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Appendix  |   April 2014
Appendix 1: Osteopathic Graduate Medical Education 2014
Author Notes
  • From the Department of Education at the American Osteopathic Association (AOA) in Chicago, Illinois (Ms DeRosier and Mr Martinez). Ms Lischka was an employee of the AOA at the time of manuscript submission 
  • Address correspondence to Andrea DeRosier, MUPP, Director, AOA Division of Postdoctoral Training, Department of Education, 142 E Ontario St, Chicago, IL 60611-2864. E-mail: aderosier@osteopathic.org  
Article Information
Medical Education / Graduate Medical Education
Appendix   |   April 2014
Appendix 1: Osteopathic Graduate Medical Education 2014
The Journal of the American Osteopathic Association, April 2014, Vol. 114, 299-303. doi:10.7556/jaoa.2014.057
The Journal of the American Osteopathic Association, April 2014, Vol. 114, 299-303. doi:10.7556/jaoa.2014.057
The American Osteopathic Association (AOA) Department of Education maintains historical annual data on approved, funded, and filled AOA first-year positions, as reported by the National Matching Services (an AOA vendor) and the Trainee Information, Verification, and Registration Audit (TIVRA) survey tool. This appendix includes an update for the 2012-2013 academic year. The AOA does not finalize postdoctoral training data until May of each year. Trends and information on training slots from the AOA Match are also summarized. 
Approved positions are the number of training slots granted to a program by the Program and Trainee Review Council on initial accreditation or through a request for an increase or decrease submitted by an already established program. Filled positions are the number of those approved training slots that are actually used to accommodate a trainee enrolled in the program. Growth in programs and positions is primarily a result of new programs at new hospitals and the expansion of other specialties at institutions with established AOA residencies. 
The Figure depicts trends of osteopathic physician (ie, DO) enrollment in osteopathic and allopathic postdoctoral training programs between academic years 2003-2004 and 2012-2013. The number of DOs in Accreditation Council for Graduate Medical Education postdoctoral training programs, total DOs in AOA internship and residency programs, DOs in AOA residency programs, and osteopathic medical school graduates all show steady growth between 2011-2012 and 2012-2013. 
Figure.
Trends of osteopathic physician (ie, DO) enrollment in osteopathic and allopathic postdoctoral training programs. Data may change and should be considered incomplete until finalized in the 2015 osteopathic medical education issue of The Journal of the American Osteopathic Association (JAOA). Data for academic years 2003-2004 through 2011-2012 were previously published in the JAOA. aTotal college of osteopathic medicine (COM) graduates do not include previous years' graduates. bTotal DOs in American Osteopathic Association (AOA) internships include trainees who matched to osteopathic internship positions during both the Match and post-Match scramble. cRestructuring of the AOA internship, effective July 1, 2008. Abbreviation: ACGME, Accreditation Council for Graduate Medical Education.
Figure.
Trends of osteopathic physician (ie, DO) enrollment in osteopathic and allopathic postdoctoral training programs. Data may change and should be considered incomplete until finalized in the 2015 osteopathic medical education issue of The Journal of the American Osteopathic Association (JAOA). Data for academic years 2003-2004 through 2011-2012 were previously published in the JAOA. aTotal college of osteopathic medicine (COM) graduates do not include previous years' graduates. bTotal DOs in American Osteopathic Association (AOA) internships include trainees who matched to osteopathic internship positions during both the Match and post-Match scramble. cRestructuring of the AOA internship, effective July 1, 2008. Abbreviation: ACGME, Accreditation Council for Graduate Medical Education.
Table 1 illustrates the distribution of AOA residency and internship programs and trainees filling available positions by state. Compared with the previous year, the following 11 states increased their number of trainees by more than 25%: Alaska, Colorado, Florida, Georgia, Kansas, Kentucky, Mississippi, North Carolina, Oregon, Washington, and Wyoming. In addition, the following 5 states have the greatest number of programs, positions, and trainees: Florida, Michigan, New York, Ohio, and Pennsylvania. Eighteen states experienced a growth in the number of programs. New Jersey demonstrated the greatest program growth, increasing its number of programs from 67 to 79, a growth of 18%. 
Table 1.
No. of AOA-Approved Residency and Internship Programs and Trainees Filling Available Positions as Reported by State, 2012-2013 Academic Yeara
Internship Programs Residency Programs Total
State Programs Positions Trainees Programs Positions Trainees Programs Positions Trainees
Alabama 0 0 0 1 3 0 1 3 0
Alaska 0 0 0 1 9 9 1 9 9
Arizona 0 0 0 12 124 64 12 124 64
Arkansas 0 0 0 2 15 5 2 15 5
California 6 49 30 30 423 217 36 472 247
Colorado 0 0 0 8 104 20 8 104 20
Connecticut 2 18 6 2 35 3 4 53 9
Delaware 1 15 11 1 24 13 2 39 24
Florida 10 150 92 85 991 627 95 1141 719
Georgia 1 4 2 4 47 28 5 51 30
Illinois 3 30 28 42 452 339 45 482 367
Indiana 0 0 0 3 27 20 3 27 20
Iowa 0 0 0 5 70 35 5 70 35
Kansas 0 0 0 1 20 20 1 20 20
Kentucky 2 14 13 8 81 37 10 95 50
Maine 0 0 0 6 75 46 6 75 46
Massachusetts 1 4 4 4 26 11 5 30 15
Michigan 19 181 69 203 2181 1477 222 2362 1546
Minnesota 0 0 0 2 14 9 2 14 9
Mississippi 0 0 0 3 30 23 3 30 23
Missouri 3 15 5 24 188 133 27 203 138
Montana 0 0 0 1 9 0 1 9 0
Nevada 1 10 12 8 90 70 9 100 82
New Jersey 8 102 39 71 851 464 79 953 503
New York 16 215 107 79 1034 641 95 1249 748
North Carolina 2 17 2 5 57 32 7 74 34
Ohio 11 103 37 102 987 685 113 1090 722
Oklahoma 2 16 9 38 394 269 40 410 278
Oregon 1 12 12 9 91 59 10 103 71
Pennsylvania 28 229 112 107 1426 932 135 1655 1044
Rhode Island 0 0 0 4 52 39 4 52 39
South Carolina 0 0 0 1 14 14 1 14 14
Tennessee 0 0 0 3 34 29 3 34 29
Texas 1 12 6 22 192 143 23 204 149
Utah 0 0 0 1 9 1 1 9 1
Virginia 3 27 10 14 229 159 17 256 169
Washington 0 0 0 9 79 26 9 79 26
West Virginia 5 33 9 17 201 133 22 234 142
Wisconsin 0 0 0 2 50 35 2 50 35
Wyoming 0 0 0 2 21 16 2 21 16
Total 126 1256 615 942 10,759 6883 1068 12,015 7498
  a Data shown represent positions approved by the American Osteopathic Association (AOA) Program and Trainee Review Council. Data are current as of May 31, 2013. No internship or residency positions are currently approved by the AOA in the District of Columbia or in the following states: Hawaii, Idaho, Louisiana, Maryland, Nebraska, New Hampshire, New Mexico, North Dakota, South Dakota, and Vermont.
  Source: Training Programs by State: Year-End Reports, Division of Postdoctoral Training, AOA, Chicago, Illinois.
Table 1.
