Jonathan Rohrer, PhD, DMin Associate Dean, Statewide Campus System Michigan State University College of Osteopathic Medicine
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1 Jonathan Rohrer, PhD, DMin Associate Dean, Statewide Campus System Michigan State University College of Osteopathic Medicine
2 Explain the evolving osteopathic accreditation system Summarize the Current Proposals for Unified Accreditation Identify the strengths and challenges of osteopathic accreditation List opportunities for allopathic and osteopathic accreditation partnerships beyond the MOU
3 OPTI Sponsorship for all OGME Programs- July 1, 2012 Transition to Professional Inspectors- July 2012 Institutional Inspections as well as Program Inspections Seven Core Competencies Performance Based Accreditation System (PBAS)
4 Act in the best interest of patients Ensure perpetuation of unique dimensions of osteopathic medicine Secure broad access to postdoctoral training for future graduates Affirm appropriate role and voice of DOs in governance
5 Now AMA American Medical Association ABMS American Board of Medical Specialties AHA American Hospital Association CMSS Council of Medical Specialty Societies AAMC Association of American Medical Colleges AMA ABMS AHA CMSS AAMC AOA American Osteopathic Association AACOM Association of American Colleges of Osteopathic Medicine Transition
6 Transition to new system from July 1, 2015 to June 30, 2020 AOA continues accreditation of GME until June 30, 2020 Goal to minimize financial consequences of overlap
7 Two new committees Neuromuscular Medicine (NMM) Osteopathic recognition/focused Observers then newly appointed members to RRC s Appointees to the ACGME Faculty with AOA specialty certification accepted
8 Beginning July 1, 2015, accredited AOA programs may apply for ACGME accreditation AOA accredited programs in the application process will have pre-accreditation status with ACGME DOs who complete programs with pre-accreditation status will meet ACGME initial year and fellowship eligibility requirements AOA accredited programs must apply to continue accredited programs past June 30, 2020 Institutional applications to be considered in November 2014
9 Programs seeking osteopathic recognition may require a program co-director certified by AOA Standards for OPP will be added to specialty standards OPTIs may apply for and be recognized as ACGME sponsoring institutions
10 Lots of support Lots of concern Uncertainty Our changing environment Risks with status quo Remain connected
11 Details associated with operations Impact to other parts of the system Illumination from ongoing discourse AACOM annual meeting AODME annual meeting Several state association meetings House of delegates review Literature All other stakeholders
12 Variations on minimum number of trainees Locations of Training Programs Variation in program director and faculty requirements and compensation Variation in duty hours Cost Factors associated with Training Internal medicine, family medicine, emergency medicine, obstetrics and gynecology, general surgery, orthopedic surgery and institutional committees met-a year ago, few difficult differences
13 Accreditation NAS (Next Accreditation System) AIR (Annual Institutional Review) APR (Annual Program Review) CLER-(Clinical Learning Environment Review) Competencies Milestones, EPAs (Entrustrable Professional Activities) Certification ABMS
14 Accreditation AOA: Compliance with AOA Basic Standards, Specialty Standards, and OPTI/ Institutional Standards; Three Educational Councils Monitoring: COPTI, PRTC, COPT Competencies Seven Competencies- Seventh Competency(OPP) to be integrated across other six Certification AOA Specialty Certifying Boards, i.e. AOBEM, AOBIM
15 Osteopathic Postdoctoral Training Institution (OPTI) - Consortium sponsorship of community based programs - Different model supporting primary and specialty care Ease in starting new programs HRSA funded teaching health center programs
16 Not one dollar more Having to apply opens the door for realignment, reducing resident count closer to the CAP
17 Institutional Accreditation- Consortium of Community Based Programs Consortium Strengthening Community Based Medical Education providing value- added economy of scale services Collaborative Translational Research Professional Development for Members Competency Based Educational Programs Generation of New Programs through the HRSA funded teaching health center model Mini Consortia of small community based programs
18 Services that are provided/ offered in academic medical centers Curriculum design Milestones Assessments based on entrustable professional activities Faculty Development (Program Specific and overall) Research (Education, Mentoring, Statistics, Publication/Grant Writer and forum for presentation)
19 aoa/pages/acgme-single single-accreditation accreditation- system.aspx nglegme.aspx
20 Get the facts, become bilingual in accreditation systems Read up on the larger picture: Assessing Health Professional Education Global Forum on Innovation on Health Profession Education IOM Report Best Practices for Better Care- AAMC ACGME Accreditation standards and resources
21 Jonathan Rohrer, PhD, DMin
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