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AOA Communication  |   April 2011
Osteopathic Graduate Medical Education 2011
Author Notes
  • From the Department of Education at the American Osteopathic Association (AOA) in Chicago, Illinois. 
  • Address correspondence to Elizabeth Freeman, MS, EdS, Assistant Director, AOA Division of Postdoctoral Training, Department of Education, 142 E Ontario St, Chicago, IL 60611-2864. E-mail: bfreeman@osteopathic.org 
Article Information
AOA Communication   |   April 2011
Osteopathic Graduate Medical Education 2011
The Journal of the American Osteopathic Association, April 2011, Vol. 111, 234-243. doi:10.7556/jaoa.2011.111.4.234
The Journal of the American Osteopathic Association, April 2011, Vol. 111, 234-243. doi:10.7556/jaoa.2011.111.4.234
Abstract

The authors report on the status of osteopathic graduate medical education training for the 2009-2010 academic year. Data are presented on approved programs and trainee positions, including distribution by state and by specialty. An update on the impact of restructuring the internship year into specialty residencies is provided, indicating no net loss of training positions related to this initiate. Summary data from the American Osteopathic Association Intern/Resident Registration Program (ie, the AOA “Match”) are provided.

The annual report on osteopathic graduate medical education (OGME) is based primarily on annual data provided through the American Osteopathic Association (AOA) Intern/Resident Registration Program (the AOA “Match”) and the AOA Trainee Information, Verification, and Registration Audit (TIVRA) reporting system. Data in the present article are current as of May 31, 2010, and are reported primarily for the 2009-2010 academic year with some supplemental reporting of data for the 2008-2009 academic year. Information on AOA-approved postdoctoral training programs and positions is drawn from the AOA database and reflects approval actions by the AOA Program and Trainee Review Council (PTRC). As the PTRC meets 3 times per calendar year, the data are not static. Program information data are current as of May 31, 2010, except where otherwise noted. 
Osteopathic Graduate Medical Education Programs
There were 8501 AOA-approved positions in 792 residency programs for the 2009-2010 academic year (Table 1). This is an increase over the 2008-2009 academic year's approved positions, of which there were 8094 approved positions in 762 AOA-approved residency programs (Table 2).1 Internship positions for 2009-2010 totaled 1318 in 142 programs as compared to 1391 positions in 154 programs in 2008-2009. This represents an increase in total internship and residency positions of 334, or 3.4% increase. Table 3 identifies positions and programs by specialty for the past 3 academic years. 
Table 1.
No. of AOA-Approved Internship and Residency Programs and Trainees Filling Available Positions by State, 2009-2010 Academic Year


Internship Programs

Residency Programs

Total
State
Programs
Positions
Trainees
Programs
Positions
Trainees
Programs
Positions
Trainees
Alabama00011801180
Alaska 0 0 0 1 9 9 1 9 9
Arizona0008813988139
Arkansas 0 0 0 2 15 2 2 15 2
California675312530919131384222
Colorado 1 4 3 1 9 0 2 13 3
Connecticut112111132234
Delaware 1 15 10 1 24 8 2 39 18
Florida10124454753632757660372
Georgia 1 4 3 3 29 18 4 33 21
Illinois641293942729345468322
Indiana 1 3 1 4 30 21 5 33 22
Iowa0004402844028
Kansas 0 0 0 1 12 11 1 12 11
Kentucky2936421885121
Maine 0 0 0 7 76 42 7 76 42
Massachusetts21052121042215
Michigan 20 213 92 185 1878 1289 205 2091 1381
Minnesota0002141021410
Mississippi 0 0 0 2 24 6 2 24 6
Missouri31552116311624178121
Nevada 1 15 13 6 85 57 7 100 70
New Jersey657215459535060652371
New York 19 212 89 64 845 507 83 1057 596
North Carolina21703331155011
Ohio 11 105 42 100 872 589 111 977 631
Oklahoma21672829113030307137
Oregon 1 6 0 8 61 11 9 67 11
Pennsylvania322631249911907701311453894
Rhode Island 0 0 0 4 50 23 4 50 23
South Carolina0001141511415
Tennessee 0 0 0 3 33 13 3 33 13
Texas432132319410727226120
Virginia 3 33 5 14 207 72 17 240 77
Washington000165165
West Virginia 7 37 16 18 208 111 25 245 127
Wisconsin0002463124631
Wyoming
0
0
0
1
12
4
1
12
4
Total
142 1318 558 792 8501 5247 934 9819 5805
 *Data shown represent positions approved by the AOA Program and Trainee Review Council for the academic year indicated. Data are current as of May 31, 2010. No internship or residency positions are currently approved by the American Osteopathic Association (AOA) in the District of Columbia or in the following 12 states: Hawaii, Idaho, Louisiana, Maryland, Montana, Nebraska, New Hampshire, New Mexico, North Dakota, South Dakota, Utah, and Vermont.Source: Training Programs by State: Year-End Reports, Division of Postdoctoral Training, American Osteopathic Association, Chicago, Illinois.
Table 1.
No. of AOA-Approved Internship and Residency Programs and Trainees Filling Available Positions by State, 2009-2010 Academic Year


Internship Programs

Residency Programs

Total
State
Programs
Positions
Trainees
Programs
Positions
Trainees
Programs
Positions
Trainees
Alabama00011801180
Alaska 0 0 0 1 9 9 1 9 9
Arizona0008813988139
Arkansas 0 0 0 2 15 2 2 15 2
California675312530919131384222
Colorado 1 4 3 1 9 0 2 13 3
Connecticut112111132234
Delaware 1 15 10 1 24 8 2 39 18
Florida10124454753632757660372
Georgia 1 4 3 3 29 18 4 33 21
Illinois641293942729345468322
Indiana 1 3 1 4 30 21 5 33 22
Iowa0004402844028
Kansas 0 0 0 1 12 11 1 12 11
Kentucky2936421885121
Maine 0 0 0 7 76 42 7 76 42
Massachusetts21052121042215
Michigan 20 213 92 185 1878 1289 205 2091 1381
Minnesota0002141021410
Mississippi 0 0 0 2 24 6 2 24 6
Missouri31552116311624178121
Nevada 1 15 13 6 85 57 7 100 70
New Jersey657215459535060652371
New York 19 212 89 64 845 507 83 1057 596
North Carolina21703331155011
Ohio 11 105 42 100 872 589 111 977 631
Oklahoma21672829113030307137
Oregon 1 6 0 8 61 11 9 67 11
Pennsylvania322631249911907701311453894
Rhode Island 0 0 0 4 50 23 4 50 23
South Carolina0001141511415
Tennessee 0 0 0 3 33 13 3 33 13
Texas432132319410727226120
Virginia 3 33 5 14 207 72 17 240 77
Washington000165165
West Virginia 7 37 16 18 208 111 25 245 127
Wisconsin0002463124631
Wyoming
0
0
0
1
12
4
1
12
4
Total
142 1318 558 792 8501 5247 934 9819 5805
 *Data shown represent positions approved by the AOA Program and Trainee Review Council for the academic year indicated. Data are current as of May 31, 2010. No internship or residency positions are currently approved by the American Osteopathic Association (AOA) in the District of Columbia or in the following 12 states: Hawaii, Idaho, Louisiana, Maryland, Montana, Nebraska, New Hampshire, New Mexico, North Dakota, South Dakota, Utah, and Vermont.Source: Training Programs by State: Year-End Reports, Division of Postdoctoral Training, American Osteopathic Association, Chicago, Illinois.
×
Table 2.
No. of AOA-Approved Internship and Residency Programs and Trainees Filling Available Positions by State, 2008-2009 Academic Year


Internship

Residency

Total
State
Programs
Positions
Trainees
Programs
Positions
Trainees
Programs
Positions
Trainees
Alabama00011801180
Alaska 0 0 0 1 9 8 1 9 8
Arizona0007824478244
Arkansas 0 0 0 1 12 3 1 12 3
California675242530117031376194
Colorado 1 4 3 0 0 0 1 4 3
Connecticut1126111522311
Delaware 1 15 10 1 24 9 2 39 19
Florida10136564449926554635321
Georgia 1 4 1 3 29 9 4 33 10
Illinois641193941727145458290
Indiana 3 12 4 4 30 14 7 42 18
Iowa0003382933829
Kansas 0 0 0 1 12 11 1 12 11
Kentucky31846441996223
Maine 1 8 5 10 100 49 11 108 54
Massachusetts2108212642214
Michigan 21 206 92 181 1848 1225 202 2054 1317
Minnesota00021442144
Mississippi 0 0 0 1 18 3 1 18 3
Missouri31562216111325176119
Nevada 1 15 16 6 85 53 7 100 69
New Jersey677284952931255606340
New Mexico 0 0 0 1 6 5 1 6 5
New York19210805776544476975524
North Carolina 1 2 1 2 18 9 3 20 10
Ohio13112481039285531161040601
Oklahoma 2 16 6 25 271 192 27 287 198
Oregon16075108570
Pennsylvania 36 281 137 99 1123 683 135 1404 820
Rhode Island0002361323613
South Carolina 0 0 0 1 12 11 1 12 11
Tennessee214922404389
Texas 4 32 23 20 165 85 24 197 108
Virginia3331212151521518464
Washington 0 0 0 1 6 4 1 6 4
West Virginia7377182089525245102
Wisconsin 0 0 0 2 43 20 2 43 20
Wyoming
0
0
0
1
12
6
1
12
6
Total
154 1391 605 762 8094 4794 916 9485 5399
 * Data shown represent positions approved by the AOA Program and Trainee Review Council for the academic year indicated. Data are current as of May 31, 2010. In the 2008-2009 academic year, no internship or residency positions were approved by the American Osteopathic Association (AOA) in the District of Columbia or in the following 11 states: Hawaii, Idaho, Louisiana, Maryland, Montana, Nebraska, New Hampshire, North Dakota, South Dakota, Utah, and Vermont.Source: Training Programs by State: Year-End Reports, Division of Postdoctoral Training, American Osteopathic Association, Chicago, Illinois.
Table 2.
No. of AOA-Approved Internship and Residency Programs and Trainees Filling Available Positions by State, 2008-2009 Academic Year


