Appendix: Osteopathic Graduate Medical Education, 2019

Bulmaro Martinez; Maura Biszewski

doi:10.7556/jaoa.2019.044

The American Osteopathic Association (AOA) Department of Education maintains historical annual data on approved, funded, and filled AOA positions, as reported by the National Matching Services (an AOA vendor) and the Trainee Information, Verification and Registration Audit (TIVRA) survey tool. The current appendix includes an update for the 2017-2018 academic year. The AOA does not finalize postdoctoral training data until May of each calendar year. The decline in the number of programs and positions is expected as programs achieve accreditation through the Accreditation Council for Graduate Medical Education and subsequently withdraw their AOA approval. For information about AOA-approved programs in light of the single accreditation system for graduate medical education, see the article from Buser et al on page 257 of this issue.

Approved positions are the number of training slots awarded to a program by the Program and Trainee Review Council upon 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 used to accommodate a trainee enrolled in the program.

Table 1 illustrates the distribution of AOA internship, residency, and fellowship programs and trainees filling available positions by state. Florida, Michigan, New York, Ohio, and Pennsylvania have the highest number of programs, positions, and trainees.

Table 1.

No. of AOA-Approved Programs and Trainees Filling Available Positions as Reported by State, 2017-2018 Academic Year, as of May 31, 2018^a

	Internship			Residency/Fellowship			Total
State	Programs	Positions	Trainees	Programs	Positions	Trainees	Programs	Positions	Trainees
Alabama	0	0	0	2	24	18	2	24	18
Alaska	0	0	0	1	12	8	1	12	8
Arizona	0	0	0	13	141	122	13	141	122
Arkansas	0	0	0	4	81	10	4	81	10
California	5	35	26	33	428	261	38	463	287
Colorado	0	0	0	11	163	89	11	163	89
Connecticut	2	18	6	4	46	43	6	64	49
District of Columbia	0	0	0	1	18	16	1	18	16
Delaware	0	0	0	1	24	8	1	24	8
Florida	7	131	69	91	1019	623	98	1150	692
Georgia	0	0	0	6	72	42	6	72	42
Idaho	0	0	0	1	12	11	1	12	11
Illinois	1	3	3	39	471	413	40	474	416
Indiana	0	0	0	4	45	38	4	45	38
Iowa	0	0	0	5	40	20	5	40	20
Kansas	0	0	0	1	20	15	1	20	15
Kentucky	0	0	0	8	81	45	8	81	45
Maine	0	0	0	6	67	39	6	67	39
Maryland	0	0	0	1	18	0	1	18	0
Massachusetts	1	4	0	3	25	19	4	29	19
Michigan	13	135	44	139	1663	1075	152	1798	1119
Mississippi	1	12	10	4	66	48	5	78	58
Missouri	3	15	6	21	155	113	24	170	119
Montana	0	0	0	1	12	8	1	12	8
Nevada	1	10	0	9	105	28	10	115	28
New Jersey	6	93	45	65	857	575	71	950	620
New Mexico	1	6	6	7	86	11	8	92	17
New York	12	163	86	81	1012	687	93	1175	773
North Carolina	4	62	24	17	285	139	21	347	163
Ohio	5	50	20	86	996	760	91	1046	780
Oklahoma	2	16	7	35	445	360	37	461	367
Oregon	1	12	4	12	129	105	13	141	109
Pennsylvania	14	109	64	98	1304	907	112	1413	971
Rhode Island	0	0	0	5	68	57	5	68	57
South Carolina	0	0	0	2	22	0	2	22	0
Tennessee	0	0	0	1	10	10	1	10	10
Texas	1	12	10	20	203	96	21	215	106
Utah	0	0	0	3	57	6	3	57	6
Virginia	1	5	4	15	258	193	16	263	197
Washington	0	0	0	9	138	102	9	138	102
West Virginia	3	8	3	13	154	105	16	162	108
Wisconsin	0	0	0	1	10	6	1	10	6
Wyoming	0	0	0	2	21	16	2	21	16

^a Data shown represent positions approved by the American Osteopathic Association (AOA) Program and Trainee Review Council and are not necessarily all funded. No internship, residency, or fellowship programs were approved by the AOA during the 2017-2018 academic year in Hawaii, Louisiana, Nebraska, New Hampshire, North Dakota, South Dakota, and Vermont.

Source: Training Programs by State: Year-End Reports, Division of Postdoctoral Training, AOA, Chicago, Illinois.

View Large

Table 1.