No. of AOA-Approved Residency and Internship Programs and Trainees Filling Available Positions as Reported by State, 2012-2013 Academic Yeara
Internship Programs Residency Programs Total
State Programs Positions Trainees Programs Positions Trainees Programs Positions Trainees
Alabama 0 0 0 1 3 0 1 3 0
Alaska 0 0 0 1 9 9 1 9 9
Arizona 0 0 0 12 124 64 12 124 64
Arkansas 0 0 0 2 15 5 2 15 5
California 6 49 30 30 423 217 36 472 247
Colorado 0 0 0 8 104 20 8 104 20
Connecticut 2 18 6 2 35 3 4 53 9
Delaware 1 15 11 1 24 13 2 39 24
Florida 10 150 92 85 991 627 95 1141 719
Georgia 1 4 2 4 47 28 5 51 30
Illinois 3 30 28 42 452 339 45 482 367
Indiana 0 0 0 3 27 20 3 27 20
Iowa 0 0 0 5 70 35 5 70 35
Kansas 0 0 0 1 20 20 1 20 20
Kentucky 2 14 13 8 81 37 10 95 50
Maine 0 0 0 6 75 46 6 75 46
Massachusetts 1 4 4 4 26 11 5 30 15
Michigan 19 181 69 203 2181 1477 222 2362 1546
Minnesota 0 0 0 2 14 9 2 14 9
Mississippi 0 0 0 3 30 23 3 30 23
Missouri 3 15 5 24 188 133 27 203 138
Montana 0 0 0 1 9 0 1 9 0
Nevada 1 10 12 8 90 70 9 100 82
New Jersey 8 102 39 71 851 464 79 953 503
New York 16 215 107 79 1034 641 95 1249 748
North Carolina 2 17 2 5 57 32 7 74 34
Ohio 11 103 37 102 987 685 113 1090 722
Oklahoma 2 16 9 38 394 269 40 410 278
Oregon 1 12 12 9 91 59 10 103 71
Pennsylvania 28 229 112 107 1426 932 135 1655 1044
Rhode Island 0 0 0 4 52 39 4 52 39
South Carolina 0 0 0 1 14 14 1 14 14
Tennessee 0 0 0 3 34 29 3 34 29
Texas 1 12 6 22 192 143 23 204 149
Utah 0 0 0 1 9 1 1 9 1
Virginia 3 27 10 14 229 159 17 256 169
Washington 0 0 0 9 79 26 9 79 26
West Virginia 5 33 9 17 201 133 22 234 142
Wisconsin 0 0 0 2 50 35 2 50 35
Wyoming 0 0 0 2 21 16 2 21 16
Total 126 1256 615 942 10,759 6883 1068 12,015 7498
  a Data shown represent positions approved by the American Osteopathic Association (AOA) Program and Trainee Review Council. Data are current as of May 31, 2013. No internship or residency positions are currently approved by the AOA in the District of Columbia or in the following states: Hawaii, Idaho, Louisiana, Maryland, Nebraska, New Hampshire, New Mexico, North Dakota, South Dakota, and Vermont.
  Source: Training Programs by State: Year-End Reports, Division of Postdoctoral Training, AOA, Chicago, Illinois.
×
Table 2 quantifies the number of AOA-approved residency programs and approved and filled positions as reported by academic year and specialty. Forty-three percent of residents in AOA-approved residency programs are in the primary care specialties of family medicine (25%) and internal medicine (18%). 
Table 2.
No. of AOA-Approved Residency Programs and Approved and Filled Positions as Reported by Academic Year and Specialty
2010-2011 2011-2012 2012-2013
Specialty Programs Positions Residents Programs Positions Residents Programs Positions Residents
Anesthesiology 12 118 107 13 137 111 13 139 117
 Anesthesiology and pain management 2 3 2 3 6 2 3 6 2
 Pediatric anesthesiology 1 3 0 1 3 0 1 3 0
Dermatology 23 137 106 26 158 106 30 176 114
 Mohs micrographic surgery 1 1 0 2 3 1 3 4 1
Diagnostic Radiology 15 161 129 15 170 124 17 199 127
 Pediatric radiology 1 3 0 1 3 0 1 3 0
 Vascular and interventional radiologya NA NA NA NA NA NA 1 3 0
Emergency Medicine 45 1042 839 45 1055 900 50 1203 919
 Emergency medical service 1 1 1 2 3 1 2 3 0
Family Medicine 192 2553 1347 200 2699 1527 215 3040 1731
 Geriatrics (family medicine) 10 37 2 10 34 5 13 40 8
Internal Medicine 102 1672 935 105 1775 1103 114 1967 1278
 Allergy and immunologyb 1 4 0 2 8 0 NA NA NA
 Cardiac electrophysiology 2 5 0 2 5 0 2 5 0
 Cardiology 24 156 90 24 162 94 26 174 110
 Cardiology (interventional) 12 29 11 13 30 11 13 30 9
 Critical care medicinec 5 13 8 6 15 3 6 23 9
 Endocrinology 3 6 3 4 10 3 5 12 5
 Gastroenterology 13 63 39 15 75 45 17 86 51
 Geriatrics (internal medicine) 5 15 2 6 21 2 6 21 1
 Hematology and oncology 5 14 11 7 24 10 7 24 13
 Infectious diseases 2 8 2 3 12 2 4 16 3
 Nephrology 7 20 8 7 20 10 8 22 13
 Oncology 4 12 0 2 6 1 2 6 1
 Pulmonary (critical care) 8 31 17 8 34 22 10 44 26
 Pulmonary medicine 4 11 3 4 11 6 3 7 2
 Rheumatology 4 12 9 5 16 10 5 16 8
Neurology 7 74 54 8 90 55 9 96 64
NMM/OMM 7 38 17 8 41 19 7 38 18
 NMM plus 1 20 63 20 24 76 22 23 75 27
Obstetrics and Gynecology 29 363 295 31 391 297 30 375 296
 Female pelvic medicine 0 0 0 1 3 0 1 3 0
 Gynecologic oncology 3 9 8 3 9 8 3 9 8
 Maternal and fetal medicine 3 10 4 5 16 2 5 16 8
 Reproductive endocrinology 4 12 1 3 9 1 3 9 1
Ophthalmology 12 58 46 15 73 47 15 71 55
Orthopedic Surgery 35 520 419 38 564 443 40 596 464
 Hand surgery 1 3 0 1 3 1 1 3 1
 Musculoskeletal oncology 1 1 0 1 1 0 1 1 0
 Orthopedic spine surgeryd 1 1 0 0 0 0 NA NA NA
Otolaryngology and Facial Plastic Surgery 20 143 120 19 139 122 19 139 121
 Otolaryngic allergy 3 9 3 3 9 3 3 9 1
Pathologyd 0 0 0 0 0 0 NA NA NA
 Forensic pathology 1 1 0 1 1 0 1 1 0
Pediatrics 18 250 153 19 268 175 19 283 170
 Pediatric allergy and immunologyb 1 2 2 1 2 1 NA NA NA
Physical Medicine and Rehabilitation 4 38 23 5 61 24 5 61 30
Preventive Medicine and Public Health 1 3 0 1 3 1 1 3 2
Preventive Medicine (Occupational and Environmental)d 1 3 1 1 3 0 NA NA NA
Proctology 2 5 2 2 5 1 2 5 2
Psychiatry 13 151 65 14 175 78 16 242 94
 Child psychiatry 3 12 3 3 12 4 4 18 6
 Forensic psychiatry 0 0 0 1 4 0 1 4 0
 Geriatric psychiatry 1 3 1 2 6 1 2 6 0
Surgery (General) 43 620 481 46 671 507 51 765 554
 Cardiothoracic surgery 1 9 0 1 9 0 1 9 0
 Critical care surgeryc 3 7 0 3 7 1 3 7 1
 General vascular surgery 8 17 6 8 19 5 8 19 5
 Neurologic surgery 11 103 83 11 104 92 11 114 95
 Plastic and reconstructive surgery 7 24 16 6 23 17 7 26 15
 Urologic surgery 10 98 68 10 106 84 10 108 95
Combined
 Emergency medicine and family medicine 4 60 38 4 53 39 4 53 45
 Emergency medicine and internal medicine 11 129 82 11 117 80 11 122 74
 Integrated family medicine and NMM 8 64 18 8 64 31 8 64 38
 Integrated internal medicine and NMM 0 0 0 1 4 0 1 4 1
 Pediatrics and internal medicine 1 10 10 1 10 8 1 10 7
Conjointe
 Addiction medicine 0 0 0 1 6 0 1 6 6
 Adult and pediatric allergy and immunologyb NA NA NA NA NA NA 2 10 5
 Correctional medicinea NA NA NA NA NA NA 1 4 0
 Dermatopathology 0 0 0 1 2 1 1 2 0
 Hospice and palliative care 5 10 2 7 15 2 7 17 2
 Pain medicinea NA NA NA NA NA NA 1 5 0
 Pediatric emergency medicine 1 6 0 1 6 0 2 12 0
 Sleep medicine 1 2 0 2 8 0 2 8 4
 Sports medicine 17 47 19 19 56 18 20 57 19
 Undersea and hyperbaric medicine 1 2 0 1 2 1 1 2 1
Total 827 9110 5731 883 9741 6290 942 10,759 6883
  a New specialties in the 2012-2013 academic year: vascular and interventional radiology, correctional medicine, and pain medicine.
