1. 33rd ANNUAL SPRING FLING MAY 10, 2019 GARY L. SLICK, D.O.
ACGME UPDATE
33rd ANNUAL SPRING FLING MAY 10, 2019 GARY L. SLICK, D.O.

2. Disclosure
I have no relevant financial relationships or affiliations with commercial interests to disclose.

3. TIME LINE OF THE SINGLE ACCREDITATION SYSTEM
APPLICATIONS FOR PROGRAMS BEGAN JULY 2015
AOA ACCREDITATION CEASES JUNE 30, 2020*
*Residents in AOA non-accredited ACGME programs will be able to “Train Out” under AOA approved training

4. WHAT THE SAS IS (AND WHAT IT IS NOT)
CHANGED GME ACCREDITATION UNCHANGED BOARD CERTIFICATION CME PREDOCTORAL EDUCATION LICENSURE EXAMS (COMLEX, USMLE)

5. SINGLE ACCREDITATION ACTIVITY
79% OF AOA PROGRAMS HAVE EITHER SUBMITTED APPLICATION OR ARE ALREADY ACGME ACCREDITED*
20% OF PROGRAMS HAVE APPLIED FOR OSTEOPATHIC RECOGNITION
<14% OF AOA PROGRAMS PREVIOUSLY NOT DUALLY ACCREDITED SUBMITTING APPLICATIONS FOR ACGME ACCREDITATION HAVE APPLIED FOR OSTEOPATHIC RECOGNITION*
* SOME OF THE 1200 AOA PROGRAMS WILL NOT APPLY FOR ACGME ACCREDITATION AND SOME HAVE NOT HAD RESIDENTS OR FELLOWS IN THEIR PROGRAMS FOR A FEW YEARS OR MORE

6. ACGME ACCREDITATION TERMINOLOGY
PRE-ACCREDITATION – GRANTED TO ALL OSTEOPATHIC SPONSORING INSTITUTIONS OR PROGRAMS SUBMITTING A COMPLETED APPLICATION FOR ACCREDITATION
CONTINUED PRE-ACCREDITATION – GRANTED TO APPLICANTS THAT ARE NOT SUBSTANTIALLY COMPLIANT WITH ALL ACGME REQUIREMENTS
INITIAL ACCREDITATION – GRANTED TO APPLICANTS THAT ARE SUBSTANTIALLY COMPLIANT WITH ALL ACGME REQUIREMENTS

7. ACGME ACCREDITATION TERMINOLOGY
CONTINUED ACCREDITATION – GRANTED TO PROGRAMS THAT HAVE UNDERGONE A FULL SITE VISIT TWO YEARS AFTER INITIAL ACCREDITATION AND DEEMED TO BE IN SUBSTANTIAL COMPLIANCE WITH THE COMMON AND SPECIALTY PROGRAM REQUIREMENTS

8. CURRENT STATUS OF INSTITUTIONAL APPLICATION SUBMISSION AND ACCREDITATION
COMPLETED APPLICATIONS – 107*
INITIAL ACCREDITATION – 48
INITIAL ACCREDITATION WITH WARNING – 11
PRE-ACCREDITATION – 0
CONTINUED PRE-ACCREDITATION – 3
CONTINUED ACCREDITATION – 34
PROBATION - 1
WITHDRAWAL OF APPLICATION – 10**
*106 ONE YEAR AGO
**5 ONE YEAR AGO

9. PROGRAM APPLICATIONS IN SAS
TOTAL SAS PROGRAM POOL – 1072
APPLICATION NOT YET INITIATED – 16%
APPLICATION INITIATED – 84%
SUBMITTED – 76%
NOT YET SUBMITTED – 6%

10. APPLICATIONS SUBMITTED (722)
PRE-ACCREDITATION – 5%
INITIAL ACCREDITATION – 68%
CONTINUED PRE-ACCREDITATION – 12%
CONTINUED ACCREDITATION – 13%
WITHDRAWALS – 2%

11. CURRENT STATUS OF PROGRAM APPLICATION SUBMISSION AND ACCREDITATION
COMPLETED APPLICATIONS – 722
INITIAL/CONTINUED ACCREDITATION (RESIDENCY)– 483 (81%)
8 ANESTHESIOLOGY (83%)
23 DERMATOLOGY (77%)
45 EMERGENCY MEDICINE (83%)
104 FAMILY MEDICINE (67%)
95 INTERNAL MEDICINE (86%)
4 NEUROLOGICAL SURGERY (50%)
9 NEUROLOGY (75%)
25 OB/GYN (81%)
5 OPHTHALMOLOGY (56%)
22 ORTHOPEDIC SURGERY (52%)
15 ONMM (38%)
11 OTOLARYNGOLOGY (65%)
7 PEDIATRICS (88%)