Internship

Residency

Total
State
Programs
Positions
Trainees
Programs
Positions
Trainees
Programs
Positions
Trainees
Alabama00011801180
Alaska 0 0 0 1 9 8 1 9 8
Arizona0007824478244
Arkansas 0 0 0 1 12 3 1 12 3
California675242530117031376194
Colorado 1 4 3 0 0 0 1 4 3
Connecticut1126111522311
Delaware 1 15 10 1 24 9 2 39 19
Florida10136564449926554635321
Georgia 1 4 1 3 29 9 4 33 10
Illinois641193941727145458290
Indiana 3 12 4 4 30 14 7 42 18
Iowa0003382933829
Kansas 0 0 0 1 12 11 1 12 11
Kentucky31846441996223
Maine 1 8 5 10 100 49 11 108 54
Massachusetts2108212642214
Michigan 21 206 92 181 1848 1225 202 2054 1317
Minnesota00021442144
Mississippi 0 0 0 1 18 3 1 18 3
Missouri31562216111325176119
Nevada 1 15 16 6 85 53 7 100 69
New Jersey677284952931255606340
New Mexico 0 0 0 1 6 5 1 6 5
New York19210805776544476975524
North Carolina 1 2 1 2 18 9 3 20 10
Ohio13112481039285531161040601
Oklahoma 2 16 6 25 271 192 27 287 198
Oregon16075108570
Pennsylvania 36 281 137 99 1123 683 135 1404 820
Rhode Island0002361323613
South Carolina 0 0 0 1 12 11 1 12 11
Tennessee214922404389
Texas 4 32 23 20 165 85 24 197 108
Virginia3331212151521518464
Washington 0 0 0 1 6 4 1 6 4
West Virginia7377182089525245102
Wisconsin 0 0 0 2 43 20 2 43 20
Wyoming
0
0
0
1
12
6
1
12
6
Total
154 1391 605 762 8094 4794 916 9485 5399
 * Data shown represent positions approved by the AOA Program and Trainee Review Council for the academic year indicated. Data are current as of May 31, 2010. In the 2008-2009 academic year, no internship or residency positions were approved by the American Osteopathic Association (AOA) in the District of Columbia or in the following 11 states: Hawaii, Idaho, Louisiana, Maryland, Montana, Nebraska, New Hampshire, North Dakota, South Dakota, Utah, and Vermont.Source: Training Programs by State: Year-End Reports, Division of Postdoctoral Training, American Osteopathic Association, Chicago, Illinois.
×
Table 3.
No. of AOA-Approved Residency Programs and Approved and Filled Positions as Reported by Academic Year and Specialty, 2007-2010 *


2007-2008

2008-2009

2009-2010
Specialty
Programs
Positions
Residents
Programs
Positions
Residents
Programs
Positions
Residents
Anesthesiology12866912107921211296
□ Anesthesiology and pain management 2 3 0 2 3 1 2 3 2
□ Pediatric anesthesiologyNANANA130130
Dermatology 19 111 89 20 123 93 22 130 94
□ Mohs micrographic surgery110111111
Diagnostic Radiology 14 132 112 14 133 120 15 156 114
□ Radiation oncology000000000
□ Radiology (vascular interventional) 1 1 0 1 1 0 0 0 0
Emergency Medicine4378551343979780441007810
□ Emergency medical service 2 3 1 2 3 0 1 1 0
□ Emergency medicine and internal medicine121157812130921213380
Family Practice 173 1823 652 184 2341 1056 187 2391 1213
□ Family practice and emergency medicine548225593256437
□ Integrated family practice and NMM 7 48 17 7 49 21 6 40 18
Geriatrics7313938212462
Internal Medicine 83 1082 360 88 1320 672 96 1476 796
□ Cardiac electrophysiology131130251
□ Cardiology 21 132 78 23 148 84 23 148 82
□ Cardiology (interventional)82181025911285
□ Critical care medicine§ 5 13 5 5 13 4 7 17 7
□ Endocrinology363364363
□ Gastroenterology 9 40 22 12 51 24 13 60 32
□ Hematology and oncology411341155149
□ Infectious diseases 2 8 3 2 8 2 2 8 2
□ Nephrology6188720872010
□ Oncology 3 9 1 3 9 1 4 12 0
□ Pulmonary (critical care)726117221172414
□ Pulmonary medicine 3 7 1 4 11 2 4 11 2
□ Rheumatology3883874107
Neurology 6 39 21 7 61 31 7 74 47
NMM and OMM733148381784016
□ NMM plus 1 18 56 13 19 62 14 17 55 24
Obstetrics and Gynecology333571523137024730380265
□ Gynecological oncology 3 9 6 3 9 7 3 9 6
□ Maternal and fetal medicine3942763105
□ Reproductive endocrinology 1 3 1 1 3 2 3 9 2
Ophthalmology125741125744125844
Orthopedic Surgery 29 348 313 31 465 393 33 497 407
□ Hand surgery130130130
□ Orthopedic spine surgery 2 3 1 2 3 0 2 3 0
Otolaryngology and Facial Plastic Surgery19114791913210319134114
□ Otolaryngic allergy 1 3 0 2 6 1 2 6 3
Pathology000000000
□ Forensic pathology 1 1 0 1 1 0 1 1 0
Pediatrics17167821722513017229140
□ Pediatric allergy and immunology 1 2 0 1 2 2 1 2 2
□ Pediatric emergency medicineNANANANANANA160
□ Pediatrics and internal medicine 2 14 6 2 18 10 2 18 10
□ Pediatric radiology130130130
Physical Medicine and Rehabilitation Medicine 3 28 22 3 28 23 3 29 26
Preventive Medicine and Public Health131130131
□ Preventive medicine (occupational and environmental) 1 3 0 1 3 0 1 3 1
Proctology122252253
Psychiatry 7 72 30 9 95 32 11 127 49
□ Child psychiatry284284281
□ Geriatric psychiatry 1 3 0 1 3 0 1 3 0
Sports Medicine144214164712174716
Surgery (General) 39 424 306 41 536 435 42 571 455
□ Cardiothoracic surgery2110190190
□ General vascular surgery 9 20 5 9 20 4 7 15 3
□ Neurological surgery118152119781119986
□ Plastic and reconstructive surgery 6 21 15 6 21 16 7 24 16
□ Urological surgery75237111235598266
Other (Conjoint)
□ Hospice and palliative medicineNANANA240491
□ Sleep medicine 1 2 0 1 2 0 1 2 1
□ Undersea and hyperbaric medicine NA
NA
NA
NA
NA
NA
1
2
0
Total
718 6564 3289 762 8094 4794 792 8501 5247
 Abbreviations: NMM, neuromusculoskeletal medicine; OMM, osteopathic manipulative medicine.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, (TIVRA) academic years 2008-2009. Data for the 2007-2008 and 2008-2009 academic years have been reported previously in JAOA—The Journal of the American Osteopathic Association.1
 *Data are current as of May 31, 2010. Because data for the 2009-2010 academic year may change, they are to be considered incomplete and will be finalized in the JAOA's 2012 osteopathic medical education issue.
 Family practice refers to family practice and osteopathic manipulative treatment.
 Geriatrics includes geriatrics and family practice and geriatrics and internal medicine.
 §Critical care medicine includes critical care (surgery).
 Hospice and palliative medicine, sleep medicine, and undersea and hyperbaric medicine are fellowships governed by Conjoint Standards by 2 or more specialties.
Table 3.
No. of AOA-Approved Residency Programs and Approved and Filled Positions as Reported by Academic Year and Specialty, 2007-2010 *