  b In the 2012-2013 academic year, allergy and immunology and pediatric allergy and immunology were combined into adult and pediatric allergy and immunology.
  c Starting with the 2011-2012 academic year, the subcategories of critical care medicine and critical care surgery were assigned to 2 different categories: internal medicine and surgery (general), respectively. Data for the 2010-2011 academic year have been adjusted to reflect this change.
  d Specialties not available in the 2012-2013 academic year: orthopedic spine surgery, pathology, and preventive medicine (occupational and environmental).
  e Addiction medicine, adult/pediatric allergy and immunology, correctional medicine, dermatopathology, hospice and palliative care, pain medicine, pediatric emergency medicine, sleep medicine, sports medicine, and undersea and hyperbaric medicine are fellowships governed by Conjoint Standards by 2 or more specialties.
  Abbreviations: AOA, American Osteopathic Association; NA, not applicable; 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 (TIVRA) system, academic year 2012-2013. Data for the 2010-2011 and 2011-2012 academic years have been reported previously in The Journal of the American Osteopathic Association.
Table 2.
No. of AOA-Approved Residency Programs and Approved and Filled Positions as Reported by Academic Year and Specialty
2010-2011 2011-2012 2012-2013
Specialty Programs Positions Residents Programs Positions Residents Programs Positions Residents
Anesthesiology 12 118 107 13 137 111 13 139 117
 Anesthesiology and pain management 2 3 2 3 6 2 3 6 2
 Pediatric anesthesiology 1 3 0 1 3 0 1 3 0
Dermatology 23 137 106 26 158 106 30 176 114
 Mohs micrographic surgery 1 1 0 2 3 1 3 4 1
Diagnostic Radiology 15 161 129 15 170 124 17 199 127
 Pediatric radiology 1 3 0 1 3 0 1 3 0
 Vascular and interventional radiologya NA NA NA NA NA NA 1 3 0
Emergency Medicine 45 1042 839 45 1055 900 50 1203 919
 Emergency medical service 1 1 1 2 3 1 2 3 0
Family Medicine 192 2553 1347 200 2699 1527 215 3040 1731
 Geriatrics (family medicine) 10 37 2 10 34 5 13 40 8
Internal Medicine 102 1672 935 105 1775 1103 114 1967 1278
 Allergy and immunologyb 1 4 0 2 8 0 NA NA NA
 Cardiac electrophysiology 2 5 0 2 5 0 2 5 0
 Cardiology 24 156 90 24 162 94 26 174 110
 Cardiology (interventional) 12 29 11 13 30 11 13 30 9
 Critical care medicinec 5 13 8 6 15 3 6 23 9
 Endocrinology 3 6 3 4 10 3 5 12 5
 Gastroenterology 13 63 39 15 75 45 17 86 51
 Geriatrics (internal medicine) 5 15 2 6 21 2 6 21 1
 Hematology and oncology 5 14 11 7 24 10 7 24 13
 Infectious diseases 2 8 2 3 12 2 4 16 3
 Nephrology 7 20 8 7 20 10 8 22 13
 Oncology 4 12 0 2 6 1 2 6 1
 Pulmonary (critical care) 8 31 17 8 34 22 10 44 26
 Pulmonary medicine 4 11 3 4 11 6 3 7 2
 Rheumatology 4 12 9 5 16 10 5 16 8
Neurology 7 74 54 8 90 55 9 96 64
NMM/OMM 7 38 17 8 41 19 7 38 18
 NMM plus 1 20 63 20 24 76 22 23 75 27
Obstetrics and Gynecology 29 363 295 31 391 297 30 375 296
 Female pelvic medicine 0 0 0 1 3 0 1 3 0
 Gynecologic oncology 3 9 8 3 9 8 3 9 8
 Maternal and fetal medicine 3 10 4 5 16 2 5 16 8
 Reproductive endocrinology 4 12 1 3 9 1 3 9 1
Ophthalmology 12 58 46 15 73 47 15 71 55
Orthopedic Surgery 35 520 419 38 564 443 40 596 464
 Hand surgery 1 3 0 1 3 1 1 3 1
 Musculoskeletal oncology 1 1 0 1 1 0 1 1 0
 Orthopedic spine surgeryd 1 1 0 0 0 0 NA NA NA
Otolaryngology and Facial Plastic Surgery 20 143 120 19 139 122 19 139 121
 Otolaryngic allergy 3 9 3 3 9 3 3 9 1
Pathologyd 0 0 0 0 0 0 NA NA NA
 Forensic pathology 1 1 0 1 1 0 1 1 0
Pediatrics 18 250 153 19 268 175 19 283 170
 Pediatric allergy and immunologyb 1 2 2 1 2 1 NA NA NA
Physical Medicine and Rehabilitation 4 38 23 5 61 24 5 61 30
Preventive Medicine and Public Health 1 3 0 1 3 1 1 3 2
Preventive Medicine (Occupational and Environmental)d 1 3 1 1 3 0 NA NA NA
Proctology 2 5 2 2 5 1 2 5 2
Psychiatry 13 151 65 14 175 78 16 242 94
 Child psychiatry 3 12 3 3 12 4 4 18 6
 Forensic psychiatry 0 0 0 1 4 0 1 4 0
 Geriatric psychiatry 1 3 1 2 6 1 2 6 0
Surgery (General) 43 620 481 46 671 507 51 765 554
 Cardiothoracic surgery 1 9 0 1 9 0 1 9 0
 Critical care surgeryc 3 7 0 3 7 1 3 7 1
 General vascular surgery 8 17 6 8 19 5 8 19 5
 Neurologic surgery 11 103 83 11 104 92 11 114 95
 Plastic and reconstructive surgery 7 24 16 6 23 17 7 26 15
 Urologic surgery 10 98 68 10 106 84 10 108 95
Combined
 Emergency medicine and family medicine 4 60 38 4 53 39 4 53 45
 Emergency medicine and internal medicine 11 129 82 11 117 80 11 122 74
 Integrated family medicine and NMM 8 64 18 8 64 31 8 64 38
 Integrated internal medicine and NMM 0 0 0 1 4 0 1 4 1
 Pediatrics and internal medicine 1 10 10 1 10 8 1 10 7
Conjointe
 Addiction medicine 0 0 0 1 6 0 1 6 6
 Adult and pediatric allergy and immunologyb NA NA NA NA NA NA 2 10 5
 Correctional medicinea NA NA NA NA NA NA 1 4 0
 Dermatopathology 0 0 0 1 2 1 1 2 0
 Hospice and palliative care 5 10 2 7 15 2 7 17 2
 Pain medicinea NA NA NA NA NA NA 1 5 0
 Pediatric emergency medicine 1 6 0 1 6 0 2 12 0
 Sleep medicine 1 2 0 2 8 0 2 8 4
 Sports medicine 17 47 19 19 56 18 20 57 19
 Undersea and hyperbaric medicine 1 2 0 1 2 1 1 2 1
Total 827 9110 5731 883 9741 6290 942 10,759 6883
  a New specialties in the 2012-2013 academic year: vascular and interventional radiology, correctional medicine, and pain medicine.
  b In the 2012-2013 academic year, allergy and immunology and pediatric allergy and immunology were combined into adult and pediatric allergy and immunology.
  c Starting with the 2011-2012 academic year, the subcategories of critical care medicine and critical care surgery were assigned to 2 different categories: internal medicine and surgery (general), respectively. Data for the 2010-2011 academic year have been adjusted to reflect this change.
  d Specialties not available in the 2012-2013 academic year: orthopedic spine surgery, pathology, and preventive medicine (occupational and environmental).
  e Addiction medicine, adult/pediatric allergy and immunology, correctional medicine, dermatopathology, hospice and palliative care, pain medicine, pediatric emergency medicine, sleep medicine, sports medicine, and undersea and hyperbaric medicine are fellowships governed by Conjoint Standards by 2 or more specialties.
