Free
AOA Communication  |   April 2012
Changes to Osteopathic 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 Department of Education's Division of Certification at the American Osteopathic Association (AOA) (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 Cheryl Gross, MA, CAE, Department of Education, American Osteopathic Association, 142 E Ontario St, Chicago, IL 60611-2864. E-mail: cgross@osteopathic.org  
  •    Editor's Note: This JAOA theme issue on osteopathic medical education includes annual updates from the American Osteopathic Association's departments of accreditation and education. Last year's article on Osteopathic Postdoctoral Training Institutions can be accessed online at http://www.jaoa.org/content/111/4/258.full.
     
Article Information
AOA Communication   |   April 2012
Changes to Osteopathic Specialty Board Certification
The Journal of the American Osteopathic Association, April 2012, Vol. 112, 226-231. doi:10.7556/jaoa.2012.112.4.226
The Journal of the American Osteopathic Association, April 2012, Vol. 112, 226-231. doi:10.7556/jaoa.2012.112.4.226
Abstract

The American Osteopathic Association (AOA) Board of Trustees has mandated that all osteopathic specialty certifying boards implement Osteopathic Continuous Certification by January 1, 2013. This mandate has caused a number of changes to be made to the AOA specialty board certification processes. The authors provide an overview of changes that will affect AOA board–certified osteopathic physicians, including recertification processes, procedures for nonclinical physicians, requirements for non–time-dated and dual certification, and continuing medical education rules. Rates of osteopathic specialty board certification and recertification for 2011 are also reported.

The American Osteopathic Association (AOA) Board of Trustees has mandated that all specialty certifying boards, under the direction and oversight of the Bureau of Osteopathic Specialists (BOS), fully implement Osteopathic Continuous Certification (OCC) no later than January 1, 2013. The BOS is the authoritative body that develops, reviews, and enforces all policies and requirements for osteopathic certification as approved by the AOA. 
In the present article, we provide an overview of changes related to OCC, including recertification processes, procedures for nonclinical physicians, and requirements for non–time-dated and dual certification. We also review continuing medical education (CME) rules and provide the number of osteopathic specialty board certifications and recertifications in 2011. 
OCC
What is it and how will it affect AOA–board-certified osteopathic physicians?
Osteopathic Continuous Certification replaces the former recertification process for all AOA diplomates with time-dated certifications. Currently, all osteopathic physicians have either a time-dated certificate or a non–time-dated certificate. The OCC process is mandatory for all physicians holding a time-dated certificate and optional but strongly encouraged for physicians holding a non–time-dated certificate. 
The current recertification process takes a “snapshot” of a physician's certification at the expiration of the diplomate's certification period. Continuous certification will offer ongoing input to the specialty certifying board and to the osteopathic physician based on actual clinical practice compared with national benchmarks. 
As reported in previous articles in JAOA—The Journal of the American Osteopathic Association,1-4 the OCC process consists of the following 5 components:
  •  
    Component 1—Unrestricted Licensure
  •  
    Component 2—Lifelong Learning/Continuing Medical Education
  •  
    Component 3—Cognitive Assessment
  •  
    Component 4—Practice Performance Assessment and Improvement
  •  
    Component 5—Continuous AOA Membership
More detailed information and specifics on each of these requirements are available at http://www.osteopathic.org/inside-aoa/development/aoa-board-certification/Pages/osteopathic-continuous-certification.aspx.
Component 4—Practice Performance Assessment and Improvement is the only new requirement that has been added by the BOS to the AOA's current recertification requirements. In accordance with this component, physicians' clinical performance is compared with national standards for their associated medical specialties. The input osteopathic physicians receive from participation in Component 4 aids them in continuous quality improvement by ensuring that they meet or exceed nationally established standards. 
Although OCC is mandatory for physicians holding time-dated certificates, osteopathic physicians holding non–time-dated certificates are encouraged by the BOS to voluntarily participate in OCC. Voluntary participation in the OCC process will not change the non–time-dated certificate but will demonstrate continuing commitment to practice excellence through the receipt of an additional certificate. 
Physicians with non–time-dated certifications should consider participating in OCC as the Federation of State Medical Boards has recommended that states accept the requirements of OCC in lieu of their requirements for maintenance of licensure.5 Those diplomates not participating in OCC may have additional requirements for maintenance of licensure as prescribed by the state(s) where they are licensed. 
How will it affect osteopathic physicians with non–time-dated certifications?
Just under half of certifications held by osteopathic physicians are not time-dated (formerly referred to as “lifetime certification”). Those certifications without expiration dates are not maintained indefinitely; rather, diplomates must maintain active state licensure, adhere to the CME requirements set forth by the AOA Council on CME,6 and maintain active membership in the AOA. 
A number of certified osteopathic physicians have allowed their certification to lapse for a variety of reasons such as nonpayment of AOA membership dues, nonfulfillment of CME requirements, or other circumstances. Prior to July 2009, when membership requirements were fulfilled, a physician's certificate was immediately restored to its prior status (ie, time-dated or non–time-dated). However, with the advent of OCC, any restoration of a certificate will be in the form of a time-dated certificate. As a result, these physicians who previously held non–time-dated certifications will be required to participate in OCC when their certification is restored. 
How will dually certified physicians be affected?
The recertification process requires osteopathic physicians to fully participate in the OCC processes of all AOA specialty boards from which they hold certification. Osteopathic physicians who hold certification from both an AOA-recognized board and an American Board of Medical Specialties–recognized board may demonstrate adherence to the American Board of Medical Specialties' Maintenance of Certification process to satisfy the requirements of OCC Component 4. However, boards will also have an osteopathic component in which diplomates will need to participate to satisfy the requirements for Component 4. 
Are nonclinical physicians affected?
