Andrea DeRosier , Terri A. Lischka and Bulmaro Martinez

Appendix 1: Osteopathic Graduate Medical Education 2014

American Osteopathic Association | Published online: April 1, 2014

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 ProgramsResidency ProgramsTotal
StateProgramsPositionsTraineesProgramsPositionsTraineesProgramsPositionsTrainees
Alabama000130130
Alaska000199199
Arizona00012124641212464
Arkansas00021552155
California649303042321736472247
Colorado000810420810420
Connecticut218623534539
Delaware115111241323924
Florida101509285991627951141719
Georgia1424472855130
Illinois330284245233945482367
Indiana0003272032720
Iowa0005703557035
Kansas0001202012020
Kentucky2141388137109550
Maine0006754667546
Massachusetts1444261153015
Michigan19181692032181147722223621546
Minnesota00021492149
Mississippi0003302333023
Missouri31552418813327203138
Montana000190190
Nevada1101289070910082
New Jersey8102397185146479953503
New York16215107791034641951249748
North Carolina21725573277434
Ohio11103371029876851131090722
Oklahoma21693839426940410278
Oregon11212991591010371
Pennsylvania28229112107142693213516551044
Rhode Island0004523945239
South Carolina0001141411414
Tennessee0003342933429
Texas11262219214323204149
Utah000191191
Virginia327101422915917256169
Washington0009792697926
West Virginia53391720113322234142
Wisconsin0002503525035
Wyoming0002211622116
Total126125661594210,7596883106812,0157498

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

2010-20112011-20122012-2013
SpecialtyProgramsPositionsResidentsProgramsPositionsResidentsProgramsPositionsResidents
Anesthesiology121181071313711113139117
 Anesthesiology and pain management232362362
 Pediatric anesthesiology130130130
Dermatology231371062615810630176114
 Mohs micrographic surgery110231341
Diagnostic Radiology151611291517012417199127
 Pediatric radiology130130130
 Vascular and interventional radiologyaNANANANANANA130
Emergency Medicine451042839451055900501203919
 Emergency medical service111231230
Family Medicine192255313472002699152721530401731
 Geriatrics (family medicine)103721034513408
Internal Medicine10216729351051775110311419671278
 Allergy and immunologyb140280NANANA
 Cardiac electrophysiology250250250
 Cardiology2415690241629426174110
 Cardiology (interventional)12291113301113309
 Critical care medicinec513861536239
 Endocrinology36341035125
 Gastroenterology136339157545178651
 Geriatrics (internal medicine)515262126211
 Hematology and oncology514117241072413
 Infectious diseases28231224163
 Nephrology72087201082213
 Oncology4120261261
 Pulmonary (critical care)8311783422104426
 Pulmonary medicine41134116372
 Rheumatology4129516105168
Neurology774548905599664
NMM/OMM738178411973818
 NMM plus 1206320247622237527
Obstetrics and Gynecology293632953139129730375296
 Female pelvic medicine000130130
 Gynecologic oncology398398398
 Maternal and fetal medicine310451625168
 Reproductive endocrinology4121391391
Ophthalmology125846157347157155
Orthopedic Surgery355204193856444340596464
 Hand surgery130131131
 Musculoskeletal oncology110110110
 Orthopedic spine surgeryd110000NANANA
Otolaryngology and Facial Plastic Surgery201431201913912219139121
 Otolaryngic allergy393393391
Pathologyd000000NANANA
 Forensic pathology110110110
Pediatrics182501531926817519283170
 Pediatric allergy and immunologyb122121NANANA
Physical Medicine and Rehabilitation438235612456130
Preventive Medicine and Public Health130131132
Preventive Medicine (Occupational and Environmental)d131130NANANA
Proctology252251252
Psychiatry131516514175781624294
 Child psychiatry312331244186
 Forensic psychiatry000140140
 Geriatric psychiatry131261260
Surgery (General)436204814667150751765554
 Cardiothoracic surgery190190190
 Critical care surgeryc370371371
 General vascular surgery817681958195
 Neurologic surgery111038311104921111495
 Plastic and reconstructive surgery724166231772615
 Urologic surgery10986810106841010895
Combined
 Emergency medicine and family medicine460384533945345
 Emergency medicine and internal medicine111298211117801112274
 Integrated family medicine and NMM864188643186438
 Integrated internal medicine and NMM000140141
 Pediatrics and internal medicine1101011081107
Conjointe
 Addiction medicine000160166
 Adult and pediatric allergy and immunologybNANANANANANA2105
 Correctional medicineaNANANANANANA140
 Dermatopathology000121120
 Hospice and palliative care510271527172
 Pain medicineaNANANANANANA150
 Pediatric emergency medicine1601602120
 Sleep medicine120280284
 Sports medicine174719195618205719
 Undersea and hyperbaric medicine120121121
Total827911057318839741629094210,7596883

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.
SpecialtyProgramsPositionsResidents
Anesthesiology026
 Anesthesiology and pain management000
 Pediatric anesthesiology000
Dermatology4188
 Mohs micrographic surgery110
Diagnostic Radiology2293
 Pediatric radiology000
 Vascular and interventional radiologyaNANANA
Emergency Medicine514819
 Emergency medical service00−1
Family Medicine15341204
 Geriatrics (family medicine)363
Internal Medicine9192175
 Cardiac electrophysiology000
 Cardiology21216
 Cardiology (interventional)00−2
 Critical care medicine086
 Endocrinology122
 Gastroenterology2116
 Geriatrics (internal medicine)00−1
 Hematology and oncology003
 Infectious diseases141
 Nephrology123
 Oncology000
 Pulmonary (critical care)2104
 Pulmonary medicine−1−4−4
 Rheumatology00−2
Neurology169
NMM/OMM−1−3−1
 NMM plus 1−1−15
Obstetrics and Gynecology−1−16−1
 Female pelvic medicine000
 Gynecologic oncology000
 Maternal and fetal medicine006
 Reproductive endocrinology000
Ophthalmology0−28
Orthopedic Surgery23221
 Hand surgery000
 Musculoskeletal oncology000
 Orthopedic spine surgerybNANANA
Otolaryngology and Facial Plastic Surgery00−1
 Otolaryngic allergy00−2
PathologybNANANA
 Forensic pathology000
Pediatrics015−5
Physical Medicine and Rehabilitation006
Preventive Medicine and Public Health001
Preventive Medicine (Occupational and Environmental)bNANANA
Proctology001
Psychiatry26716
 Child and adolescent psychiatry162
 Forensic psychiatry000
 Geriatric psychiatry00−1
Surgery (General)59447
 Cardiothoracic surgery000
 Critical care surgery000
 General vascular surgery000
 Neurologic surgery0103
 Plastic and reconstructive surgery13−2
 Urologic surgery0211
Combined
 Emergency medicine and family medicine006
 Emergency medicine and internal medicine05−6
 Integrated family medicine and NMM007
 Integrated internal medicine and NMM001
 Pediatrics and internal medicine00−1
Conjoint Notec
 Addiction medicine006
 Adult and pediatric allergy and immunologyaNANANA
 Correctional medicineaNANANA
 Dermatopathology00−1
 Hospice and palliative care020
 Pain medicineaNANANA
 Pediatric emergency medicine160
 Sleep medicine004
 Sports medicine111
 Undersea and hyperbaric medicine000
Total591018593

    Financial Disclosures: None reported.

Received: 2014-01-07
Revised: 2014-01-28
Accepted: 2014-02-18
Published Online: 2014-04-01
Published in Print: 2014-04-01

© 2014 The American Osteopathic Association