1. Family Medicine Residency Dual Accreditation
Opportunity, Challenge and Process
Marguerite Elliott, DO, MS
Society of Teachers of Family Medicine
Chicago, Illinois
April 27, 2007

2. Objectives: Following this session, the participant will be able to:
List three (3) advantages to dual accreditation for a family medicine residency
List three (3) requirements for securing dual accreditation of a family medicine residency
List three (3) challenges that exist in the operation of a dual-accredited family medicine residency

3. Overview: Define dual-accreditation Advantages of dual-accreditation
Challenges of dual accreditation
Comparison of allopathic and osteopathic family medicine programs
Osteopathic-specific infrastructure and requirements

4. What is Dual-Accreditation?
Parallel Programs
Linked Programs
Integrated Programs
Dual Accredited

5. Why Go Dual? For an ACGME residency program:
Increase the pool of applicants
Value-added for patients and residents
Strengthen total program
Allopathic and osteopathic physicians train side-by-side
Going Dual

6. Why Go Dual? For an osteopathic medical student:
GOING DUAL
For an osteopathic medical student:
Perception of superior educational experience
Osteopathic requirements easier to complete in this venue
To insure AOA approval of internship, since this is a license requirement in 5 states
Qualified to sit for both sets of board exams

7. Challenges of Dual-Accreditation
For the program:
THREE distinct sets of program standards
ACGME
AOA – Internship
ACOFP - Residency
Extra Expenses
Program Fees
Membership Fees
Conference Fees
CHALLENGES

8. Challenges of Dual-Accreditation
For the program:
Two ERAS systems
Two Match Programs
Recruitment of students
Faculty recruitment & retention
Duplication of some efforts
In-training exams
Inspections
Record keeping
CHALLENGES

9. Challenges of Dual-Accreditation
For the resident:
TWO distinct programs
TWO sets of requirements
Limits electives
Some curricular differences
Documentation differences
CHALLENGES

10. Curricular Differences
ALLOPATHIC
OSTEOPATHIC
Adult Medicine
6 months in-patient
2 months general IM
plus 4 months
medicine selectives
Surgery
2 months general surgery
5 months—general and specialty OB
2 months
1 month
Pediatarics
4 months
4.5 months ER
3 months
Research
Participation encouraged
Participation required
OMM/OMT
Required

11. Osteopathic Infrastructure --Organizations
AOA (American Osteopathic Association)
ACOFP (American College of Osteopathic Family Physicians)
AODME (Association of Osteopathic Directors and Medical Educators)
AACOM (American Association of Colleges of Osteopathic Medicine)
AOBFP (American Osteopathic Board of Family Physicians)

12. Osteopathic Infrastructure --OPTI
OPTI (Osteopathic Postgraduate Training Institute)
Affiliation required
Provide program support
OPTI

13. OPTI LOCATIONS

14. Osteopathic Infrastructure --Leadership
DME (Director of Medical Education)
Program Director
Internship
Residency
ADME (Associate Director of Medical Education)
Leadership

15. Osteopathic Infrastructure --Fees
AOA Annual Fees
$300 program fee
$120/year per approved position
OPTI Fees
Amount varies per OPTI
Leadership-related fees
Membership
Conferences/Meetings
OPTI, ACOFP, AODME
Inspection Fees
FEES

16. Dual-Approval – The Process
Make decision to become a dual program
Select and affiliate with an OPTI
Complete application process
Internship & Residency
Inspection/Site Visit
AOA, ACOFP, OPTI
Approval comes from AOA Program & Trainee Review Committee
PROCESS

17. Dual-Approval – The Process
On-going Processes:
Quarterly evaluations
Integration of curriculum & monitoring progress
Billing & coding issues
Supervision of OMT:
MD can supervise & bill for OMT
Provide orientation/training for MD faculty
Provide a framework for MD faculty to use in supervision of OMT
PROCESS

18. Resources American Osteopathic Association AOBFP
AOBFP
RESOURCES

19. Resources American College of Osteopathic Family Physicians OPTI
OPTI

20. Putting It All Together
challenges
Putting It All Together
Going DUAL
PROCESS
Dual programs present opportunities
Dual programs present challenges
Dual programs require commitment
FEES
OPTI
Organizations
Dual Accredited
RESOURCES

21. QUESTIONS?
Thank you