The AOA recognizes that not all physicians are currently practicing medicine as clinical physicians. Certified osteopathic physicians work in a variety of nonclinical settings, such as academia, research, health care administration, writing and medical communication, technology, and informatics. Although these physicians are still working in and influencing health care, they do not have patient contact. Physicians who fall into this category may apply for an exemption from Component 4—Practice Performance Assessment and Improvement after they validate that they have no patient contact. 
Similarly, in May 2011, the Federation of State Medical Boards assembled a task force to address nonclinical physicians' adherence to maintenance of licensure.6 
Regardless of clinical or nonclinical status, all osteopathic physicians must demonstrate the following 7 core competencies in their work:
  •  
    Osteopathic Philosophy and Osteopathic Manipulative Medicine
  •  
    Medical Knowledge
  •  
    Patient Care
  •  
    Interpersonal and Communication Skills
  •  
    Professionalism
  •  
    Practice-Based Learning and Improvement
  •  
    Systems-Based Practice
Therefore, the BOS is developing practice performance modules in the core competency areas. These modules will be available to nonclinical physicians so that these physicians may demonstrate ongoing practice assessment and improvement.
What happens if the OCC requirements are not met?
Osteopathic physicians who do not meet the requirements set forth by their specialty certifying board for OCC may be called to complete remedial requirements in order to restore their certification to an active status. This re-entry process will be discussed by the BOS at its meeting in April 2012 and will be published on the AOA Web site once approved. 
Continuing Medical Education Changes
Currently, for maintenance of board certification, diplomates must obtain 50 Category 1 or Category 2 specialty CME credits during each 3-year CME cycle. The current policy for acceptable specialty CME credit is available at http://www.osteopathic.org/inside-aoa/development/continuing-medical-education/Documents/specialty-cme-policy.pdf. 
At its meeting in January 2011, the AOA Board of Trustees approved new initiatives relating to the recommendations of the Education Policy and Procedures Review Committee III, which will apply to OCC Component 2—Lifelong Learning/ Continuing Medical Education. Effective January 1, 2013, no less than 25%, or 13, of the required 50 credits of specialty CME must be obtained at the subspecialty (ie, Certification of Added Qualifications) level and no less than 30%, or 15, of the 50 credits be obtained in the individual's primary certification. For diplomates holding more than 1 Certification of Added Qualifications, this initiative will require them to obtain more than 50 credits of specialty CME during each 3-year CME cycle. 
The BOS and the Growth of Certification
The BOS (known as the Advisory Board of Osteopathic Specialists until 1993) was established in 1939 by the AOA Board of Trustees to assess the skills of osteopathic physician specialists in response to the growth of specialization in the osteopathic profession.7 The BOS views the certification process both as an assessment tool to enhance the quality of health care and also as a means to protect the public. Since 1939, the BOS has issued 36,087 certifications in primary specialties, subspecialties, and added qualifications. 
As of the end of December 2011, a total of 23,819 osteopathic physicians were certified by the AOA and held a combined total of 27,519 active certificates. In 2011, 1112 certificates were awarded in primary specialty and subspecialty areas. Additionally, 148 certificates of added qualifications were granted, and 867 recertifications were issued. A listing of the total number of active certifications by specialty is found in the Table. 
Table.
Certification Statistics, 2011a
American Osteopathic Association Board of … Certification Type Specialty New Certifications Recertifications Total Active Certifications
Anesthesiology Primary Anesthesiology 29 (1) 13 (2) 605 (2)
CAQ Pain management 1 (<1) 2 (<1) 68 (<1)
CAQ Critical care medicine NA NA 5 (<1)
Dermatology Primary Dermatology 28 (1) NA 396 (1)
CAQ Dermatopathology NA NA 6 (<1)
CAQ Mohs micrographic surgery NA NA 18 (<1)
Emergency Medicine Primary Emergency medicine 174 (5) NA 2152 (8)
CAQ Emergency medical services NA NA 10 (<1)
CAQ Medical toxicology 1 (<1) 1 (<1) 9 (<1)
CAQ Sports medicine 2 (<1) 9 (1) 7 (<1)
CAQ Undersea hyperbaric medicine NA NA 4 (<1)
Family Physicians CAQ Addiction medicine NA NA 4 (<1)
CAQ Adolescent and young adult medicine NA NA 9 (<1)
Primary Family practiceb NA NA 4901 (18)
Primary Family practice and OMT 390 (12) 453 (52) 6344 (23)