2007-2008

2008-2009

2009-2010
Specialty
Programs
Positions
Residents
Programs
Positions
Residents
Programs
Positions
Residents
Anesthesiology12866912107921211296
□ Anesthesiology and pain management 2 3 0 2 3 1 2 3 2
□ Pediatric anesthesiologyNANANA130130
Dermatology 19 111 89 20 123 93 22 130 94
□ Mohs micrographic surgery110111111
Diagnostic Radiology 14 132 112 14 133 120 15 156 114
□ Radiation oncology000000000
□ Radiology (vascular interventional) 1 1 0 1 1 0 0 0 0
Emergency Medicine4378551343979780441007810
□ Emergency medical service 2 3 1 2 3 0 1 1 0
□ Emergency medicine and internal medicine121157812130921213380
Family Practice 173 1823 652 184 2341 1056 187 2391 1213
□ Family practice and emergency medicine548225593256437
□ Integrated family practice and NMM 7 48 17 7 49 21 6 40 18
Geriatrics7313938212462
Internal Medicine 83 1082 360 88 1320 672 96 1476 796
□ Cardiac electrophysiology131130251
□ Cardiology 21 132 78 23 148 84 23 148 82
□ Cardiology (interventional)82181025911285
□ Critical care medicine§ 5 13 5 5 13 4 7 17 7
□ Endocrinology363364363
□ Gastroenterology 9 40 22 12 51 24 13 60 32
□ Hematology and oncology411341155149
□ Infectious diseases 2 8 3 2 8 2 2 8 2
□ Nephrology6188720872010
□ Oncology 3 9 1 3 9 1 4 12 0
□ Pulmonary (critical care)726117221172414
□ Pulmonary medicine 3 7 1 4 11 2 4 11 2
□ Rheumatology3883874107
Neurology 6 39 21 7 61 31 7 74 47
NMM and OMM733148381784016
□ NMM plus 1 18 56 13 19 62 14 17 55 24
Obstetrics and Gynecology333571523137024730380265
□ Gynecological oncology 3 9 6 3 9 7 3 9 6
□ Maternal and fetal medicine3942763105
□ Reproductive endocrinology 1 3 1 1 3 2 3 9 2
Ophthalmology125741125744125844
Orthopedic Surgery 29 348 313 31 465 393 33 497 407
□ Hand surgery130130130
□ Orthopedic spine surgery 2 3 1 2 3 0 2 3 0
Otolaryngology and Facial Plastic Surgery19114791913210319134114
□ Otolaryngic allergy 1 3 0 2 6 1 2 6 3
Pathology000000000
□ Forensic pathology 1 1 0 1 1 0 1 1 0
Pediatrics17167821722513017229140
□ Pediatric allergy and immunology 1 2 0 1 2 2 1 2 2
□ Pediatric emergency medicineNANANANANANA160
□ Pediatrics and internal medicine 2 14 6 2 18 10 2 18 10
□ Pediatric radiology130130130
Physical Medicine and Rehabilitation Medicine 3 28 22 3 28 23 3 29 26
Preventive Medicine and Public Health131130131
□ Preventive medicine (occupational and environmental) 1 3 0 1 3 0 1 3 1
Proctology122252253
Psychiatry 7 72 30 9 95 32 11 127 49
□ Child psychiatry284284281
□ Geriatric psychiatry 1 3 0 1 3 0 1 3 0
Sports Medicine144214164712174716
Surgery (General) 39 424 306 41 536 435 42 571 455
□ Cardiothoracic surgery2110190190
□ General vascular surgery 9 20 5 9 20 4 7 15 3
□ Neurological surgery118152119781119986
□ Plastic and reconstructive surgery 6 21 15 6 21 16 7 24 16
□ Urological surgery75237111235598266
Other (Conjoint)
□ Hospice and palliative medicineNANANA240491
□ Sleep medicine 1 2 0 1 2 0 1 2 1
□ Undersea and hyperbaric medicine NA
NA
NA
NA
NA
NA
1
2
0
Total
718 6564 3289 762 8094 4794 792 8501 5247
 Abbreviations: NMM, neuromusculoskeletal medicine; OMM, osteopathic manipulative medicine.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, (TIVRA) academic years 2008-2009. Data for the 2007-2008 and 2008-2009 academic years have been reported previously in JAOA—The Journal of the American Osteopathic Association.1
 *Data are current as of May 31, 2010. Because data for the 2009-2010 academic year may change, they are to be considered incomplete and will be finalized in the JAOA's 2012 osteopathic medical education issue.
 Family practice refers to family practice and osteopathic manipulative treatment.
 Geriatrics includes geriatrics and family practice and geriatrics and internal medicine.
 §Critical care medicine includes critical care (surgery).
 Hospice and palliative medicine, sleep medicine, and undersea and hyperbaric medicine are fellowships governed by Conjoint Standards by 2 or more specialties.
×
Preliminary data from the AOA Match are in Table 4. In 2010 there were 4106 graduates (3845 current graduates and 261 previous year graduates) seeking first-year training positions. This compares to 3899 graduates (3724 graduates and 175 previous year graduates) who were eligible for the Match in 2009. Participation in the AOA Match was at 46.2% in 2010 compared with 46.0% the previous year. Nonparticipants in the AOA Match were at 48.5%, a slight decrease from 2009 where 48.8% did not participate. Military trainees who did not participate were at 5.3% for 2010 and 5.2% for 2009. There was also a modest increase in unmatched participants in 2010 over 2009, with 10.3% and 9.3% unmatched, respectively. Data reflect a modest but steady increase in AOA Match participation in recent years.1-3,8 
Table 4.
Summary of American Osteopathic Association Match Statistics *

Demographic

2009 (N=3899)

2010 (N=4106)
Graduates
□ Current year 3724 (95.5) 3845 (93.6)
□ Previous year175 (4.4)261 (6.4)
Participants 1794 (46.0) 1896 (46.2)
□ Matched1433 (36.8)1473 (35.9)
□ Unmatched 361 (9.3) 423 (10.3)
□ % matched participants79.977.7
Nonparticipants (Nonmilitary) 1902 (48.8) 1992 (48.5)
Military
203 (5.2)218 (5.3)
 Source: Data for total graduates (ie, N), total participants, and total matched are provided by National Matching Services, Inc (Toronto, Ontario, Canada). Other data were provided by the AOA Division of Education Resource Services.
 *Data presented as No. (%) unless otherwise indicated. Percentages may not total 100 because of rounding.
Table 4.
Summary of American Osteopathic Association Match Statistics *

Demographic

2009 (N=3899)

2010 (N=4106)
Graduates
□ Current year 3724 (95.5) 3845 (93.6)
□ Previous year175 (4.4)261 (6.4)
Participants 1794 (46.0) 1896 (46.2)
□ Matched1433 (36.8)1473 (35.9)
□ Unmatched 361 (9.3) 423 (10.3)
□ % matched participants79.977.7
Nonparticipants (Nonmilitary) 1902 (48.8) 1992 (48.5)
Military
203 (5.2)218 (5.3)
 Source: Data for total graduates (ie, N), total participants, and total matched are provided by National Matching Services, Inc (Toronto, Ontario, Canada). Other data were provided by the AOA Division of Education Resource Services.
 *Data presented as No. (%) unless otherwise indicated. Percentages may not total 100 because of rounding.
×
Update on Impact of Restructuring on Programs and Training Positions
Until 2008, AOA-approved residencies began in the second year of training after completion of a traditional or specialty track internship. Beginning July 1, 2008, the first year of training was “restructured” and, for the majority of specialties, was incorporated into the residency.5,6 Substantial changes in the distribution and total number of programs and positions available are primarily a result of restructuring the first year of osteopathic graduate medical education (OGME-1) as a residency year by the majority of specialty colleges. Some colleges elected to designate a Preliminary Internship or Traditional Internship for the OGME-1 year (Figure 1). For purpose of discussion here, “internship” refers only to the OGME-1 year specifically designated as an OGME-1P or OGME-1T internship. “Residency” refers to training in a resident or fellowship program and includes the OGME-1R year. 
While the number of internship programs and positions decreased, increases in residency programs and positions offset those numbers. Initial data on re-designation of OGME-1 positions by specialty college were previously reported.8 Table 5 compares numbers of trainees in specialty residency programs for 2007-2008, the academic year just before the restructuring, with the number of trainees in these programs in 2008-2009 and 2009-2010, the academic years for which restructuring has been in effect. Data were reviewed only for residencies (which include the OGME-1R year); internships and fellowships (training following completion of a base residency) are not reviewed here. Percentages for some specialties are based on small numbers of trainees and are not meaningful in isolation. 
Table 5.
No. of Trainees in Base Specialties and Percent Increases by OGME-1 Year, 2007-2010 Academic Years





Increase in Trainees, %
Academic Year
2007-2008 to 2008-2009
2008-2009 to 2009-2010
Base Specialty
2007-2008
2008-2009
2009-2010
Residency (OGME-1R)
□ Anesthesiology 69 92 96 33% 4%
□ Emergency medicine51378081052%4%
□ Emergency medicine and internal medicine 78 92 80 18% -13%
□ Family practice6521,0561,21362%15%
□ Family practice and emergency medicine 22 32 37 45% 16%
□ Integrated family practice and NMM17211824%-14%
□ Internal medicine 360 672 796 87% 18%
□ Neurology*21314748%52%
□ Obstetrics and gynecology 152 247 265 63% 7%
□ Orthopedic surgery31339340726%4%
□ Otolaryngology and facial plastic surgery 79 103 114 30% 11%
□ Pediatrics8213014059%8%
□ Pediatrics and internal medicine 6 10 10 67% NA
□ Psychiatry*3032497%53%
□ Surgery (general) 306 435 455 42% 6%
□ Neurological surgery52818656%6%
□ Urological surgery 37 55 66 49% 20%
Preliminary Internship (OGME-1P)
□ Diagnostic radiology 112 120 114 7% -5%
□ NMM and OMM14171621%-6%
□ Ophthalmology 41 44 44 7% NA
□ Pathology000NANA
□ Physical medicine and rehabilitation medicine 22 23 26 5% 13%
Traditional Internship (OGME-1T)
□ Dermatology 89 93 94 4% 1%
□ Preventive medicine and public health101NANA
□ Proctology
2 2 3 NA NA
 Abbreviations: NA, not applicable; NMM, neuromusculoskeletal medicine; OGME-1, first year of osteopathic graduate medical education; OMM, osteopathic manipulative medicine.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, (TIVRA) academic years 2009-2010. Data for the 2007-2008 and 2008-2009 academic years have been reported previously in JAOA—The Journal of the American Osteopathic Association.1
 *Changed to Option 1 effective July 1, 2009.
 Changed to Option 2 effective July 1, 2009.
Table 5.
No. of Trainees in Base Specialties and Percent Increases by OGME-1 Year, 2007-2010 Academic Years