No. of AOA-Approved Programs and Trainees Filling Available Positions as Reported by State, 2017-2018 Academic Year, as of May 31, 2018^a

	Internship			Residency/Fellowship			Total
State	Programs	Positions	Trainees	Programs	Positions	Trainees	Programs	Positions	Trainees
Alabama	0	0	0	2	24	18	2	24	18
Alaska	0	0	0	1	12	8	1	12	8
Arizona	0	0	0	13	141	122	13	141	122
Arkansas	0	0	0	4	81	10	4	81	10
California	5	35	26	33	428	261	38	463	287
Colorado	0	0	0	11	163	89	11	163	89
Connecticut	2	18	6	4	46	43	6	64	49
District of Columbia	0	0	0	1	18	16	1	18	16
Delaware	0	0	0	1	24	8	1	24	8
Florida	7	131	69	91	1019	623	98	1150	692
Georgia	0	0	0	6	72	42	6	72	42
Idaho	0	0	0	1	12	11	1	12	11
Illinois	1	3	3	39	471	413	40	474	416
Indiana	0	0	0	4	45	38	4	45	38
Iowa	0	0	0	5	40	20	5	40	20
Kansas	0	0	0	1	20	15	1	20	15
Kentucky	0	0	0	8	81	45	8	81	45
Maine	0	0	0	6	67	39	6	67	39
Maryland	0	0	0	1	18	0	1	18	0
Massachusetts	1	4	0	3	25	19	4	29	19
Michigan	13	135	44	139	1663	1075	152	1798	1119
Mississippi	1	12	10	4	66	48	5	78	58
Missouri	3	15	6	21	155	113	24	170	119
Montana	0	0	0	1	12	8	1	12	8
Nevada	1	10	0	9	105	28	10	115	28
New Jersey	6	93	45	65	857	575	71	950	620
New Mexico	1	6	6	7	86	11	8	92	17
New York	12	163	86	81	1012	687	93	1175	773
North Carolina	4	62	24	17	285	139	21	347	163
Ohio	5	50	20	86	996	760	91	1046	780
Oklahoma	2	16	7	35	445	360	37	461	367
Oregon	1	12	4	12	129	105	13	141	109
Pennsylvania	14	109	64	98	1304	907	112	1413	971
Rhode Island	0	0	0	5	68	57	5	68	57
South Carolina	0	0	0	2	22	0	2	22	0
Tennessee	0	0	0	1	10	10	1	10	10
Texas	1	12	10	20	203	96	21	215	106
Utah	0	0	0	3	57	6	3	57	6
Virginia	1	5	4	15	258	193	16	263	197
Washington	0	0	0	9	138	102	9	138	102
West Virginia	3	8	3	13	154	105	16	162	108
Wisconsin	0	0	0	1	10	6	1	10	6
Wyoming	0	0	0	2	21	16	2	21	16

^a Data shown represent positions approved by the American Osteopathic Association (AOA) Program and Trainee Review Council and are not necessarily all funded. No internship, residency, or fellowship programs were approved by the AOA during the 2017-2018 academic year in Hawaii, Louisiana, Nebraska, New Hampshire, North Dakota, South Dakota, and Vermont.

Source: Training Programs by State: Year-End Reports, Division of Postdoctoral Training, AOA, Chicago, Illinois.

Table 2 shows the number of AOA-approved residency and fellowship programs and their approved and filled positions as reported by academic year and specialty. Fifty percent of residents are in the primary care specialties of family medicine (30%) and internal medicine (20%) for 2017-2018. They were followed by emergency medicine, which accounted for 12% of total residents.

Table 2.

No. of AOA-Approved Residency Programs and Approved/Filled Positions as Reported by Academic Year and Specialty as of May 31, 2018^a