CAQ Geriatric medicine 5 (<1) 11 (1) 324 (1)
CAQ Hospice and palliative medicine 63 (2) NA 118 (<1)
CAQ Sleep medicine 3 (<1) NA 5 (<1)
CAQ Sports medicine 17 (1) NA 152 (<1)
CAQ Undersea and hyperbaric medicine 1 (<1) NA 8 (<1)
Internal Medicine CSQ Allergy/immunology NA 1 (<1) 9 (<1)
CAQ Cardiac electrophysiology 1 (<1) NA 23 (<1)
CSQ Cardiology 33 (1) 9 (1) 449 (2)
CAQ Critical care medicine 5 (<1) 3 (<1) 134 (<1)
CSQ Endocrinology 1 (<1) NA 37 (<1)
CSQ Gastroenterology 10 (<1) 8 (1) 204 (1)
CAQ Geriatric medicine 3 (2) 3 (<1) 58 (<1)
CSQ Hematology 2 (<1) NA 45 (<1)
CAQ Hospice and palliative medicine 1 (<1) NA 14 (<1)
CSQ Infectious diseases 5 (<1) 3 (<1) 64 (<1)
Primary Internal medicine 58 (2) 2 (<1) 3072 (11)
CAQ Interventional cardiology 3 (<1) 6 (1) 94 (<1)
CSQ Nephrology 6 (<1) NA 129 (<1)
CSQ Oncology 4 (<1) 2 (<1) 95 (<1)
CSQ Pulmonary diseases 8 (<1) 3 (<1) 184 (1)
CSQ Rheumatology 4 (<1) 1 (<1) 63 (<1)
CAQ Sleep medicine NA NA 34 (<1)
CAQ Sports medicine NA NA 7 (<1)
CAQ Undersea hyperbaric medicine NA NA 1 (<1)
Neuromusculoskeletal Medicine Primary Neuromusculoskeletal medicine/OMM 5 (<1) 14 (2) 482 (2)
Primary Special proficiency in OMMb NA NA 127 (<1)
CAQ Sports medicine 2 (<1) 0 6 (<1)
Neurology and Psychiatry CAQ Addiction medicine NA 1 (<1) 3 (<1)
CSQ Child neurology NA NA 3 (<1)
CSQ Child pyschiatry 1 (<1) 1 (<1) 38 (<1)
CAQ Geriatric psychiatry 2 (1) NA 7 (<1)
CAQ Hospice and palliative medicine NA NA 2 (<1)
Primary Neurology 6 (<1) 11 (1) 202 (1)
Primary Neurology and psychiatryb NA NA 1 (<1)
CAQ Neurophysiology 17 (1) NA 23 (<1)
Primary Psychiatry 5 (<1) 16 (2) 283 (1)
CAQ Sleep medicine NA NA 6 (<1)
Nuclear Medicine Primary Nuclear medicine NA NA 32 (<1)
Obstetrics and Gynecology CSQ Gynecologic oncology 1 (<1) 2 (<1) 6 (<1)
CSQ Maternal and fetal medicine 1 (<1) NA 21 (<1)
Primary Obstetrics and gynecologic surgeryb NA NA 57 (<1)
Primary Obstetrics/gynecology 57 (2) 108 (12) 1025 (4)
CSQ Reproductive endocrinology NA 2 (<1) 12 (<1)
Ophthalmology and Otolaryngology Primary Facial plastic surgery NA NA 5 (<1)
Primary Ophthalmology 12 (<1) 13 (2) 328 (1)
CAQ Otolaryngic allergy NA NA 18 (<1)
Primary Otolaryngology NA 2 (<1) 11 (<1)
Primary Otolaryngology and facial plastic surgery 18 (1) 15 (2) 367 (1)
Primary Otorhinolaryngologyb NA NA 30 (<1)
CAQ Sleep medicine 2 (<1) NA 6 (<1)
Orthopedic Surgery CAQ Hand surgery 2 (<1) 3 (<1) 30 (<1)
Primary Orthopedic surgery 60 (2) 42 (5) 1082 (4)
Pathology Primary Anatomic pathology NA NA 26 (<1)
Primary Anatomic pathology and laboratory medicine NA NA 16 (<1)
CAQ Dermatopathology NA NA 2 (<1)
CSQ Forensic pathology NA NA 3 (<1)
Primary Laboratory medicine NA NA 13 (<1)
Pediatrics CSQ Adolescent medicine NA NA 1 (<1)
CSQ Neonatology NA 5 (1) 31 (<1)
CSQ Pediatric allergy immunology 2 (<1) NA 5 (<1)
CSQ Pediatric endocrinology NA NA 2 (<1)
CSQ Pediatric pulmonology NA NA 2 (<1)
Primary Pediatrics 51 (2) 20 (2) 477 (2)
Physical Medicine and Rehabilitation CAQ Hospice and palliative medicine NA NA 1 (<1)
Primary Physical medicine and rehabilitation NA NA 220 (1)
CAQ Sports medicine 1 (<1) 1 (<1) 3 (<1)
Preventive Medicine CAQ Occupational medicine 4 (<1) 3 (<1) 52 (<1)
Primary Preventive medicine aerospace medicine NA 1 (<1) 41 (<1)
Primary Preventive medicine occupationalb NA NA 8 (<1)
Primary Preventive medicine occupational environmental medicine NA 3 (<1) 89 (<1)
Primary Preventive medicine public health NA 1 (<1) 38 (<1)
CAQ Undersea and hyperbaric medicine NA NA 5 (<1)
Proctology Primary Proctology NA NA 24 (<1)
Radiology CAQ Angiography and intervention radiologyb NA NA 18 (<1)
CAQ Body imaging NA 2 (<1) 8 (<1)
Primary Diagnostic radiology 27 (1) 14 (2) 637 (2)
Primary Diagnostic roentgenology NA NA 2 (<1)
CAQ Diagnostic ultrasound NA NA 1 (<1)
CAQ Neuroradiology 5 (<1) 5 (1) 57 (<1)
CAQ Nuclear radiology 0 1 (<1) 5 (<1)
CAQ Pediatric radiology 1 (<1) 1 (<1) 20 (<1)
Primary Radiation oncology 2 (<1) NA 21 (<1)
CSQ Radiation therapyb NA NA 1 (<1)
Primary Radiology NA NA 57 (<1)
Primary Vascular and interventional NA 2 (<1) 15 (<1)
Surgery Primary Cardiothoracic surgery 2 (<1) 1 (<1) 6 (<1)
CAQ Surgical critical care 5 (<1) 1 (<1) 53 (<1)
Primary General vascular surgery 13 (<1) 7 (1) 118 (<1)
CAQ Hospice and palliative medicine 1 (<1) NA 2 (<1)
Primary Neurological surgery 8 (<1) NA 95 (<1)
Primary Plastic and reconstructive surgery 11 (<1) 1 (<1) 63 (<1)
Primary Surgery (general) 67 (2) 33 (4) 948 (3)
Primary Thoracic cardiovascular surgery NA NA 54 (<1)
Primary Thoracic surgeryb NA NA 5 (<1)
Primary Urological surgery 11 (<1) 6 (1) 200 (1)
Total 1260 867 27,519
  a Data presented as No. (%). Percentages do not total 100 because of rounding. Totals are calculated by date of final approval by the Bureau of Osteopathic Specialists. Data are current as of December 31, 2011.
  b No longer issued.
