
□ Preventive Medicine and Public Health38 (<1)
□ Preventive Medicine and Occupational
-Environmental Medicine92 (<1)
CAQ
— Occupational Medicine55 (<1)
Proctology
□ Proctology24 (<1)
Radiology
□ Angiography and Intervention Radiology* 18 (<1)
□ Body Imaging*10 (<1)
□ Diagnostic Radiology 613 (2)
□ Diagnostic Roentgenology*3 (<1)
□ Diagnostic Ultrasound 1 (<1)
□ Neuroradiology*46 (<1)
□ Radiation Oncology 20 (<1)
□ Radiation Therapy*1 (<1)
□ Radiology 71 (<1)
CAQ
— Nuclear Radiology 6 (<1)
— Pediatric Radiology18 (<1)
— Angiography and Interventional Radiology 15 (<1)
Surgery
□ Cardiothoracic Surgery 3 (<1)
□ General Vascular Surgery106 (<1)
□ Neurological Surgery 77 (<1)
□ Plastic and Reconstructive Surgery46 (<1)
□ General Surgery 861 (3)
□ Thoracic Cardiovascular Surgery*58 (<1)
□ Thoracic Surgery* 7 (<1)
□ Urological Surgery176 (1)
CAQ
— Surgical Critical Care37 (<1)
Conjoint Certification—Available to All Specialties
□ Undersea Hyperbaric Medicine 14 (<1)
Total 25326 (100)
 Abbreviations: CAQ, Certification of Added Qualifications; OMT, osteopathic manipulative treatment; OMM, osteopathic manipulative medicine
 *No longer issued.
Table 4
Active Certificates by Osteopathic Medical Specialty Board as of December 31, 2009

American Osteopathic Board of.../Certification

No (%)
Anesthesiology
□ Anesthesiology 562 (2)
CAQ
— Critical Care 5 (<1)
— Pain Management68 (<1)
Dermatology
□ Dermatology344 (1)
CAQ
— Dermatopathology6 (<1)
— MOHS Micrographic Surgery 16 (<1)
Emergency Medicine
□ Emergency Medicine 1860 (7)
CAQ
— Emergency Medical Services 11 (<1)
— Medical Toxicology9 (<1)
— Sports Medicine 5 (<1)
Family Physicians
□ Family Practice* 5181 (20)
□ Family Practice and OMT5448 (22)
CAQ
— Addiction Medicine*3 (<1)
— Adolescent and Young Adult Medicine* 7 (<1)
— Geriatric Medicine360 (1)
— Sports Medicine 138 (1)
Internal Medicine
□ Allergy and Immunology 11 (<1)
□ Cardiology372 (1)
□ Endocrinology 33 (<1)
□ Gastroenterology189 (1)
□ Hematology 40 (<1)
□ Infectious Diseases57 (<1)
□ Internal Medicine 2824 (11)
□ Nephrology112 (<1)
□ Oncology 92 (<1)
□ Pulmonary Diseases172 (1)
□ Rheumatology 52 (<1)
CAQ
— Clinical Cardiac Electrophysiology 19 (<1)
— Critical Care116 (1)
— Geriatric Medicine 58 (<1)
— Interventional Cardiology81 (<1)
— Sports Medicine 6 (<1)
Nuclear Medicine
□ Nuclear Medicine 34 (<1)
Neurology and Psychiatry
□ Child Neurology 3 (<1)
□ Child Psychiatry39 (<1)
□ Neurology 198 (1)
□ Neurology and Psychiatry*1 (<1)
□ Psychiatry 285 (1)
CAQ
— Addiction Medicine 4 (<1)
— Neurophysiology6 (<1)
Neuromusculoskeletal Medicine
□ Neuromusculoskeletal Medicine and OMM 420 (2)
□ Special Proficiency in OMM*135 (1)
CAQ
— Sports Medicine3 (<1)
Obstetrics and Gynecology
□ Gynecological Oncology6 (<1)
□ Maternal and Fetal Medicine 18 (<1)
□ Obstetrics and Gynecologic Surgery*64 (<1)
□ Obstetrics and Gynecology 916 (4)
□ Reproductive Endocrinology11 (<1)
Ophthalmology and Otolaryngology
□ Facial Plastic Surgery*7 (<1)
□ Ophthalmology 313 (1)
□ Otolaryngology and Facial Plastic Surgery331 (1)
□ Otolaryngology 9 (<1)
□ Otorhinolaryngology*36 (<1)
CAQ
— Otolaryngic Allergy25 (<1)
Orthopedic Surgery
□ Orthopedic Surgery977 (4)
CAQ
— Hand Surgery29 (<1)
Pathology
□ Anatomic Pathology27 (<1)
□ Anatomic Pathology and Laboratory Medicine 22 (<1)
□ Forensic Pathology3 (<1)
□ Laboratory Medicine 15 (<1)
CAQ
— Dermatopathology 2 (<1)
Pediatrics
□ Adolescent Medicine 1 (<1)
□ Neonatology30 (<1)
□ Pediatric Allergy and Immunology 3 (<1)
□ Pediatric Endocrinology2 (<1)
□ Pediatric Pulmonology* 2 (<1)
□ Pediatrics403 (2)
Physical Medicine and Rehabilitation
□ Physical Medicine and Rehabilitation219 (1)
CAQ
— Sports Medicine2 (<1)
Preventative Medicine
□ Preventive Medicine and Aerospace Medicine42 (<1)
□ Preventive Medicine and Occupational Medicine* 10 (<1)
□ Preventive Medicine and Public Health38 (<1)
□ Preventive Medicine and Occupational
-Environmental Medicine92 (<1)
CAQ
— Occupational Medicine55 (<1)
Proctology
□ Proctology24 (<1)
Radiology
□ Angiography and Intervention Radiology* 18 (<1)
□ Body Imaging*10 (<1)
□ Diagnostic Radiology 613 (2)
□ Diagnostic Roentgenology*3 (<1)
□ Diagnostic Ultrasound 1 (<1)
□ Neuroradiology*46 (<1)
□ Radiation Oncology 20 (<1)
□ Radiation Therapy*1 (<1)
□ Radiology 71 (<1)
CAQ
— Nuclear Radiology 6 (<1)
— Pediatric Radiology18 (<1)
— Angiography and Interventional Radiology 15 (<1)
Surgery
□ Cardiothoracic Surgery 3 (<1)
□ General Vascular Surgery106 (<1)
□ Neurological Surgery 77 (<1)
□ Plastic and Reconstructive Surgery46 (<1)
□ General Surgery 861 (3)
□ Thoracic Cardiovascular Surgery*58 (<1)
□ Thoracic Surgery* 7 (<1)
□ Urological Surgery176 (1)
CAQ
— Surgical Critical Care37 (<1)
Conjoint Certification—Available to All Specialties
□ Undersea Hyperbaric Medicine 14 (<1)
Total 25326 (100)
 Abbreviations: CAQ, Certification of Added Qualifications; OMT, osteopathic manipulative treatment; OMM, osteopathic manipulative medicine
 *No longer issued.
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