AOA Specialty Board Certification
-
Cheryl Gross
Abstract
The authors details information related to the 2012 certification processing activity of the Bureau of Osteopathic Specialists, which oversees the work of the 18 specialty certifying boards of the American Osteopathic Association.
The Bureau of Osteopathic Specialists (BOS) (known as the Advisory Board of Osteopathic Specialists until 1993) was established in 1939 by the American Osteopathic Association (AOA) Board of Trustees to assess the skills of osteopathic physician specialists in response to the growth of specialization in the osteopathic medical profession.1 The BOS views the certification process both as an assessment tool to enhance the quality of health care and also as a means to protect the public. Currently, there are 18 specialty certifying boards of the AOA.
AOA Certification Statistics
Since 1939, the BOS has issued 37,694 certifications, including primary specialties, subspecialties, and added qualifications. As of December 31, 2012, a total of 25,068 osteopathic physicians were currently certified by the AOA and held a combined total of 28,961 active certificates. In 2012, 1604 new certificates were awarded; 140 of these were certificates of added qualifications, and 38 were certificates of special qualifications. In addition, 936 recertifications were issued. A listing of the number of certifications and recertifications processed in 2012 and the total number of active certifications by specialty is found in the Table.
Certification Statistics, 2012a
American Osteopathic Association Board of… | Certification Type | Description | New Certification | Recertification | Total | |
---|---|---|---|---|---|---|
Anesthesiology | Primary | Anesthesiology | 27 (2) | 14 (2) | 616 (2) | |
CAQ | Pain management | 0 | 2 (<1) | 68 (<1) | ||
CAQ | Critical care | 0 | 0 | 5 (<1) | ||
Dermatology | Primary | Dermatology | 67 (4) | 0 | 464 (2) | |
CAQ | Dermatopathology | 2 (<1) | 0 | 8 (<1) | ||
CAQ | MOHS micrographic surgery | 5 (<1) | 2 (<1) | 24 (<1) | ||
Emergency Medicine | CAQ | Emergency medical services | 0 | 0 | 9 (<1) | |
Primary | Emergency medicine | 145 (9) | 279 (30) | 2331 (8) | ||
CAQ | Hospice and palliative medicine | 3 (<1) | 0 | 3 (<1) | ||
CAQ | Medical toxicology | 0 | 1 (<1) | 10 (<1) | ||
CAQ | Sports medicine | 0 | 0 | 6 (<1) | ||
CAQ | Undersea and hyperbaric medicine | 3 (<1) | 0 | 7 (<1) | ||
Family Physicians | CAQ | Addiction medicine | 0 | 0 | 4 (<1) | |
CAQ | Adolescent and young adult medicineb | NA | NA | 8 (<1) | ||
Primary | Family medicine/OMTc | 456 (28) | 186 (20) | 11,420 (40) | ||
CAQ | Geriatric medicine | 4 (<1) | 9 (1) | 283 (1) | ||
CAQ | Hospice and palliative medicine | 2 (<1) | 0 | 118 (<1) | ||
CAQ | Sleep medicine | 24 (2) | 0 | 5 (<1) | ||
CAQ | Sports medicine | 0 | 4 (<1) | 181 (1) | ||
CAQ | Undersea and hyperbaric medicine | 5 (<1) | 0 | 13 (<1) | ||
Internal Medicine | CSQ | Allergy and immunology | 0 | 0 | 9 (<1) | |
CAQ | Cardiac electrophysiology | 0 | 0 | 23 (<1) | ||
