Transcript What*s New at ACOFP

What you as residents need to know
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Internal Medicine
Ambulatory Care Continuity
Geriatrics
Sports Medicine
Procedural Training
Community Medicine
Safety and Quality Improvement
Practice Management
Diagnostic Imaging
Women’s Health
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Must utilize at least one hospital where FP’s
have admitting privileges
Must utilize at least one extended care facility
where family practice residents can care for
patients under supervision by residency
faculty.
Must provide a minimum of one osteopathic
family practice training site
◦ multiple sites may be utilized as long as they meet
standards
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At least 32 weeks of clinical training in
internal medicine disciplines
At least 8 weeks of general internal medicine
experiences during the OGME-1 year
◦ Can be met by either inpatient internal medicine or
inpatient family practice service
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24 weeks of inpatient experience
4 weeks of training in critical care medicine
◦ This is part of inpatient experience
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1650 patient visits during residency
◦ minimum of 150 during OGME-1 year
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Minimum of 40 weeks per year in Continuity
of care site
Note: “Sessions” may still be used for OGME3 residents as they began prior to the new
standards
◦ 312 total “sessions” over 3 years
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The program must provide at least 100 hours
or 1 month of training in the care of the
geriatric patient.
This is in addition to training that occurs in
the continuity of care site or general internal
medicine rotations
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The program must provide at least 50 hours
or two weeks of training in Sports Medicine
◦ This is in addition to time spent in the continuity of
care ambulatory site
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At a minimum this must include:
◦ Pre-participation assessment
◦ Didactic and clinical experiences
◦ Management of uncomplicated sports related
injuries
◦ Rehabilitation of athletic related injuries
◦ Injury prevention/training
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The program must have defined mechanisms to
train residents to competency in the 16
procedures:
Joint injections
Biopsy of dermal lesions, excision of subcutaneous lesions,
incision and drainage of abscess
Cryosurgery of skin, curettage of skin lesion
Laceration repair, endometrial biopsy
Office microscopy, splinting, EKG interpretation
Office spirometry, toenail removal, removal of cerumen from
ear
Defibrillation and endotracheal intubation
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The program must provide 50 hours or two
weeks of documented training in community
medicine
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The time can be spent in any/some/all of the
following experience:
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Occupational health
Mental health agencies
Community based screening programs
Public health agencies
Community health centers
Free clinics
Drug and alcohol treatment centers
School health programs
Homeless shelters
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The program must provide training in patient
safety and quality improvement.
At a minimum this shall include:
◦ Identification and analysis of inpatient and
ambulatory measures of quality.
◦ Utilization of quality measurements to improve
patient care.
◦ Participation in at least one national or regional
quality improvement registry.
◦ Training in the principles of the Patient Centered
Medical Home (PCMH).
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At least 20 hours of structured educational
experiences
Training shall include:
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Debt management, retirement planning
Financial planning, disability insurance
Medical liability insurance, risk management
Coding, HIPAA requirements in office setting
OSHA for private practice
Payer mix, practice overhead management
Personnel management
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Must be a structured curriculum
At a minimum:
◦ Didactic and clinical experience
◦ Utilization of appropriate radiographic studies
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At least 12 weeks in women’s health
At least 4 weeks during OGME-1
Gynecologic training to include both inhospital and ambulatory care
Obstetrical portion to include both inhospital and ambulatory care
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At least 20 weeks
At least 4 weeks general surgery in OGME-1
Other surgical rotations can be in general or
surgical subspecialty (urology, orthopedic,
ophthalmology, ENT, etc.)
Ambulatory and/or inpatient management
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16 weeks total (4 weeks in 1st year)
Must include care of the newborn and
inpatient pediatrics
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Each resident shall have a minimum of 20
weeks to a maximum of 28 weeks
Basic standards of 7-1-11 are flexible as to
when electives utilized
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Each resident must participate in an active
research activity:
◦ Resident research project within family medicine
department or at the Institution level, or in a MultiCenter project involving family medicine
◦ Original paper on health care topic
◦ Presentation at state, regional or national level
◦ Author a grant
What is automatic 1 year probation
regardless of the rest of the inspection
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Program Requirements:
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Curriculum Requirements:
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Responsibilities:
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Family Physician Faculty:
◦ The program must provide didactics for an average of at
least five hours per week
◦ Three year continuity of care site experience must include
at least 1,650 patient visits, with a minimum of 150 in
OGME-1 year
◦ Program Director must have sole responsibility and
authority for educational content and conduct of the
residency
◦ There must be at least one time full time equivalent faculty
(FTE) for each six residents in the program
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Program Requirements:
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Curriculum Requirements:
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Responsibilities:
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Family Physician Faculty:
◦ The program must provide didactics for an average of at
least five hours per week
◦ Three year continuity of care site experience must include
at least 1,650 patient visits, with a minimum of 150 in
OGME-1 year
◦ Program Director must have sole responsibility and
authority for educational content and conduct of the
residency
◦ There must be at least one time full time equivalent faculty
(FTE) for each six residents in the program
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Institutional Requirements
◦ Ambulatory Continuity of Care Site
 The institution must provide a minimum of one
Osteopathic Family Medicine Training Site
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Program Director/Faculty
◦ Program Director
 Each program must have a single Program Director
who is compensated by the institution
Sitting for your specialty (FP) boards
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Electronic Testing (Cognitive)
◦ Offered twice annually
◦ April and October
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Performance Evaluation (OMT)
◦ Offered twice annually
◦ During ACOFP spring convention
◦ During AOA (OMED) Fall convention
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Can be done in any order
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If you are scheduled to complete the
residency by June 30, you are eligible to take
the ABOFP exams during the Spring prior to
graduation
◦ You have to attend an ACOFP meeting during either
your 2nd or 3rd year anyway. Avoids cost of 2 trips.