  Abbreviations: CAQ, Certification of Added Qualifications; CSQ, Certification of Special Qualifications; NA, not applicable; OMM, osteopathic manipulative medicine; OMT, osteopathic manipulative treatment.
Table.
Certification Statistics, 2011a
American Osteopathic Association Board of … Certification Type Specialty New Certifications Recertifications Total Active Certifications
Anesthesiology Primary Anesthesiology 29 (1) 13 (2) 605 (2)
CAQ Pain management 1 (<1) 2 (<1) 68 (<1)
CAQ Critical care medicine NA NA 5 (<1)
Dermatology Primary Dermatology 28 (1) NA 396 (1)
CAQ Dermatopathology NA NA 6 (<1)
CAQ Mohs micrographic surgery NA NA 18 (<1)
Emergency Medicine Primary Emergency medicine 174 (5) NA 2152 (8)
CAQ Emergency medical services NA NA 10 (<1)
CAQ Medical toxicology 1 (<1) 1 (<1) 9 (<1)
CAQ Sports medicine 2 (<1) 9 (1) 7 (<1)
CAQ Undersea hyperbaric medicine NA NA 4 (<1)
Family Physicians CAQ Addiction medicine NA NA 4 (<1)
CAQ Adolescent and young adult medicine NA NA 9 (<1)
Primary Family practiceb NA NA 4901 (18)
Primary Family practice and OMT 390 (12) 453 (52) 6344 (23)
CAQ Geriatric medicine 5 (<1) 11 (1) 324 (1)
CAQ Hospice and palliative medicine 63 (2) NA 118 (<1)
CAQ Sleep medicine 3 (<1) NA 5 (<1)
CAQ Sports medicine 17 (1) NA 152 (<1)
CAQ Undersea and hyperbaric medicine 1 (<1) NA 8 (<1)
Internal Medicine CSQ Allergy/immunology NA 1 (<1) 9 (<1)
CAQ Cardiac electrophysiology 1 (<1) NA 23 (<1)
CSQ Cardiology 33 (1) 9 (1) 449 (2)
CAQ Critical care medicine 5 (<1) 3 (<1) 134 (<1)
CSQ Endocrinology 1 (<1) NA 37 (<1)
CSQ Gastroenterology 10 (<1) 8 (1) 204 (1)
CAQ Geriatric medicine 3 (2) 3 (<1) 58 (<1)
CSQ Hematology 2 (<1) NA 45 (<1)
CAQ Hospice and palliative medicine 1 (<1) NA 14 (<1)
CSQ Infectious diseases 5 (<1) 3 (<1) 64 (<1)
Primary Internal medicine 58 (2) 2 (<1) 3072 (11)
CAQ Interventional cardiology 3 (<1) 6 (1) 94 (<1)
CSQ Nephrology 6 (<1) NA 129 (<1)
CSQ Oncology 4 (<1) 2 (<1) 95 (<1)
CSQ Pulmonary diseases 8 (<1) 3 (<1) 184 (1)
CSQ Rheumatology 4 (<1) 1 (<1) 63 (<1)
CAQ Sleep medicine NA NA 34 (<1)
CAQ Sports medicine NA NA 7 (<1)
CAQ Undersea hyperbaric medicine NA NA 1 (<1)
Neuromusculoskeletal Medicine Primary Neuromusculoskeletal medicine/OMM 5 (<1) 14 (2) 482 (2)
Primary Special proficiency in OMMb NA NA 127 (<1)
CAQ Sports medicine 2 (<1) 0 6 (<1)
Neurology and Psychiatry CAQ Addiction medicine NA 1 (<1) 3 (<1)
CSQ Child neurology NA NA 3 (<1)
CSQ Child pyschiatry 1 (<1) 1 (<1) 38 (<1)
CAQ Geriatric psychiatry 2 (1) NA 7 (<1)
CAQ Hospice and palliative medicine NA NA 2 (<1)
Primary Neurology 6 (<1) 11 (1) 202 (1)
Primary Neurology and psychiatryb NA NA 1 (<1)
CAQ Neurophysiology 17 (1) NA 23 (<1)
Primary Psychiatry 5 (<1) 16 (2) 283 (1)
CAQ Sleep medicine NA NA 6 (<1)
Nuclear Medicine Primary Nuclear medicine NA NA 32 (<1)
Obstetrics and Gynecology CSQ Gynecologic oncology 1 (<1) 2 (<1) 6 (<1)
CSQ Maternal and fetal medicine 1 (<1) NA 21 (<1)
Primary Obstetrics and gynecologic surgeryb NA NA 57 (<1)
Primary Obstetrics/gynecology 57 (2) 108 (12) 1025 (4)
CSQ Reproductive endocrinology NA 2 (<1) 12 (<1)
Ophthalmology and Otolaryngology Primary Facial plastic surgery NA NA 5 (<1)
Primary Ophthalmology 12 (<1) 13 (2) 328 (1)
CAQ Otolaryngic allergy NA NA 18 (<1)
Primary Otolaryngology NA 2 (<1) 11 (<1)
Primary Otolaryngology and facial plastic surgery 18 (1) 15 (2) 367 (1)
Primary Otorhinolaryngologyb NA NA 30 (<1)
CAQ Sleep medicine 2 (<1) NA 6 (<1)
Orthopedic Surgery CAQ Hand surgery 2 (<1) 3 (<1) 30 (<1)
Primary Orthopedic surgery 60 (2) 42 (5) 1082 (4)
Pathology Primary Anatomic pathology NA NA 26 (<1)
Primary Anatomic pathology and laboratory medicine NA NA 16 (<1)
CAQ Dermatopathology NA NA 2 (<1)
CSQ Forensic pathology NA NA 3 (<1)
Primary Laboratory medicine NA NA 13 (<1)