  Abbreviations: AOA, American Osteopathic Association; NA, not applicable; 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 (TIVRA) system, academic year 2012-2013. Data for the 2010-2011 and 2011-2012 academic years have been reported previously in The Journal of the American Osteopathic Association.
×
Table 3 illustrates the net growth from the 2011-2012 to 2012-2013 academic years of the AOA-approved residency programs and approved and filled positions by specialty. Family medicine and internal medicine experienced the greatest growth since academic year 2011-2012. Family medicine grew by 341 positions and internal medicine grew by 192 positions. Emergency medicine and general surgery also demonstrated considerable growth in terms of the number of positions, with 148 positions and 94 positions, respectively. 
Table 3.
Net Growth From the 2011-2012 to 2012-2013 Academic Years of the AOA-Approved Residency Programs and Approved and Filled Positions as Reported by Specialty
No.
Specialty Programs Positions Residents
Anesthesiology 0 2 6
 Anesthesiology and pain management 0 0 0
 Pediatric anesthesiology 0 0 0
Dermatology 4 18 8
 Mohs micrographic surgery 1 1 0
Diagnostic Radiology 2 29 3
 Pediatric radiology 0 0 0
 Vascular and interventional radiologya NA NA NA
Emergency Medicine 5 148 19
 Emergency medical service 0 0 −1
Family Medicine 15 341 204
 Geriatrics (family medicine) 3 6 3
Internal Medicine 9 192 175
 Cardiac electrophysiology 0 0 0
 Cardiology 2 12 16
 Cardiology (interventional) 0 0 −2
 Critical care medicine 0 8 6
 Endocrinology 1 2 2
 Gastroenterology 2 11 6
 Geriatrics (internal medicine) 0 0 −1
 Hematology and oncology 0 0 3
 Infectious diseases 1 4 1
 Nephrology 1 2 3
 Oncology 0 0 0
 Pulmonary (critical care) 2 10 4
 Pulmonary medicine −1 −4 −4
 Rheumatology 0 0 −2
Neurology 1 6 9
NMM/OMM −1 −3 −1
 NMM plus 1 −1 −1 5
Obstetrics and Gynecology −1 −16 −1
 Female pelvic medicine 0 0 0
 Gynecologic oncology 0 0 0
 Maternal and fetal medicine 0 0 6
 Reproductive endocrinology 0 0 0
Ophthalmology 0 −2 8
Orthopedic Surgery 2 32 21
 Hand surgery 0 0 0
 Musculoskeletal oncology 0 0 0
 Orthopedic spine surgeryb NA NA NA
Otolaryngology and Facial Plastic Surgery 0 0 −1
 Otolaryngic allergy 0 0 −2
Pathologyb NA NA NA
 Forensic pathology 0 0 0
Pediatrics 0 15 −5
Physical Medicine and Rehabilitation 0 0 6
Preventive Medicine and Public Health 0 0 1
Preventive Medicine (Occupational and Environmental)b NA NA NA
Proctology 0 0 1
Psychiatry 2 67 16
 Child and adolescent psychiatry 1 6 2
 Forensic psychiatry 0 0 0
 Geriatric psychiatry 0 0 −1
Surgery (General) 5 94 47
 Cardiothoracic surgery 0 0 0
 Critical care surgery 0 0 0
 General vascular surgery 0 0 0
 Neurologic surgery 0 10 3
 Plastic and reconstructive surgery 1 3 −2
 Urologic surgery 0 2 11
Combined
 Emergency medicine and family medicine 0 0 6
 Emergency medicine and internal medicine 0 5 −6
 Integrated family medicine and NMM 0 0 7
 Integrated internal medicine and NMM 0 0 1
 Pediatrics and internal medicine 0 0 −1
Conjoint Notec
 Addiction medicine 0 0 6
 Adult and pediatric allergy and immunologya NA NA NA
 Correctional medicinea NA NA NA
 Dermatopathology 0 0 −1
 Hospice and palliative care 0 2 0
 Pain medicinea NA NA NA
 Pediatric emergency medicine 1 6 0
 Sleep medicine 0 0 4
 Sports medicine 1 1 1
 Undersea and hyperbaric medicine 0 0 0
Total 59 1018 593
  a New specialties in the 2012-2013 academic year: vascular and interventional radiology, adult and pediatric allergy and immunology (previously available as allergy and immunology and pediatric allergy and immunology), correctional medicine, and pain medicine.
  b Specialties not available in the 2012-2013 academic year: orthopedic spine surgery, pathology, and preventive medicine (occupational and environmental).
  c Addiction medicine, adult and pediatric allergy and immunology, correctional medicine, dermatopathology, hospice and palliative care, pain medicine, pediatric emergency medicine, sleep medicine, sports medicine, and undersea and hyperbaric medicine are fellowships governed by Conjoint Standards by 2 or more specialties.
  Abbreviations: AOA, American Osteopathic Association; NA, not applicable; 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 (TIVRA) system, academic year 2012-2013. Data for the 2011-2012 academic year have been reported previously in The Journal of the American Osteopathic Association.
Table 3.
Net Growth From the 2011-2012 to 2012-2013 Academic Years of the AOA-Approved Residency Programs and Approved and Filled Positions as Reported by Specialty
No.
Specialty Programs Positions Residents
Anesthesiology 0 2 6
 Anesthesiology and pain management 0 0 0
 Pediatric anesthesiology 0 0 0
Dermatology 4 18 8
 Mohs micrographic surgery 1 1 0
Diagnostic Radiology 2 29 3
 Pediatric radiology 0 0 0
 Vascular and interventional radiologya NA NA NA
Emergency Medicine 5 148 19
 Emergency medical service 0 0 −1
Family Medicine 15 341 204
 Geriatrics (family medicine) 3 6 3
Internal Medicine 9 192 175
 Cardiac electrophysiology 0 0 0
 Cardiology 2 12 16
 Cardiology (interventional) 0 0 −2
 Critical care medicine 0 8 6
 Endocrinology 1 2 2
 Gastroenterology 2 11 6
 Geriatrics (internal medicine) 0 0 −1
 Hematology and oncology 0 0 3
 Infectious diseases 1 4 1
 Nephrology 1 2 3
 Oncology 0 0 0
 Pulmonary (critical care) 2 10 4
 Pulmonary medicine −1 −4 −4
 Rheumatology 0 0 −2
Neurology 1 6 9
NMM/OMM −1 −3 −1
 NMM plus 1 −1 −1 5
Obstetrics and Gynecology −1 −16 −1
 Female pelvic medicine 0 0 0
 Gynecologic oncology 0 0 0
 Maternal and fetal medicine 0 0 6
 Reproductive endocrinology 0 0 0
Ophthalmology 0 −2 8
Orthopedic Surgery 2 32 21
 Hand surgery 0 0 0
 Musculoskeletal oncology 0 0 0
 Orthopedic spine surgeryb NA NA NA
Otolaryngology and Facial Plastic Surgery 0 0 −1
 Otolaryngic allergy 0 0 −2
Pathologyb NA NA NA
 Forensic pathology 0 0 0
Pediatrics 0 15 −5
Physical Medicine and Rehabilitation 0 0 6
Preventive Medicine and Public Health 0 0 1
Preventive Medicine (Occupational and Environmental)b NA NA NA
Proctology 0 0 1
Psychiatry 2 67 16
 Child and adolescent psychiatry 1 6 2
 Forensic psychiatry 0 0 0
 Geriatric psychiatry 0 0 −1
Surgery (General) 5 94 47
 Cardiothoracic surgery 0 0 0
 Critical care surgery 0 0 0
 General vascular surgery 0 0 0
 Neurologic surgery 0 10 3
 Plastic and reconstructive surgery 1 3 −2
 Urologic surgery 0 2 11
Combined
 Emergency medicine and family medicine 0 0 6
 Emergency medicine and internal medicine 0 5 −6
 Integrated family medicine and NMM 0 0 7
 Integrated internal medicine and NMM 0 0 1
 Pediatrics and internal medicine 0 0 −1
Conjoint Notec
 Addiction medicine 0 0 6
 Adult and pediatric allergy and immunologya NA NA NA
 Correctional medicinea NA NA NA
 Dermatopathology 0 0 −1
 Hospice and palliative care 0 2 0
 Pain medicinea NA NA NA
 Pediatric emergency medicine 1 6 0
 Sleep medicine 0 0 4
 Sports medicine 1 1 1
 Undersea and hyperbaric medicine 0 0 0
Total 59 1018 593
  a New specialties in the 2012-2013 academic year: vascular and interventional radiology, adult and pediatric allergy and immunology (previously available as allergy and immunology and pediatric allergy and immunology), correctional medicine, and pain medicine.