Increase in Trainees, %
Academic Year
2007-2008 to 2008-2009
2008-2009 to 2009-2010
Base Specialty
2007-2008
2008-2009
2009-2010
Residency (OGME-1R)
□ Anesthesiology 69 92 96 33% 4%
□ Emergency medicine51378081052%4%
□ Emergency medicine and internal medicine 78 92 80 18% -13%
□ Family practice6521,0561,21362%15%
□ Family practice and emergency medicine 22 32 37 45% 16%
□ Integrated family practice and NMM17211824%-14%
□ Internal medicine 360 672 796 87% 18%
□ Neurology*21314748%52%
□ Obstetrics and gynecology 152 247 265 63% 7%
□ Orthopedic surgery31339340726%4%
□ Otolaryngology and facial plastic surgery 79 103 114 30% 11%
□ Pediatrics8213014059%8%
□ Pediatrics and internal medicine 6 10 10 67% NA
□ Psychiatry*3032497%53%
□ Surgery (general) 306 435 455 42% 6%
□ Neurological surgery52818656%6%
□ Urological surgery 37 55 66 49% 20%
Preliminary Internship (OGME-1P)
□ Diagnostic radiology 112 120 114 7% -5%
□ NMM and OMM14171621%-6%
□ Ophthalmology 41 44 44 7% NA
□ Pathology000NANA
□ Physical medicine and rehabilitation medicine 22 23 26 5% 13%
Traditional Internship (OGME-1T)
□ Dermatology 89 93 94 4% 1%
□ Preventive medicine and public health101NANA
□ Proctology
2 2 3 NA NA
 Abbreviations: NA, not applicable; NMM, neuromusculoskeletal medicine; OGME-1, first year of osteopathic graduate medical education; OMM, osteopathic manipulative medicine.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, (TIVRA) academic years 2009-2010. Data for the 2007-2008 and 2008-2009 academic years have been reported previously in JAOA—The Journal of the American Osteopathic Association.1
 *Changed to Option 1 effective July 1, 2009.
 Changed to Option 2 effective July 1, 2009.
×
For the 2007-2008 academic year, there were 223 approved internship programs with 2762 positions.1 In the 2008-2009 academic year—the year in which the restructured OGME-1R, OGME-1P, and OGME-1T became effective—there were 154 internship programs approved for 1391 positions with a parallel increase in residency positions for a net gain.8 Rates of internship closures and increased participation in residency programs were less dramatic in the 2009-2010 academic year, the second training year following restructuring. There were 142 internship programs, compared with 154 in 2008-2009, a decrease of only 12 programs and 73 positions, for a total internship closure of 81 programs since restructuring was initiated in July 2008. 
Figure 1.
First-year of osteopathic graduate medical education (OGME-1) designations by specialty as of July 1, 2010. 5
Figure 1.
First-year of osteopathic graduate medical education (OGME-1) designations by specialty as of July 1, 2010. 5
Gains across all OGME-1R specialties indicate retention of most or all OGME-1 positions previously designated as internships for these specialties. Equivalent gains are also reflected for psychiatry residencies (53%) and neurology residencies (52%) for 2009-2010; both specialties moved to OGME-1R in July 2009. 
For the 2009-2010 academic year, increases in positions filled for OGME-1R residencies leveled off and for the most part continued to increase between 4% and 11%. Increases in 4 specialty residencies maintained at a rate of 15% or higher: family practice, family practice and emergency medicine, internal medicine, and urological surgery. 
Other Trends in Postdoctoral Training Programs
DOs in Accreditation Council for Graduate Medical Education Programs
In the 2009-2010 academic year, 12,875 osteopathic physicians (DOs) were in postdoctoral training programs (Figure 2), an increase over the 12,636 osteopathic physicians in training in the 2008-2009 academic year. A total of 5805 trainees (45%) were in AOA-approved programs and 7628 (55%) were in programs accredited by the Accreditation Council for Graduate Medical Education (ACGME). This number represents a slightly higher percentage of DOs attending osteopathic programs during the 2008-2009 academic year, when 43% of osteopathic trainees were in AOA programs, and during the 2007-2008 academic year, when 42% of osteopathic trainees were in AOA programs.8 
Increases in Positions and Positions Filled
The percentage of filled positions in osteopathic residency programs continues to increase. In the 2009-2010 academic year, there were 792 AOA-approved residency programs with 8501 approved positions, of which 5297 were filled, for a fill rate of 62%—an increase over the 59% fill rate for 2008-2009, 50% in 2007-2008, and 49% in 2006-2007.8 Calculation of fill rates comparing number of trainees to number of available and funded positions generally show stronger numbers for osteopathic programs, but the data were not available for this article at date of publication. 
There were 55 programs that increased total OGME training positions in 2010 through new program approval or increases awarded to existing programs (Table 6). While there were 56 programs that participated in increasing training positions the previous year, the number of new positions created in 2010 was noticeably higher—521 new positions in the 2009-2010 academic year compared to 380 new positions in the 2008-2009 academic year. Of these, 35 are residency programs with a total of 439 new positions. There were 17 new fellowship programs for a total of 39 fellowship positions and 3 internship programs for an increase of 43 positions. The largest increases in positions were in internal medicine and subspecialties (146 new positions), and family practice (120 new positions). 
Table 6.
No. of New Approved Programs and Positions, 2008-2010 Academic Years *



2008-2009

2009-2010
Specialty
Programs
Positions
Programs
Positions
Internships224343
Residencies
□ Dermatology31200
□ Diagnostic radiology 1 16 0 0
□ Emergency medicine00348
□ Family practice 14 150 10 120
– Integrated family practice and NMM00224
□ Geriatrics
– Geriatrics and family practice1338
– Geriatrics and internal medicine 3 8 0 0
□ Internal medicine5548138
– Cardiac electrophysiology 1 2 0 0
– Cardiology1600
– Cardiology (interventional) 1 2 1 1
– Critical care medicine0012
– Critical care (surgery) 0 0 1 2
– Gastroenterology2613
– Hematology and oncology 1 3 0 0
– Nephrology1200
– Oncology 0 0 1 3
– Pulmonary medicine1400
– Rheumatology 0 0 1 2
□ NMM and OMM
– NMM plus 1 0 0 4 11
□ Obstetrics and gynecology00224
– Maternal and fetal medicine 1 3 0 0
– Reproductive endocrinology1313
□ Orthopedic surgery 1 5 2 24
– Musculoskeletal oncology0011
□ Otolaryngology and facial plastic surgery
– Otolaryngic allergy1313
□ Pediatrics
– Pediatric and emergency medicine1600
□ Proctology 1 3 0 0
□ Psychiatry18340
□ Sports medicine 5 13 0 0
□ Surgery (general)22000
– General vascular surgery 1 3 0 0
– Plastic and reconstructive surgery0026
– Urological surgery 2 16 1 10
□ Other
– Hospice and palliative care 2 5 2 3
– Undersea and hyperbaric medicine 0
0
1
2
Total
56 380 55 521
 Abbreviations: NMM, neuromusculoskeletal medicine; OGME-1, first year of osteopathic graduate medical education; OMM, osteopathic manipulative medicine.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, (TIVRA) academic years 2009-2010. Data for the 2008-2009 academic year have been reported previously in JAOA—The Journal of the American Osteopathic Association.1
 *Data are collated by calendar year and note new positions from increases in existing programs or approval of new programs by the AOA Program and Trainee Review Council. No new programs or positions were added in anesthesiology, neurology, ophthalmology, pathology, physical medicine and rehabilitation medicine, or preventive medicine and public health. No new programs or positions were added in any subspecialties not included herein.
 Hospice and palliative medicine and undersea and hyperbaric medicine are governed by Conjoint Standards by 2 or more specialties.
Table 6.
No. of New Approved Programs and Positions, 2008-2010 Academic Years *