Pediatrics CSQ Adolescent medicine NA NA 1 (<1)
CSQ Neonatology NA 5 (1) 31 (<1)
CSQ Pediatric allergy immunology 2 (<1) NA 5 (<1)
CSQ Pediatric endocrinology NA NA 2 (<1)
CSQ Pediatric pulmonology NA NA 2 (<1)
Primary Pediatrics 51 (2) 20 (2) 477 (2)
Physical Medicine and Rehabilitation CAQ Hospice and palliative medicine NA NA 1 (<1)
Primary Physical medicine and rehabilitation NA NA 220 (1)
CAQ Sports medicine 1 (<1) 1 (<1) 3 (<1)
Preventive Medicine CAQ Occupational medicine 4 (<1) 3 (<1) 52 (<1)
Primary Preventive medicine aerospace medicine NA 1 (<1) 41 (<1)
Primary Preventive medicine occupationalb NA NA 8 (<1)
Primary Preventive medicine occupational environmental medicine NA 3 (<1) 89 (<1)
Primary Preventive medicine public health NA 1 (<1) 38 (<1)
CAQ Undersea and hyperbaric medicine NA NA 5 (<1)
Proctology Primary Proctology NA NA 24 (<1)
Radiology CAQ Angiography and intervention radiologyb NA NA 18 (<1)
CAQ Body imaging NA 2 (<1) 8 (<1)
Primary Diagnostic radiology 27 (1) 14 (2) 637 (2)
Primary Diagnostic roentgenology NA NA 2 (<1)
CAQ Diagnostic ultrasound NA NA 1 (<1)
CAQ Neuroradiology 5 (<1) 5 (1) 57 (<1)
CAQ Nuclear radiology 0 1 (<1) 5 (<1)
CAQ Pediatric radiology 1 (<1) 1 (<1) 20 (<1)
Primary Radiation oncology 2 (<1) NA 21 (<1)
CSQ Radiation therapyb NA NA 1 (<1)
Primary Radiology NA NA 57 (<1)
Primary Vascular and interventional NA 2 (<1) 15 (<1)
Surgery Primary Cardiothoracic surgery 2 (<1) 1 (<1) 6 (<1)
CAQ Surgical critical care 5 (<1) 1 (<1) 53 (<1)
Primary General vascular surgery 13 (<1) 7 (1) 118 (<1)
CAQ Hospice and palliative medicine 1 (<1) NA 2 (<1)
Primary Neurological surgery 8 (<1) NA 95 (<1)
Primary Plastic and reconstructive surgery 11 (<1) 1 (<1) 63 (<1)
Primary Surgery (general) 67 (2) 33 (4) 948 (3)
Primary Thoracic cardiovascular surgery NA NA 54 (<1)
Primary Thoracic surgeryb NA NA 5 (<1)
Primary Urological surgery 11 (<1) 6 (1) 200 (1)
Total 1260 867 27,519
  a Data presented as No. (%). Percentages do not total 100 because of rounding. Totals are calculated by date of final approval by the Bureau of Osteopathic Specialists. Data are current as of December 31, 2011.
  b No longer issued.
  Abbreviations: CAQ, Certification of Added Qualifications; CSQ, Certification of Special Qualifications; NA, not applicable; OMM, osteopathic manipulative medicine; OMT, osteopathic manipulative treatment.
×
Conclusion
Osteopathic Continuous Certification introduces many changes to the certification process. Osteopathic physicians who are AOA board certified should remain diligent in reviewing information from the AOA regarding maintenance of their osteopathic board certification. 
   Financial Disclosures: None reported.
 
References
Ayres RE, Scheinthal S, Ramirez A, Bell E. Osteopathic certification evolving into a continuous certification model. J Am Osteopath Assoc. 2008;108(3):159-165. [PubMed]
Ayres RE, Scheinthal S, Gross C, Bell EC. Osteopathic specialty board certification. J Am Osteopath Assoc. 2009;109(3):181-190. [PubMed]
Ayres RE, Scheinthal S, Gross C, Bell EC. American Osteopathic Association osteopathic specialty board certification. J Am Osteopath Assoc. 2010;110(3):183-192. [PubMed]
Ayres RE, Scheinthal S, Gross C, Bell EC. Osteopathic specialty board certification. J Am Osteopath Assoc. 2011;111(4):280-288. [PubMed]
Report to the board of directors from the maintenance of licensure implementation group. Federation of State Medical Boards Web site. http://www.fsmb.org/pdf/BD_RPT_1103_%20MOL.pdf. Accessed March 13, 2012.
American Osteopathic Association. Continuing Medical Education 2010-2012 Guide for Osteopathic Physicians. Chicago, IL: American Osteopathic Association; 2009.
MOL timeline. Federation of State Medical Boards Web site. http://www.fsmb.org/m_mol_timeline.html. Accessed March 2, 2012.
Table.