  b Specialties not available in the 2012-2013 academic year: orthopedic spine surgery, pathology, and preventive medicine (occupational and environmental).
  c Addiction medicine, adult and pediatric allergy and immunology, correctional medicine, dermatopathology, hospice and palliative care, pain medicine, pediatric emergency medicine, sleep medicine, sports medicine, and undersea and hyperbaric medicine are fellowships governed by Conjoint Standards by 2 or more specialties.
  Abbreviations: AOA, American Osteopathic Association; NA, not applicable; 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 (TIVRA) system, academic year 2012-2013. Data for the 2011-2012 academic year have been reported previously in The Journal of the American Osteopathic Association.
×
   Financial Disclosures: None reported.
 
Figure.
Trends of osteopathic physician (ie, DO) enrollment in osteopathic and allopathic postdoctoral training programs. Data may change and should be considered incomplete until finalized in the 2015 osteopathic medical education issue of The Journal of the American Osteopathic Association (JAOA). Data for academic years 2003-2004 through 2011-2012 were previously published in the JAOA. aTotal college of osteopathic medicine (COM) graduates do not include previous years' graduates. bTotal DOs in American Osteopathic Association (AOA) internships include trainees who matched to osteopathic internship positions during both the Match and post-Match scramble. cRestructuring of the AOA internship, effective July 1, 2008. Abbreviation: ACGME, Accreditation Council for Graduate Medical Education.
Figure.
Trends of osteopathic physician (ie, DO) enrollment in osteopathic and allopathic postdoctoral training programs. Data may change and should be considered incomplete until finalized in the 2015 osteopathic medical education issue of The Journal of the American Osteopathic Association (JAOA). Data for academic years 2003-2004 through 2011-2012 were previously published in the JAOA. aTotal college of osteopathic medicine (COM) graduates do not include previous years' graduates. bTotal DOs in American Osteopathic Association (AOA) internships include trainees who matched to osteopathic internship positions during both the Match and post-Match scramble. cRestructuring of the AOA internship, effective July 1, 2008. Abbreviation: ACGME, Accreditation Council for Graduate Medical Education.
Table 1.
No. of AOA-Approved Residency and Internship Programs and Trainees Filling Available Positions as Reported by State, 2012-2013 Academic Yeara
Internship Programs Residency Programs Total
State Programs Positions Trainees Programs Positions Trainees Programs Positions Trainees
Alabama 0 0 0 1 3 0 1 3 0
Alaska 0 0 0 1 9 9 1 9 9
Arizona 0 0 0 12 124 64 12 124 64
Arkansas 0 0 0 2 15 5 2 15 5
California 6 49 30 30 423 217 36 472 247
Colorado 0 0 0 8 104 20 8 104 20
Connecticut 2 18 6 2 35 3 4 53 9
Delaware 1 15 11 1 24 13 2 39 24
Florida 10 150 92 85 991 627 95 1141 719
Georgia 1 4 2 4 47 28 5 51 30
Illinois 3 30 28 42 452 339 45 482 367
Indiana 0 0 0 3 27 20 3 27 20
Iowa 0 0 0 5 70 35 5 70 35
Kansas 0 0 0 1 20 20 1 20 20
Kentucky 2 14 13 8 81 37 10 95 50
Maine 0 0 0 6 75 46 6 75 46
Massachusetts 1 4 4 4 26 11 5 30 15
Michigan 19 181 69 203 2181 1477 222 2362 1546
Minnesota 0 0 0 2 14 9 2 14 9
Mississippi 0 0 0 3 30 23 3 30 23
Missouri 3 15 5 24 188 133 27 203 138
Montana 0 0 0 1 9 0 1 9 0
Nevada 1 10 12 8 90 70 9 100 82
New Jersey 8 102 39 71 851 464 79 953 503
New York 16 215 107 79 1034 641 95 1249 748
North Carolina 2 17 2 5 57 32 7 74 34
Ohio 11 103 37 102 987 685 113 1090 722
Oklahoma 2 16 9 38 394 269 40 410 278
Oregon 1 12 12 9 91 59 10 103 71
Pennsylvania 28 229 112 107 1426 932 135 1655 1044
Rhode Island 0 0 0 4 52 39 4 52 39
South Carolina 0 0 0 1 14 14 1 14 14
Tennessee 0 0 0 3 34 29 3 34 29
Texas 1 12 6 22 192 143 23 204 149
Utah 0 0 0 1 9 1 1 9 1
Virginia 3 27 10 14 229 159 17 256 169
Washington 0 0 0 9 79 26 9 79 26
West Virginia 5 33 9 17 201 133 22 234 142
Wisconsin 0 0 0 2 50 35 2 50 35
Wyoming 0 0 0 2 21 16 2 21 16
Total 126 1256 615 942 10,759 6883 1068 12,015 7498
  a Data shown represent positions approved by the American Osteopathic Association (AOA) Program and Trainee Review Council. Data are current as of May 31, 2013. No internship or residency positions are currently approved by the AOA in the District of Columbia or in the following states: Hawaii, Idaho, Louisiana, Maryland, Nebraska, New Hampshire, New Mexico, North Dakota, South Dakota, and Vermont.
  Source: Training Programs by State: Year-End Reports, Division of Postdoctoral Training, AOA, Chicago, Illinois.
Table 1.
No. of AOA-Approved Residency and Internship Programs and Trainees Filling Available Positions as Reported by State, 2012-2013 Academic Yeara
Internship Programs Residency Programs Total
State Programs Positions Trainees Programs Positions Trainees Programs Positions Trainees
Alabama 0 0 0 1 3 0 1 3 0
Alaska 0 0 0 1 9 9 1 9 9
Arizona 0 0 0 12 124 64 12 124 64
Arkansas 0 0 0 2 15 5 2 15 5
California 6 49 30 30 423 217 36 472 247
Colorado 0 0 0 8 104 20 8 104 20
Connecticut 2 18 6 2 35 3 4 53 9
Delaware 1 15 11 1 24 13 2 39 24
Florida 10 150 92 85 991 627 95 1141 719
Georgia 1 4 2 4 47 28 5 51 30
Illinois 3 30 28 42 452 339 45 482 367
Indiana 0 0 0 3 27 20 3 27 20
Iowa 0 0 0 5 70 35 5 70 35
Kansas 0 0 0 1 20 20 1 20 20
Kentucky 2 14 13 8 81 37 10 95 50
Maine 0 0 0 6 75 46 6 75 46
Massachusetts 1 4 4 4 26 11 5 30 15
Michigan 19 181 69 203 2181 1477 222 2362 1546
Minnesota 0 0 0 2 14 9 2 14 9
Mississippi 0 0 0 3 30 23 3 30 23
Missouri 3 15 5 24 188 133 27 203 138
Montana 0 0 0 1 9 0 1 9 0
Nevada 1 10 12 8 90 70 9 100 82
New Jersey 8 102 39 71 851 464 79 953 503
New York 16 215 107 79 1034 641 95 1249 748
North Carolina 2 17 2 5 57 32 7 74 34
Ohio 11 103 37 102 987 685 113 1090 722
Oklahoma 2 16 9 38 394 269 40 410 278
Oregon 1 12 12 9 91 59 10 103 71
Pennsylvania 28 229 112 107 1426 932 135 1655 1044
Rhode Island 0 0 0 4 52 39 4 52 39
South Carolina 0 0 0 1 14 14 1 14 14
Tennessee 0 0 0 3 34 29 3 34 29
Texas 1 12 6 22 192 143 23 204 149
Utah 0 0 0 1 9 1 1 9 1
Virginia 3 27 10 14 229 159 17 256 169
Washington 0 0 0 9 79 26 9 79 26
West Virginia 5 33 9 17 201 133 22 234 142
Wisconsin 0 0 0 2 50 35 2 50 35
Wyoming 0 0 0 2 21 16 2 21 16
Total 126 1256 615 942 10,759 6883 1068 12,015 7498
  a Data shown represent positions approved by the American Osteopathic Association (AOA) Program and Trainee Review Council. Data are current as of May 31, 2013. No internship or residency positions are currently approved by the AOA in the District of Columbia or in the following states: Hawaii, Idaho, Louisiana, Maryland, Nebraska, New Hampshire, New Mexico, North Dakota, South Dakota, and Vermont.