12. CURRENT STATUS OF PROGRAM APPLICATION SUBMISSION AND ACCREDITATION
INITIAL/CONTINUED ACCREDITATION (RESIDENCY-CONTINUED)
3 PHYSICAL MEDICINE AND REHAB (75%)
3 PLASTIC SURGERY (50%)
15 PSYCHIATRY (71%)
8 RADIOLOGY (66%)
41 SURGERY (73%)
31 TRANSITIONAL YEAR (38%)
9 UROLOGY (82%)
INITIAL/CONTINUED ACCREDITATION (FELLOWSHIP) – 127 (80%)
26 CARDIOLOGY (87%)
5 CRITICAL CARE (71%)
1 ENDOCRINOLOGY (17%)
21 GASTROENTEROLOGY (91%)
2 HEMATOLOGY/ONCOLOGY (75%)
1 INFECTIOUS DISEASE (25%)
9 INTERVENTIONAL CARDIOLOGY (70%)

13. CURRENT STATUS OF PROGRAM APPLICATION SUBMISSION AND ACCREDITATION
INITIAL/CONTINUED ACCREDITATION (FELLOWSHIP-CONT.)
NEPHROLOGY (40%)
PULMONARY/CRITICAL CARE (93%)
2 RHEUMATOLOGY (50%)
HEMATOLOGY/ONCOLOGY (60%)
GYNECOLOGICAL ONCOLOGY (75%)
MATERNAL & FETAL MEDICINE (50%)
CRITICAL CARE SURGERY (66%)
GENERAL VASCULAR SURGERY (20%)
HOSPICE AND PALLIATIVE CARE (18%)
MOHS (66%)
GERIATRIC MEDICINE-FM (0%)
SPORTS MEDICINE (23%)
CHILD & ADOLESCENT PSYCHIATRY (0%)
17 OTHERS (6%)

14. CURRENT STATUS OF PROGRAM APPLICATION SUBMISSION AND ACCREDITATION (CONT.)
PRE-ACCREDITATION – 32
1 ALLERGY
0 DERMATOLOGY
1 EMERGENCY MEDICINE
1 FAMILY MEDICINE
0 INTERNAL MEDICINE
0 NEUROLOGY
0 OB/GYN
5 ONMM
0 OTOLARYNGOLOGY
0 PEDIATRICS
0 PSYCHIATRY
0 GENERAL SURGERY
6 TRANSITIONAL YEAR
18 FELLOWSHIPS

15. CURRENT STATUS OF PROGRAM APPLICATION SUBMISSION AND ACCREDITATION
CONTINUED PRE-ACCREDITATION – 86
1 ANESTHESIOLOGY
0 CARDIOLOGY
3 DERMATOLOGY
1 MOHS
3 EMERGENCY MEDICINE
1 ENDOCRINOLOGY
23 FAMILY MEDICINE
4 GASTROENTEROLOGY
1 HEMATOLOGY/ONCOLOGY
3 HOSPICE AND PALLIATIVE MEDICINE
2 INTERNAL MEDICINE
3 NEUROLOGICAL SURGERY
0 NEUROLOGY

16. CURRENT STATUS OF PROGRAM APPLICATION SUBMISSION AND ACCREDITATION
CONTINUED PRE-ACCREDITATION (CONT.)
2 OBSTETRICS/GYNECOLOGY
3 OB/GYN FELLOWSHIPS
3 OPTHALMOLOGY
19 ORTHOPEDIC SURGERY
3 ONMM
3 OTOLARYNGOLOGY
1 PHYSICAL MEDICINE AND REHAB
0 PLASTIC SURGERY
3 PSYCHIATRY
1 RADIOLOGY
1 RHEUMATOLOGY
10 GENERAL SURGERY
2 UROLOGY

17. PRIMARY CARE 11% SURGICAL PROGRAMS 25%
PERCENTAGE OF REVIEWED APPLICATIONS RECEIVING CONTINUED-PREACCREDITATION
PRIMARY CARE 11%
FAMILY MEDICINE 18%
INTERNAL MEDICINE 2%
PEDIATRICS 0%
SURGICAL PROGRAMS 25%
ENT 27%
ORTHOPEDIC SURGERY 46%
GENERAL SURGERY 20%