Certification Statistics, 2011a
American Osteopathic Association Board of … Certification Type Specialty New Certifications Recertifications Total Active Certifications
Anesthesiology Primary Anesthesiology 29 (1) 13 (2) 605 (2)
CAQ Pain management 1 (<1) 2 (<1) 68 (<1)
CAQ Critical care medicine NA NA 5 (<1)
Dermatology Primary Dermatology 28 (1) NA 396 (1)
CAQ Dermatopathology NA NA 6 (<1)
CAQ Mohs micrographic surgery NA NA 18 (<1)
Emergency Medicine Primary Emergency medicine 174 (5) NA 2152 (8)
CAQ Emergency medical services NA NA 10 (<1)
CAQ Medical toxicology 1 (<1) 1 (<1) 9 (<1)
CAQ Sports medicine 2 (<1) 9 (1) 7 (<1)
CAQ Undersea hyperbaric medicine NA NA 4 (<1)
Family Physicians CAQ Addiction medicine NA NA 4 (<1)
CAQ Adolescent and young adult medicine NA NA 9 (<1)
Primary Family practiceb NA NA 4901 (18)
Primary Family practice and OMT 390 (12) 453 (52) 6344 (23)
CAQ Geriatric medicine 5 (<1) 11 (1) 324 (1)
CAQ Hospice and palliative medicine 63 (2) NA 118 (<1)
CAQ Sleep medicine 3 (<1) NA 5 (<1)
CAQ Sports medicine 17 (1) NA 152 (<1)
CAQ Undersea and hyperbaric medicine 1 (<1) NA 8 (<1)
Internal Medicine CSQ Allergy/immunology NA 1 (<1) 9 (<1)
CAQ Cardiac electrophysiology 1 (<1) NA 23 (<1)
CSQ Cardiology 33 (1) 9 (1) 449 (2)
CAQ Critical care medicine 5 (<1) 3 (<1) 134 (<1)
CSQ Endocrinology 1 (<1) NA 37 (<1)
CSQ Gastroenterology 10 (<1) 8 (1) 204 (1)
CAQ Geriatric medicine 3 (2) 3 (<1) 58 (<1)
CSQ Hematology 2 (<1) NA 45 (<1)
CAQ Hospice and palliative medicine 1 (<1) NA 14 (<1)
CSQ Infectious diseases 5 (<1) 3 (<1) 64 (<1)
Primary Internal medicine 58 (2) 2 (<1) 3072 (11)
CAQ Interventional cardiology 3 (<1) 6 (1) 94 (<1)
CSQ Nephrology 6 (<1) NA 129 (<1)
CSQ Oncology 4 (<1) 2 (<1) 95 (<1)
CSQ Pulmonary diseases 8 (<1) 3 (<1) 184 (1)
CSQ Rheumatology 4 (<1) 1 (<1) 63 (<1)
CAQ Sleep medicine NA NA 34 (<1)
CAQ Sports medicine NA NA 7 (<1)
CAQ Undersea hyperbaric medicine NA NA 1 (<1)
Neuromusculoskeletal Medicine Primary Neuromusculoskeletal medicine/OMM 5 (<1) 14 (2) 482 (2)
Primary Special proficiency in OMMb NA NA 127 (<1)
CAQ Sports medicine 2 (<1) 0 6 (<1)
Neurology and Psychiatry CAQ Addiction medicine NA 1 (<1) 3 (<1)
CSQ Child neurology NA NA 3 (<1)
CSQ Child pyschiatry 1 (<1) 1 (<1) 38 (<1)
CAQ Geriatric psychiatry 2 (1) NA 7 (<1)
CAQ Hospice and palliative medicine NA NA 2 (<1)
Primary Neurology 6 (<1) 11 (1) 202 (1)
Primary Neurology and psychiatryb NA NA 1 (<1)
CAQ Neurophysiology 17 (1) NA 23 (<1)
Primary Psychiatry 5 (<1) 16 (2) 283 (1)
CAQ Sleep medicine NA NA 6 (<1)
Nuclear Medicine Primary Nuclear medicine NA NA 32 (<1)
Obstetrics and Gynecology CSQ Gynecologic oncology 1 (<1) 2 (<1) 6 (<1)
CSQ Maternal and fetal medicine 1 (<1) NA 21 (<1)
Primary Obstetrics and gynecologic surgeryb NA NA 57 (<1)
Primary Obstetrics/gynecology 57 (2) 108 (12) 1025 (4)
CSQ Reproductive endocrinology NA 2 (<1) 12 (<1)
Ophthalmology and Otolaryngology Primary Facial plastic surgery NA NA 5 (<1)
Primary Ophthalmology 12 (<1) 13 (2) 328 (1)
CAQ Otolaryngic allergy NA NA 18 (<1)
Primary Otolaryngology NA 2 (<1) 11 (<1)
Primary Otolaryngology and facial plastic surgery 18 (1) 15 (2) 367 (1)
Primary Otorhinolaryngologyb NA NA 30 (<1)
CAQ Sleep medicine 2 (<1) NA 6 (<1)
Orthopedic Surgery CAQ Hand surgery 2 (<1) 3 (<1) 30 (<1)
Primary Orthopedic surgery 60 (2) 42 (5) 1082 (4)
Pathology Primary Anatomic pathology NA NA 26 (<1)
Primary Anatomic pathology and laboratory medicine NA NA 16 (<1)
CAQ Dermatopathology NA NA 2 (<1)
CSQ Forensic pathology NA NA 3 (<1)
Primary Laboratory medicine NA NA 13 (<1)
Pediatrics CSQ Adolescent medicine NA NA 1 (<1)
CSQ Neonatology NA 5 (1) 31 (<1)
CSQ Pediatric allergy immunology 2 (<1) NA 5 (<1)
CSQ Pediatric endocrinology NA NA 2 (<1)
CSQ Pediatric pulmonology NA NA 2 (<1)
Primary Pediatrics 51 (2) 20 (2) 477 (2)
Physical Medicine and Rehabilitation CAQ Hospice and palliative medicine NA NA 1 (<1)
Primary Physical medicine and rehabilitation NA NA 220 (1)
