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Appendix 1: Osteopathic Graduate Medical Education, 2018

  • Bulmaro Martinez and Maura Biszewski
Published/Copyright: April 1, 2018
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Journal of Osteopathic Medicine
From the journal Journal of Osteopathic Medicine Volume 118 Issue 4

The American Osteopathic Association (AOA) Department of Education maintains historical annual data on approved, funded, and filled AOA positions, as reported by the National Matching Services (an AOA vendor) and the Trainee Information, Verification and Registration Audit (TIVRA) survey tool. The current appendix includes an update for the 2016-2017 academic year. The AOA does not finalize postdoctoral training data until May of each calendar year. Trends and information on training slots from the AOA Match are also summarized.

Approved positions are the number of training slots awarded to a program by the Program and Trainee Review Council upon 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 used to accommodate a trainee enrolled in the program.

Table 1 illustrates the distribution of AOA internship, residency, and fellowship programs and trainees filling available positions by state. The following 5 states have the highest number of programs, positions, and trainees: Florida, Michigan, New York, Ohio, and Pennsylvania. In addition, twenty-five states experienced a growth in the number of trainees, with Arkansas, Idaho, and Colorado experiencing the largest growths at 73%, 50%, and 42%, respectively.

Table 1

Number of AOA-Approved Programs and Trainees Filling Available Positions as Reported by State, 2016-2017 Academic Year, as of May 31, 2017a

State Internship Residency/Fellowship Total
Programs Positions Trainees Programs Positions Trainees Programs Positions Trainees
Alabama 0 0 0 3 60 12 3 60 12
Alaska 0 0 0 1 12 12 1 12 12
Arizona 0 0 0 14 151 120 14 151 120
Arkansas 0 0 0 10 188 38 10 188 38
California 5 35 23 39 571 337 44 606 360
Colorado 1 8 8 15 256 118 16 264 126
Connecticut 2 18 9 4 46 40 6 64 49
District of Columbia 0 0 0 1 18 14 1 18 14
Delaware 0 0 0 1 24 7 1 24 7
Florida 8 136 64 99 1252 855 107 1388 919
Georgia 1 5 1 7 72 40 8 77 41
Idaho 0 0 0 1 12 9 1 12 9
Illinois 1 3 10 42 505 420 43 508 430
Indiana 0 0 0 4 45 33 4 45 33
Iowa 0 0 0 7 82 67 7 82 67
Kansas 0 0 0 1 20 22 1 20 22
Kentucky 1 12 1 12 141 75 13 153 76
Maine 0 0 0 7 79 46 7 79 46
Maryland 0 0 0 1 18 0 1 18 0
Massachusetts 1 4 0 4 37 22 5 41 22
Michigan 14 141 39 175 2077 1621 189 2218 1660
Minnesota 0 0 0 1 8 5 1 8 5
Mississippi 1 12 0 5 76 50 6 88 50
Missouri 3 15 4 24 181 138 27 196 142
Montana 0 0 0 1 12 6 1 12 6
Nevada 1 10 0 9 105 88 10 115 88
New Jersey 6 93 50 73 971 649 79 1064 699
New Mexico 1 4 4 7 86 3 8 90 7
New York 12 159 101 99 1274 814 111 1433 915
North Carolina 4 62 12 19 316 96 23 378 108
Ohio 5 45 24 95 1094 782 100 1139 806
Oklahoma 2 16 2 36 448 339 38 464 341
Oregon 1 12 5 12 129 109 13 141 114
Pennsylvania 17 141 69 110 1476 1028 127 1617 1097
Rhode Island 0 0 0 5 66 56 5 66 56
South Carolina 0 0 0 2 22 1 2 22 1
Tennessee 0 0 0 2 28 26 2 28 26
Texas 1 12 6 27 401 172 28 413 178
Utah 0 0 0 3 57 5 3 57 5
Virginia 1 5 5 15 257 188 16 262 193
Washington 0 0 0 10 146 114 10 146 114
West Virginia 3 8 4 15 165 112 18 173 116
Wisconsin 0 0 0 3 84 69 3 84 69
Wyoming 0 0 0 2 21 7 2 21 7
Total 92 956 441 1023 13,089 8765 1115 14,045 9206

a Data shown represent positions approved by the American Osteopathic Association (AOA) Program and Trainee Review Council and are not necessarily all funded. No internship, residency, or fellowship programs were approved by the AOA during the 2016-2017 academic year in Hawaii, Louisiana, Nebraska, New Hampshire, North Dakota, South Dakota, and Vermont.

Source: Training Programs by State: Year-End Reports, Division of Postdoctoral Training, AOA, Chicago, Illinois.

Table 2 shows the number of AOA-approved residency and fellowship programs and their approved and filled positions as reported by academic year and specialty. Forty-eight percent of residents are in the primary care specialties of family medicine (27%) and internal medicine (21%) for 2016-2017. The third largest portion of residents are in emergency medicine, which accounts for 12% of total residents.