	2015-2016			2016-2017			2017-2018
Specialty	Programs	Positions	Residents	Programs	Positions	Residents	Programs	Positions	Residents
Anesthesiology	13	139	121	13	139	122	10	87	73
Anesthesiology and pain management	3	6	2	2	3	2	2	3	1
Pediatric anesthesiology	1	3	1	1	3	1	1	3	0
Dermatology	33	226	150	28	194	132	24	165	117
MOHS micrographic surgery	5	6	4	5	6	5	4	4	3
Pediatric dermatology	1	2	0	1	2	0	1	2	0
Diagnostic Radiology	14	156	112	11	120	94	8	82	65
Vascular and interventional radiology	1	3	0	NA	NA	NA	NA	NA	NA
Emergency Medicine	63	1468	1080	56	1369	1075	46	1063	844
Family Medicine	258	3874	2314	246	3812	2383	218	3381	2167
Geriatrics (family medicine)	15	44	5	13	39	6	10	33	3
Internal Medicine	141	2977	1798	132	2832	1829	107	2173	1427
Cardiac electrophysiology	1	3	0	1	3	0	1	3	0
Cardiology	30	207	144	29	207	157	25	189	142
Cardiology (interventional)	13	31	10	12	28	14	13	29	14
Critical care medicine	7	27	20	8	32	21	6	27	19
Endocrinology	5	15	6	5	16	8	6	20	10
Gastroenterology	23	120	76	22	118	92	22	113	86
Geriatrics (internal medicine)	10	34	2	8	28	1	8	27	0
Hematology and oncology	6	21	16	4	16	15	4	16	16
Infectious diseases	6	23	6	6	23	3	3	11	0
Nephrology	9	27	9	8	24	5	4	12	4
Oncology	2	7	0	1	4	2	1	4	1
Pulmonary (critical care)	14	69	43	14	69	52	15	78	52
Pulmonary medicine	1	2	0	NA	NA	NA	NA	NA	NA
Rheumatology	3	10	7	3	10	9	4	14	9
Neurology	11	129	78	11	147	83	9	107	59
NMM and Osteopathic Manipulative Medicine	8	41	17	9	47	19	9	47	18
NMM plus 1	31	102	29	30	99	31	30	99	36
Obstetrics and Gynecology	36	442	319	32	393	295	25	311	216
Female pelvic medicine	2	4	2	2	4	2	2	4	1
Gynecological oncology	4	12	8	4	12	8	4	12	9
Maternal and fetal medicine	5	17	15	5	16	13	4	13	11
Reproductive endocrinology	3	9	2	2	6	2	2	6	2
Ophthalmology	14	79	53	13	73	56	13	77	51
Orthopedic Surgery	44	700	534	43	697	565	42	683	546
Hand surgery	1	3	1	1	3	1	1	3	1
Otolaryngology and Facial Plastic Surgery	20	149	117	18	139	109	16	126	93
Otolaryngic allergy	3	9	2	3	9	2	2	6	2
Pediatrics	21	316	207	19	284	220	10	157	113
Physical Medicine and Rehabilitation Medicine	6	70	45	6	70	52	6	70	58
Preventive Medicine and Public Health	1	3	0	1	3	0	1	3	0
Preventive Medicine (Occupational and Environmental)	1	6	0	NA	NA	NA	NA	NA	NA
Proctology	2	5	2	2	5	3	2	5	1
Psychiatry	24	362	174	22	358	178	15	246	114
Child and adolescent psychiatry	5	22	8	5	22	9	5	22	8
Forensic psychiatry	1	4	0	1	4	0	1	4	0
Geriatric psychiatry	2	6	0	2	6	0	2	6	0
Surgery (General)	59	982	651	57	949	686	47	761	556
Cardiothoracic surgery	1	9	0	NA	NA	NA	NA	NA	NA
Critical care surgery	4	11	5	4	11	5	3	9	1
General vascular surgery	6	14	10	6	14	10	6	14	8
Neurological surgery	11	126	91	11	126	93	10	114	74
Plastic and reconstructive surgery	8	32	18	8	32	20	6	26	19
Urological surgery	11	123	97	8	87	68	4	37	29
Combined
Emergency medicine and family medicine	3	52	38	3	52	32	3	52	24
Emergency medicine and internal medicine	8	101	65	7	95	57	7	95	42
Integrated FM/NMM	9	75	48	9	75	59	8	70	50
Integrated IM/NMM	1	4	3	1	4	2	1	4	1
Pediatrics and internal medicine	1	10	5	NA	NA	NA	NA	NA	NA
Conjoint^b
Addiction medicine	1	6	3	1	6	0	1	6	0
Adult/pediatric allergy and immunology	2	10	9	2	10	10	2	10	11
Correctional medicine	2	6	0	2	6	0	2	6	0
Dermatopathology	2	4	0	2	4	2	1	2	1
Hospice and palliative medicine	15	34	14	16	36	10	13	30	6
Pain medicine	1	5	4	1	5	4	1	5	5
Pediatric emergency medicine	2	12	0	2	12	0	2	12	0
Sleep medicine	2	8	2	1	6	0	1	6	2
Sports medicine	24	72	31	21	63	30	18	56	26
Undersea and hyperbaric medicine	1	2	1	1	2	1	1	2	0
Total Residency/ Fellowship	1097	13,688	8634	1023	13,089	8765	881	10,863	7247
Internship	103	1056	469	92	956	441	84	899	437
Total	1200	14,744	9103	1115	14,045	9206	965	11,765	7684

^a Approved positions are not necessarily funded. Data include fellowship programs, positions, and residents.

^b Fellowships governed by Conjoint Standards by 2 or more specialties.

Abbreviations: AOA, American Osteopathic Association; NA, not available; NMM, neuromusculoskeletal medicine.

Source: 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 system, (TIVRA) academic years 2017-2018. Data for the 2015-2016 and 2016-2017 academic years have been reported previously in The Journal of the American Osteopathic Association.

View Large

Table 2.