2008-2009

2009-2010
Specialty
Programs
Positions
Programs
Positions
Internships224343
Residencies
□ Dermatology31200
□ Diagnostic radiology 1 16 0 0
□ Emergency medicine00348
□ Family practice 14 150 10 120
– Integrated family practice and NMM00224
□ Geriatrics
– Geriatrics and family practice1338
– Geriatrics and internal medicine 3 8 0 0
□ Internal medicine5548138
– Cardiac electrophysiology 1 2 0 0
– Cardiology1600
– Cardiology (interventional) 1 2 1 1
– Critical care medicine0012
– Critical care (surgery) 0 0 1 2
– Gastroenterology2613
– Hematology and oncology 1 3 0 0
– Nephrology1200
– Oncology 0 0 1 3
– Pulmonary medicine1400
– Rheumatology 0 0 1 2
□ NMM and OMM
– NMM plus 1 0 0 4 11
□ Obstetrics and gynecology00224
– Maternal and fetal medicine 1 3 0 0
– Reproductive endocrinology1313
□ Orthopedic surgery 1 5 2 24
– Musculoskeletal oncology0011
□ Otolaryngology and facial plastic surgery
– Otolaryngic allergy1313
□ Pediatrics
– Pediatric and emergency medicine1600
□ Proctology 1 3 0 0
□ Psychiatry18340
□ Sports medicine 5 13 0 0
□ Surgery (general)22000
– General vascular surgery 1 3 0 0
– Plastic and reconstructive surgery0026
– Urological surgery 2 16 1 10
□ Other
– Hospice and palliative care 2 5 2 3
– Undersea and hyperbaric medicine 0
0
1
2
Total
56 380 55 521
 Abbreviations: NMM, neuromusculoskeletal medicine; OGME-1, first year of osteopathic graduate medical education; OMM, osteopathic manipulative medicine.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, (TIVRA) academic years 2009-2010. Data for the 2008-2009 academic year have been reported previously in JAOA—The Journal of the American Osteopathic Association.1
 *Data are collated by calendar year and note new positions from increases in existing programs or approval of new programs by the AOA Program and Trainee Review Council. No new programs or positions were added in anesthesiology, neurology, ophthalmology, pathology, physical medicine and rehabilitation medicine, or preventive medicine and public health. No new programs or positions were added in any subspecialties not included herein.
 Hospice and palliative medicine and undersea and hyperbaric medicine are governed by Conjoint Standards by 2 or more specialties.
×
There is considerable interest recently in a developing trend toward dually accredited AOA and ACGME graduate medical education programs. The AOA Department of Education published their first report dedicated to this topic in 2009.9 A follow-up article10 appears beginning on page 247 of the present issue. 
Geographic Distribution
Figure 3 is a map of concentration of available OGME positions. There was no major shift in distribution of positions by state during the 2009-2010 academic year as compared to previous years.3 The numbers of programs and positions by state and by internship and residency for the 2008-2009 and 2009-2010 academic years is provided in Table 1, Table 2, and Table 3. AOA approved programs are located in 38 of the 50 states. Three states with a single approved AOA program closed those programs between September 1, 2007, and July 1, 2009. The majority of states either continued to increase their number of available positions or maintained previous training levels. Decreases that occurred were generally in a limited number of states with a low number of programs. 
Figure 2.
Trends of osteopathic physician (DO) enrollment in osteopathic and allopathic postdoctoral training programs.5,6,8 Data may change and should be considered incomplete until finalized in the 2012 osteopathic medical education issue of JAOA—The Journal of the American Osteopathic Association. Data for academic years 1999-2000 through 2008-2009 were previously published in the JAOA.8 *Total college of osteopathic medicine (COM) graduates do not include previous years' graduates. †Total DOs in American Osteopathic Association (AOA) internships include trainees who matched to osteopathic internship positions during both the Match and post-Match scramble. ‡Restructuring of the AOA internship, effective July 1, 2008. Abbreviation: ACGME, Accreditation Council for Graduate Medical Education.
Figure 2.
Trends of osteopathic physician (DO) enrollment in osteopathic and allopathic postdoctoral training programs.5,6,8 Data may change and should be considered incomplete until finalized in the 2012 osteopathic medical education issue of JAOA—The Journal of the American Osteopathic Association. Data for academic years 1999-2000 through 2008-2009 were previously published in the JAOA.8 *Total college of osteopathic medicine (COM) graduates do not include previous years' graduates. †Total DOs in American Osteopathic Association (AOA) internships include trainees who matched to osteopathic internship positions during both the Match and post-Match scramble. ‡Restructuring of the AOA internship, effective July 1, 2008. Abbreviation: ACGME, Accreditation Council for Graduate Medical Education.
The states with the largest number of positions and programs continue to be Michigan, Pennsylvania, New York, Ohio, Florida, New Jersey, and Illinois. These 7 states contain 74% of all AOA training programs (internship and residency), 75% of all AOA approved training positions, and 79% of all filled positions. Of the remaining 30 states, 7 have fill rates of 70% or higher based on a small number of programs: Iowa (4 programs), Nevada (7 programs), Minnesota (2 programs), and South Carolina, Kansas, Arkansas, and Washington (1 program each). 
Conclusion
Data reports continue to show modest but steady increases in available OGME positions, in AOA Match participation, and in percentages of osteopathic trainees enrolled in AOA-approved—rather than ACGME-approved—programs. Data strongly indicate that reorganization of the OGME-1 training year has not decreased the number of positions available to trainees. 
Figure 3.
Total approved internship and residency positions by state.
Figure 3.
Total approved internship and residency positions by state.
Freeman E, Lischka TA. Osteopathic graduate medical education. J Am Osteopath Assoc. 2009;109(3):135-145. http://www.jaoa.org/cgi/content/full/109/3/135. Accessed January 27, 2011.
Burkhart DN, Lischka TA. Osteopathic graduate medical education. J Am Osteopath Assoc. 2008;108(3):127-139. http://www.jaoa.org/cgi/content/full/108/3/127. Accessed January 27, 2011.
Obradovic JL, Winslow-Falbo P. Osteopathic graduate medical education. J Am Osteopath Assoc. 2007;107(2):57-66. http://www.jaoa.org/cgi/content/full/107/2/57. Accessed January 27, 2011.
Burkhart DN. OGME Program Consortia. Presented at: Association of Osteopathic Directors and Medical Educators and the Association for Hospital Medical Education 2010 Joint Conference; April21-24 , 2010; San Antonio, TX.
American Osteopathic Association. The Basic Documents for Postdoctoral Training. Chicago, IL: American Osteopathic Association; 2010. http://www.osteopathic.org/inside-aoa/accreditation/postdoctoral-training-approval/postdoctoral-training-standards/Documents/aoa-basic-document-for-postdoctoral-training.pdf. Accessed January 27, 2010.
Brotherton SE, Etzel SI. Graduate medical education, 2009-2010. JAMA. 2010;304(11):1255-1270. http://jama.ama-assn.org/content/304/11/1255.full.pdf+html. Accessed January 20, 2010.
Brotherton SE, Etzel SI. Graduate medical education, 2008-2009 [appendix]. JAMA. 2009;302(12):1357-1372.
Freeman E, Duffy T, Lischka TA. Osteopathic graduate medical education 2010. J Am Osteopath Assoc. 2010;110(3):150-159. http://www.jaoa.org/cgi/content/full/110/3/150. Accessed January 27, 2011.
Burkhart DN, Lischka TA. Dual and parallel postdoctoral training programs: implications for the osteopathic medical profession. J Am Osteopath Assoc. 2009;109(3):146-153. http://www.jaoa.org/cgi/content/full/109/3/146. Accessed March 12, 2010.
Burkhart DN, Lischka TA. Dual and parallel postdoctoral training programs: implications for the osteopathic medical profession. J Am Osteopath Assoc. 2011;111(4):247-256.
Figure 1.
First-year of osteopathic graduate medical education (OGME-1) designations by specialty as of July 1, 2010. 5
Figure 1.
First-year of osteopathic graduate medical education (OGME-1) designations by specialty as of July 1, 2010. 5
Figure 2.
Trends of osteopathic physician (DO) enrollment in osteopathic and allopathic postdoctoral training programs.5,6,8 Data may change and should be considered incomplete until finalized in the 2012 osteopathic medical education issue of JAOA—The Journal of the American Osteopathic Association. Data for academic years 1999-2000 through 2008-2009 were previously published in the JAOA.8 *Total college of osteopathic medicine (COM) graduates do not include previous years' graduates. †Total DOs in American Osteopathic Association (AOA) internships include trainees who matched to osteopathic internship positions during both the Match and post-Match scramble. ‡Restructuring of the AOA internship, effective July 1, 2008. Abbreviation: ACGME, Accreditation Council for Graduate Medical Education.
Figure 2.
Trends of osteopathic physician (DO) enrollment in osteopathic and allopathic postdoctoral training programs.5,6,8 Data may change and should be considered incomplete until finalized in the 2012 osteopathic medical education issue of JAOA—The Journal of the American Osteopathic Association. Data for academic years 1999-2000 through 2008-2009 were previously published in the JAOA.8 *Total college of osteopathic medicine (COM) graduates do not include previous years' graduates. †Total DOs in American Osteopathic Association (AOA) internships include trainees who matched to osteopathic internship positions during both the Match and post-Match scramble. ‡Restructuring of the AOA internship, effective July 1, 2008. Abbreviation: ACGME, Accreditation Council for Graduate Medical Education.
Figure 3.
Total approved internship and residency positions by state.
Figure 3.
Total approved internship and residency positions by state.
Table 1.
No. of AOA-Approved Internship and Residency Programs and Trainees Filling Available Positions by State, 2009-2010 Academic Year


Internship Programs

Residency Programs

Total
State
Programs
Positions
Trainees
Programs
Positions
Trainees
Programs
Positions
Trainees
Alabama00011801180
Alaska 0 0 0 1 9 9 1 9 9
Arizona0008813988139
Arkansas 0 0 0 2 15 2 2 15 2
California675312530919131384222
Colorado 1 4 3 1 9 0 2 13 3
Connecticut112111132234
Delaware 1 15 10 1 24 8 2 39 18
Florida10124454753632757660372
Georgia 1 4 3 3 29 18 4 33 21
Illinois641293942729345468322
Indiana 1 3 1 4 30 21 5 33 22
Iowa0004402844028
Kansas 0 0 0 1 12 11 1 12 11
Kentucky2936421885121
Maine 0 0 0 7 76 42 7 76 42
Massachusetts21052121042215
Michigan 20 213 92 185 1878 1289 205 2091 1381
Minnesota0002141021410
Mississippi 0 0 0 2 24 6 2 24 6
Missouri31552116311624178121
Nevada 1 15 13 6 85 57 7 100 70
New Jersey657215459535060652371
New York 19 212 89 64 845 507 83 1057 596
North Carolina21703331155011
Ohio 11 105 42 100 872 589 111 977 631
Oklahoma21672829113030307137
Oregon 1 6 0 8 61 11 9 67 11
Pennsylvania322631249911907701311453894
Rhode Island 0 0 0 4 50 23 4 50 23
South Carolina0001141511415
Tennessee 0 0 0 3 33 13 3 33 13
Texas432132319410727226120
Virginia 3 33 5 14 207 72 17 240 77
Washington000165165
West Virginia 7 37 16 18 208 111 25 245 127
Wisconsin0002463124631
Wyoming
0
0
0
1
12
4
1
12
4
Total
142 1318 558 792 8501 5247 934 9819 5805
 *Data shown represent positions approved by the AOA Program and Trainee Review Council for the academic year indicated. Data are current as of May 31, 2010. No internship or residency positions are currently approved by the American Osteopathic Association (AOA) in the District of Columbia or in the following 12 states: Hawaii, Idaho, Louisiana, Maryland, Montana, Nebraska, New Hampshire, New Mexico, North Dakota, South Dakota, Utah, and Vermont.Source: Training Programs by State: Year-End Reports, Division of Postdoctoral Training, American Osteopathic Association, Chicago, Illinois.
Table 1.
No. of AOA-Approved Internship and Residency Programs and Trainees Filling Available Positions by State, 2009-2010 Academic Year


