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Appendix  |   April 2019
Appendix: Osteopathic Graduate Medical Education, 2019
Author Notes
  • From the Department of Education at the American Osteopathic Association in Chicago, Illinois. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to Bulmaro Martinez, MPH, American Osteopathic Association, 142 E Ontario St, Chicago, IL 60611-2864. Email: bmartinez@osteopathic.org
     
Article Information
Medical Education / Graduate Medical Education
Appendix   |   April 2019
Appendix: Osteopathic Graduate Medical Education, 2019
The Journal of the American Osteopathic Association, April 2019, Vol. 119, 268-272. doi:https://doi.org/10.7556/jaoa.2019.044
The Journal of the American Osteopathic Association, April 2019, Vol. 119, 268-272. doi:https://doi.org/10.7556/jaoa.2019.044
Web of Science® Times Cited: 1
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, 2018a
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 1.
No. of AOA-Approved Programs and Trainees Filling Available Positions as Reported by State, 2017-2018 Academic Year, as of May 31, 2018a
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, 2018a
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
Conjointb
 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.

Table 2.
No. of AOA-Approved Residency Programs and Approved/Filled Positions as Reported by Academic Year and Specialty as of May 31, 2018a
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
Conjointb
 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, 2018a
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 1.
No. of AOA-Approved Programs and Trainees Filling Available Positions as Reported by State, 2017-2018 Academic Year, as of May 31, 2018a
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, 2018a
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
Conjointb
 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.

Table 2.
No. of AOA-Approved Residency Programs and Approved/Filled Positions as Reported by Academic Year and Specialty as of May 31, 2018a
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
Conjointb
 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.

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