AACOM Mission. An AACOM Update--The Changing Environment for Osteopathic Medical Education. Osteopathic Medical Schools. Osteopathic Medical Schools

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1 An AACOM Update--The Changing Environment for Osteopathic Medical Education Stephen C. Shannon, DO, MPH American Association of Colleges of AACOM Mission The American Association of Colleges of provides leadership for the osteopathic medical education community by promoting excellence in medical education, research, and service, and by fostering innovation and quality across the continuum of osteopathic medical education to improve the health of the American public. Copyright 215 AACOM, all rights reserved. Photo courtesy of LECOM The American Association of Colleges of (AACOM)): 3 Colleges at 42 Locations in 28 States Representing: Over 24.6 medical students (about 1 in 4 entering U.S. medical students) Over 37, faculty 25 full time (over 8 Basic Science, 12 Clinical) >36, clinical (45% DO, 55% MD) 35 Staff U.S. Colleges of Private (24) Colleges of Alabama College of (ACOM) A.T. Still University School of Arizona (ATSU/SOMA) A.T. Still University of Health Sciences/Kirksville College of (ATSU/KCOM), Missouri Arizona College of Osteopathic Medicine of Midwestern University (AZCOM) Campbell University College of (CUCOM) North Carolina Chicago College of Osteopathic Medicine of Midwestern University (CCOM), Illinois Des Moines University College of (DMU- COM), Iowa Kansas City University of Medicine and Biosciences College of (KCUMB-COM), Missouri Lake Erie College of Osteopathic Medicine (LECOM), Pennsylvania LECOM Bradenton Campus Liberty University College of (LUCOM), Virginia Private (24) Colleges of Lincoln Memorial University Debusk College of Osteopathic Medicine (LMU-DCOM), Pacific Northwest University College of, Washington (PNWU-COM) Harrogate, Tennessee Marian University College of (MU-COM) Indiana Philadelphia College of (PCOM), Pennsylvania PCOM--Georgia Campus New York College of Osteopathic Rocky Vista University College of Medicine of New York Institute of, Colorado Technology (NYCOM/NYIT) (RVUCOM) Nova Southeastern University Touro College of Osteopathic College of Medicine(TouroCOM-NY) NY (NSU-COM), Florida 1

2 Total Enrollment Number of Colleges and locations Private (24) Colleges of Public (6) Colleges of Touro University College of (TUCOM-CA), California TUCOM Nevada Campus University of New England College of Osteopathic Medicine (UNECOM), Maine University of Pikeville Kentucky College of (UP- KCOM), Kentucky Edward Via Virginia College of (VCOM)- Virginia VCOM-CC Carolinas Campus, SC VCOM-Auburn, AL Western University College of of the Pacific (Western U/COMP), California, Oregon William Carey University College of, Mississippi Michigan State University College of Osteopathic Medicine (MSUCOM) Ohio University Heritage College of Osteopathic Medicine (OU-HCOM) Oklahoma State University Center for Health Sciences College of Osteopathic Medicine (OSU-COM) Rowan University School of at Stratford, NY (RUSOM) University of North Texas Health Science Center at Fort Worth/Texas College of (UNTHSC/TCOM) West Virginia School of (WVSOM) Total Enrollment and Number of College of Locations Total Enrollment and Number of Colleges : New Since 2 or In Active Planning 25, , Enrollment Number of Colleges, Branch Campuses and Teaching Sites , , , 5 1, ,78 6,614 6,212 4,221 Five-year interval 7,822 9,882 11,857 12,525 13,46 14,49 15,634 16,893 18,143 19,427 2,663 21,741 23, Source: AACOM, AOA New Branch or Location New COMs Planned COMs Planned Branch or Location New Osteopathic Medical Colleges (Source: COCA) Liberty University College of in Lynchburg, VA (214) TouroCOM NY additional location, Middletown, NY (214) Ohio Heritage University COM additional locations: Columbus (214) Cleveland (with Cleveland Clinic in 215) Kansas City University of Medicine and Biosciences COM additional location: Joplin MO (216) New Osteopathic Medical Colleges (Source: COCA, press and personal communication) Planning underway for: COM at the University of the Incarnate Word, San Antonio, TX (216--Dean Robyn Philips-Madson, DO, MPH) Arkansas SOM at Ft. Smith, AR (216--Dean Ken Heiles, DO) NYIT-COM Additional Location in association with Arkansas State University, Jonesboro, AR (216) Burrell COM in association with New Mexico State University, Las Cruces (216 Dean George Mychaskiw, DO) RVUCOM additional location in UT COM at Sam Houston State University, Conroe, TX Talk of new DO schools/campuses, including FL, CA, KS, RI 2