18. OSTEOPATHIC RECOGNITION – 210
CURRENT STATUS OF PROGRAM APPLICATION SUBMISSION AND ACCREDITATION (CONT.)
OSTEOPATHIC RECOGNITION – 210
INITIAL ACCREDITATION – 142
CONTINUED ACCREDITATION – 50
APPLICATION PENDING – 15
RECOGNITION WITHHELD – 10
PENDING REVIEW – 15

19. PROGRAM DIRECTOR CREDENTIALS FOR SAS PROGRAMS
PROGRAM DIRECTOR DEGREES D.O. – 69% M.D. – 31% PROGRAM DIRECTOR CERTIFICATION AOA – 55% ABMS – 40% AOA AND ABMS – 5%

20. OSU-CHS APPLICATION STATUS FOR OSUMC
CONTINUED ACCREDITATION
INTERNAL MEDICINE
PEDIATRICS
INITIAL ACCREDITATION
ANESTHESIOLOGY
CARDIOLOGY
GASTROENTEROLOGY
EMERGENCY MEDICINE
FAMILY MEDICINE (OSUMC)
INTERVENTIONAL CARDIOLOGY
OB/GYN
OMM
PSYCHIATRY
RADIOLOGY
SURGERY

21. OSU-CHS APPLICATION STATUS FOR OSUMC (Cont.)
CONTINUED PREACCREDITATION
ORTHOPEDIC SURGERY
OTOLARYNGOLOGY

22. OSU-CHS APPLICATION STATUS FOR NON-OSUMC PROGRAMS
INITIAL ACCREDITATION
EMERGENCY MEDICINE – LAWTON
EMERGENCY MEDICINE – NORMAN
FAMILY MEDICINE – ADA
FAMILY MEDICINE – DURANT
FAMILY MEDICINE – LAWTON
FAMILY MEDICINE – McALESTER
FAMILY MEDICINE – TAHLEQUAH
ONCOLOGY – CTCA

23. STATUS OF TEACHING HEALTH CENTER PROGRAMS
INITIAL ACCREDITATION
FAMILY MEDICINE – TALIHINA
FAMILY MEDICINE – TULSA
INTERNAL MEDICINE – TAHLEQUAH
OB/GYN – TULSA
CONTINUED ACCREDITATION
PEDIATRICS – TULSA

24. STATUS OF OSTEOPATHIC RECOGNITION APPLICATIONS
INITIAL RECOGNITION
ANESTHESIOLOGY
CARDIOLOGY
EMERGENCY MEDICINE – OSUMC AND LAWTON
FAMILY MEDICINE – OSUMC AND TULSA THC
FAMILY MEDICINE – LAWTON, McALESTER, TALIHINA
INTERNAL MEDICINE –OSUMC AND TAHLEQUAH
OB/GYN – OSUMC AND TULSA THC
PEDIATRICS – OSUMC AND TULSA THC
PSYCHIATRY
RADIOLOGY
SURGERY

25. 2020 MATCH IMPLICATIONS
ALL AOA TRAINING PROGRAMS NOT ACHIEVING ACGME INITIAL ACCREDITATION BY SEPTEMBER OF 2019 WILL NOT BE ABLE TO PARTICIPATE IN THE MATCH FOR 2020 AND WILL NOT BE ABLE TO MATRICULATE NEW APPLICANTS.

26. UNANSWERED QUESTIONS WILL THE SAS ADD MORE SLOTS FOR DOs
WILL THE SAS OPEN MORE SURGICAL SLOTS FOR DOs
WILL OSTEOPATHIC IDENTITY BE MAINTAINED
WILL THE NEXT STEP BE SINGLE UNDERGRADUATE ACCREDITATION AND SINGLE PATHWAY TO LICENSURE
WILL AOA CERTIFIED DOs CONTINUE TO BE PROGRAM DIRECTORS
WILL INITIAL CERTIFICATION BY THE AOA CONTINUE

27. ACGME REQUIREMENT CHANGES
NEW “LEARNING AND WORKING ENVIRONMENT” (FORMERLY “DUTY HOURS”) REQUIREMENTS WERE IMPLEMENTED JULY 1, 2018 (REQUIREMENT VI)
REQUIREMENTS I-V WILL BE IMPLEMENTED ON
JULY 1, 2019
NEW REQUIREMENTS FOR I-V ARE FAVORABLE FOR OSTEOPATHIC AND RURAL PROGRAMS WITH MORE OPTIONS FOR CURRICULUM DESIGN, SCHOLARLY ACTIVITY AND ACCEPTANCE OF AOA RESIDENCY TRAINING FOR ENTRY INTO FELLOWSHIP PROGRAMS

28. QUESTIONS?