JAOA/AACOM Medical Education  |   April 2017
Attitudes of Family Medicine Program Directors Toward Osteopathic Residents Under the Single Accreditation System
Author Notes
  • From University of Missouri–Kansas City (Drs Hempstead, Shaffer, and Williams) and Ft Belvoir Family Medicine Residency in Virginia (Dr Arnold). 
  • Disclaimer: The views expressed in this article are those of the authors and do not reflect the official policy of the Department of Army/Navy/Air Force or the Department of Defense. 
  •  *Address correspondence to Laura K. Hempstead, DO, 7900 Lee’s Summit Rd, Kansas City, MO 64139-1236. E-mail: laura.hempstead@tmcmed.org
     
Article Information
Medical Education / Graduate Medical Education
JAOA/AACOM Medical Education   |   April 2017
Attitudes of Family Medicine Program Directors Toward Osteopathic Residents Under the Single Accreditation System
The Journal of the American Osteopathic Association, April 2017, Vol. 117, 216-224. doi:10.7556/jaoa.2017.039
The Journal of the American Osteopathic Association, April 2017, Vol. 117, 216-224. doi:10.7556/jaoa.2017.039
Abstract

Background: Between 2015 and 2020, residency programs accredited through the American Osteopathic Association (AOA) are preparing the single graduate medical education (GME) system through the Accreditation Council for Graduate Medical Education (ACGME).

Objectives: (1) To assess the attitudes of family medicine program directors in programs accredited dually by the AOA and ACGME (AOA/ACGME) or ACGME only toward the clinical and academic preparedness of osteopathic residency candidates and (2) to determine program director attitudes toward the perceived value of osteopathic-focused education, including osteopathic manipulative treatment (OMT) curricula.

Methods: A survey was sent to program directors of AOA/ACGME and ACGME-only accredited family medicine residency programs. Items concerned program directors’ perception of the academic and clinical strength of osteopathic residents at the onset of residency, the presence of osteopathic faculty and residents currently in the program, and the presence of formal curricula for teaching OMT. The perceived value of osteopathic focus was obtained through a composite score of 5 items.

Results: A total of 38 AOA/ACGME family medicine residency program directors (17%) and 211 ACGME family medicine residency program directors (45.6%) completed the survey (N=249). No difference was found in the ranking of the perceived clinical preparation of osteopathic residents vs allopathic residents in programs with and without OMT curricula (P=.054). Directors of programs with OMT curricula perceived the academic preparation of their osteopathic residents vs allopathic residents more highly than those without OMT curricula (P=.039). Directors of AOA/ACGME programs perceived both the academic preparation and clinical preparation of their osteopathic residents more highly than those at ACGME-only programs (P=.004 and P=.002, respectively).

Conclusion: Directors of AOA/ACGME programs, as well as those whose programs have an osteopathic focus in curricular offerings, were more likely to rank the academic preparation of osteopathic residents higher than directors of ACGME-only programs and those without OMT curricula. Further research is needed to determine the value of osteopathic recognition in attracting strong family medicine residency candidates.

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