No. of AOA-Approved Residency Programs and Approved/Filled Positions as Reported by Academic Year and Specialty as of May 31, 2018^a

	2015-2016			2016-2017			2017-2018
Specialty	Programs	Positions	Residents	Programs	Positions	Residents	Programs	Positions	Residents
Anesthesiology	13	139	121	13	139	122	10	87	73
Anesthesiology and pain management	3	6	2	2	3	2	2	3	1
Pediatric anesthesiology	1	3	1	1	3	1	1	3	0
Dermatology	33	226	150	28	194	132	24	165	117
MOHS micrographic surgery	5	6	4	5	6	5	4	4	3
Pediatric dermatology	1	2	0	1	2	0	1	2	0
Diagnostic Radiology	14	156	112	11	120	94	8	82	65
Vascular and interventional radiology	1	3	0	NA	NA	NA	NA	NA	NA
Emergency Medicine	63	1468	1080	56	1369	1075	46	1063	844
Family Medicine	258	3874	2314	246	3812	2383	218	3381	2167
Geriatrics (family medicine)	15	44	5	13	39	6	10	33	3
Internal Medicine	141	2977	1798	132	2832	1829	107	2173	1427
Cardiac electrophysiology	1	3	0	1	3	0	1	3	0
Cardiology	30	207	144	29	207	157	25	189	142
Cardiology (interventional)	13	31	10	12	28	14	13	29	14
Critical care medicine	7	27	20	8	32	21	6	27	19
Endocrinology	5	15	6	5	16	8	6	20	10
Gastroenterology	23	120	76	22	118	92	22	113	86
Geriatrics (internal medicine)	10	34	2	8	28	1	8	27	0
Hematology and oncology	6	21	16	4	16	15	4	16	16
Infectious diseases	6	23	6	6	23	3	3	11	0
Nephrology	9	27	9	8	24	5	4	12	4
Oncology	2	7	0	1	4	2	1	4	1
Pulmonary (critical care)	14	69	43	14	69	52	15	78	52
Pulmonary medicine	1	2	0	NA	NA	NA	NA	NA	NA
Rheumatology	3	10	7	3	10	9	4	14	9
Neurology	11	129	78	11	147	83	9	107	59
NMM and Osteopathic Manipulative Medicine	8	41	17	9	47	19	9	47	18
NMM plus 1	31	102	29	30	99	31	30	99	36
Obstetrics and Gynecology	36	442	319	32	393	295	25	311	216
Female pelvic medicine	2	4	2	2	4	2	2	4	1
Gynecological oncology	4	12	8	4	12	8	4	12	9
Maternal and fetal medicine	5	17	15	5	16	13	4	13	11
Reproductive endocrinology	3	9	2	2	6	2	2	6	2
Ophthalmology	14	79	53	13	73	56	13	77	51
Orthopedic Surgery	44	700	534	43	697	565	42	683	546
Hand surgery	1	3	1	1	3	1	1	3	1
Otolaryngology and Facial Plastic Surgery	20	149	117	18	139	109	16	126	93
Otolaryngic allergy	3	9	2	3	9	2	2	6	2
Pediatrics	21	316	207	19	284	220	10	157	113
Physical Medicine and Rehabilitation Medicine	6	70	45	6	70	52	6	70	58
Preventive Medicine and Public Health	1	3	0	1	3	0	1	3	0
Preventive Medicine (Occupational and Environmental)	1	6	0	NA	NA	NA	NA	NA	NA
Proctology	2	5	2	2	5	3	2	5	1
Psychiatry	24	362	174	22	358	178	15	246	114
Child and adolescent psychiatry	5	22	8	5	22	9	5	22	8
Forensic psychiatry	1	4	0	1	4	0	1	4	0
Geriatric psychiatry	2	6	0	2	6	0	2	6	0
Surgery (General)	59	982	651	57	949	686	47	761	556
Cardiothoracic surgery	1	9	0	NA	NA	NA	NA	NA	NA
Critical care surgery	4	11	5	4	11	5	3	9	1
General vascular surgery	6	14	10	6	14	10	6	14	8
Neurological surgery	11	126	91	11	126	93	10	114	74
Plastic and reconstructive surgery	8	32	18	8	32	20	6	26	19
Urological surgery	11	123	97	8	87	68	4	37	29
Combined
Emergency medicine and family medicine	3	52	38	3	52	32	3	52	24
Emergency medicine and internal medicine	8	101	65	7	95	57	7	95	42
Integrated FM/NMM	9	75	48	9	75	59	8	70	50
Integrated IM/NMM	1	4	3	1	4	2	1	4	1
Pediatrics and internal medicine	1	10	5	NA	NA	NA	NA	NA	NA
Conjoint^b
Addiction medicine	1	6	3	1	6	0	1	6	0
Adult/pediatric allergy and immunology	2	10	9	2	10	10	2	10	11
Correctional medicine	2	6	0	2	6	0	2	6	0
Dermatopathology	2	4	0	2	4	2	1	2	1
Hospice and palliative medicine	15	34	14	16	36	10	13	30	6
Pain medicine	1	5	4	1	5	4	1	5	5
Pediatric emergency medicine	2	12	0	2	12	0	2	12	0
Sleep medicine	2	8	2	1	6	0	1	6	2
Sports medicine	24	72	31	21	63	30	18	56	26
Undersea and hyperbaric medicine	1	2	1	1	2	1	1	2	0
Total Residency/ Fellowship	1097	13,688	8634	1023	13,089	8765	881	10,863	7247
Internship	103	1056	469	92	956	441	84	899	437
Total	1200	14,744	9103	1115	14,045	9206	965	11,765	7684

^a Approved positions are not necessarily funded. Data include fellowship programs, positions, and residents.