Table 2

No. of AOA-Approved Residency Programs and Approved/Filled Positions as Reported by Academic Year and Specialty, as of May 31, 2017a

Specialty 2014-2015 2015-2016 2016-2017
Programs Positions Residents Programs Positions Residents Programs Positions Residents
Anesthesiology 14 151 116 13 139 121 13 139 122
 Anesthesiology and pain management 3 6 2 3 6 2 2 3 2
 Pediatric anesthesiology 1 3 1 1 3 1 1 3 1
Dermatology 31 209 136 33 226 150 28 194 132
 Mohs micrographic surgery 4 5 2 5 6 4 5 6 5
 Pediatric dermatology 1 2 1 2 0 1 2 0
Diagnostic Radiology 16 187 114 14 156 112 11 120 94
 Pediatric radiology 1 3 0 NA NA NA NA NA NA
 Vascular and interventional radiology 1 3 0 1 3 0 NA NA NA
Emergency Medicine 59 1373 976 63 1468 1080 56 1369 1075
 Emergency medical service 1 1 1 NA NA NA NA NA NA
Family Medicine 252 3708 2170 258 3874 2314 246 3812 2383
 Geriatrics (family medicine) 15 46 5 15 44 5 13 39 6
Internal Medicine 137 2728 1654 141 2977 1798 132 2832 1829
 Cardiac electrophysiology 1 3 0 1 3 0 1 3 0
 Cardiology 29 193 136 30 207 144 29 207 157
 Cardiology (interventional) 13 28 11 13 31 10 12 28 14
 Critical care medicine 7 27 11 7 27 20 8 32 21
 Endocrinology 6 17 6 5 15 6 5 16 8
 Gastroenterology 20 101 67 23 120 76 22 118 92
 Geriatrics (internal medicine) 9 30 0 10 34 2 8 28 1
 Hematology and oncology 6 21 16 6 21 16 4 16 15
 Infectious diseases 5 20 6 6 23 6 6 23 3
 Nephrology 10 29 9 9 27 9 8 24 5
 Oncology 2 7 2 2 7 0 1 4 2
 Pulmonary (critical care) 13 66 32 14 69 43 14 69 52
 Pulmonary medicine 2 4 0 1 2 0 NA NA NA
 Rheumatology 4 12 10 3 10 7 3 10 9
 Transplant hepatology 1 2 0 NA NA NA NA NA NA
Neurology 11 126 70 11 129 78 11 147 83
NMM/OMM 9 46 20 8 41 17 9 47 19
 NMM plus 1 27 86 22 31 102 29 30 99 31
Obstetrics and Gynecology 34 421 314 36 442 319 32 393 295
 Female pelvic medicine 2 4 1 2 4 2 2 4 2
 Gynecological oncology 3 9 7 4 12 8 4 12 8
 Maternal and fetal medicine 5 18 16 5 17 15 5 16 13
 Reproductive endocrinology 3 9 1 3 9 2 2 6 2
Ophthalmology 15 82 56 14 79 53 13 73 56
Orthopedic surgery 44 676 498 44 700 534 43 697 565
 Hand surgery 1 3 1 1 3 1 1 3 1
 Musculoskeletal oncology 1 1 0 NA NA NA NA NA NA
Otolaryngology and Facial Plastic Surgery 21 154 111 20 149 117 18 139 109
 Otolaryngic allergy 3 9 1 3 9 2 3 9 2
Pediatrics 22 328 200 21 316 207 19 284 220
Physical Medicine and Rehabilitation Medicine 6 70 44 6 70 45 6 70 52
Preventive Medicine and Public Health 1 3 1 1 3 0 1 3 0
 Preventive medicine (occupational and environmental) NA NA NA 1 6 0 NA NA NA
Proctology 2 5 2 2 5 2 2 5 3
Psychiatry 25 376 163 24 362 174 22 358 178
 Child and adolescent psychiatry 5 22 7 5 22 8 5 22 9
 Forensic psychiatry 1 4 0 1 4 0 1 4 0
 Geriatric psychiatry 2 6 0 2 6 0 2 6 0
Surgery (General) 59 932 602 59 982 651 57 949 686
 Cardiothoracic surgery 1 9 0 1 9 0 NA NA NA
 Critical care surgery 5 13 3 4 11 5 4 11 5
 General vascular surgery 8 19 12 6 14 10 6 14 10
 Neurological surgery 12 131 95 11 126 91 11 126 93
 Plastic and reconstructive surgery 8 32 16 8 32 18 8 32 20
 Urological surgery 11 123 94 11 123 97 8 87 68
Combined
 Emergency medicine and family medicine 3 52 42 3 52 38 3 52 32
 Emergency medicine and internal medicine 9 105 71 8 101 65 7 95 57
 Integrated family medicine/NMM 9 72 43 9 75 48 9 75 59
 Integrated internal medicine/NMM 1 4 3 1 4 3 1 4 2
 Pediatrics and internal medicine 1 10 6 1 10 5 NA NA NA
Conjointb
 Addiction medicine 1 6 0 1 6 3 1 6 0
 Adult/pediatric allergy and immunology 2 10 10 2 10 9 2 10 10
 Correctional medicine 2 6 0 2 6 0 2 6 0
 Dermatapathology 2 4 2 2 4 0 2 4 2
 Hospice and palliative medicine 15 34 7 15 34 14 16 36 10
 Pain medicine 1 5 2 1 5 4 1 5 4
 Pediatric emergency medicine 2 12 0 2 12 0 2 12 0
 Sleep medicine 2 8 2 2 8 2 1 6 0
 Sports medicine 24 71 30 24 72 31 21 63 30
 Undersea and hyperbaric medicine 1 2 0 1 2 1 1 2 1
Total Residency/Fellowships 1086 13,103 8058 1097 13,688 8634 1023 13,089 8765
Internshipsc 119 1232 568 103 1056 469 92 956 441
Total 1205 14,335 8626 2000 14,744 9103 1115 14,045 9206

