Abbreviation | AOA |
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Formation | April 19, 1897 |
Type | Professional association |
Headquarters | Chicago, Illinois |
Location | |
Coordinates | 41°53′39″N87°37′08″W / 41.8942°N 87.6190°W |
Official language | English |
President | Teresa A. Hubka, DO [1] |
CEO | Kathleen S. Creason, MBA [2] |
Website | osteopathic |
Osteopathic medicine in the United States |
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Andrew Taylor Still (founder) |
The American Osteopathic Association (AOA) is the representative member organization for the more than 197,000 osteopathic medical doctors (D.O.s) and osteopathic medical students in the United States. The AOA is headquartered in Chicago, Illinois, and is involved in post-graduate training for osteopathic physicians. Beginning in 2015, it began accrediting post-graduate education as a committee within the Accreditation Council for Graduate Medical Education, creating a unified accreditation system for all DOs and MDs in the United States. The organization promotes public health, encourages academic scientific research, serves as the primary certifying body for D.O.s overseeing 18 certifying boards, [3] and is the accrediting agency for osteopathic medical schools through its Commission on Osteopathic College Accreditation. As of October 2015, the AOA no longer owns the Healthcare Facilities Accreditation Program (HFAP), which accredited hospitals and other health care facilities.
The AOA has held yearly conventions since its founding in 1897. [4] The AOA also manages DOCARE International, a non-profit charitable organization. The AOA also publishes The DO , an online publication, and The Journal of the American Osteopathic Association , a peer-reviewed medical journal.
The association was founded as the American Association for the Advancement of Osteopathy on April 19, 1897, [5] in Kirksville, Missouri, by students of the American School of Osteopathy specifically Andrew Taylor Still. [6] [7] It was renamed the American Osteopathic Association in 1901. [7]
In September 1901, the AOA began to publish a scientific journal entitled the Journal of the American Osteopathic Association . Subscriptions were offered to AOA members, and at the time, membership fees were $5 annually. [8] The journal was published bimonthly for the first year, then monthly thereafter. In 1903, the AOA conducted the first accreditation survey of osteopathic medical schools. [9] Three years later, the American Medical Association conducted its first accreditation survey of US MD-granting medical schools. [9] In April 1927, the AOA began publishing The Forum of Osteopathy, a monthly magazine that covered news relating to osteopathic medicine, the AOA, and related groups. [8] In September 1960, the magazine was renamed The DO .
In the early 1900s, the AOA, citing concerns about safety and efficacy, was opposed to the introduction of pharmacology into the curriculum of osteopathic medicine. However, in 1929 the AOA board of trustees voted to allow the teaching of pharmacology in D.O. schools. [9] By 1938, the AOA began requiring that osteopathic medical students have at least 1 year of undergraduate college coursework, and by 1940, the AOA required two years. [9] In 1943, the AOA founded the Healthcare Facilities Accreditation Program (HFAP), an organization that accredits hospitals and other health care facilities. [10]
In 1957, the U.S. Department of Health, Education, and Welfare recognized the AOA as the official accrediting body for osteopathic medical education. In 1967, the National Commission on Accrediting (currently the Council for Higher Education Accreditation) recognized the AOA as the official accrediting agency for all aspects of osteopathic medical education. [11] The Department of Health, Education and Welfare (currently the Department of Health and Human Services) recognized the AOA as the official accrediting body for osteopathic hospitals under Medicare in 1966. In October 2015, the AOA sold the Healthcare Facilities Accreditation Program to the Accreditation Association for Hospitals/Health Systems. [12] [10] [13] [14] [15] [16]
In 2016, a group of D.O. physicians filed an anti-trust lawsuit against the AOA (Talone et al. v. The American Osteopathic Association), contesting the requirement for physicians to purchase AOA membership as a condition of AOA board certification. [17] [18] In 2018, the AOA and physicians reached a $35 million settlement agreement. [18] As a part of the settlement, the AOA agreed to end its policy of requiring physicians to purchase AOA membership in order to receive AOA board certification. [18] [19] The settlement was finalized in 2019. [20]
In 2021, the AOA filed a lawsuit against the American Board of Internal Medicine (ABIM). The lawsuit was directed at the ABIM policy requiring program directors to be board certified by the ABIM in order for graduates of that residency to be eligible for ABIM board certification. [21]
The AOA supports the annual "D.O. Day on Capitol Hill," where more than 1,000 osteopathic physicians (D.O.s) and osteopathic medical students go to Washington, D.C. to meet with members of congress to discuss current issues in health care, such as access to care challenges. [22] The event serves as an opportunity for legislators to learn more about health care and osteopathic medicine and for medical students to become more familiar with the political process.
The AOA also provides funding for post-graduate osteopathic medical residencies. [23] In the 2017 match, more than 2,200 osteopathic physicians matched into these residency programs. [24] In February, 2014, the AOA and AACOM decided to join with ACGME to form a unified post-graduate accreditation system.