^b Fellowships governed by Conjoint Standards by 2 or more specialties.

Abbreviations: AOA, American Osteopathic Association; NA, not available; NMM, neuromusculoskeletal medicine.

Source: 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 system, (TIVRA) academic years 2017-2018. Data for the 2015-2016 and 2016-2017 academic years have been reported previously in The Journal of the American Osteopathic Association.

Editor's Note: This article is an update of last year's appendix (http://jaoa.org/article.aspx?articleid=2676983) on osteopathic graduate medical education.

Table 1.

No. of AOA-Approved Programs and Trainees Filling Available Positions as Reported by State, 2017-2018 Academic Year, as of May 31, 2018^a

	Internship			Residency/Fellowship			Total
State	Programs	Positions	Trainees	Programs	Positions	Trainees	Programs	Positions	Trainees
Alabama	0	0	0	2	24	18	2	24	18
Alaska	0	0	0	1	12	8	1	12	8
Arizona	0	0	0	13	141	122	13	141	122
Arkansas	0	0	0	4	81	10	4	81	10
California	5	35	26	33	428	261	38	463	287
Colorado	0	0	0	11	163	89	11	163	89
Connecticut	2	18	6	4	46	43	6	64	49
District of Columbia	0	0	0	1	18	16	1	18	16
Delaware	0	0	0	1	24	8	1	24	8
Florida	7	131	69	91	1019	623	98	1150	692
Georgia	0	0	0	6	72	42	6	72	42
Idaho	0	0	0	1	12	11	1	12	11
Illinois	1	3	3	39	471	413	40	474	416
Indiana	0	0	0	4	45	38	4	45	38
Iowa	0	0	0	5	40	20	5	40	20
Kansas	0	0	0	1	20	15	1	20	15
Kentucky	0	0	0	8	81	45	8	81	45
Maine	0	0	0	6	67	39	6	67	39
Maryland	0	0	0	1	18	0	1	18	0
Massachusetts	1	4	0	3	25	19	4	29	19
Michigan	13	135	44	139	1663	1075	152	1798	1119
Mississippi	1	12	10	4	66	48	5	78	58
Missouri	3	15	6	21	155	113	24	170	119
Montana	0	0	0	1	12	8	1	12	8
Nevada	1	10	0	9	105	28	10	115	28
New Jersey	6	93	45	65	857	575	71	950	620
New Mexico	1	6	6	7	86	11	8	92	17
New York	12	163	86	81	1012	687	93	1175	773
North Carolina	4	62	24	17	285	139	21	347	163
Ohio	5	50	20	86	996	760	91	1046	780
Oklahoma	2	16	7	35	445	360	37	461	367
Oregon	1	12	4	12	129	105	13	141	109
Pennsylvania	14	109	64	98	1304	907	112	1413	971
Rhode Island	0	0	0	5	68	57	5	68	57
South Carolina	0	0	0	2	22	0	2	22	0
Tennessee	0	0	0	1	10	10	1	10	10
Texas	1	12	10	20	203	96	21	215	106
Utah	0	0	0	3	57	6	3	57	6
Virginia	1	5	4	15	258	193	16	263	197
Washington	0	0	0	9	138	102	9	138	102
West Virginia	3	8	3	13	154	105	16	162	108
Wisconsin	0	0	0	1	10	6	1	10	6
Wyoming	0	0	0	2	21	16	2	21	16

^a Data shown represent positions approved by the American Osteopathic Association (AOA) Program and Trainee Review Council and are not necessarily all funded. No internship, residency, or fellowship programs were approved by the AOA during the 2017-2018 academic year in Hawaii, Louisiana, Nebraska, New Hampshire, North Dakota, South Dakota, and Vermont.

Source: Training Programs by State: Year-End Reports, Division of Postdoctoral Training, AOA, Chicago, Illinois.

View Large

Table 1.