CSQ | Cardiology | 7 (<1) | 0 | 442 (2) | ||
CAQ | Critical care medicine | 0 | 0 | 132 (<1) | ||
CSQ | Endocrinology | 0 | 0 | 35 (<1) | ||
CSQ | Gastroenterology | 4 (<1) | 0 | 201 (1) | ||
CAQ | Geriatrics | 2 (<1) | 0 | 60 (<1) | ||
CSQ | Hematology | 0 | 0 | 45 (<1) | ||
CAQ | Hospice and palliative medicine | 30 (2) | 0 | 48 (<1) | ||
CSQ | Infectious diseases | 0 | 1 (<1) | 61 (<1) | ||
Primary | Internal medicine | 290 (18) | 107 (11) | 3317 (12) | ||
CAQ | Interventional cardiology | 0 | 0 | 79 (<1) | ||
CSQ | Nephrology | 0 | 0 | 23 (<1) | ||
CSQ | Oncology | 2 (<1) | 0 | 93 (<1) | ||
CSQ | Pulmonary diseases | 5 (<1) | 0 | 188 (1) | ||
CSQ | Rheumatology | 1 (<1) | 0 | 59 (<1) | ||
CAQ | Sleep medicine | 16 (1) | 0 | 50 (<1) | ||
CAQ | Sports medicine | 0 | 0 | 7 (<1) | ||
CAQ | Undersea and hyperbaric medicine | 1 (<1) | 0 | 1 (<1) | ||
Neurology and Psychiatry | CAQ | Addiction medicine | 0 | 0 | 2 (<1) | |
CSQ | Child neurology | 0 | 0 | 1 (<1) | ||
CSQ | Child psychiatry | 1 (<1) | 3 (<1) | 40 (<1) | ||
CAQ | Geriatric psychiatry | 2 (<1) | 0 | 9 (<1) | ||
CAQ | Hospice and palliative medicine | 0 | 0 | 2 (<1) | ||
Primary | Neurology | 13 (1) | 14 (2) | 220 (1) | ||
CAQ | Neurophysiology | 0 | 0 | 22 (<1) | ||
Primary | Psychiatry | 10 (1) | 8 (1) | 277 (1) | ||
CAQ | Sleep medicine | 9 (1) | 0 | 15 (<1) | ||
NMM | Primary | NMM/OMM | 26 (2) | 24 (3) | 505 (2) | |
Primary | Special Proficiency in OMMb | NA | NA | 126 (<1) | ||
CAQ | Sports medicine | 0 | 0 | 6 (<1) | ||
Nuclear Medicine | Primary | Nuclear medicine | 0 | 0 | 27 (<1) | |
Obstetrics and Gynecology | CSQ | Female pelvic medicine reconstructive surgery | 2 (<1) | 0 | 2 (<1) | |
CSQ | Gynecologic oncology | 2 (<1) | 0 | 7 (<1) | ||
CSQ | Maternal and fetal medicine | 8 (1) | 1 (<1) | 29 (<1) | ||
Primary | Obstetrics and gynecologic surgeryb | NA | NA | 55 (<1) | ||
Primary | Obstetrics and gynecology | 68 (4) | 88 (9) | 1082 (4) | ||
CSQ | Reproductive endocrinology | 0 | 0 | 12 (<1) | ||
Ophthalmology and Otolaryngology-Head and Neck Surgery | Primary | Ophthalmology | 22 (1) | 9 (1) | 346 (1) | |
Primary | Otolaryngology and facial plastic surgery | 23 (1) | 7 (1) | 390 (1) | ||
CAQ | Otolaryngic-sleep medicine | 0 | 0 | 6 (<1) | ||
CAQ | Otolaryngic allergy | 3 (<1) | 1 (<1) | 21 (<1) | ||
Primary | Otolaryngology | 0 | 1 (<1) | 11 (<1) | ||
Primary | Otorhinolaryngologyb | NA | NA | 30 (<1) | ||
Orthopedic Surgery | CAQ | Hand surgery | 11 (1) | 6 (1) | 42 (<1) | |
Primary | Orthopedic surgery | 61 (4) | 51 (5) | 1141 | (4) | |
CAQ | Undersea and hyperbaric medicine | 1 (<1) | 0 | 1 (<1) | ||
Pathology | Primary | Anatomic pathology | 2 (<1) | 1 (<1) | 27 (<1) | |
Primary | Anatomic pathology and laboratory medicine | 0 | 0 | 15 (<1) | ||
CAQ | Dermatopathology | 1 (<1) | 0 | 2 (<1) | ||
CSQ | Forensic pathology | 1 (<1) | 0 | 4 (<1) | ||
Primary | Laboratory medicine | 3 (<1) | 1 (<1) | 17 (<1) | ||
Pediatrics | CSQ | Adolescent medicine | 0 | 1 (<1) | 1 (<1) | |
CSQ | Neonatology | 2 (<1) | 0 | 32 (<1) | ||
CSQ | Pediatric allergy and immunology | 3 (<1) | 0 | 8 (<1) | ||