  Source: Training Programs by State: Year-End Reports, Division of Postdoctoral Training, AOA, Chicago, Illinois.
×
Table 2.
No. of AOA-Approved Residency Programs and Approved and Filled Positions as Reported by Academic Year and Specialty
2010-2011 2011-2012 2012-2013
Specialty Programs Positions Residents Programs Positions Residents Programs Positions Residents
Anesthesiology 12 118 107 13 137 111 13 139 117
 Anesthesiology and pain management 2 3 2 3 6 2 3 6 2
 Pediatric anesthesiology 1 3 0 1 3 0 1 3 0
Dermatology 23 137 106 26 158 106 30 176 114
 Mohs micrographic surgery 1 1 0 2 3 1 3 4 1
Diagnostic Radiology 15 161 129 15 170 124 17 199 127
 Pediatric radiology 1 3 0 1 3 0 1 3 0
 Vascular and interventional radiologya NA NA NA NA NA NA 1 3 0
Emergency Medicine 45 1042 839 45 1055 900 50 1203 919
 Emergency medical service 1 1 1 2 3 1 2 3 0
Family Medicine 192 2553 1347 200 2699 1527 215 3040 1731
 Geriatrics (family medicine) 10 37 2 10 34 5 13 40 8
Internal Medicine 102 1672 935 105 1775 1103 114 1967 1278
 Allergy and immunologyb 1 4 0 2 8 0 NA NA NA
 Cardiac electrophysiology 2 5 0 2 5 0 2 5 0
 Cardiology 24 156 90 24 162 94 26 174 110
 Cardiology (interventional) 12 29 11 13 30 11 13 30 9
 Critical care medicinec 5 13 8 6 15 3 6 23 9
 Endocrinology 3 6 3 4 10 3 5 12 5
 Gastroenterology 13 63 39 15 75 45 17 86 51
 Geriatrics (internal medicine) 5 15 2 6 21 2 6 21 1
 Hematology and oncology 5 14 11 7 24 10 7 24 13
 Infectious diseases 2 8 2 3 12 2 4 16 3
 Nephrology 7 20 8 7 20 10 8 22 13
 Oncology 4 12 0 2 6 1 2 6 1
 Pulmonary (critical care) 8 31 17 8 34 22 10 44 26
 Pulmonary medicine 4 11 3 4 11 6 3 7 2
 Rheumatology 4 12 9 5 16 10 5 16 8
Neurology 7 74 54 8 90 55 9 96 64
NMM/OMM 7 38 17 8 41 19 7 38 18
 NMM plus 1 20 63 20 24 76 22 23 75 27
Obstetrics and Gynecology 29 363 295 31 391 297 30 375 296
 Female pelvic medicine 0 0 0 1 3 0 1 3 0
 Gynecologic oncology 3 9 8 3 9 8 3 9 8
 Maternal and fetal medicine 3 10 4 5 16 2 5 16 8
 Reproductive endocrinology 4 12 1 3 9 1 3 9 1
Ophthalmology 12 58 46 15 73 47 15 71 55
Orthopedic Surgery 35 520 419 38 564 443 40 596 464
 Hand surgery 1 3 0 1 3 1 1 3 1
 Musculoskeletal oncology 1 1 0 1 1 0 1 1 0
 Orthopedic spine surgeryd 1 1 0 0 0 0 NA NA NA
Otolaryngology and Facial Plastic Surgery 20 143 120 19 139 122 19 139 121
 Otolaryngic allergy 3 9 3 3 9 3 3 9 1
Pathologyd 0 0 0 0 0 0 NA NA NA
 Forensic pathology 1 1 0 1 1 0 1 1 0
Pediatrics 18 250 153 19 268 175 19 283 170
 Pediatric allergy and immunologyb 1 2 2 1 2 1 NA NA NA
Physical Medicine and Rehabilitation 4 38 23 5 61 24 5 61 30
Preventive Medicine and Public Health 1 3 0 1 3 1 1 3 2
Preventive Medicine (Occupational and Environmental)d 1 3 1 1 3 0 NA NA NA
Proctology 2 5 2 2 5 1 2 5 2
Psychiatry 13 151 65 14 175 78 16 242 94
 Child psychiatry 3 12 3 3 12 4 4 18 6
 Forensic psychiatry 0 0 0 1 4 0 1 4 0
 Geriatric psychiatry 1 3 1 2 6 1 2 6 0
Surgery (General) 43 620 481 46 671 507 51 765 554
 Cardiothoracic surgery 1 9 0 1 9 0 1 9 0
 Critical care surgeryc 3 7 0 3 7 1 3 7 1
 General vascular surgery 8 17 6 8 19 5 8 19 5
 Neurologic surgery 11 103 83 11 104 92 11 114 95
 Plastic and reconstructive surgery 7 24 16 6 23 17 7 26 15
 Urologic surgery 10 98 68 10 106 84 10 108 95
Combined
 Emergency medicine and family medicine 4 60 38 4 53 39 4 53 45
 Emergency medicine and internal medicine 11 129 82 11 117 80 11 122 74
 Integrated family medicine and NMM 8 64 18 8 64 31 8 64 38
 Integrated internal medicine and NMM 0 0 0 1 4 0 1 4 1
 Pediatrics and internal medicine 1 10 10 1 10 8 1 10 7
Conjointe
 Addiction medicine 0 0 0 1 6 0 1 6 6
 Adult and pediatric allergy and immunologyb NA NA NA NA NA NA 2 10 5
 Correctional medicinea NA NA NA NA NA NA 1 4 0
 Dermatopathology 0 0 0 1 2 1 1 2 0
 Hospice and palliative care 5 10 2 7 15 2 7 17 2
 Pain medicinea NA NA NA NA NA NA 1 5 0
 Pediatric emergency medicine 1 6 0 1 6 0 2 12 0
 Sleep medicine 1 2 0 2 8 0 2 8 4
 Sports medicine 17 47 19 19 56 18 20 57 19
 Undersea and hyperbaric medicine 1 2 0 1 2 1 1 2 1
Total 827 9110 5731 883 9741 6290 942 10,759 6883
  a New specialties in the 2012-2013 academic year: vascular and interventional radiology, correctional medicine, and pain medicine.
  b In the 2012-2013 academic year, allergy and immunology and pediatric allergy and immunology were combined into adult and pediatric allergy and immunology.
  c Starting with the 2011-2012 academic year, the subcategories of critical care medicine and critical care surgery were assigned to 2 different categories: internal medicine and surgery (general), respectively. Data for the 2010-2011 academic year have been adjusted to reflect this change.
  d Specialties not available in the 2012-2013 academic year: orthopedic spine surgery, pathology, and preventive medicine (occupational and environmental).
  e Addiction medicine, adult/pediatric allergy and immunology, correctional medicine, dermatopathology, hospice and palliative care, pain medicine, pediatric emergency medicine, sleep medicine, sports medicine, and undersea and hyperbaric medicine are fellowships governed by Conjoint Standards by 2 or more specialties.
