Please use this forum to help provide student feedback on Unified Accreditation of GME. This is an open forum, so both support and opposition is appreciated and accepted. We simply want to use your comments to continue best representing the needs and interests of the osteopathic medical student body. Constructive comments ONLY, anything unprofessional will not be published. Once submitted, we will review your post and it will be published once approved. Thank you!

7 Reasons to Attend DO Day on Capitol Hill.

  1. Reasons to Attend DO Day on Capitol Hill.

heck530

As medical students we get so wrapped up in our own heads that we forget to look around. The world is turning and the wheels of government grind away at the problems of our day. Policy is being made that not only affects your current course of education (student loan funding) but also your future career (loan repayment, Graduate medical education, Medicare reimbursement) Its time you made your voice heard.

Here’s how you sign up!

http://www.osteopathic.org/inside-aoa/events/Pages/do-day-on-capitol-hill.aspx

 

  1. Because you’re kind of a big deal

Big deal

You are a future doctor. That means you will be put in positions of leadership and people will ask your opinion and expect you to be the expert. We all did tons of research to learn about how to be successful applicants to medical school, how much more time then should we spend preparing ourselves for our careers? The elected officials need to hear from you, they don’t know the reality of your story and they certainly wont find out if you don’t tell them. If you don’t speak up the only other voice they’ll hear is that of dollars and cents. If they don’t see the people behind the student loans they are financing they might stop financing them. Its been proposed before. They need to hear your story.

 

 

  1. You are either at the table or on the table:

roast pig

This is the least gross picture I could find of a roast pig about to be eaten and if we don’t speak up the savory flesh of our beloved profession will be picked apart and patient care will be lost along the way. The elected officials need to hear from you, they don’t know the reality of your story and what drives you to pursue the most grueling, time intensive education in America and they certainly wont find out if you don’t tell them. If you don’t speak up the only other voice they’ll hear is dollars and cents. If they don’t see the people behind the student loans they are financing they might stop financing them. Its been proposed before. They need to hear your story.

 

  1. Your future self will thank you:

Building structure in Lisbon's Nations park train station

We sit here behind our copies of FirstAid stressing about a test when in reality we should be planning our next move. The world is a big place full of opportunity for those who know what they want. The government may not be able to give you what you want but they sure can stop you from getting it. Its time for us to influence the change we want to see.

 

  1. Your current self will thank you:

sleeping-med-student2

Joining over 1000 fellow medical students in a common goal to impress upon our nations leaders the message of a profession is powerful. Its invigorating to see your classmates a colleagues descend on the lawmakers with a united voice, and you can be sure that as the largest single day lobbying contingent, we do not go unnoticed.

 

 

  1. Your CV will thank you:

manchin530

Lets be honest, we all want to bolster that CV with meaningful events about which we can speak at residency interviews. What better event than one that shapes the course of an entire profession effecting both students, doctors and patients. I have not met a student who attended this event and didn’t have an amazing story to tell about the impact they made.

 

  1. Its super fun!

doday2

Anytime you get over 1000 medical students together the possibilities for fun are boundless. You will make new friends and forge relationships that will prove valuable in the future. With the added benefit of social media you never have to lose contact with your new partners in advocacy plus, you never know when you might need a place to crash during an away rotation.

 

  1. Your school and clubs probably want to give you money to attend! 

money

Did you ask your school for money to attend? Have you coordinated with other students? Have you asked your SGA or SOMA chapter for funds? My first year I went to DC for 4 days and it cost me $100. By cobbling together funds and sharing sleeping arrangements you can travel on the cheap.

 

Here’s how you sign up!

http://www.osteopathic.org/inside-aoa/events/Pages/do-day-on-capitol-hill.aspx

Then get smart about the issues here.

http://www.aacom.org/advocacy

http://advocacy.osteopathic.org/home

AOA, AACOM, ACGME Single Accreditation Agreement

By: Krishna Patel, 2nd Vice Chair

 

In an historic vote on July 19, 2014, the AOA House of Delegates supported the decision of the AOA Board of Trustees to pursue a single accreditation system for graduate medical education (GME). The vote follows over two years of deliberations and a February 2014 announcement by the AOA, AACOM and the Accreditation Council for Graduate Medical Education (ACGME) that a tripartite decision was reached to move forward with the single GME accreditation system. This decision was overwhelmingly supported by students, as demonstrated at the National Osteopathic Student Caucus (NOSC) on July 16, 2014 and by a student survey conducted by AACOM in cooperation with COSGP in March 2014.1 See The NOSC Triumphant for more details.

