January 2009 Osteopathic Medical Education Conference Presentation ...

Osteopathic Medical Education: State of the “Union” Karen Nichols, DO, MA, FACOI, CS Medical Education Summit II Chair Medical Education Summit Progress Task Force, Chair Osteopathic Medical Education Conference Presentation 0

Osteopathic Medical Education (Spheres of Influence) Specialty Colleges’ RESC AACOM (COMS) AOA Education Divisions 0 Residency Standards And Program Approvals UME Admission, Curriculum And “ Pipeline Issues” OPTI Administration And Oversight Bureau of Education COPT PTRC COPTI COCA

The Vision
To have a proactive on-going “think tank” on medical education involving all the osteopathic profession stakeholders.

The Plan
Series of sessions
5 over 10-14 years
MES I – January, 2006
Global Medical Education Issues
MES II – November, 2007
Osteopathic Graduate Medical Education

Successes
Analyze the relevance of the osteopathic internship for OGME
Restructured the osteopathic internship
July 2008
0

Successes
Enforce “Opportunities” and TIVRA reporting
COPT imposed penalties in 2007 for incomplete or non-completion of TIVRA and OPPORTUNITIES
0

Successes
Revise and enhance GME standards
COPTI and COPT have extensively revised the OPTI standards.
PTRC and COPT have extensively revised specialty college standards.
Innovative programs
ORCA project
Promote rapid approval processes for programs without compromising GME quality standards.
0

Successes
Remove barriers and streamline the OGME accreditation processes
PTRC
new administrative process
April 2007
0

Successes
AACOM and AOA with state societies should lobby to ease federal UME loan restrictions
AOA supports legislation
Student loan deferment legislation (HR 2583)
AOA supports PHS loan forgiveness or payback incentives for UME trainees
0

Successes
Promote mentoring and professionalism competency programs in UME curriculum
AACOM has multiple programing
The AOA OME conference has significant programming
0

Successes
Increase Medicare CMS funding for GME
The AOA has testified before the Senate committees on workforce and GME funding issues
Many advocacy initiatives in place
The AOA and AACOM have a representative on the COGME
COGME lobbies for increases in CMS and other funding for GME
0

Successes
Dual and parallel GME/OGME training programs should be studied and policies developed to maximize OGME positions.
A ‘white paper’
Completed and updated
0

Successes
Increase the number of OGME programs and funded FTEs
The AOA OGME Development Initiative
Michael Murphy, DO, Chair
Four new hospitals in the pipeline
0

Not all issues addressed
Osteopathic Graduate Medical Education
On to……
0

Medical Education Summit II “ Framing the Future” November 10-12, 2007

The Problem:
HHS/HRSA
“ Physician Supply/Demand: Projections 2020”
AAMC/Center for Workforce Studies
Edward Salsberg, Director
“ The State of the Physician Workforce”
L.Davis Institute/Health Care Econ., U. Penn Richard Cooper, MD
“ It’s Time to Address the Problem of Physician Shortages: Grad Med Ed is the Key”

How we got here:
Downward Pressure on Supply
Medical Schools
Graduate Medical Education
Downward Trend of Physician Work Effort

Genesis of the Problem: Failure to Sustain Growth in GME BBA of 1996 MD Schools, 1980 Source: Richard Cooper, MD

Nor even will increasing residency positions by 10,000 over ten years starting in 2010 Demand Supply +1,000/year 2010-2020 No change Source: Richard Cooper, MD

… and the gap will continue for decades. Demand Supply +1,000/year 2010-2020 No change Source: Richard Cooper, MD

1980
17000 med students
MD 91%
DO 9% (1500)
2012-13
24974 med students
MD 79%
DO 21% (5227)

“… an increase in allopathic medical school graduates will almost certainly mean that fewer graduates of osteopathic medical schools and non-US schools will be accepted into residency training programs.”
Michael Whitcomb, Acad Med, 82, #9, Sept 2007, pp. 825-6

Global Issues How do we ensure that osteopathic graduate medical education maintains the essence of what makes it osteopathic? Purpose MD’s should take DO residencies

Resources/ Structure How do we ensure that there are sufficient resources and an appropriate structure for the graduate medical education needs of osteopathic medical students? Purpose OGME slot for every UME grad

Specialty Mix How do we approach the issues of specialty mix? Purpose Specific goal per specialty

Structural Overview
Understanding ourselves
Studying the definition of “osteopathic” graduate medical education
Referred to Osteopathic History/Identity Committee
Identifying what we do best and reformulating OGME based upon the societal needs of the 21st century
360 degree study
RFP being prepared

Structural Overview
Improving infrastructure
Improve quality
2 pilot surveys
Newly graduated MS IV students in Ohio
Being assessed for the broader audience
Enhancing and enforcing standards
Improving the inspection process
Improving the internal processes
Enhancing the educational structure
Analysis in process
COPT Subcommittee
AODME
BOSS – presentation at next meeting

Structural Overview
Improving infrastructure
Improving the OPTI concept and implementation
360 degree study
RFP being prepared

Structural Overview (continued)
Improving support for OGME
Promoting clinical and education research
Referred to Research Bureau
Advocating for increased funding for OGME
Ongoing Advocacy

Structural Overview (continued)
Dealing with three special issues
Studying admitting MD’s into DO residencies
BOE subcommittee
Ken Johnson DO, Chair
Survey in process
The proper approach to OGME capacity (related to UME/OGME collaboration)
AACOM/AOA Statement of Principles
Dealing with the issues in primary care , including mid-level providers
Working with ACOFP, ACOI, ACOP

Oversight and Follow-up:
Medical Education Summit Progress Task Force
Presentations
Publications
Report to AACOM, AOA, OHF
Succession Plan

The “Real” Outcomes
1. Getting all the stakeholders in the same room.

2. Developing the data repository.

3. Creating a process for dialogue/interaction/follow-up.

3. Creating a process for dialogue/interaction/followup.
4. Developing a joint Statement of Principles about osteopathic medical education.

Where do we go from here?

Where do we go from here?
Medical Education Summit III

“ Think out 25 years. What does the profession look like in 2032 after we made good decisions at these summits?”
Anonymous

“ If you keep doing what you are doing, you will keep getting what you got.”
Yogi Berra

“ Choose change before change choose you.”
Anonymous

Osteopathic Medical Education: State of the “Union” Karen Nichols, DO, MA, FACOI, CS Medical Education Summit II Chair Medical Education Summit Progress Task Force, Chair Osteopathic Medical Education Conference Presentation 0

January 2009 Osteopathic Medical Education Conference Presentation ...

by Medresearch on Nov 23, 2010

Accessibility

Categories

Tags

Upload Details

Usage Rights

Statistics

January 2009 Osteopathic Medical Education Conference Presentation ... — Presentation Transcript