Internship Programs

Residency Programs

Total
State
Programs
Positions
Trainees
Programs
Positions
Trainees
Programs
Positions
Trainees
Alabama00011801180
Alaska 0 0 0 1 9 9 1 9 9
Arizona0008813988139
Arkansas 0 0 0 2 15 2 2 15 2
California675312530919131384222
Colorado 1 4 3 1 9 0 2 13 3
Connecticut112111132234
Delaware 1 15 10 1 24 8 2 39 18
Florida10124454753632757660372
Georgia 1 4 3 3 29 18 4 33 21
Illinois641293942729345468322
Indiana 1 3 1 4 30 21 5 33 22
Iowa0004402844028
Kansas 0 0 0 1 12 11 1 12 11
Kentucky2936421885121
Maine 0 0 0 7 76 42 7 76 42
Massachusetts21052121042215
Michigan 20 213 92 185 1878 1289 205 2091 1381
Minnesota0002141021410
Mississippi 0 0 0 2 24 6 2 24 6
Missouri31552116311624178121
Nevada 1 15 13 6 85 57 7 100 70
New Jersey657215459535060652371
New York 19 212 89 64 845 507 83 1057 596
North Carolina21703331155011
Ohio 11 105 42 100 872 589 111 977 631
Oklahoma21672829113030307137
Oregon 1 6 0 8 61 11 9 67 11
Pennsylvania322631249911907701311453894
Rhode Island 0 0 0 4 50 23 4 50 23
South Carolina0001141511415
Tennessee 0 0 0 3 33 13 3 33 13
Texas432132319410727226120
Virginia 3 33 5 14 207 72 17 240 77
Washington000165165
West Virginia 7 37 16 18 208 111 25 245 127
Wisconsin0002463124631
Wyoming
0
0
0
1
12
4
1
12
4
Total
142 1318 558 792 8501 5247 934 9819 5805
 *Data shown represent positions approved by the AOA Program and Trainee Review Council for the academic year indicated. Data are current as of May 31, 2010. No internship or residency positions are currently approved by the American Osteopathic Association (AOA) in the District of Columbia or in the following 12 states: Hawaii, Idaho, Louisiana, Maryland, Montana, Nebraska, New Hampshire, New Mexico, North Dakota, South Dakota, Utah, and Vermont.Source: Training Programs by State: Year-End Reports, Division of Postdoctoral Training, American Osteopathic Association, Chicago, Illinois.
×
Table 2.
No. of AOA-Approved Internship and Residency Programs and Trainees Filling Available Positions by State, 2008-2009 Academic Year


Internship

Residency

Total
State
Programs
Positions
Trainees
Programs
Positions
Trainees
Programs
Positions
Trainees
Alabama00011801180
Alaska 0 0 0 1 9 8 1 9 8
Arizona0007824478244
Arkansas 0 0 0 1 12 3 1 12 3
California675242530117031376194
Colorado 1 4 3 0 0 0 1 4 3
Connecticut1126111522311
Delaware 1 15 10 1 24 9 2 39 19
Florida10136564449926554635321
Georgia 1 4 1 3 29 9 4 33 10
Illinois641193941727145458290
Indiana 3 12 4 4 30 14 7 42 18
Iowa0003382933829
Kansas 0 0 0 1 12 11 1 12 11
Kentucky31846441996223
Maine 1 8 5 10 100 49 11 108 54
Massachusetts2108212642214
Michigan 21 206 92 181 1848 1225 202 2054 1317
Minnesota00021442144
Mississippi 0 0 0 1 18 3 1 18 3
Missouri31562216111325176119
Nevada 1 15 16 6 85 53 7 100 69
New Jersey677284952931255606340
New Mexico 0 0 0 1 6 5 1 6 5
New York19210805776544476975524
North Carolina 1 2 1 2 18 9 3 20 10
Ohio13112481039285531161040601
Oklahoma 2 16 6 25 271 192 27 287 198
Oregon16075108570
Pennsylvania 36 281 137 99 1123 683 135 1404 820
Rhode Island0002361323613
South Carolina 0 0 0 1 12 11 1 12 11
Tennessee214922404389
Texas 4 32 23 20 165 85 24 197 108
Virginia3331212151521518464
Washington 0 0 0 1 6 4 1 6 4
West Virginia7377182089525245102
Wisconsin 0 0 0 2 43 20 2 43 20
Wyoming
0
0
0
1
12
6
1
12
6
Total
154 1391 605 762 8094 4794 916 9485 5399
 * Data shown represent positions approved by the AOA Program and Trainee Review Council for the academic year indicated. Data are current as of May 31, 2010. In the 2008-2009 academic year, no internship or residency positions were approved by the American Osteopathic Association (AOA) in the District of Columbia or in the following 11 states: Hawaii, Idaho, Louisiana, Maryland, Montana, Nebraska, New Hampshire, North Dakota, South Dakota, Utah, and Vermont.Source: Training Programs by State: Year-End Reports, Division of Postdoctoral Training, American Osteopathic Association, Chicago, Illinois.
Table 2.
No. of AOA-Approved Internship and Residency Programs and Trainees Filling Available Positions by State, 2008-2009 Academic Year


Internship

Residency

Total
State
Programs
Positions
Trainees
Programs
Positions
Trainees
Programs
Positions
Trainees
Alabama00011801180
Alaska 0 0 0 1 9 8 1 9 8
Arizona0007824478244
Arkansas 0 0 0 1 12 3 1 12 3
California675242530117031376194
Colorado 1 4 3 0 0 0 1 4 3
Connecticut1126111522311
Delaware 1 15 10 1 24 9 2 39 19
Florida10136564449926554635321
Georgia 1 4 1 3 29 9 4 33 10
Illinois641193941727145458290
Indiana 3 12 4 4 30 14 7 42 18
Iowa0003382933829
Kansas 0 0 0 1 12 11 1 12 11
Kentucky31846441996223
Maine 1 8 5 10 100 49 11 108 54
Massachusetts2108212642214
Michigan 21 206 92 181 1848 1225 202 2054 1317
Minnesota00021442144
Mississippi 0 0 0 1 18 3 1 18 3
Missouri31562216111325176119
Nevada 1 15 16 6 85 53 7 100 69
New Jersey677284952931255606340
New Mexico 0 0 0 1 6 5 1 6 5
New York19210805776544476975524
North Carolina 1 2 1 2 18 9 3 20 10
Ohio13112481039285531161040601
Oklahoma 2 16 6 25 271 192 27 287 198
Oregon16075108570
Pennsylvania 36 281 137 99 1123 683 135 1404 820
Rhode Island0002361323613
South Carolina 0 0 0 1 12 11 1 12 11
Tennessee214922404389
Texas 4 32 23 20 165 85 24 197 108
Virginia3331212151521518464
Washington 0 0 0 1 6 4 1 6 4
West Virginia7377182089525245102
Wisconsin 0 0 0 2 43 20 2 43 20
Wyoming
0
0
0
1
12
6
1
12
6
Total
154 1391 605 762 8094 4794 916 9485 5399
 * Data shown represent positions approved by the AOA Program and Trainee Review Council for the academic year indicated. Data are current as of May 31, 2010. In the 2008-2009 academic year, no internship or residency positions were approved by the American Osteopathic Association (AOA) in the District of Columbia or in the following 11 states: Hawaii, Idaho, Louisiana, Maryland, Montana, Nebraska, New Hampshire, North Dakota, South Dakota, Utah, and Vermont.Source: Training Programs by State: Year-End Reports, Division of Postdoctoral Training, American Osteopathic Association, Chicago, Illinois.
×
Table 3.
No. of AOA-Approved Residency Programs and Approved and Filled Positions as Reported by Academic Year and Specialty, 2007-2010 *