Under the new system, AOA-approved training programs are encouraged to apply for ACGME accreditation beginning July 1, 2015 and through June 30, 2020. Upon submission of their application, AOA-approved programs will be granted pre-accreditation status as part of the ACGME accreditation process. Pre-accreditation status will allow for AOA-approved programs that have applied for ACGME accreditation and trainees to benefit from the terms of the agreement reached by the three organizations. By July 1, 2020, the AOA will cease to provide GME accreditation.

Single accreditation maintains greater opportunity for osteopathic students to pursue specialty and subspecialty fellowships, including some of which are not offered as AOA programs. Through this new system, osteopathic students will not be limited access to ACGME residencies or fellowships which would occur with the ACGME’s planned changes to its Common Program Requirements which take effect July 2016.

In other words, instead of two separate residency accreditation systems, AOA, AACOM, and the ACGME are joining together to provide a more efficient and effective means of GME accreditation that will benefit our students overall. Together, the AOA, AACOM, and the ACGME can stand under a single GME accreditation system to provide more powerful leverage when advocating to lawmakers on issues regarding GME, such as funding. Furthermore, the single GME accreditation system allows for more accountability and continuity of education between programs across the country. In turn, this will benefit our students while improving our healthcare system overall.

AOA-approved programs that apply for ACGME accreditation can seek osteopathic recognition with the new Osteopathic Principles Committee (OPC). The OPC will develop standards for recognizing osteopathically-focused programs and pre-requisite requirements for MDs seeking entry into these programs.  Not only will this preserve our DO philosophy but will provide a powerful means to educate the country on our unique patient practices.

However, it is important to note that undergraduate medical education will not be affected. Commission on Osteopathic College Accreditation (COCA) will continue to accredit osteopathic medical schools, and Liaison Committee on Medical Education (LCME) will continue to accredit allopathic schools. The COMLEX will continue to be the standard examination tool our profession will use to determine licensure. A single Match has not been instated at this time.

“The AOA strongly believes the public will benefit from a single standardized system to evaluate the effectiveness of GME programs for producing competent physicians. Through osteopathic-focused residency programs, the new GME accreditation system will recognize the unique principles and practices of the osteopathic medical profession and its contributions to health care in the U.S.”2

Stephen C. Shannon, DO, MPH, President of AACOM “Healthcare and medical education in the U.S. today face many challenges. We feel that this approach to GME accreditation not only streamlines but strengthens the postdoctoral education process, and will produce physicians who are able to meet those health care challenges, enhancing the ability for all physicians to learn the unique characteristics of osteopathic medical practice.”3

Background:

How did these discussions begin?

In late 2011, the ACGME proposed changes to their Common Program Requirements, that govern ACGME accredited resident programs. The change that would affect osteopathic medical students is: “All required clinical education for entry into ACGME-accredited fellowship programs must be completed in an ACGME-accredited residency program, an ACGME International-accredited residency program, or a Royal College of Physicians and Surgeons of Canada-accredited residency program located in Canada.”4 This would have potentially created a situation of limited access to advanced training in ACGME programs for DOs who had completed prior training in AOA-approved GME programs.

How does the umbrella of accreditation governance fall?

Accreditation Council for Graduate Medical Education (ACGME) is a private, non-profit, professional organization responsible for evaluation and accreditation of more than 9,500 residency education programs in the U.S. Approximately 8.6% of these residency spots are filled by osteopathic physicians.5 ACGME is sponsored by five member organizations, and each organization nominates four members to the Board of Directors. AOA and AACOM will become member organizations of ACGME with each nominating four members to the Board of Directors. Therefore, our philosophy will be strongly represented and advocated through the new single accreditation system. This acts to preserve our profession as a whole, incorporating its values within a greater system, all while moving forward into a new residency era.

What is a Memorandum of Understanding?

