The American Osteopathic Association (AOA) Department of Education appreciates the opportunity to offer remarks with regard to Dr Shatsky's experience and concerns about the AOA board certification process.
The AOA has recognized some of the challenges that osteopathic physicians trained in Accreditation Council for Graduate Medical Education (ACGME) programs have experienced in achieving AOA board certification. In July 2008, the AOA Board of Trustees (BOT) established the Market Share Policy Council (MSPC) to analyze these challenges. After reviewing the ACGME training certification process, the MSPC presented final recommendations to the AOA BOT and House of Delegates Annual Business Meeting in July 2009.
Based on the MSPC's recommendations, several changes in the board certification process have been approved by the AOA BOT and put into effect. These changes, which will assist ACGME-trained osteopathic physicians in obtaining AOA board certification, include the following:
The Bureau of Osteopathic Specialists (BOS) oversees the board certification work of the 18 specialty certifying boards of the AOA. The certification process is not meant to be an onerous task for candidates, but it is designed to protect the public by ensuring that the credentialing process for osteopathic physicians is reliable and defensible. It is crucial that the standards and guidelines for certification be followed consistently for all candidates and diplomates.
At its meeting in October 2009, the Standards Review Committee of the BOS performed a review of candidate requirements for each of the boards, focusing on improving the clarity of information provided to the public. In concert with representative specialty certifying boards, the BOS established a task force to review the certification process and identify opportunities to improve efficiency. This task force held its first meeting in early December 2009, and we anticipate that a number of improvements will be presented to the BOS at its meeting in April 2010.
In addition, the AOA BOT has launched the Educational Policy and Procedures Review Committee III, chaired by trustee Robert S. Juhasz, DO. This committee has been charged with reengineering the continuum of educational systems and processes to improve the efficiency of all AOA education procedures and processes. The committee will begin its work in January 2010.
We sincerely appreciate comments about the certification process, such as those made by Dr Shatsky. Only through input from the candidates and others affected by the certification process can necessary changes be made.