No. of AOA-Approved Programs and Trainees Filling Available Positions as Reported by State, 2017-2018 Academic Year, as of May 31, 2018^a

	Internship			Residency/Fellowship			Total
State	Programs	Positions	Trainees	Programs	Positions	Trainees	Programs	Positions	Trainees
Alabama	0	0	0	2	24	18	2	24	18
Alaska	0	0	0	1	12	8	1	12	8
Arizona	0	0	0	13	141	122	13	141	122
Arkansas	0	0	0	4	81	10	4	81	10
California	5	35	26	33	428	261	38	463	287
Colorado	0	0	0	11	163	89	11	163	89
Connecticut	2	18	6	4	46	43	6	64	49
District of Columbia	0	0	0	1	18	16	1	18	16
Delaware	0	0	0	1	24	8	1	24	8
Florida	7	131	69	91	1019	623	98	1150	692
Georgia	0	0	0	6	72	42	6	72	42
Idaho	0	0	0	1	12	11	1	12	11
Illinois	1	3	3	39	471	413	40	474	416
Indiana	0	0	0	4	45	38	4	45	38
Iowa	0	0	0	5	40	20	5	40	20
Kansas	0	0	0	1	20	15	1	20	15
Kentucky	0	0	0	8	81	45	8	81	45
Maine	0	0	0	6	67	39	6	67	39
Maryland	0	0	0	1	18	0	1	18	0
Massachusetts	1	4	0	3	25	19	4	29	19
Michigan	13	135	44	139	1663	1075	152	1798	1119
Mississippi	1	12	10	4	66	48	5	78	58
Missouri	3	15	6	21	155	113	24	170	119
Montana	0	0	0	1	12	8	1	12	8
Nevada	1	10	0	9	105	28	10	115	28
New Jersey	6	93	45	65	857	575	71	950	620
New Mexico	1	6	6	7	86	11	8	92	17
New York	12	163	86	81	1012	687	93	1175	773
North Carolina	4	62	24	17	285	139	21	347	163
Ohio	5	50	20	86	996	760	91	1046	780
Oklahoma	2	16	7	35	445	360	37	461	367
Oregon	1	12	4	12	129	105	13	141	109
Pennsylvania	14	109	64	98	1304	907	112	1413	971
Rhode Island	0	0	0	5	68	57	5	68	57
South Carolina	0	0	0	2	22	0	2	22	0
Tennessee	0	0	0	1	10	10	1	10	10
Texas	1	12	10	20	203	96	21	215	106
Utah	0	0	0	3	57	6	3	57	6
Virginia	1	5	4	15	258	193	16	263	197
Washington	0	0	0	9	138	102	9	138	102
West Virginia	3	8	3	13	154	105	16	162	108
Wisconsin	0	0	0	1	10	6	1	10	6
Wyoming	0	0	0	2	21	16	2	21	16

^a Data shown represent positions approved by the American Osteopathic Association (AOA) Program and Trainee Review Council and are not necessarily all funded. No internship, residency, or fellowship programs were approved by the AOA during the 2017-2018 academic year in Hawaii, Louisiana, Nebraska, New Hampshire, 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/Filled Positions as Reported by Academic Year and Specialty as of May 31, 2018^a