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If you are off cycle by a month (e.g.,
maternity leave), program can petition to
allow you to take test in spring as well.
Exam
Date
Postmark Application
Deadline
Performance Eval
(only)
Sept. 28, 2013
Initial Deadline April 1;
filing with late fee thru
June 1
$1,000 by April 1
$1,200 by May 1
$1,300 by June 1
*Requires an AOA
approved Residency
Fee includes both the performance and cognitive exams
Exam
Date
Postmark Application
Deadline
Cognitive evaluation
October 19, 2013
Initial Deadline April 1;
filing with late fee thru
June 1
Test dates for Spring, 2014 can be found at
http://www.aobfp.org/exam/index.html
Cognitive given April 5th, 2014; Performance given at ACOFP – March 11&12
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http://www.aobfp.org/cert-req/cert-app.pdf
Once you have completed application, you
will receive notice from ABOFP and can
schedule your cognitive exam through
Pearson VUE
◦ Similar to prometrics for COMLEX, however fewer
test sites available
◦ http://www.pearsonvue.com/aobfp/
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You will be provided with detailed information
from Pearson VUE for the selection of your test
site only after your completed application and
supporting documents have been received by the
AOBFP, fully processed/verified, and your
eligibility is confirmed in writing.
AOBFP requires at least four weeks after receipt
for the processing of your materials.
Once you have received your verification from the
AOBFP that you are approved for examination, it
is to your benefit to contact Pearson VUE in a
timely manner to select your preferred test sites,
as confirmations will be provided on a first come,
first served basis.
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Graduate of an approved osteopathic college
Current full, unrestricted license
◦ it is understood that residents may be practicing with a temporary
license or under a hospital license
Member in good standing of the AOA for at least
two consecutive years immediately prior to
application, examination and presentation for
certification AND . . .
Completion within the immediate past six years of
a one-year AOA-approved internship and a twoyear AOA-approved family medicine residency
program OR currently in a three-year AOA- or
ACGME-approved approved family medicine
residency program to be completed no later than
December 31, 2013.
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You will be randomly assigned a day and time
for the exam by the ABOFP
◦ Based on first come/first served application
completion
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You will be randomly assigned a partner for
the exam by the ABOFP
You will be handed 3 clinical scenarios, and
given 20 minutes to review all of them,
selecting a diagnosis for each
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You will receive 1 case from each of the
following categories: spine, extremities, and
systemic diseases (i.e. asthma).
You will have 20 minutes to review and
choose the 1 best answer from the 4 choices
listed on the front side of each sheet.
◦ After you have selected the diagnosis for each case,
you should spend the remainder of the 20 minutes
planning your treatment strategy for each case.
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This is all the data that will be given.
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After 20 minutes each pair of candidates will be
directed to their first of three separate exam
stations.
The examiner will review your diagnosis for the
first case and indicate whether or not the correct
diagnosis has been given.
◦ If the wrong diagnosis is given, you will be informed of
the correct diagnosis.
◦ An incorrect diagnosis will result in no points awarded
for that portion of that case evaluation.
◦ You will be given 4 minutes in which to demonstrate and
discuss appropriate OMT for your first case, based on
the correct diagnosis.
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You will have 4 minutes to describe your
treatment
◦ DO NOT explain how you made the diagnosis
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Your partner will also have 4 minutes to
describe his/her treatment (having received 3
different scenarios)
After 8 minutes you will be directed to the
next station for the next case.
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A candidate must receive a passing score on
2 of the 3 cases in order to pass the
performance exam.
In the event a candidate does not receive a
passing score on two of the three cases, that
candidate shall be given another opportunity
to retake the performance exam later that
same day.
The candidate will be retested in all three
categories.
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Although there is a cost to this (rooming), fly
in the day before your exam, and leave, at the
earliest, the day after your exam
◦ This allows for weather delays, possible retake of
the practical, etc.
◦ ACOFP would LOVE to have you stay for the
conference as long as you are there (if you are
taking this exam in Spring of your 3rd year)
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400 questions initially
◦ 200 for recertification
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General Medicine
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Allergy/Immunology inc. Rheumatology 5%
Cardiology 5%
Dermatology 5%
Endocrinology 5%
Gastroenterology 5%
Hematology 4%
Nephrology/Urology 4%
Neurology 5%
OPP 5%
Pulmonology 5%
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Geriatrics 5%
Surgery
◦ EENT 5%
◦ General Surgery 3%
◦ Orthopedics 5%
Obstetrics/Gynecology 4%
Pediatrics 4%
Sports Medicine 3%
Women’s Issues 4%
Addiction Medicine 3%
Adolescent Medicine 4%
Behavioral Sciences
◦ Preventive Medicine 5%
◦ Psychiatry 4%
◦ Medical Jurisprudence 3%
City
State
Distance from OLBH
Charleston
WV
56 miles
Lexington
KY
101.2 miles
Gahanna (Columbus)
OH
105.5 miles
Mason (Cincinnati)
OH
105.7 miles
Columbus
Ohio
114.6 miles