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WELCOME
NATIONAL ASSOCIATION OF HEALTH
SERVICES EXECUTIVES
The Osteopathic Medical Profession
and Role of the AOA
Adrienne White-Faines, MPA, Executive Director and CEO
Physician of Osteopathic Medicine (DO)
DOs have Same Practice Rights as MD
Training and Philosophy of Care
Patient-Centered Care
60% of DOs Practice Primary Care
Licensed in every state, and 64
countries
HOW WE TRAIN
11 to 18 years
WHO WE ARE
104,000
DOs and osteopathic
medical students in the
U.S.
DIVERSITY
among osteopathic
medical students (20122013):
• 67% Caucasian
• 19% Asian
• 4% Hispanic/Latino
• 3% African-American
WHO WE ARE
States with Highest DO Populations
AGE of DOs
24% <35
28% 35-44
20% 45-54
17% 55-64
10% >65
HOW WE TRAIN
U.S. Colleges of Osteopathic Medicine
WHO WE ARE
GROWING number of
DOs practice in non-primary care:
24%
40%
in 1984
in 2013
40%
CERTIFICATION
saw a 17% growth in
number of DOs certified by AOA
boards, 2008-2013.
60%
HOW WE TRAIN
The body is
capable of selfregulation, selfhealing & health
maintenance
The body is a
unit; the person
is a unit of body,
mind & spirit
The DO
Philosophy
Structure and
function are
reciprocally
interrelated
Treatment based
on understanding
of basic principles
of body unity, selfregulation &
interrelationship of
structure &
function
AMERICAN OSTEOPATHIC ASSOCIATION
US Growth in
Osteopathic Physicians
• The number of DOs has grown
more than 200% over the past 25
years.
• DOs are one of the fastest growing
segments of health care
professionals in the United States.
• Today, 20% of all medical students
in the US are in Osteopathic
Medicine colleges.
AMERICAN OSTEOPATHIC ASSOCIATION
Association focus:
•
•
•
•
•
Advocate on behalf of the profession;
Promote public health;
Encourage scientific research;
Provide primary board certification;
Serve as the accrediting agency for
osteopathic medical schools;
• Accreditation of OGME;
• Accreditation of osteopathic CME;
• and federal authority to accredit hospitals
and other health care facilities
EFFECTIVE ORGANIZATIONS ARE RESILIENT
“It’s not the strongest of the species who
survives, or the most intelligent that
survives. It is the one that is most
adaptable to change.”
Charles Darwin
ASSOCIATION MODEL HAS
IMPERATIVE FOR CHANGE
•
•
•
•
•
Decreased relevancy of traditions;
New Generation of Professionals;
Loss of Market Share (membership);
Technological Revolution;
Increased competition for time (work,
family, other organizations…);
• Shrinking revenue sources
CHALLENGES: MEDICAL PRACTICE ENVIRONMENT
Pressure Points Impacting Physician Practices
Cash Flow
Shift in Practice Focus
Workflow
Affordable Care Act
Physician Pipeline
Practice Demographics
VISIBILITY CHALLENGES
Inability to succinctly articulate Osteopathic Medicine and DOs (even within
profession…)
Significantly variable public awareness (by geography and experience)
Humble nature of professionals
Competing Forces and Voices in healthcare
Passive approach… and we speak to Internal audience
Constant changes in delivery system and profession
Evolution of Communication techniques
Expense!
GRADUATE MEDICAL EDUCATION CHALLENGE
2500
DO Graduate GME Residency Placement,
Spring 2014
2,371
2,243
Of the
2000
4,928 DO grads
seeking GME in 2014:
1500
ACGME
45% entered
programs
1000
AOA
48% entered
programs
500
276
38
0
No reported GME
placement
Military GME
ACGME-accredited GME
AOA-accredited GME
0.76%
5.60%
45.52%
48.12%
HOW DO YOU MOVE AN ORGANIZATION FORWARD?
Whether
…
building from the start …
or revitalizing existing …
or expanding capacity …
Strategy and leadership are key!
STRATEGIC PLANNING
Single Accreditation System
Infrastructure
AOA/AACOM
Integrated into
Governance and
Operations of
New ACGME
ACGME Board
Senior Leader
to Oversee
Administration
of Transition
Recognition
Committee for
OM Residency
Designation
Single
Accreditation
System
Joint Task
Force
Overseeing
Transition
RRC
Monitoring
Committee
RRCs with
Osteopathic
Medicine GME
RRC for
NMM/OMM
We are at a crossroads.
The status quo is not an option.
WELCOME TO THE AOA
“There is no passion to be found playing small – in
settling for a life that is less than the one you are
capable of living.” ~ Nelson Mandela