Moderated by Russell Maier, MD and Michelle Chadek, MS - PowerPoint Presentation

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Moderated by Russell Maier, MD and Michelle Chadek, MS

FMRN Network Osteopathic Webinar

November 20, 2019 8am PST

Common Citations, A Conversation with Tiffany Moss,

MBA

ACGME

Executive Director of Osteopathic Accreditation

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Some History

Osteopathic Recognition was created as a result of the Single Accreditation System movement by ACGME as a way to weave osteopathic education and distinctiveness into residency training programs.

FMRN provides support to PNWU to help programs with Osteopathic Recognition.

Osteopathic Recognition applications do not require an initial site visit and there are no fees.

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Did you know?The ONLY programs with ACGME Osteopathic Recognition in the six state PNW region are the FMRN Family Medicine Programs?This includes ALL specialties!

As of November 2019, there are 215 programs with Osteopathic Recognition, 139 of those are family medicine programs – 65%

Source: ACGME Public Data site, next page AOGME Osteopathic Recognition Matters site

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Who has OR?

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Some Network Stats

12 programs with Osteopathic Recognition in the Network as of 10/2019 with two more applications pending OPC

45% of FMRN programs have ACGME Osteopathic Recognition or have applied

(14 of 31)

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Why did your program apply for Osteopathic Recognition?Originally an AOA program, transitioned to ACGME

To attract wider pool of top quality graduates

To reduce costs in your residency clinic

Value of integrated education for all residents (allopathic and osteopathic)

Other – type answer in chat box

POLL QUESTION

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25% of graduating medical school seniors are osteopathic medical students! They are looking for a pathway to continue their osteopathic learning.

More than 70% of third-year osteopathic medical students indicate they would like to train in an osteopathic-focused residency program.

Increase the marketability of your program, add value to your institution and attract the best and brightest residents.

Why OR?

Source: https://osteopathic.org/graduate-medical-educators/single-gme/osteopathic-recognition/

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WA State Scope of Practice for MDs

Update on Scope of Practice for MDs

Timeline

November 14 sub-committee

Early January 2020 full committee approval

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Common OR CitationsOsteopathic Faculty responsibilitiesResident Appointments

Osteopathic Learning Environment: Experiences and Scholarly Activity resources

Summative Evaluations

Osteopathic Faculty Evaluations

Program Evaluation

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Chat Box

Please use the chat box to ask real time questions you have on the next few citation slides.

This will allow us to answer your questions on the exact citation as we review it

Please ask! Chances are your question is the same one another program has.

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Osteopathic Faculty Responsibilities

I.B.4. Osteopathic faculty members must:

I.B.4.a) participate in a faculty development program that includes OPP;

I.B.4.a).(1) This program should include ongoing education addressing evaluation and assessment in competency-based medical education.

I.B.4.c) actively participate in organized clinical discussions, rounds, journal clubs, or conferences for designated osteopathic residents, with specific integration of OPP, including OMT.

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Resident Appointments

II.C. The program must have a policy that outlines the eligibility requirements for appointment, based on the type of medical school from which the applicant graduated. The policy must clearly identify what is required of the applicant prior to entering a designated osteopathic position in an ACGME-accredited program with Osteopathic Recognition

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Osteopathic Learning EnvironmentExperiences

Programs must:

IV.A.3. provide learning activities to advance the procedural skills acquisition in OMM for both designated osteopathic residents and osteopathic faculty members

IV.A.6. create a learning environment that supports osteopathic scholarly activity by designated osteopathic residents and osteopathic faculty members to advance OPP

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Osteopathic Learning Environment Scholarly Activity Resources

Programs must:

IV.B.2.b) provide resources to support osteopathic scholarly activity by designated osteopathic residents and osteopathic faculty members

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Summative Evaluations

V.A.3.b) The DOE must provide a summative evaluation for each designated osteopathic resident upon completion of the osteopathic education program.