CSQ | Pediatric endocrinology | 0 | 2 (<1) | 2 (<1) | ||
CSQ | Pediatric pulmonologyb | NA | NA | 2 (<1) | ||
Primary | Pediatrics | 44 (3) | 31 (3) | 511 | (2) | |
CAQ | Sports medicine | 1 (<1) | 0 | 1 (<1) | ||
Physical Medicine and Rehabilitation | CAQ | Hospice and palliative medicine | 0 | 0 | 1 (<1) | |
CAQ | Occupational medicine | 1 (<1) | 1 (<1) | 51 (<1) | ||
Primary | Physical medicine and rehabilitation | 16 (1) | 1 (<1) | 236 (1) | ||
CAQ | Sports medicine | 0 | 0 | 3 (<1) | ||
Preventive Medicine | Primary | Preventive medicine-aerospace medicine | 1 (<1) | 2 (<1) | 42 (<1) | |
Primary | Preventive medicine-occupation medicineb | NA | NA | 8 (<1) | ||
Primary | Preventive medicine-public health | 2 (<1) | 3 (<1) | 40 (<1) | ||
Primary | Preventive-occupational-environmental medicine | 1 (<1) | 7 (1) | 88 (<1) | ||
CAQ | Sports medicine | 0 | 0 | 1 (<1) | ||
CAQ | Undersea hyperbaric medicine | 0 | 0 | 5 (<1) | ||
Proctology | Primary | Proctology | 0 | 0 | 24 (<1) | |
Radiology | CAQ | Angiography and intervention radiologyb | NA | NA | 18 (<1) | |
CAQ | Body imagingb | NA | NA | 9 (<1) | ||
Primary | Diagnostic radiology | 42 (3) | 30 (3) | 669 | (2) | |
Primary | Diagnostic roentgenologyb | NA | NA | 2 (<1) | ||
CAQ | Diagnostic ultrasound | 0 | 0 | 1 (<1) | ||
CAQ | Neuroradiology | 1 (<1) | 1 (<1) | 55 (<1) | ||
CAQ | Nuclear radiology | 0 | 0 | 5 (<1) | ||
CAQ | Pediatric radiology | 1 (<1) | 0 | 21 (<1) | ||
Primary | Radiation oncology | 1 (<1) | 1 (<1) | 20 (<1) | ||
CSQ | Radiation therapyb | NA | NA | 1 (<1) | ||
Primary | Radiologyb | NA | NA | 54 (<1) | ||
CAQ | Vascular/interventional radiology | 0 | 0 | 14 (<1) | ||
Surgery | Primary | Cardiothoracic surgery | 2 (<1) | 1 (<1) | 10 (<1) | |
CAQ | Critical care surgery | 12 (1) | 1 (<1) | 63 (<1) | ||
Primary | Facial plastic surgery | 0 | 0 | 5 (<1) | ||
Primary | General vascular surgery | 2 (<1) | 1 (<1) | 121 (<1) | ||
CAQ | Hospice and palliative medicine | 0 | 0 | 2 (<1) | ||
Primary | Neurological surgery | 5 (<1) | 2 (<1) | 102 (<1) | ||
Primary | Plastic and reconstructive surgery | 1 (<1) | 0 | 63 (<1) | ||
Primary | Surgery (general) | 86 (5) | 28 (3) | 1029 | (4) | |
Primary | Thoracic cardiovascular surgeryb | NA | NA | 53 (<1) | ||
Primary | Thoracic surgeryb | NA | NA | 5 (<1) | ||
CAQ | Undersea and hyperbaric medicine | 0 | 0 | 1 (<1) | ||
Primary | Urological surgery | 10 (1) | 3 (<1) | 204 | (1) | |
Total | 1604 | 936 | 28,631 |
The number of active board certifications held has risen steadily over the past several years, as noted in the Figure.2-5 With the increasing pressure by insurers and health care organizations for osteopathic physicians to hold board certification,6 this number is expected to continue to rise.

Active certifications held, 2009 through 2012.
Conclusion
As previously noted, osteopathic certification helps ensure quality of health care provided by osteopathic physicians. The number of certifications grew in 2012, and we expect it to continue this upward trend.