a Approved positions are not necessarily funded. Data include fellowship programs, positions, and residents.

b Fellowships governed by Conjoint Standards by 2 or more specialties.

c For academic years 2014-2015 and 2015-2016, internship data published in last year's appendix on osteopathic graduate medical education were attributed to the incorrect academic year. The data presented here are correct.

Abbreviations: AOA, American Osteopathic Association; NA, not available; NMM, neuromusculoskeletal medicine; OMM, osteopathic manipulative medicine.

Sources: AOA Intern/Resident Contracts received by the division of postdoctoral training for the academic years shown (taken annually on May 31); and AOA's Trainee Information, Verification and Registration Audit (TIVRA) system, academic years 2016-2017. Data for the 2014-2015 and 2015-2016 academic years have been reported previously in The Journal of the American Osteopathic Association.

From the Department of Education at the American Osteopathic Association in Chicago, Illinois.
Financial Disclosures: None reported.
Support: None reported.

*Address correspondence to Bulmaro Martinez, MPH, American Osteopathic Association, 142 E Ontario St, Chicago, IL 60611-2864. Email:

  1. Editor's Note: This article is an update of last year's appendix (http://jaoa.org/article.aspx?articleid=2613998) on osteopathic graduate medical education.

  2. For information about osteopathic residency programs in light of the single accreditation system for graduate medical education, see the article from Buser et al on page 264 of this issue.

Received: 2018-02-26
Accepted: 2018-03-05
Published Online: 2018-04-01
Published in Print: 2018-04-01

© 2018 American Osteopathic Association

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Articles in the same Issue

  1. EDITORIAL
  2. Osteopathic Medical Education: Answering the Call
  3. JAOA/AACOM MEDICAL EDUCATION
  4. Educational Intervention in a Medically Underserved Area
  5. Factors Associated With Osteopathic Primary Care Residency Choice Decisions
  6. Interprofessional Collaborative Practice: Use of Simulated Clinical Experiences in Medical Education
  7. Assessment Considerations for Core Entrustable Professional Activities for Entering Residency
  8. Resident and Faculty Attitudes Toward Osteopathic-Focused Education
  9. Single Accreditation System Update: A Year of Progress
  10. APPENDIX
  11. Appendix 1: Osteopathic Graduate Medical Education, 2018
  12. Appendix 2: American Osteopathic Association Specialty Board Certification
  13. CLINICAL IMAGES
  14. Aortic Arch Mycotic Aneurysm
  15. Bronchopulmonary Sequestration
  16. IN YOUR WORDS
  17. Shared Journey in Medicine: Following in My Father's Footsteps
https://doi.org/10.7556/jaoa.2018.052
Creative Commons
BY-NC-ND 4.0

Articles in the same Issue

  1. EDITORIAL
  2. Osteopathic Medical Education: Answering the Call
  3. JAOA/AACOM MEDICAL EDUCATION
  4. Educational Intervention in a Medically Underserved Area
  5. Factors Associated With Osteopathic Primary Care Residency Choice Decisions
  6. Interprofessional Collaborative Practice: Use of Simulated Clinical Experiences in Medical Education
  7. Assessment Considerations for Core Entrustable Professional Activities for Entering Residency
  8. Resident and Faculty Attitudes Toward Osteopathic-Focused Education
  9. Single Accreditation System Update: A Year of Progress
  10. APPENDIX
  11. Appendix 1: Osteopathic Graduate Medical Education, 2018
  12. Appendix 2: American Osteopathic Association Specialty Board Certification
  13. CLINICAL IMAGES
  14. Aortic Arch Mycotic Aneurysm
  15. Bronchopulmonary Sequestration
  16. IN YOUR WORDS
  17. Shared Journey in Medicine: Following in My Father's Footsteps
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