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Summative Evaluations

V.A.3.c) The summative evaluation must:

V.A.3.c).(2) document the resident’s performance related to the application of OPP in each of the ACGME Competencies during the final period of education; and,

V.A.3.c).(3) verify that the designated osteopathic resident has demonstrated sufficient competence to apply OPP to patient care, upon entering practice, without direct supervision.

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POLL QUESTION

Do you use the Osteopathic Recognition Milestones as part of your program’s summative evaluation:

Yes

No

Don’t know

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Faculty Evaluations

V.B.2. Evaluation of osteopathic faculty members must include:

V.B.2.a) annual written confidential evaluations of the faculty members by the designated osteopathic residents or evaluations following completion of rotations or similar educational experiences as related to the integration of OPP; and,

V.B.2.b) assessment of the knowledge, application, and promotion of OPP.

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Program Evaluation

V.C.1. Designated osteopathic residents and osteopathic faculty members must have the opportunity to evaluate the osteopathic components of the program confidentially and in writing at least annually

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Discussion QuestionsTiffany: Is there specific evaluation terminology to avoid using?

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ACGME OR Requirements and RevisionsCurrent:

2018 OR requirements

and

OR FAQs

Osteopathic Recognition focused revision underway,

revisions here

.

Comment period closed, pending board decision

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Impact Statement for revisionsI.A.1.a) The Director of Osteopathic Education must have sufficient time and availability to fulfill the responsibilities of the position based on program size and configuration.

The DOE has flexibility to serve in the role for more than one program and the Committee seeks to ensure that the DOE is able to fulfill his/her responsibilities, given the responsibilities he/she may have to other programs

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Impact Statement for OR revisions (cont.)

I.A.3 changed to I.A.4 a) b) and c)

The Director of Osteopathic Education’s responsibilities must include:

I.A.4.a)

administration and maintenance of the educational environment conducive to educating residents in OPP and the ACGME Competencies;

I.A.4.b)

development of the OPP curriculum; and,

I.A.4.c)

development of the OPP evaluation system.

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Osteopathic Principles Committee dates: January 3-5, 2020

(agenda deadline passed)

April 17-19, 2020

(agenda deadline January 15, 2020)

ACGME Annual Conference February 27-29

Osteopathic focused pre-conference and general OR sessions available

AACOM Annual Conference March 25-27

Upcoming Important Dates

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FMRN and PNWU resources availableOR Site Visit preparation meetings, citation response review, form examples

AMA and AOA CME credit for your Residency Faculty development and didactics for appropriate activities

Weekly Residency Spotlight in PNWU student publication

PNWU Residency Fair

&

Academic Day

April 10, 2020

Osteopathic Recognition requirements crosswalk

Osteopathic Recognition Toolkit

(in development)

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POLL QUESTION

Do you see the need for an OR Toolkit for Programs considering or beginning Osteopathic Recognition?

Yes

No

What would be helpful to include in an OR Toolkit?

Type answer in chat box

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POLL QUESTION

What would be helpful to include in an OR Toolkit?

Type answer in chat box

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POLL QUESTION

What would you like to learn about at our next Osteopathic Recognition Network webinar?

MD requirements for osteopathic board certification

Which ITE exams should residents take?

Incorporating OMM into didactics

All of the above

Other – type answer in chat box

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FMRN/PNWU OR resources and questions:

Russell Maier, MD

rmaier@pnwu.edu

Michelle Chadek, MS

mchadek@pnwu.edu

ACGME Osteopathic Recognition questions:

Tiffany Moss, MBA

tmoss@acgme.org

Contact

information:

Questions?

Next Network OR Webinar

February 19, 2020

8am

PST

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OR ResourcesACGME Osteopathic Recognition Requirements and resources

https://www.acgme.org/What-We-Do/Recognition/Osteopathic-Recognition

AOGME Osteopathic Recognition Matters

https://www.ormatters.org/

OR FAQs:

https://www.acgme.org/Portals/0/PDFs/FAQ/801OsteopathicRecognitionFAQs2018.pdf?ver=2019-04-17-133433-497