The American Osteopathic Association publishes The DO, an online publication [25] covering news related to osteopathic medicine, legislation, health care changes, and osteopathic continuing medical education programs. [26]
The AOA also publishes The Journal of the American Osteopathic Association , a monthly peer-reviewed medical journal focusing on original research and editorial articles.
DOCARE International is a non-profit medical charity serving remote areas of the Western Hemisphere. [27] DOCARE International primarily operates in the Caribbean, Africa, South America, and Central America. [27] DOCARE is operated by the American Osteopathic Association, and consists of osteopathic physicians, osteopathic medical students, M.D. physicians, and other healthcare professionals. [28]
Osteopathy, unlike osteopathic medicine, which is a branch of the medical profession in the United States, is a pseudoscientific system of alternative medicine that emphasizes physical manipulation of the body's muscle tissue and bones. In most countries, practitioners of osteopathy are not medically trained and are referred to as osteopaths.
Osteopathic medicine is a branch of the medical profession in the United States that promotes the practice of science-based medicine, often referred to in this context as allopathic medicine, with a set of philosophy and principles set by its earlier form, osteopathy. Osteopathic physicians (DOs) are graduates of American osteopathic medical colleges and are licensed to practice the full scope of medicine and surgery in all 50 U.S. states. The field is distinct from osteopathic practices offered in nations outside of the U.S.—in which practitioners are generally considered neither parts of core medical staff nor of medicine itself; rather, they are considered alternative medicine practitioners. The other major branch of medicine in the United States is referred to by practitioners of osteopathic medicine as allopathic medicine.
Des Moines University (DMU) is a private medical school in West Des Moines, Iowa. Founded in 1898, Des Moines University is the second oldest osteopathic medical school and the fifteenth largest medical school in the United States. DMU's three colleges—the College of Osteopathic Medicine, College of Podiatric Medicine and Surgery, and College of Health Sciences—offer nine academic degrees, including master's and doctorate degrees.
The Accreditation Council for Graduate Medical Education (ACGME) is the body responsible for accrediting all graduate medical training programs for physicians in the United States. It is a non-profit private council that evaluates and accredits medical residency and internship programs.
The Comprehensive Osteopathic Medical Licensing Examination of the United States (COMLEX-USA) is a series of three osteopathic medical licensing examinations administered by the National Board of Osteopathic Medical Examiners (NBOME) similar to the United States Medical Licensing Examination (USMLE). COMLEX-USA is the most common pathway by which osteopathic physicians (D.Os) apply for medical licensure, and is accepted in all 50 states. The 3-digit standard scores of COMLEX-USA Level 1, Level 2- Cognitive Evaluation (CE), and Level 3 have a range of 9-999 and a mean of 500. Most candidates score between 250 and 800. 400 is the minimum passing score for COMLEX-USA Levels 1 and 2; 350 for COMLEX-USA Level 3. It was announced on January 24, 2022, that the COMLEX-USA Level 1 examination will be moving from a 3-digit numeric score to solely pass/fail beginning on May 10, 2022.
Most physicians in the United States hold either the Doctor of Medicine degree (MD) or the Doctor of Osteopathic Medicine degree (DO). Institutions awarding the MD are accredited by the Liaison Committee on Medical Education (LCME). Institutions awarding the DO are accredited by the Commission on Osteopathic College Accreditation (COCA). The World Directory of Medical Schools lists both LCME accredited MD programs and COCA accredited DO programs as US medical schools. Foreign-trained osteopaths do not hold DO degrees and are not recognized as physicians in the United States or in other jurisdictions.
The New York Institute of Technology College of Osteopathic Medicine (NYIT-COM) is a private medical school located primarily in Old Westbury, New York. It also has a degree-granting campus in Jonesboro, Arkansas. Founded in 1977, NYIT-COM is an academic division of the New York Institute of Technology. Formerly the New York College of Osteopathic Medicine, it is one of the largest medical schools in the United States. As of 2023, the NYIT College of Osteopathic Medicine has a 100 percent match rate, with all members of the Class of 2023 placed into residencies.
Maintenance of Certification (MOC) is a recently implemented and controversial process of physician certification maintenance through one of the 24 approved medical specialty boards of the American Board of Medical Specialties (ABMS) and the 18 approved medical specialty boards of the American Osteopathic Association (AOA). The MOC process is controversial within the medical community, with proponents claiming that it is a voluntary program that improves physician knowledge and demonstrates a commitment to lifelong learning. Critics claim that MOC is an expensive, burdensome, involuntary and clinically irrelevant process that has been created primarily as a money-making scheme for the ABMS and the AOA.
Rocky Vista University (RVU) is a private, for-profit medical school with campus locations in Englewood, Colorado, Ivins, Utah, and Billings, Montana. The school opened in 2006 as the only modern for-profit medical school in the United States although other for-profit schools have since opened. RVU's College of Osteopathic Medicine (RVUCOM) grants the Doctor of Osteopathic Medicine degree and admitted its inaugural class of medical students at the Parker, Colorado campus in August 2008.