References
1 Bureau of Osteopathic Specialists (BOS) history and structure. American Osteopathic Association website. http://www.osteopathic.org/inside-aoa/development/aoa-board-certification/Pages/bos-history.aspx. Accessed March 8, 2013.Search in Google Scholar
2 Ayres RE Scheinthal S Gross C Bell EC . Osteopathic specialty board certification. J Am Osteopath Assoc.2009;109(3):181-190.Search in Google Scholar
3 Ayres RE Scheinthal S Gross C Bell EC . Osteopathic specialty board certification. J Am Osteopath Assoc.2010;110(3):183-192.Search in Google Scholar
4 Ayres RE Scheinthal S Gross C Bell EC . Osteopathic specialty board certification. J Am Osteopath Assoc.2011;111(3):280-288.Search in Google Scholar
5 Ayres RE Scheinthal S Gross C Bell EC . Changes to osteopathic specialty board certification. J Am Osteopath Assoc.2012;112(4):226-231.Search in Google Scholar
6 Shaw K Cassel CK Black C Levinson W . Shared medical regulation in a time of increasing calls for accountability and transparency: comparison of recertification in the United States, Canada, and the United Kingdom. JAMA. 2009;302(18):2008-2014.10.1001/jama.2009.1620Search in Google Scholar PubMed
© 2013 The American Osteopathic Association
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Articles in the same Issue
- Editorial
- A Rising Tide of Older Patients: Preparing Future DOs
- Letters to the Editor
- Bibliometric Measures and National Institutes of Health Funding at COMs, 2006-2010
- Impact Indices Shed False Light
- Osteopathic Training of MDs
- Corrections
- Corrections
- Medical Education
- Developing Osteopathic Competencies in Geriatrics for Medical Students
- Ohio Osteopathic Residency Directors' Self-Reported Administrative Knowledge and Skills Before and After Participation in an Administrative Training Program
- New Colleges of Osteopathic Medicine: Steps in Achieving Accreditation—An Update
- Osteopathic Graduate Medical Education 2013
- Osteopathic Postdoctoral Training Institutions and Academic Sponsorship
- AOA Continuing Medical Education
- AOA Specialty Board Certification
- Special Communication
- Appendix 1: Colleges of Osteopathic Medicine in the United States
- Appendix 2: Figures and Tables Reprinted From Trends in Osteopathic Medical School Applicants, Enrollment and Graduates From the American Association of Colleges of Osteopathic Medicine (AACOM)
- The Somatic Connection
- Yoga vs Usual Care for Chronic Low Back Pain
- Yoga vs Stretching and Use of a Self-Care Book for Chronic Low Back Pain
- Yoga vs Home-Based Exercise for Chronic Neck Pain
- Yoga for Chronic Neck Pain: A 12-Month Follow-Up
- Severity of Irritable Bowel Syndrome Symptoms Is Reduced by Osteopathy
- Manual Therapy May Benefit Women With Primary Dysmenorrhea
- Manual Therapy May Benefit Women With Interstitial Cystitis and Pelvic Floor Pain
- Clinical Images
- Necrobiosis Lipoidica
- In Your Words
- Maintaining Empathy in a Locked Psychiatric Unit
- CME QUIZ ANSWERS
- CME QUIZ ANSWERS
Articles in the same Issue
- Editorial
- A Rising Tide of Older Patients: Preparing Future DOs
- Letters to the Editor
- Bibliometric Measures and National Institutes of Health Funding at COMs, 2006-2010
- Impact Indices Shed False Light
- Osteopathic Training of MDs
- Corrections
- Corrections
- Medical Education
- Developing Osteopathic Competencies in Geriatrics for Medical Students
- Ohio Osteopathic Residency Directors' Self-Reported Administrative Knowledge and Skills Before and After Participation in an Administrative Training Program
- New Colleges of Osteopathic Medicine: Steps in Achieving Accreditation—An Update
- Osteopathic Graduate Medical Education 2013
- Osteopathic Postdoctoral Training Institutions and Academic Sponsorship
- AOA Continuing Medical Education
- AOA Specialty Board Certification
- Special Communication
- Appendix 1: Colleges of Osteopathic Medicine in the United States
- Appendix 2: Figures and Tables Reprinted From Trends in Osteopathic Medical School Applicants, Enrollment and Graduates From the American Association of Colleges of Osteopathic Medicine (AACOM)
- The Somatic Connection
- Yoga vs Usual Care for Chronic Low Back Pain
- Yoga vs Stretching and Use of a Self-Care Book for Chronic Low Back Pain
- Yoga vs Home-Based Exercise for Chronic Neck Pain
- Yoga for Chronic Neck Pain: A 12-Month Follow-Up
- Severity of Irritable Bowel Syndrome Symptoms Is Reduced by Osteopathy
- Manual Therapy May Benefit Women With Primary Dysmenorrhea
- Manual Therapy May Benefit Women With Interstitial Cystitis and Pelvic Floor Pain
- Clinical Images
- Necrobiosis Lipoidica
- In Your Words
- Maintaining Empathy in a Locked Psychiatric Unit
- CME QUIZ ANSWERS
- CME QUIZ ANSWERS