CAQ Sports medicine 1 (<1) 1 (<1) 3 (<1)
Preventive Medicine CAQ Occupational medicine 4 (<1) 3 (<1) 52 (<1)
Primary Preventive medicine aerospace medicine NA 1 (<1) 41 (<1)
Primary Preventive medicine occupationalb NA NA 8 (<1)
Primary Preventive medicine occupational environmental medicine NA 3 (<1) 89 (<1)
Primary Preventive medicine public health NA 1 (<1) 38 (<1)
CAQ Undersea and hyperbaric medicine NA NA 5 (<1)
Proctology Primary Proctology NA NA 24 (<1)
Radiology CAQ Angiography and intervention radiologyb NA NA 18 (<1)
CAQ Body imaging NA 2 (<1) 8 (<1)
Primary Diagnostic radiology 27 (1) 14 (2) 637 (2)
Primary Diagnostic roentgenology NA NA 2 (<1)
CAQ Diagnostic ultrasound NA NA 1 (<1)
CAQ Neuroradiology 5 (<1) 5 (1) 57 (<1)
CAQ Nuclear radiology 0 1 (<1) 5 (<1)
CAQ Pediatric radiology 1 (<1) 1 (<1) 20 (<1)
Primary Radiation oncology 2 (<1) NA 21 (<1)
CSQ Radiation therapyb NA NA 1 (<1)
Primary Radiology NA NA 57 (<1)
Primary Vascular and interventional NA 2 (<1) 15 (<1)
Surgery Primary Cardiothoracic surgery 2 (<1) 1 (<1) 6 (<1)
CAQ Surgical critical care 5 (<1) 1 (<1) 53 (<1)
Primary General vascular surgery 13 (<1) 7 (1) 118 (<1)
CAQ Hospice and palliative medicine 1 (<1) NA 2 (<1)
Primary Neurological surgery 8 (<1) NA 95 (<1)
Primary Plastic and reconstructive surgery 11 (<1) 1 (<1) 63 (<1)
Primary Surgery (general) 67 (2) 33 (4) 948 (3)
Primary Thoracic cardiovascular surgery NA NA 54 (<1)
Primary Thoracic surgeryb NA NA 5 (<1)
Primary Urological surgery 11 (<1) 6 (1) 200 (1)
Total 1260 867 27,519
  a Data presented as No. (%). Percentages do not total 100 because of rounding. Totals are calculated by date of final approval by the Bureau of Osteopathic Specialists. Data are current as of December 31, 2011.
  b No longer issued.
  Abbreviations: CAQ, Certification of Added Qualifications; CSQ, Certification of Special Qualifications; NA, not applicable; OMM, osteopathic manipulative medicine; OMT, osteopathic manipulative treatment.
Table.
Certification Statistics, 2011a
American Osteopathic Association Board of … Certification Type Specialty New Certifications Recertifications Total Active Certifications
Anesthesiology Primary Anesthesiology 29 (1) 13 (2) 605 (2)
CAQ Pain management 1 (<1) 2 (<1) 68 (<1)
CAQ Critical care medicine NA NA 5 (<1)
Dermatology Primary Dermatology 28 (1) NA 396 (1)
CAQ Dermatopathology NA NA 6 (<1)
CAQ Mohs micrographic surgery NA NA 18 (<1)
Emergency Medicine Primary Emergency medicine 174 (5) NA 2152 (8)
CAQ Emergency medical services NA NA 10 (<1)
CAQ Medical toxicology 1 (<1) 1 (<1) 9 (<1)
CAQ Sports medicine 2 (<1) 9 (1) 7 (<1)
CAQ Undersea hyperbaric medicine NA NA 4 (<1)
Family Physicians CAQ Addiction medicine NA NA 4 (<1)
CAQ Adolescent and young adult medicine NA NA 9 (<1)
Primary Family practiceb NA NA 4901 (18)
Primary Family practice and OMT 390 (12) 453 (52) 6344 (23)
CAQ Geriatric medicine 5 (<1) 11 (1) 324 (1)
CAQ Hospice and palliative medicine 63 (2) NA 118 (<1)
CAQ Sleep medicine 3 (<1) NA 5 (<1)
CAQ Sports medicine 17 (1) NA 152 (<1)
CAQ Undersea and hyperbaric medicine 1 (<1) NA 8 (<1)
Internal Medicine CSQ Allergy/immunology NA 1 (<1) 9 (<1)
CAQ Cardiac electrophysiology 1 (<1) NA 23 (<1)
CSQ Cardiology 33 (1) 9 (1) 449 (2)
CAQ Critical care medicine 5 (<1) 3 (<1) 134 (<1)
CSQ Endocrinology 1 (<1) NA 37 (<1)
CSQ Gastroenterology 10 (<1) 8 (1) 204 (1)
CAQ Geriatric medicine 3 (2) 3 (<1) 58 (<1)
CSQ Hematology 2 (<1) NA 45 (<1)
CAQ Hospice and palliative medicine 1 (<1) NA 14 (<1)
CSQ Infectious diseases 5 (<1) 3 (<1) 64 (<1)
Primary Internal medicine 58 (2) 2 (<1) 3072 (11)
CAQ Interventional cardiology 3 (<1) 6 (1) 94 (<1)
CSQ Nephrology 6 (<1) NA 129 (<1)
CSQ Oncology 4 (<1) 2 (<1) 95 (<1)
CSQ Pulmonary diseases 8 (<1) 3 (<1) 184 (1)
CSQ Rheumatology 4 (<1) 1 (<1) 63 (<1)
CAQ Sleep medicine NA NA 34 (<1)
CAQ Sports medicine NA NA 7 (<1)
CAQ Undersea hyperbaric medicine NA NA 1 (<1)
Neuromusculoskeletal Medicine Primary Neuromusculoskeletal medicine/OMM 5 (<1) 14 (2) 482 (2)
