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. doi: 10.7556/jaoa.2011.111.4.247.
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Students in colleges of osteopathic medicine have several options when considering postdoctoral training programs. In addition to training programs approved solely by the American Osteopathic Association or accredited solely by the Accreditation Council for Graduate Medical Education (ACGME), students can pursue programs accredited by both organizations (ie, dually accredited programs) or osteopathic programs that occur side-by-side with ACGME programs (ie, parallel programs). In the present article, we report on the availability and growth of these 2 training options and describe their benefits and drawbacks for trainees and the osteopathic medical profession as a whole.
An AOA approved entity utilizing multiple institutions for OGME training. Training hospitals will be related in the same health system, and each program in the consortium must function as a single program in compliance with AOA standards.
Teaching Health Center Graduate Medical Education payments will cover the costs of new residency programs in community-based ambulatory primary care settings such as health centers. Payments will be maed [sic] for direct expenses and for indirect expenses to qualified teaching health centers that are listed as sponsoring institutions by the relevant accrediting body for expansion of existing, or establishing of new approved, graduate medical residency training programs.
Medicare invested $9.5 billion in GME in 2009. It is the single largest payer for GME, but it establishes minimal accountability for achieving education and training goals. MedPAC [the Medicare Payment Advisory Committee] has therefore recommended that Congress authorize Medicare to use this financial leverage to catalyze more rapid GME reform by linking about one third of its GME dollars to programs' performance on newly developed measures. In essence, MedPAC recommended that Congress stimulate GME reform by bringing new voices and new forces to the table.
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