2007-2008

2008-2009

2009-2010
Specialty
Programs
Positions
Residents
Programs
Positions
Residents
Programs
Positions
Residents
Anesthesiology12866912107921211296
□ Anesthesiology and pain management 2 3 0 2 3 1 2 3 2
□ Pediatric anesthesiologyNANANA130130
Dermatology 19 111 89 20 123 93 22 130 94
□ Mohs micrographic surgery110111111
Diagnostic Radiology 14 132 112 14 133 120 15 156 114
□ Radiation oncology000000000
□ Radiology (vascular interventional) 1 1 0 1 1 0 0 0 0
Emergency Medicine4378551343979780441007810
□ Emergency medical service 2 3 1 2 3 0 1 1 0
□ Emergency medicine and internal medicine121157812130921213380
Family Practice 173 1823 652 184 2341 1056 187 2391 1213
□ Family practice and emergency medicine548225593256437
□ Integrated family practice and NMM 7 48 17 7 49 21 6 40 18
Geriatrics7313938212462
Internal Medicine 83 1082 360 88 1320 672 96 1476 796
□ Cardiac electrophysiology131130251
□ Cardiology 21 132 78 23 148 84 23 148 82
□ Cardiology (interventional)82181025911285
□ Critical care medicine§ 5 13 5 5 13 4 7 17 7
□ Endocrinology363364363
□ Gastroenterology 9 40 22 12 51 24 13 60 32
□ Hematology and oncology411341155149
□ Infectious diseases 2 8 3 2 8 2 2 8 2
□ Nephrology6188720872010
□ Oncology 3 9 1 3 9 1 4 12 0
□ Pulmonary (critical care)726117221172414
□ Pulmonary medicine 3 7 1 4 11 2 4 11 2
□ Rheumatology3883874107
Neurology 6 39 21 7 61 31 7 74 47
NMM and OMM733148381784016
□ NMM plus 1 18 56 13 19 62 14 17 55 24
Obstetrics and Gynecology333571523137024730380265
□ Gynecological oncology 3 9 6 3 9 7 3 9 6
□ Maternal and fetal medicine3942763105
□ Reproductive endocrinology 1 3 1 1 3 2 3 9 2
Ophthalmology125741125744125844
Orthopedic Surgery 29 348 313 31 465 393 33 497 407
□ Hand surgery130130130
□ Orthopedic spine surgery 2 3 1 2 3 0 2 3 0
Otolaryngology and Facial Plastic Surgery19114791913210319134114
□ Otolaryngic allergy 1 3 0 2 6 1 2 6 3
Pathology000000000
□ Forensic pathology 1 1 0 1 1 0 1 1 0
Pediatrics17167821722513017229140
□ Pediatric allergy and immunology 1 2 0 1 2 2 1 2 2
□ Pediatric emergency medicineNANANANANANA160
□ Pediatrics and internal medicine 2 14 6 2 18 10 2 18 10
□ Pediatric radiology130130130
Physical Medicine and Rehabilitation Medicine 3 28 22 3 28 23 3 29 26
Preventive Medicine and Public Health131130131
□ Preventive medicine (occupational and environmental) 1 3 0 1 3 0 1 3 1
Proctology122252253
Psychiatry 7 72 30 9 95 32 11 127 49
□ Child psychiatry284284281
□ Geriatric psychiatry 1 3 0 1 3 0 1 3 0
Sports Medicine144214164712174716
Surgery (General) 39 424 306 41 536 435 42 571 455
□ Cardiothoracic surgery2110190190
□ General vascular surgery 9 20 5 9 20 4 7 15 3
□ Neurological surgery118152119781119986
□ Plastic and reconstructive surgery 6 21 15 6 21 16 7 24 16
□ Urological surgery75237111235598266
Other (Conjoint)
□ Hospice and palliative medicineNANANA240491
□ Sleep medicine 1 2 0 1 2 0 1 2 1
□ Undersea and hyperbaric medicine NA
NA
NA
NA
NA
NA
1
2
0
Total
718 6564 3289 762 8094 4794 792 8501 5247
 Abbreviations: NMM, neuromusculoskeletal medicine; OMM, osteopathic manipulative medicine.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, (TIVRA) academic years 2008-2009. Data for the 2007-2008 and 2008-2009 academic years have been reported previously in JAOA—The Journal of the American Osteopathic Association.1
 *Data are current as of May 31, 2010. Because data for the 2009-2010 academic year may change, they are to be considered incomplete and will be finalized in the JAOA's 2012 osteopathic medical education issue.
 Family practice refers to family practice and osteopathic manipulative treatment.
 Geriatrics includes geriatrics and family practice and geriatrics and internal medicine.
 §Critical care medicine includes critical care (surgery).
 Hospice and palliative medicine, sleep medicine, and undersea and hyperbaric medicine are fellowships governed by Conjoint Standards by 2 or more specialties.
Table 3.
No. of AOA-Approved Residency Programs and Approved and Filled Positions as Reported by Academic Year and Specialty, 2007-2010 *


2007-2008

2008-2009

2009-2010
Specialty
Programs
Positions
Residents
Programs
Positions
Residents
Programs
Positions
Residents
Anesthesiology12866912107921211296
□ Anesthesiology and pain management 2 3 0 2 3 1 2 3 2
□ Pediatric anesthesiologyNANANA130130
Dermatology 19 111 89 20 123 93 22 130 94
□ Mohs micrographic surgery110111111
Diagnostic Radiology 14 132 112 14 133 120 15 156 114
□ Radiation oncology000000000
□ Radiology (vascular interventional) 1 1 0 1 1 0 0 0 0
Emergency Medicine4378551343979780441007810
□ Emergency medical service 2 3 1 2 3 0 1 1 0
□ Emergency medicine and internal medicine121157812130921213380
Family Practice 173 1823 652 184 2341 1056 187 2391 1213
□ Family practice and emergency medicine548225593256437
□ Integrated family practice and NMM 7 48 17 7 49 21 6 40 18
Geriatrics7313938212462
Internal Medicine 83 1082 360 88 1320 672 96 1476 796
□ Cardiac electrophysiology131130251
□ Cardiology 21 132 78 23 148 84 23 148 82
□ Cardiology (interventional)82181025911285
□ Critical care medicine§ 5 13 5 5 13 4 7 17 7
□ Endocrinology363364363
□ Gastroenterology 9 40 22 12 51 24 13 60 32
□ Hematology and oncology411341155149
□ Infectious diseases 2 8 3 2 8 2 2 8 2
□ Nephrology6188720872010
□ Oncology 3 9 1 3 9 1 4 12 0
□ Pulmonary (critical care)726117221172414
□ Pulmonary medicine 3 7 1 4 11 2 4 11 2
□ Rheumatology3883874107
Neurology 6 39 21 7 61 31 7 74 47
NMM and OMM733148381784016
□ NMM plus 1 18 56 13 19 62 14 17 55 24
Obstetrics and Gynecology333571523137024730380265
□ Gynecological oncology 3 9 6 3 9 7 3 9 6
□ Maternal and fetal medicine3942763105
□ Reproductive endocrinology 1 3 1 1 3 2 3 9 2
Ophthalmology125741125744125844
Orthopedic Surgery 29 348 313 31 465 393 33 497 407
□ Hand surgery130130130
□ Orthopedic spine surgery 2 3 1 2 3 0 2 3 0
Otolaryngology and Facial Plastic Surgery19114791913210319134114
□ Otolaryngic allergy 1 3 0 2 6 1 2 6 3
Pathology000000000
□ Forensic pathology 1 1 0 1 1 0 1 1 0
Pediatrics17167821722513017229140
□ Pediatric allergy and immunology 1 2 0 1 2 2 1 2 2
□ Pediatric emergency medicineNANANANANANA160
□ Pediatrics and internal medicine 2 14 6 2 18 10 2 18 10
□ Pediatric radiology130130130
Physical Medicine and Rehabilitation Medicine 3 28 22 3 28 23 3 29 26
Preventive Medicine and Public Health131130131
□ Preventive medicine (occupational and environmental) 1 3 0 1 3 0 1 3 1
Proctology122252253
Psychiatry 7 72 30 9 95 32 11 127 49
□ Child psychiatry284284281
□ Geriatric psychiatry 1 3 0 1 3 0 1 3 0
Sports Medicine144214164712174716
Surgery (General) 39 424 306 41 536 435 42 571 455
□ Cardiothoracic surgery2110190190
□ General vascular surgery 9 20 5 9 20 4 7 15 3
□ Neurological surgery118152119781119986
□ Plastic and reconstructive surgery 6 21 15 6 21 16 7 24 16
□ Urological surgery75237111235598266
Other (Conjoint)
□ Hospice and palliative medicineNANANA240491
□ Sleep medicine 1 2 0 1 2 0 1 2 1
□ Undersea and hyperbaric medicine NA
NA
NA
NA
NA
NA
1
2
0
Total
718 6564 3289 762 8094 4794 792 8501 5247
 Abbreviations: NMM, neuromusculoskeletal medicine; OMM, osteopathic manipulative medicine.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, (TIVRA) academic years 2008-2009. Data for the 2007-2008 and 2008-2009 academic years have been reported previously in JAOA—The Journal of the American Osteopathic Association.1
 *Data are current as of May 31, 2010. Because data for the 2009-2010 academic year may change, they are to be considered incomplete and will be finalized in the JAOA's 2012 osteopathic medical education issue.
 Family practice refers to family practice and osteopathic manipulative treatment.
 Geriatrics includes geriatrics and family practice and geriatrics and internal medicine.
 §Critical care medicine includes critical care (surgery).
 Hospice and palliative medicine, sleep medicine, and undersea and hyperbaric medicine are fellowships governed by Conjoint Standards by 2 or more specialties.
×
Table 4.
Summary of American Osteopathic Association Match Statistics *

Demographic

2009 (N=3899)

2010 (N=4106)
Graduates
□ Current year 3724 (95.5) 3845 (93.6)
□ Previous year175 (4.4)261 (6.4)
Participants 1794 (46.0) 1896 (46.2)
□ Matched1433 (36.8)1473 (35.9)
□ Unmatched 361 (9.3) 423 (10.3)
□ % matched participants79.977.7
Nonparticipants (Nonmilitary) 1902 (48.8) 1992 (48.5)
Military
203 (5.2)218 (5.3)
 Source: Data for total graduates (ie, N), total participants, and total matched are provided by National Matching Services, Inc (Toronto, Ontario, Canada). Other data were provided by the AOA Division of Education Resource Services.
 *Data presented as No. (%) unless otherwise indicated. Percentages may not total 100 because of rounding.
Table 4.
Summary of American Osteopathic Association Match Statistics *

Demographic

2009 (N=3899)