	2015-2016			2016-2017			2017-2018
Specialty	Programs	Positions	Residents	Programs	Positions	Residents	Programs	Positions	Residents
Anesthesiology	13	139	121	13	139	122	10	87	73
Anesthesiology and pain management	3	6	2	2	3	2	2	3	1
Pediatric anesthesiology	1	3	1	1	3	1	1	3	0
Dermatology	33	226	150	28	194	132	24	165	117
MOHS micrographic surgery	5	6	4	5	6	5	4	4	3
Pediatric dermatology	1	2	0	1	2	0	1	2	0
Diagnostic Radiology	14	156	112	11	120	94	8	82	65
Vascular and interventional radiology	1	3	0	NA	NA	NA	NA	NA	NA
Emergency Medicine	63	1468	1080	56	1369	1075	46	1063	844
Family Medicine	258	3874	2314	246	3812	2383	218	3381	2167
Geriatrics (family medicine)	15	44	5	13	39	6	10	33	3
Internal Medicine	141	2977	1798	132	2832	1829	107	2173	1427
Cardiac electrophysiology	1	3	0	1	3	0	1	3	0
Cardiology	30	207	144	29	207	157	25	189	142
Cardiology (interventional)	13	31	10	12	28	14	13	29	14
Critical care medicine	7	27	20	8	32	21	6	27	19
Endocrinology	5	15	6	5	16	8	6	20	10
Gastroenterology	23	120	76	22	118	92	22	113	86
Geriatrics (internal medicine)	10	34	2	8	28	1	8	27	0
Hematology and oncology	6	21	16	4	16	15	4	16	16
Infectious diseases	6	23	6	6	23	3	3	11	0
Nephrology	9	27	9	8	24	5	4	12	4
Oncology	2	7	0	1	4	2	1	4	1
Pulmonary (critical care)	14	69	43	14	69	52	15	78	52
Pulmonary medicine	1	2	0	NA	NA	NA	NA	NA	NA
Rheumatology	3	10	7	3	10	9	4	14	9
Neurology	11	129	78	11	147	83	9	107	59
NMM and Osteopathic Manipulative Medicine	8	41	17	9	47	19	9	47	18
NMM plus 1	31	102	29	30	99	31	30	99	36
Obstetrics and Gynecology	36	442	319	32	393	295	25	311	216
Female pelvic medicine	2	4	2	2	4	2	2	4	1
Gynecological oncology	4	12	8	4	12	8	4	12	9
Maternal and fetal medicine	5	17	15	5	16	13	4	13	11
Reproductive endocrinology	3	9	2	2	6	2	2	6	2
Ophthalmology	14	79	53	13	73	56	13	77	51
Orthopedic Surgery	44	700	534	43	697	565	42	683	546
Hand surgery	1	3	1	1	3	1	1	3	1
Otolaryngology and Facial Plastic Surgery	20	149	117	18	139	109	16	126	93
Otolaryngic allergy	3	9	2	3	9	2	2	6	2
Pediatrics	21	316	207	19	284	220	10	157	113
Physical Medicine and Rehabilitation Medicine	6	70	45	6	70	52	6	70	58
Preventive Medicine and Public Health	1	3	0	1	3	0	1	3	0
Preventive Medicine (Occupational and Environmental)	1	6	0	NA	NA	NA	NA	NA	NA
Proctology	2	5	2	2	5	3	2	5	1
Psychiatry	24	362	174	22	358	178	15	246	114
Child and adolescent psychiatry	5	22	8	5	22	9	5	22	8
Forensic psychiatry	1	4	0	1	4	0	1	4	0
Geriatric psychiatry	2	6	0	2	6	0	2	6	0
Surgery (General)	59	982	651	57	949	686	47	761	556
Cardiothoracic surgery	1	9	0	NA	NA	NA	NA	NA	NA
Critical care surgery	4	11	5	4	11	5	3	9	1
General vascular surgery	6	14	10	6	14	10	6	14	8
Neurological surgery	11	126	91	11	126	93	10	114	74
Plastic and reconstructive surgery	8	32	18	8	32	20	6	26	19
Urological surgery	11	123	97	8	87	68	4	37	29
Combined
Emergency medicine and family medicine	3	52	38	3	52	32	3	52	24
Emergency medicine and internal medicine	8	101	65	7	95	57	7	95	42
Integrated FM/NMM	9	75	48	9	75	59	8	70	50
Integrated IM/NMM	1	4	3	1	4	2	1	4	1
Pediatrics and internal medicine	1	10	5	NA	NA	NA	NA	NA	NA
Conjoint^b
Addiction medicine	1	6	3	1	6	0	1	6	0
Adult/pediatric allergy and immunology	2	10	9	2	10	10	2	10	11
Correctional medicine	2	6	0	2	6	0	2	6	0
Dermatopathology	2	4	0	2	4	2	1	2	1
Hospice and palliative medicine	15	34	14	16	36	10	13	30	6
Pain medicine	1	5	4	1	5	4	1	5	5
Pediatric emergency medicine	2	12	0	2	12	0	2	12	0
Sleep medicine	2	8	2	1	6	0	1	6	2
Sports medicine	24	72	31	21	63	30	18	56	26
Undersea and hyperbaric medicine	1	2	1	1	2	1	1	2	0
Total Residency/ Fellowship	1097	13,688	8634	1023	13,089	8765	881	10,863	7247
Internship	103	1056	469	92	956	441	84	899	437
Total	1200	14,744	9103	1115	14,045	9206	965	11,765	7684

^a Approved positions are not necessarily funded. Data include fellowship programs, positions, and residents.

^b Fellowships governed by Conjoint Standards by 2 or more specialties.

Abbreviations: AOA, American Osteopathic Association; NA, not available; NMM, neuromusculoskeletal medicine.

Source: 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 system, (TIVRA) academic years 2017-2018. Data for the 2015-2016 and 2016-2017 academic years have been reported previously in The Journal of the American Osteopathic Association.

View Large

Table 2.

No. of AOA-Approved Residency Programs and Approved/Filled Positions as Reported by Academic Year and Specialty as of May 31, 2018^a