  Abbreviations: AOA, American Osteopathic Association; NA, not applicable; 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 (TIVRA) system, academic year 2012-2013. Data for the 2010-2011 and 2011-2012 academic years have been reported previously in The Journal of the American Osteopathic Association.
Table 2.
No. of AOA-Approved Residency Programs and Approved and Filled Positions as Reported by Academic Year and Specialty
2010-2011 2011-2012 2012-2013
Specialty Programs Positions Residents Programs Positions Residents Programs Positions Residents
Anesthesiology 12 118 107 13 137 111 13 139 117
 Anesthesiology and pain management 2 3 2 3 6 2 3 6 2
 Pediatric anesthesiology 1 3 0 1 3 0 1 3 0
Dermatology 23 137 106 26 158 106 30 176 114
 Mohs micrographic surgery 1 1 0 2 3 1 3 4 1
Diagnostic Radiology 15 161 129 15 170 124 17 199 127
 Pediatric radiology 1 3 0 1 3 0 1 3 0
 Vascular and interventional radiologya NA NA NA NA NA NA 1 3 0
Emergency Medicine 45 1042 839 45 1055 900 50 1203 919
 Emergency medical service 1 1 1 2 3 1 2 3 0
Family Medicine 192 2553 1347 200 2699 1527 215 3040 1731
 Geriatrics (family medicine) 10 37 2 10 34 5 13 40 8
Internal Medicine 102 1672 935 105 1775 1103 114 1967 1278
 Allergy and immunologyb 1 4 0 2 8 0 NA NA NA
 Cardiac electrophysiology 2 5 0 2 5 0 2 5 0
 Cardiology 24 156 90 24 162 94 26 174 110
 Cardiology (interventional) 12 29 11 13 30 11 13 30 9
 Critical care medicinec 5 13 8 6 15 3 6 23 9
 Endocrinology 3 6 3 4 10 3 5 12 5
 Gastroenterology 13 63 39 15 75 45 17 86 51
 Geriatrics (internal medicine) 5 15 2 6 21 2 6 21 1
 Hematology and oncology 5 14 11 7 24 10 7 24 13
 Infectious diseases 2 8 2 3 12 2 4 16 3
 Nephrology 7 20 8 7 20 10 8 22 13
 Oncology 4 12 0 2 6 1 2 6 1
 Pulmonary (critical care) 8 31 17 8 34 22 10 44 26
 Pulmonary medicine 4 11 3 4 11 6 3 7 2
 Rheumatology 4 12 9 5 16 10 5 16 8
Neurology 7 74 54 8 90 55 9 96 64
NMM/OMM 7 38 17 8 41 19 7 38 18
 NMM plus 1 20 63 20 24 76 22 23 75 27
Obstetrics and Gynecology 29 363 295 31 391 297 30 375 296
 Female pelvic medicine 0 0 0 1 3 0 1 3 0
 Gynecologic oncology 3 9 8 3 9 8 3 9 8
 Maternal and fetal medicine 3 10 4 5 16 2 5 16 8
 Reproductive endocrinology 4 12 1 3 9 1 3 9 1
Ophthalmology 12 58 46 15 73 47 15 71 55
Orthopedic Surgery 35 520 419 38 564 443 40 596 464
 Hand surgery 1 3 0 1 3 1 1 3 1
 Musculoskeletal oncology 1 1 0 1 1 0 1 1 0
 Orthopedic spine surgeryd 1 1 0 0 0 0 NA NA NA
Otolaryngology and Facial Plastic Surgery 20 143 120 19 139 122 19 139 121
 Otolaryngic allergy 3 9 3 3 9 3 3 9 1
Pathologyd 0 0 0 0 0 0 NA NA NA
 Forensic pathology 1 1 0 1 1 0 1 1 0
Pediatrics 18 250 153 19 268 175 19 283 170
 Pediatric allergy and immunologyb 1 2 2 1 2 1 NA NA NA
Physical Medicine and Rehabilitation 4 38 23 5 61 24 5 61 30
Preventive Medicine and Public Health 1 3 0 1 3 1 1 3 2
Preventive Medicine (Occupational and Environmental)d 1 3 1 1 3 0 NA NA NA
Proctology 2 5 2 2 5 1 2 5 2
Psychiatry 13 151 65 14 175 78 16 242 94
 Child psychiatry 3 12 3 3 12 4 4 18 6
 Forensic psychiatry 0 0 0 1 4 0 1 4 0
 Geriatric psychiatry 1 3 1 2 6 1 2 6 0
Surgery (General) 43 620 481 46 671 507 51 765 554
 Cardiothoracic surgery 1 9 0 1 9 0 1 9 0
 Critical care surgeryc 3 7 0 3 7 1 3 7 1
 General vascular surgery 8 17 6 8 19 5 8 19 5
 Neurologic surgery 11 103 83 11 104 92 11 114 95
 Plastic and reconstructive surgery 7 24 16 6 23 17 7 26 15
 Urologic surgery 10 98 68 10 106 84 10 108 95
Combined
 Emergency medicine and family medicine 4 60 38 4 53 39 4 53 45
 Emergency medicine and internal medicine 11 129 82 11 117 80 11 122 74
 Integrated family medicine and NMM 8 64 18 8 64 31 8 64 38
 Integrated internal medicine and NMM 0 0 0 1 4 0 1 4 1
 Pediatrics and internal medicine 1 10 10 1 10 8 1 10 7
Conjointe
 Addiction medicine 0 0 0 1 6 0 1 6 6
 Adult and pediatric allergy and immunologyb NA NA NA NA NA NA 2 10 5
 Correctional medicinea NA NA NA NA NA NA 1 4 0
 Dermatopathology 0 0 0 1 2 1 1 2 0
 Hospice and palliative care 5 10 2 7 15 2 7 17 2
 Pain medicinea NA NA NA NA NA NA 1 5 0
 Pediatric emergency medicine 1 6 0 1 6 0 2 12 0
 Sleep medicine 1 2 0 2 8 0 2 8 4
 Sports medicine 17 47 19 19 56 18 20 57 19
 Undersea and hyperbaric medicine 1 2 0 1 2 1 1 2 1
Total 827 9110 5731 883 9741 6290 942 10,759 6883
  a New specialties in the 2012-2013 academic year: vascular and interventional radiology, correctional medicine, and pain medicine.
  b In the 2012-2013 academic year, allergy and immunology and pediatric allergy and immunology were combined into adult and pediatric allergy and immunology.
  c Starting with the 2011-2012 academic year, the subcategories of critical care medicine and critical care surgery were assigned to 2 different categories: internal medicine and surgery (general), respectively. Data for the 2010-2011 academic year have been adjusted to reflect this change.
  d Specialties not available in the 2012-2013 academic year: orthopedic spine surgery, pathology, and preventive medicine (occupational and environmental).
  e Addiction medicine, adult/pediatric allergy and immunology, correctional medicine, dermatopathology, hospice and palliative care, pain medicine, pediatric emergency medicine, sleep medicine, sports medicine, and undersea and hyperbaric medicine are fellowships governed by Conjoint Standards by 2 or more specialties.
  Abbreviations: AOA, American Osteopathic Association; NA, not applicable; 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 (TIVRA) system, academic year 2012-2013. Data for the 2010-2011 and 2011-2012 academic years have been reported previously in The Journal of the American Osteopathic Association.
×
Table 3.
Net Growth From the 2011-2012 to 2012-2013 Academic Years of the AOA-Approved Residency Programs and Approved and Filled Positions as Reported by Specialty
No.