2010 (N=4106)
Graduates
□ Current year 3724 (95.5) 3845 (93.6)
□ Previous year175 (4.4)261 (6.4)
Participants 1794 (46.0) 1896 (46.2)
□ Matched1433 (36.8)1473 (35.9)
□ Unmatched 361 (9.3) 423 (10.3)
□ % matched participants79.977.7
Nonparticipants (Nonmilitary) 1902 (48.8) 1992 (48.5)
Military
203 (5.2)218 (5.3)
 Source: Data for total graduates (ie, N), total participants, and total matched are provided by National Matching Services, Inc (Toronto, Ontario, Canada). Other data were provided by the AOA Division of Education Resource Services.
 *Data presented as No. (%) unless otherwise indicated. Percentages may not total 100 because of rounding.
×
Table 5.
No. of Trainees in Base Specialties and Percent Increases by OGME-1 Year, 2007-2010 Academic Years





Increase in Trainees, %
Academic Year
2007-2008 to 2008-2009
2008-2009 to 2009-2010
Base Specialty
2007-2008
2008-2009
2009-2010
Residency (OGME-1R)
□ Anesthesiology 69 92 96 33% 4%
□ Emergency medicine51378081052%4%
□ Emergency medicine and internal medicine 78 92 80 18% -13%
□ Family practice6521,0561,21362%15%
□ Family practice and emergency medicine 22 32 37 45% 16%
□ Integrated family practice and NMM17211824%-14%
□ Internal medicine 360 672 796 87% 18%
□ Neurology*21314748%52%
□ Obstetrics and gynecology 152 247 265 63% 7%
□ Orthopedic surgery31339340726%4%
□ Otolaryngology and facial plastic surgery 79 103 114 30% 11%
□ Pediatrics8213014059%8%
□ Pediatrics and internal medicine 6 10 10 67% NA
□ Psychiatry*3032497%53%
□ Surgery (general) 306 435 455 42% 6%
□ Neurological surgery52818656%6%
□ Urological surgery 37 55 66 49% 20%
Preliminary Internship (OGME-1P)
□ Diagnostic radiology 112 120 114 7% -5%
□ NMM and OMM14171621%-6%
□ Ophthalmology 41 44 44 7% NA
□ Pathology000NANA
□ Physical medicine and rehabilitation medicine 22 23 26 5% 13%
Traditional Internship (OGME-1T)
□ Dermatology 89 93 94 4% 1%
□ Preventive medicine and public health101NANA
□ Proctology
2 2 3 NA NA
 Abbreviations: NA, not applicable; NMM, neuromusculoskeletal medicine; OGME-1, first year of osteopathic graduate medical education; OMM, osteopathic manipulative medicine.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, (TIVRA) academic years 2009-2010. Data for the 2007-2008 and 2008-2009 academic years have been reported previously in JAOA—The Journal of the American Osteopathic Association.1
 *Changed to Option 1 effective July 1, 2009.
 Changed to Option 2 effective July 1, 2009.
Table 5.
No. of Trainees in Base Specialties and Percent Increases by OGME-1 Year, 2007-2010 Academic Years





Increase in Trainees, %
Academic Year
2007-2008 to 2008-2009
2008-2009 to 2009-2010
Base Specialty
2007-2008
2008-2009
2009-2010
Residency (OGME-1R)
□ Anesthesiology 69 92 96 33% 4%
□ Emergency medicine51378081052%4%
□ Emergency medicine and internal medicine 78 92 80 18% -13%
□ Family practice6521,0561,21362%15%
□ Family practice and emergency medicine 22 32 37 45% 16%
□ Integrated family practice and NMM17211824%-14%
□ Internal medicine 360 672 796 87% 18%
□ Neurology*21314748%52%
□ Obstetrics and gynecology 152 247 265 63% 7%
□ Orthopedic surgery31339340726%4%
□ Otolaryngology and facial plastic surgery 79 103 114 30% 11%
□ Pediatrics8213014059%8%
□ Pediatrics and internal medicine 6 10 10 67% NA
□ Psychiatry*3032497%53%
□ Surgery (general) 306 435 455 42% 6%
□ Neurological surgery52818656%6%
□ Urological surgery 37 55 66 49% 20%
Preliminary Internship (OGME-1P)
□ Diagnostic radiology 112 120 114 7% -5%
□ NMM and OMM14171621%-6%
□ Ophthalmology 41 44 44 7% NA
□ Pathology000NANA
□ Physical medicine and rehabilitation medicine 22 23 26 5% 13%
Traditional Internship (OGME-1T)
□ Dermatology 89 93 94 4% 1%
□ Preventive medicine and public health101NANA
□ Proctology
2 2 3 NA NA
 Abbreviations: NA, not applicable; NMM, neuromusculoskeletal medicine; OGME-1, first year of osteopathic graduate medical education; OMM, osteopathic manipulative medicine.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, (TIVRA) academic years 2009-2010. Data for the 2007-2008 and 2008-2009 academic years have been reported previously in JAOA—The Journal of the American Osteopathic Association.1
 *Changed to Option 1 effective July 1, 2009.
 Changed to Option 2 effective July 1, 2009.
×
Table 6.
No. of New Approved Programs and Positions, 2008-2010 Academic Years *



2008-2009

2009-2010
Specialty
Programs
Positions
Programs
Positions
Internships224343
Residencies
□ Dermatology31200
□ Diagnostic radiology 1 16 0 0
□ Emergency medicine00348
□ Family practice 14 150 10 120
– Integrated family practice and NMM00224
□ Geriatrics
– Geriatrics and family practice1338
– Geriatrics and internal medicine 3 8 0 0
□ Internal medicine5548138
– Cardiac electrophysiology 1 2 0 0
– Cardiology1600
– Cardiology (interventional) 1 2 1 1
– Critical care medicine0012
– Critical care (surgery) 0 0 1 2
– Gastroenterology2613
– Hematology and oncology 1 3 0 0
– Nephrology1200
– Oncology 0 0 1 3
– Pulmonary medicine1400
– Rheumatology 0 0 1 2
□ NMM and OMM
– NMM plus 1 0 0 4 11
□ Obstetrics and gynecology00224
– Maternal and fetal medicine 1 3 0 0
– Reproductive endocrinology1313
□ Orthopedic surgery 1 5 2 24
– Musculoskeletal oncology0011
□ Otolaryngology and facial plastic surgery
– Otolaryngic allergy1313
□ Pediatrics
– Pediatric and emergency medicine1600
□ Proctology 1 3 0 0
□ Psychiatry18340
□ Sports medicine 5 13 0 0
□ Surgery (general)22000
– General vascular surgery 1 3 0 0
– Plastic and reconstructive surgery0026
– Urological surgery 2 16 1 10
□ Other
– Hospice and palliative care 2 5 2 3
– Undersea and hyperbaric medicine 0
0
1
2
Total
56 380 55 521
 Abbreviations: NMM, neuromusculoskeletal medicine; OGME-1, first year of osteopathic graduate medical education; OMM, osteopathic manipulative medicine.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, (TIVRA) academic years 2009-2010. Data for the 2008-2009 academic year have been reported previously in JAOA—The Journal of the American Osteopathic Association.1
 *Data are collated by calendar year and note new positions from increases in existing programs or approval of new programs by the AOA Program and Trainee Review Council. No new programs or positions were added in anesthesiology, neurology, ophthalmology, pathology, physical medicine and rehabilitation medicine, or preventive medicine and public health. No new programs or positions were added in any subspecialties not included herein.
 Hospice and palliative medicine and undersea and hyperbaric medicine are governed by Conjoint Standards by 2 or more specialties.
Table 6.
No. of New Approved Programs and Positions, 2008-2010 Academic Years *



2008-2009

2009-2010
Specialty
Programs
Positions
Programs
Positions
Internships224343
Residencies
□ Dermatology31200
□ Diagnostic radiology 1 16 0 0
□ Emergency medicine00348
□ Family practice 14 150 10 120
– Integrated family practice and NMM00224
□ Geriatrics
– Geriatrics and family practice1338
– Geriatrics and internal medicine 3 8 0 0
□ Internal medicine5548138
– Cardiac electrophysiology 1 2 0 0
– Cardiology1600
– Cardiology (interventional) 1 2 1 1
– Critical care medicine0012
– Critical care (surgery) 0 0 1 2
– Gastroenterology2613
– Hematology and oncology 1 3 0 0
– Nephrology1200
– Oncology 0 0 1 3
– Pulmonary medicine1400
– Rheumatology 0 0 1 2
□ NMM and OMM
– NMM plus 1 0 0 4 11
□ Obstetrics and gynecology00224
– Maternal and fetal medicine 1 3 0 0
– Reproductive endocrinology1313
□ Orthopedic surgery 1 5 2 24
– Musculoskeletal oncology0011
□ Otolaryngology and facial plastic surgery
– Otolaryngic allergy1313
□ Pediatrics
– Pediatric and emergency medicine1600
□ Proctology 1 3 0 0
□ Psychiatry18340
□ Sports medicine 5 13 0 0
□ Surgery (general)22000
– General vascular surgery 1 3 0 0
– Plastic and reconstructive surgery0026
– Urological surgery 2 16 1 10
□ Other
– Hospice and palliative care 2 5 2 3
– Undersea and hyperbaric medicine 0
0
1
2
Total
56 380 55 521
 Abbreviations: NMM, neuromusculoskeletal medicine; OGME-1, first year of osteopathic graduate medical education; OMM, osteopathic manipulative medicine.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, (TIVRA) academic years 2009-2010. Data for the 2008-2009 academic year have been reported previously in JAOA—The Journal of the American Osteopathic Association.1
 *Data are collated by calendar year and note new positions from increases in existing programs or approval of new programs by the AOA Program and Trainee Review Council. No new programs or positions were added in anesthesiology, neurology, ophthalmology, pathology, physical medicine and rehabilitation medicine, or preventive medicine and public health. No new programs or positions were added in any subspecialties not included herein.
 Hospice and palliative medicine and undersea and hyperbaric medicine are governed by Conjoint Standards by 2 or more specialties.
×