3 Applicants to Osteopathic Medical Colleges (Source: AACOM) AACOMAS submitted applications final -- 4/3/213 Applications and Seats COCA approved 1st year seats Applications and Seats AACOMAS applications 18, Apps per seat , , , , , 6, 4, 2, AACOM Growth Report (214) AACOM Growth Report (214) Impact of Affordable Care Act on Physician Shortages Health Professions Workforce Projections Profession 212 employment 222 projected change 222 % growth 212 median wage Audiology 13, +4,3 +34% $69,72 Dentistry 146,8 +23,` +16% $149,31 Medicine DO/MD 691,4 +123,2 +18% $167,2 Nursing RN 2,711,5 +526,8 +19% $65,47 Occupational Therapy 113,2 +32,8 +29% $75,4 Pharmacy 286,4 +41,4 +14% $116,67 Physician Assistant Podiatric Medicine 86,7 +33,3 +38% $9,93 1,7 +2,4 +23% $116,44 Source: US Department of Labor, Occupational Outlook Handbook, January 214 Source - AAMC Workforce Center/Lewin Group 3

4 Combined MD and DO growth since 22 1, 9, 8, 7, 3,99 Additional D.O. Enrollment by 218 6, 5, 4, 4,861 Additional 3, M.D. Enrollment by 218 2, 1, Squeeze Ahead M.D. D.O. MD & DO entrant projections based on historical ratios of MD & DO graduates into ACGME pipeline (99.9% & 6.1%, respectively) and 4-yr graduation ratios of 95.8% for MDs 91.% for DOs Sources: Results of the 213 Medical School Enrollment Survey; 213 AACOM Survey of Colleges of Number of USIMGs Certified by ECFMG More than Doubled Since 22 Total US IMG Certifications 3, , 2,5 2, 1,439 1,5 1, 5 NP/PA Workforce Growing Rapidly 14, 12,273 12, 11,135 9,698 69% increase 1, 8,865 in NP graduates 8,14 7,583 8, 7,261 6,979 6,526 6,611 6,9 5,979 5,215 5,243 5,823 6, 4, 4,235 4,654 4,989 41% increase 4,9 4,337 4,512 4,393 in newly certified PAs 2, * 214 as of 1/23/14 (likely will be higher by end of year) Source: ECFMG Source: American Association of Colleges of Nursing Annual Surveys, National Commission on Certification of Physician Assistants. Presented to the National Health Policy Forum by Edward Salsberg, 4/19/13. Data published on the National Center for Health Workforce Analysis website. Sources: AACN, NCCPA Workforce Composition: Growth of PAs/NPs Compared to Physicians Less than half of patient care NPs are providing primary care Exhibit 3. Specialty of Practice/Facility for Nurse Practitioners Providing Patient Care Percentages of Types of Direct Patient Care Providers, Supply and Production Primary Care Internal Medicine Subspecialties 16,675 (13.3%) 6,47 (48.1%) Currently Practicing 18% 82% New Providers per Year 63% 37% PAs/NPs Physicians Surgical Specialties 11,47 (8.8%) Pediatric Subspecialties 3,88 (3.1%) Psychiatry/Mental Health 7,34 (5.6%) Other 25,79 (2.%) No Specialty 1,586 (1.3%) - 1, 2, 3, 4, 5, 6, 7, Number of Nurse Practitioners Source: Highlights from the 212 National Sample Survey of Nurse Practitioners (bhpr.hrsa.gov/healthworkforce/ Source: HHS/Health Resources and Services Administration, National Center for Health Workforce Analysis Source: 212 National Sample Survey of Nurse Practitioners 4

5 Mean physician retirement age rose during recession 72 Mean age of retiring physicians (age 45+), A Growing, Aging Population Matters Physician utilization per 1, people by age Sample text here for a transition slide Source: Preliminary Analysis of American Community Survey Data, U.S. Census Bureau Source: HHS/HRSA The Physician Workforce: Projections and Research into Current Issues Affecting Supply and Demand, December 28 at Graduate Medical Education That Meets the Nation s Health Needs www/iom.edu/gme Interprofessional Education Collaborative (IPEC) IOM (Institute of Medicine) Graduate medical education that meets the nation s health needs. Washington, DC: The National Academies Press. Changing Environment: Implementation of Single GME System and AACOM s role in that process Significant changes in the medical education environment: Innovation: Competency-based/EPAs/Milestones Clinical Education I. Recommendations for Osteopathically- Recognized Programs II. Recommendations for Criteria for MDs Pursuing Osteopathic GME 3 5

6 AACOM Strategic Goals Serve as the collective voice of the colleges of osteopathic medicine and associated osteopathic medical education programs Promote osteopathic medical education as a preferred pathway for future physicians Promote excellence, innovation and a culture of lifelong learning throughout medical education Demonstrate the distinctive value and approach of osteopathic medical education by providing opportunities for collaborative research and scholarship. Visit and for more information. Join Us in April! 31 Questions/Discussion The American Association of Colleges of Osteopathic Medicine provides leadership for the osteopathic medical education community by promoting excellence in medical education, research, and service, and by fostering innovation and quality across the continuum of osteopathic medical education to improve the health of the American public. 6