Primary Special proficiency in OMMb NA NA 127 (<1)
CAQ Sports medicine 2 (<1) 0 6 (<1)
Neurology and Psychiatry CAQ Addiction medicine NA 1 (<1) 3 (<1)
CSQ Child neurology NA NA 3 (<1)
CSQ Child pyschiatry 1 (<1) 1 (<1) 38 (<1)
CAQ Geriatric psychiatry 2 (1) NA 7 (<1)
CAQ Hospice and palliative medicine NA NA 2 (<1)
Primary Neurology 6 (<1) 11 (1) 202 (1)
Primary Neurology and psychiatryb NA NA 1 (<1)
CAQ Neurophysiology 17 (1) NA 23 (<1)
Primary Psychiatry 5 (<1) 16 (2) 283 (1)
CAQ Sleep medicine NA NA 6 (<1)
Nuclear Medicine Primary Nuclear medicine NA NA 32 (<1)
Obstetrics and Gynecology CSQ Gynecologic oncology 1 (<1) 2 (<1) 6 (<1)
CSQ Maternal and fetal medicine 1 (<1) NA 21 (<1)
Primary Obstetrics and gynecologic surgeryb NA NA 57 (<1)
Primary Obstetrics/gynecology 57 (2) 108 (12) 1025 (4)
CSQ Reproductive endocrinology NA 2 (<1) 12 (<1)
Ophthalmology and Otolaryngology Primary Facial plastic surgery NA NA 5 (<1)
Primary Ophthalmology 12 (<1) 13 (2) 328 (1)
CAQ Otolaryngic allergy NA NA 18 (<1)
Primary Otolaryngology NA 2 (<1) 11 (<1)
Primary Otolaryngology and facial plastic surgery 18 (1) 15 (2) 367 (1)
Primary Otorhinolaryngologyb NA NA 30 (<1)
CAQ Sleep medicine 2 (<1) NA 6 (<1)
Orthopedic Surgery CAQ Hand surgery 2 (<1) 3 (<1) 30 (<1)
Primary Orthopedic surgery 60 (2) 42 (5) 1082 (4)
Pathology Primary Anatomic pathology NA NA 26 (<1)
Primary Anatomic pathology and laboratory medicine NA NA 16 (<1)
CAQ Dermatopathology NA NA 2 (<1)
CSQ Forensic pathology NA NA 3 (<1)
Primary Laboratory medicine NA NA 13 (<1)
Pediatrics CSQ Adolescent medicine NA NA 1 (<1)
CSQ Neonatology NA 5 (1) 31 (<1)
CSQ Pediatric allergy immunology 2 (<1) NA 5 (<1)
CSQ Pediatric endocrinology NA NA 2 (<1)
CSQ Pediatric pulmonology NA NA 2 (<1)
Primary Pediatrics 51 (2) 20 (2) 477 (2)
Physical Medicine and Rehabilitation CAQ Hospice and palliative medicine NA NA 1 (<1)
Primary Physical medicine and rehabilitation NA NA 220 (1)
CAQ Sports medicine 1 (<1) 1 (<1) 3 (<1)
Preventive Medicine CAQ Occupational medicine 4 (<1) 3 (<1) 52 (<1)
Primary Preventive medicine aerospace medicine NA 1 (<1) 41 (<1)
Primary Preventive medicine occupationalb NA NA 8 (<1)
Primary Preventive medicine occupational environmental medicine NA 3 (<1) 89 (<1)
Primary Preventive medicine public health NA 1 (<1) 38 (<1)
CAQ Undersea and hyperbaric medicine NA NA 5 (<1)
Proctology Primary Proctology NA NA 24 (<1)
Radiology CAQ Angiography and intervention radiologyb NA NA 18 (<1)
CAQ Body imaging NA 2 (<1) 8 (<1)
Primary Diagnostic radiology 27 (1) 14 (2) 637 (2)
Primary Diagnostic roentgenology NA NA 2 (<1)
CAQ Diagnostic ultrasound NA NA 1 (<1)
CAQ Neuroradiology 5 (<1) 5 (1) 57 (<1)
CAQ Nuclear radiology 0 1 (<1) 5 (<1)
CAQ Pediatric radiology 1 (<1) 1 (<1) 20 (<1)
Primary Radiation oncology 2 (<1) NA 21 (<1)
CSQ Radiation therapyb NA NA 1 (<1)
Primary Radiology NA NA 57 (<1)
Primary Vascular and interventional NA 2 (<1) 15 (<1)
Surgery Primary Cardiothoracic surgery 2 (<1) 1 (<1) 6 (<1)
CAQ Surgical critical care 5 (<1) 1 (<1) 53 (<1)
Primary General vascular surgery 13 (<1) 7 (1) 118 (<1)
CAQ Hospice and palliative medicine 1 (<1) NA 2 (<1)
Primary Neurological surgery 8 (<1) NA 95 (<1)
Primary Plastic and reconstructive surgery 11 (<1) 1 (<1) 63 (<1)
Primary Surgery (general) 67 (2) 33 (4) 948 (3)
Primary Thoracic cardiovascular surgery NA NA 54 (<1)
Primary Thoracic surgeryb NA NA 5 (<1)
Primary Urological surgery 11 (<1) 6 (1) 200 (1)
Total 1260 867 27,519
  a Data presented as No. (%). Percentages do not total 100 because of rounding. Totals are calculated by date of final approval by the Bureau of Osteopathic Specialists. Data are current as of December 31, 2011.
  b No longer issued.
  Abbreviations: CAQ, Certification of Added Qualifications; CSQ, Certification of Special Qualifications; NA, not applicable; OMM, osteopathic manipulative medicine; OMT, osteopathic manipulative treatment.
×