Doctor of Osteopathic Medicine is a medical degree conferred by the 38 osteopathic medical schools in the United States. DO and Doctor of Medicine (MD) degrees are equivalent: a DO graduate may become licensed as a physician or surgeon and thus have full medical and surgical practicing rights in all 50 US states. As of 2023, there were 186,871 osteopathic physicians and medical students in DO programs across the United States. Osteopathic medicine emerged historically from the quasi-medical practice of osteopathy, but has become a distinct and proper medical profession.
The Healthcare Facilities Accreditation Program (HFAP) is a not-for-profit organization meant to help healthcare organizations maintain their standards in patient care and comply with regulations and the healthcare environment. Headquartered in Chicago, HFAP is an accreditation organization with authority from Centers for Medicare and Medicaid Services.
The Michigan State University College of Osteopathic Medicine (MSUCOM) is one of the two public medical schools of Michigan State University, a public land-grant research university in East Lansing, Michigan. The college grants the Doctor of Osteopathic Medicine (D.O.) degree, as well as a DO-PhD combined degree for students interested in training as physician-scientists. MSUCOM operates two satellite campuses in Clinton Township and Detroit. The college is accredited by the American Osteopathic Association's Commission on Osteopathic College Accreditation (COCA) and by the Higher Learning Commission.
In 2006, hospice and palliative medicine was officially recognized by the American Board of Medical Specialties, and is co-sponsored by the American Boards of
The American Osteopathic Board of Preventive Medicine (AOBPM) is an organization that provides board certification to qualified Doctors of Osteopathic Medicine (D.O.) who specialize in aiding patients in the prevention of injury or disease. The board is one of 18 physician medical specialty boards of the American Osteopathic Association Bureau of Osteopathic Specialists of the American Osteopathic Association (AOA). The AOBPM was established in 1982 by approval by the Board of Trustees of the American Osteopathic Association. The AOBPM provides board certification for eligible physicians. Additionally, along with fellows of the American Board of Preventive Medicine, fellows of the American Osteopathic Board of Preventive Medicine are eligible to become fellows of the Undersea and Hyperbaric Medical Society. As of December 2011, 176 osteopathic physicians held active membership with the AOBPM.
The College of Osteopathic Medicine of the Pacific (COMP) is a private medical school for osteopathic medicine located in downtown Pomona, California. The college opened in 1977 as the only osteopathic medical school west of the Rocky Mountains. COMP was the founding program of Western University of Health Sciences (WesternU), which now has eight colleges in addition to COMP, each offering professional degrees in various fields of healthcare. COMP has a single four-year program, conferring the Doctor of Osteopathic Medicine (D.O.) degree. Graduates are eligible to practice medicine in all 50 states and more than 85 countries.
The American Osteopathic Board of Neurology and Psychiatry (AOBNP) is an organization that provides board certification to qualified Doctors of Osteopathic Medicine (D.O.) and non-osteopathic physicians who specialize in disorders of the nervous system (neurologists) and to qualified Doctors of Osteopathic Medicine and physicians who specialize in the diagnosis and treatment of mental disorders (psychiatrists).
The American Osteopathic Board of Anesthesiology (AOBA) is an organization that provides board certification to qualified Doctors of Osteopathic Medicine (D.O.) and non-osteopathic physicians who specialize in the administration of anesthetic agents and perioperative medicine (anesthesiologists). The board is one of 16 medical specialty certifying boards of the American Osteopathic Association Bureau of Osteopathic Specialists approved by the American Osteopathic Association (AOA), and was established in 1956.
The American Osteopathic Board of Pediatrics (AOBP) is an organization that provides board certification to qualified Doctors of Osteopathic Medicine (D.O.) who specialize in the diagnosis and treatment of medical diseases in infants, children, and adolescents (pediatricians). The board is one 18 medical specialty certifying boards of the American Osteopathic Association Bureau of Osteopathic Specialists approved by the American Osteopathic Association (AOA), and was established in 1940. Certification in pediatrics has grown to over 1,000 diplomates over the last decade. It was reported in 2011, 477 osteopathic pediatricians held active certification with the AOBP. With single accreditation in place both osteopathic and allopathic residency training candidates are eligible to examine for certification with the American Osteopathic Board of Pediatrics.
The American Osteopathic College of Radiology (AOCR), founded in 1941, is a non-profit professional medical association in the United States representing Doctors of Osteopathic Medicine (D.O.) that specialize in radiology. The AOCR is accredited by the American Osteopathic Association (AOA) and the Accreditation Council for Continuing Medical Education to oversee continuing medical education activities for osteopathic radiologists. The AOCR is one of two professional organizations representing American radiologists, the other organization is the American College of Radiology. The college publishes The Journal of the American Osteopathic College of Radiology (JAOCR).
Karen J. Nichols is an American osteopathic physician, former medical school dean at Midwestern University, and current chair of the Board of Directors of the Accreditation Council for Graduate Medical Education.