Specialty Programs Positions Residents
Anesthesiology 0 2 6
 Anesthesiology and pain management 0 0 0
 Pediatric anesthesiology 0 0 0
Dermatology 4 18 8
 Mohs micrographic surgery 1 1 0
Diagnostic Radiology 2 29 3
 Pediatric radiology 0 0 0
 Vascular and interventional radiologya NA NA NA
Emergency Medicine 5 148 19
 Emergency medical service 0 0 −1
Family Medicine 15 341 204
 Geriatrics (family medicine) 3 6 3
Internal Medicine 9 192 175
 Cardiac electrophysiology 0 0 0
 Cardiology 2 12 16
 Cardiology (interventional) 0 0 −2
 Critical care medicine 0 8 6
 Endocrinology 1 2 2
 Gastroenterology 2 11 6
 Geriatrics (internal medicine) 0 0 −1
 Hematology and oncology 0 0 3
 Infectious diseases 1 4 1
 Nephrology 1 2 3
 Oncology 0 0 0
 Pulmonary (critical care) 2 10 4
 Pulmonary medicine −1 −4 −4
 Rheumatology 0 0 −2
Neurology 1 6 9
NMM/OMM −1 −3 −1
 NMM plus 1 −1 −1 5
Obstetrics and Gynecology −1 −16 −1
 Female pelvic medicine 0 0 0
 Gynecologic oncology 0 0 0
 Maternal and fetal medicine 0 0 6
 Reproductive endocrinology 0 0 0
Ophthalmology 0 −2 8
Orthopedic Surgery 2 32 21
 Hand surgery 0 0 0
 Musculoskeletal oncology 0 0 0
 Orthopedic spine surgeryb NA NA NA
Otolaryngology and Facial Plastic Surgery 0 0 −1
 Otolaryngic allergy 0 0 −2
Pathologyb NA NA NA
 Forensic pathology 0 0 0
Pediatrics 0 15 −5
Physical Medicine and Rehabilitation 0 0 6
Preventive Medicine and Public Health 0 0 1
Preventive Medicine (Occupational and Environmental)b NA NA NA
Proctology 0 0 1
Psychiatry 2 67 16
 Child and adolescent psychiatry 1 6 2
 Forensic psychiatry 0 0 0
 Geriatric psychiatry 0 0 −1
Surgery (General) 5 94 47
 Cardiothoracic surgery 0 0 0
 Critical care surgery 0 0 0
 General vascular surgery 0 0 0
 Neurologic surgery 0 10 3
 Plastic and reconstructive surgery 1 3 −2
 Urologic surgery 0 2 11
Combined
 Emergency medicine and family medicine 0 0 6
 Emergency medicine and internal medicine 0 5 −6
 Integrated family medicine and NMM 0 0 7
 Integrated internal medicine and NMM 0 0 1
 Pediatrics and internal medicine 0 0 −1
Conjoint Notec
 Addiction medicine 0 0 6
 Adult and pediatric allergy and immunologya NA NA NA
 Correctional medicinea NA NA NA
 Dermatopathology 0 0 −1
 Hospice and palliative care 0 2 0
 Pain medicinea NA NA NA
 Pediatric emergency medicine 1 6 0
 Sleep medicine 0 0 4
 Sports medicine 1 1 1
 Undersea and hyperbaric medicine 0 0 0
Total 59 1018 593
  a New specialties in the 2012-2013 academic year: vascular and interventional radiology, adult and pediatric allergy and immunology (previously available as allergy and immunology and pediatric allergy and immunology), correctional medicine, and pain medicine.
  b Specialties not available in the 2012-2013 academic year: orthopedic spine surgery, pathology, and preventive medicine (occupational and environmental).
  c Addiction medicine, adult and pediatric allergy and immunology, correctional medicine, dermatopathology, hospice and palliative care, pain medicine, pediatric emergency medicine, sleep medicine, sports medicine, and undersea and hyperbaric medicine are fellowships governed by Conjoint Standards by 2 or more specialties.
  Abbreviations: AOA, American Osteopathic Association; NA, not applicable; 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 (TIVRA) system, academic year 2012-2013. Data for the 2011-2012 academic year have been reported previously in The Journal of the American Osteopathic Association.
Table 3.
Net Growth From the 2011-2012 to 2012-2013 Academic Years of the AOA-Approved Residency Programs and Approved and Filled Positions as Reported by Specialty
No.
Specialty Programs Positions Residents
Anesthesiology 0 2 6
 Anesthesiology and pain management 0 0 0
 Pediatric anesthesiology 0 0 0
Dermatology 4 18 8
 Mohs micrographic surgery 1 1 0
Diagnostic Radiology 2 29 3
 Pediatric radiology 0 0 0
 Vascular and interventional radiologya NA NA NA
Emergency Medicine 5 148 19
 Emergency medical service 0 0 −1
Family Medicine 15 341 204
 Geriatrics (family medicine) 3 6 3
Internal Medicine 9 192 175
 Cardiac electrophysiology 0 0 0
 Cardiology 2 12 16
 Cardiology (interventional) 0 0 −2
 Critical care medicine 0 8 6
 Endocrinology 1 2 2
 Gastroenterology 2 11 6
 Geriatrics (internal medicine) 0 0 −1
 Hematology and oncology 0 0 3
 Infectious diseases 1 4 1
 Nephrology 1 2 3
 Oncology 0 0 0
 Pulmonary (critical care) 2 10 4
 Pulmonary medicine −1 −4 −4
 Rheumatology 0 0 −2
Neurology 1 6 9
NMM/OMM −1 −3 −1
 NMM plus 1 −1 −1 5
Obstetrics and Gynecology −1 −16 −1
 Female pelvic medicine 0 0 0
 Gynecologic oncology 0 0 0
 Maternal and fetal medicine 0 0 6
 Reproductive endocrinology 0 0 0
Ophthalmology 0 −2 8
Orthopedic Surgery 2 32 21
 Hand surgery 0 0 0
 Musculoskeletal oncology 0 0 0
 Orthopedic spine surgeryb NA NA NA
Otolaryngology and Facial Plastic Surgery 0 0 −1
 Otolaryngic allergy 0 0 −2
Pathologyb NA NA NA
 Forensic pathology 0 0 0
Pediatrics 0 15 −5
Physical Medicine and Rehabilitation 0 0 6
Preventive Medicine and Public Health 0 0 1
Preventive Medicine (Occupational and Environmental)b NA NA NA
Proctology 0 0 1
Psychiatry 2 67 16
 Child and adolescent psychiatry 1 6 2
 Forensic psychiatry 0 0 0
 Geriatric psychiatry 0 0 −1
Surgery (General) 5 94 47
 Cardiothoracic surgery 0 0 0
 Critical care surgery 0 0 0
 General vascular surgery 0 0 0
 Neurologic surgery 0 10 3
 Plastic and reconstructive surgery 1 3 −2
 Urologic surgery 0 2 11
Combined
 Emergency medicine and family medicine 0 0 6
 Emergency medicine and internal medicine 0 5 −6
 Integrated family medicine and NMM 0 0 7
 Integrated internal medicine and NMM 0 0 1
 Pediatrics and internal medicine 0 0 −1
Conjoint Notec
 Addiction medicine 0 0 6
 Adult and pediatric allergy and immunologya NA NA NA
 Correctional medicinea NA NA NA
 Dermatopathology 0 0 −1
 Hospice and palliative care 0 2 0
 Pain medicinea NA NA NA
 Pediatric emergency medicine 1 6 0
 Sleep medicine 0 0 4
 Sports medicine 1 1 1
 Undersea and hyperbaric medicine 0 0 0
Total 59 1018 593
  a New specialties in the 2012-2013 academic year: vascular and interventional radiology, adult and pediatric allergy and immunology (previously available as allergy and immunology and pediatric allergy and immunology), correctional medicine, and pain medicine.
  b Specialties not available in the 2012-2013 academic year: orthopedic spine surgery, pathology, and preventive medicine (occupational and environmental).
  c Addiction medicine, adult and pediatric allergy and immunology, correctional medicine, dermatopathology, hospice and palliative care, pain medicine, pediatric emergency medicine, sleep medicine, sports medicine, and undersea and hyperbaric medicine are fellowships governed by Conjoint Standards by 2 or more specialties.
  Abbreviations: AOA, American Osteopathic Association; NA, not applicable; 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 (TIVRA) system, academic year 2012-2013. Data for the 2011-2012 academic year have been reported previously in The Journal of the American Osteopathic Association.
×