Understanding Your Future: The Selection Process for Postdoctoral Education

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Understanding Your Future The Selection Process
for Postdoctoral Education

• Mark Cummings, Ph.D.
• Associate Dean, SCS

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Role Future of the AOA Internship Internship
Types Specialty Track, Emphasis,
Traditional Length of Training for AOA ACGME
Programs are the Same Except for Emergency
Medicine A Traditional Internship adds One Year
of Training in Specialty Track Disciplines An
Osteopathic Internship is Recognized by Several
ACGME Programs Dual Accredited Programs meet
the Training Requirements of All ACGME
Programs
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Time Lines for the AOA NRMP Matches, 2001-2002
AOA
NRMP
Nov. 1, 2001 Registration Indep. Applic.
Fall 2000 Registration
Late Jan. 2002 Submit Rank Order List Hospitals
Students
Feb. 22, 2002 Submit Rank Order List Independent
Applicants
Feb. 2002 Match Results
March 20, 2002 Match Results
Dates provided are tentative and have not been
finalized by the AOA, NRMP, and the NMS.
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Rationale for Making Revisions (1) Long-Standing
Problems With the AOA Matching Program for Both
DMEs and Students (2) Steady Decline in Match
Participation by Students (3) Lack of Level
Playing Field for Recruitment (4) Loss of Talent
to AOA Programs the Profession (5) Recognition
that Present Students Face More Difficult
Financial Social Pressures (6) Efforts Were
Needed to Correct Inherent Abuses
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AOA Policy Changes for Students (1) Eliminates
Participation in Both the AOA NRMP Matches for
Programs that Overlap (2) Provides Greater
Career Social Stability by Combining Intern
and Residency Selection (3) Preserves the
Traditional Internship for Those Unsure of their
Career Direction (4) Creates Openness in the
Recruitment Process (5) Encourages Students to
Take AOA Internships Before Taking ACGME
Residency Programs
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AOA Policy Changes for Hospitals (1) Negotiated
the Lock-Out Policy With the NRMP (2)
Established Later Matching Dates With NMS (3)
Consolidated Specialty and Emphasis
Internship Tracks into a Single Residency
Pathway (4) Provided Hospitals with Greater
Flexibility in Filling Postdoctoral Slots
Without Losing Any Control (5) Created New
Educational Opportunities and Expanded the
Possibilities of Collaboration With AOA and
ACGME programs
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PRESUMED DISADVANTAGES FOR STUDENTS (1) GENERATES
MORE PRESSURE TO MAKE A CAREER DECISION IN THE
FOURTH YEAR (2) STUDENTS LOSE A UNIQUE PRIVILEGE,
ONE THAT HAS BEEN OFTENTIMES ABUSED (3)
DISCOURAGES MOVEMENT FROM ONE SPECIALTY TO
ANOTHER BUT ALSO IS CONSISTENT WITH THE BBA
97 (4) A NEW SYSTEM CREATES ITS SHARE OF
ADMINISTRATIVE COMPLEXITY
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PRESUMED DISADVANTAGES FOR HOSPITALS (1) MOVES
BACK THE SELECTION PROCESS BY ONE YEAR FOR
SURGICAL SPECIALTIES (2) THE NEW SYSTEM CREATES
ADDITIONAL OPTIONS BUT ALSO MORE RISK
TAKING (3) DISCOURAGES THE USE OF THE
INTERNSHIP AS A CARROT FOR HIGHLY COMPETITIVE
RESIDENCIES (4) REQUIRES SMALLER HOSPITALS TO
WORK MORE CLOSELY WITH OPTI MEMBERS
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Whats Hot Whats Not in GME Understanding
the Pecking Order in Postdoctoral
Education Supply and Demand Determine the
Competitiveness of Residencies in the AOA and
ACGME Worlds In the ACGME Environment, DOs have
the Greatest Opportunities in Disciplines that
US Medical Graduates have Diminished Interest
Opportunities for DOs in AOA Programs are Wide
Open SCS Hospitals Support over 25 of All
Osteopathic Residency Programs in the
Profession
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COMLEX and USMLE in GME The Rationale of
Closing Doors for Professional Options Use as
a Screening Tool by Program Directors to Assess
the Medical Knowledge of Candidates, Especially
in Medical Schools with a P/F System General
Statement USMLE may Make a Difference in
Applications for Very Competitive ACGME
Residencies The Number of Students taking Step
2 of the USMLE Declines Significantly Once They
are Comfortable with their Residency Selection
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