	2015-2016			2016-2017			2017-2018
Specialty	Programs	Positions	Residents	Programs	Positions	Residents	Programs	Positions	Residents
Anesthesiology	13	139	121	13	139	122	10	87	73
Anesthesiology and pain management	3	6	2	2	3	2	2	3	1
Pediatric anesthesiology	1	3	1	1	3	1	1	3	0
Dermatology	33	226	150	28	194	132	24	165	117
MOHS micrographic surgery	5	6	4	5	6	5	4	4	3
Pediatric dermatology	1	2	0	1	2	0	1	2	0
Diagnostic Radiology	14	156	112	11	120	94	8	82	65
Vascular and interventional radiology	1	3	0	NA	NA	NA	NA	NA	NA
Emergency Medicine	63	1468	1080	56	1369	1075	46	1063	844
Family Medicine	258	3874	2314	246	3812	2383	218	3381	2167
Geriatrics (family medicine)	15	44	5	13	39	6	10	33	3
Internal Medicine	141	2977	1798	132	2832	1829	107	2173	1427
Cardiac electrophysiology	1	3	0	1	3	0	1	3	0
Cardiology	30	207	144	29	207	157	25	189	142
Cardiology (interventional)	13	31	10	12	28	14	13	29	14
Critical care medicine	7	27	20	8	32	21	6	27	19
Endocrinology	5	15	6	5	16	8	6	20	10
Gastroenterology	23	120	76	22	118	92	22	113	86
Geriatrics (internal medicine)	10	34	2	8	28	1	8	27	0
Hematology and oncology	6	21	16	4	16	15	4	16	16
Infectious diseases	6	23	6	6	23	3	3	11	0
Nephrology	9	27	9	8	24	5	4	12	4
Oncology	2	7	0	1	4	2	1	4	1
Pulmonary (critical care)	14	69	43	14	69	52	15	78	52
Pulmonary medicine	1	2	0	NA	NA	NA	NA	NA	NA
Rheumatology	3	10	7	3	10	9	4	14	9
Neurology	11	129	78	11	147	83	9	107	59
NMM and Osteopathic Manipulative Medicine	8	41	17	9	47	19	9	47	18
NMM plus 1	31	102	29	30	99	31	30	99	36
Obstetrics and Gynecology	36	442	319	32	393	295	25	311	216
Female pelvic medicine	2	4	2	2	4	2	2	4	1
Gynecological oncology	4	12	8	4	12	8	4	12	9
Maternal and fetal medicine	5	17	15	5	16	13	4	13	11
Reproductive endocrinology	3	9	2	2	6	2	2	6	2
Ophthalmology	14	79	53	13	73	56	13	77	51
Orthopedic Surgery	44	700	534	43	697	565	42	683	546
Hand surgery	1	3	1	1	3	1	1	3	1
Otolaryngology and Facial Plastic Surgery	20	149	117	18	139	109	16	126	93
Otolaryngic allergy	3	9	2	3	9	2	2	6	2
Pediatrics	21	316	207	19	284	220	10	157	113
Physical Medicine and Rehabilitation Medicine	6	70	45	6	70	52	6	70	58
Preventive Medicine and Public Health	1	3	0	1	3	0	1	3	0
Preventive Medicine (Occupational and Environmental)	1	6	0	NA	NA	NA	NA	NA	NA
Proctology	2	5	2	2	5	3	2	5	1
Psychiatry	24	362	174	22	358	178	15	246	114
Child and adolescent psychiatry	5	22	8	5	22	9	5	22	8
Forensic psychiatry	1	4	0	1	4	0	1	4	0
Geriatric psychiatry	2	6	0	2	6	0	2	6	0
Surgery (General)	59	982	651	57	949	686	47	761	556
Cardiothoracic surgery	1	9	0	NA	NA	NA	NA	NA	NA
Critical care surgery	4	11	5	4	11	5	3	9	1
General vascular surgery	6	14	10	6	14	10	6	14	8
Neurological surgery	11	126	91	11	126	93	10	114	74
Plastic and reconstructive surgery	8	32	18	8	32	20	6	26	19
Urological surgery	11	123	97	8	87	68	4	37	29
Combined
Emergency medicine and family medicine	3	52	38	3	52	32	3	52	24
Emergency medicine and internal medicine	8	101	65	7	95	57	7	95	42
Integrated FM/NMM	9	75	48	9	75	59	8	70	50
Integrated IM/NMM	1	4	3	1	4	2	1	4	1
Pediatrics and internal medicine	1	10	5	NA	NA	NA	NA	NA	NA
Conjoint^b
Addiction medicine	1	6	3	1	6	0	1	6	0
Adult/pediatric allergy and immunology	2	10	9	2	10	10	2	10	11
Correctional medicine	2	6	0	2	6	0	2	6	0
Dermatopathology	2	4	0	2	4	2	1	2	1
Hospice and palliative medicine	15	34	14	16	36	10	13	30	6
Pain medicine	1	5	4	1	5	4	1	5	5
Pediatric emergency medicine	2	12	0	2	12	0	2	12	0
Sleep medicine	2	8	2	1	6	0	1	6	2
Sports medicine	24	72	31	21	63	30	18	56	26
Undersea and hyperbaric medicine	1	2	1	1	2	1	1	2	0
Total Residency/ Fellowship	1097	13,688	8634	1023	13,089	8765	881	10,863	7247
Internship	103	1056	469	92	956	441	84	899	437
Total	1200	14,744	9103	1115	14,045	9206	965	11,765	7684

^a Approved positions are not necessarily funded. Data include fellowship programs, positions, and residents.

^b Fellowships governed by Conjoint Standards by 2 or more specialties.

Abbreviations: AOA, American Osteopathic Association; NA, not available; NMM, neuromusculoskeletal medicine.

Source: 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 system, (TIVRA) academic years 2017-2018. Data for the 2015-2016 and 2016-2017 academic years have been reported previously in The Journal of the American Osteopathic Association.

Appendix: Osteopathic Graduate Medical Education, 2019

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