It is a form of legal agreement. It sets out the intended formation of the single accreditation system for GME, the goals of the parties, the key events that will happen, when they are expected to take place, etc. It is intended to serve as a guide so that, if questions arise down the line, there is a record as to what was agreed to. It is intended to provide structure and guidance. Delegates of each state, including students were able to review the MOU at the House of Delegates this past July. (cont. page 3)

To learn more, please see the following resources and FAQs:

 

References

  1. http://www.aacom.org/news/latest/Documents/GME-merger-survey-report_3-25-14.pdf
  2. http://www.osteopathic.org/inside-aoa/single-gme-accreditation-system/Pages/default.aspx
  3. http://www.aacom.org/news/latest/Documents/ACGMEpr2-25-14.pdf
  4. http://www.acgme.org/acgmeweb/Portals/0/PFAssets/ProgramRequirements/CPRs_07012016.pdf

http://acgme.org/acgmeweb/Portals/0/PFAssets/PublicationsBooks/2013-2014_ACGME_DATABOOK_DOCUMENT.pdf

This Just In NBOME UPDATE (Sept 2nd, 2014)

The NBOME has responded to students concerns voiced by COSGP, SOMA and educational leaders surrounding the recent COMLEX-USA Level 2 CE score reports. In June 2014 a scheduled “Comprehensive Psychometric Review” was implemented (NBOME took a look at the math behind the test scoring). As a result many students saw a large drop in their three digit score causing much consternation and out cry.

After a careful review of the circumstances, NBOME has released a new set of scores.

NBOME acknowledges students concerns about the “secondary uses of COMLEX-USA scores, most notably in residency program applications.

 

And the need for COMLEX to be consistent over the course of our education.

“The NBOME is intent that the score scaling be as consistent and applicable as the pass/fail determination has proven to be.”

 

Going Forward the NBOME offers the following PLAN.

“Plan 

Based on the comprehensive psychometric review, the NBOME will begin reissuing score reports for the 2014-2015 test cycle of the COMLEX-USA Level 2-CE examination on September 2, 2014. The scaling process will be modified to provide a scale where the mean is not fixed to a pre-specified value. This will provide better comparability from year-to-year across the score range. The new scale will maintain the criterion-based passing score of 400. All COMLEX-USA Level 2-CE Electronic Residency Application Service (ERAS) reports to residency program directors from August 14, 2014 have been retracted and new reports will be transmitted beginning September 2, 2014.

 

An extensive communication plan will continue to directly inform candidates, deans, program directors and key stakeholder groups.”

 

Full information and mathematical details available here

http://www.nbome.org/Level2_CE_090214.pdf

 

COSGP would like to thank

You all for your openness and patience,

The NBOME for listening to and addressing students concerns,

SOMA Executive board and  The Student AOA Trustee for standing united with us on students behalf

And the COSGP Council for their tireless communication with their upper classes

 

Remaining respectfully at your service,

 

TimLemaire ,  National First Vice Chair and

COSGP Executive Board

 

Single Accreditation Moves Forward

Earlier today, the AOA House of Delegates discussed resolution H-800: Single Graduate Medical Education Accreditation System. The special reference committee on Single GME Accreditation System recommended that the resolution be approved as amended. After months of research and debate, the resolution and amendments were discussed by the house for just under an hour before it was called to question and subsequently approved.

Members of COSGP worked with leaders from SOMA to help craft resolution H-808. Parts of this resolution were folded into resolution H-800 to reflect osteopathic student support of single accreditation. We at COSGP would like to thank the members of the AOA Board of Trustees for all of their hard work on H-800.

This is a historic moment for our profession. From here we look towards our future, trusting the AOA leaders during this time of transition to make the necessary decisions to protect and expand GME for osteopathic students.

 

AACOM’S Student Survey Report on Single Accreditation System

In March 2014, AACOM conducted an on-line survey of osteopathic medical students to measure their opinions on the unified GME accreditation agreement being undertaken by AACOM, AOA and ACGME. This survey was conducted in cooperation with the AACOM Council of Student Government Presidents (COSGP).

Single Accreditation for GME Student Fact Sheet

Attached is a set of talking points that were developed to address many of the concerns we have heard you express. We hope you will find these helpful in addressing those concerns, as well as in addressing the concerns of those around you, as dialogue and discussion on this issue continues. Please forward this information on to your fellow students as you deem appropriate, so we can get the word out.

Student Factsheet 03120124

I SUPPORT!!

I fully support the unified accreditation of GME! The leaders from the AOA and the AACOM deserve a lot of credit and thanks for fighting for the future of our profession. Make sure you reach out and thank them!! I am so proud to be a future osteopathic physician!!