The American Osteopathic Association (AOA) Department of Education maintains historical annual data on approved, funded, and filled AOA positions, as reported by the National Matching Services (an AOA vendor) and the Trainee Information, Verification and Registration Audit (TIVRA) survey tool. The current appendix includes an update for the 2017-2018 academic year. The AOA does not finalize postdoctoral training data until May of each calendar year. The decline in the number of programs and positions is expected as programs achieve accreditation through the Accreditation Council for Graduate Medical Education and subsequently withdraw their AOA approval. For information about AOA-approved programs in light of the single accreditation system for graduate medical education, see the article from Buser et al on page 257 of this issue.
Approved positions are the number of training slots awarded to a program by the Program and Trainee Review Council upon initial accreditation or through a request for an increase or decrease submitted by an already established program. Filled positions are the number of those approved training slots that are used to accommodate a trainee enrolled in the program.
Table 1 illustrates the distribution of AOA internship, residency, and fellowship programs and trainees filling available positions by state. Florida, Michigan, New York, Ohio, and Pennsylvania have the highest number of programs, positions, and trainees.
No. of AOA-Approved Programs and Trainees Filling Available Positions as Reported by State, 2017-2018 Academic Year, as of May 31, 2018a
| Internship | Residency/Fellowship | Total | |||||||
|---|---|---|---|---|---|---|---|---|---|
| State | Programs | Positions | Trainees | Programs | Positions | Trainees | Programs | Positions | Trainees |
| Alabama | 0 | 0 | 0 | 2 | 24 | 18 | 2 | 24 | 18 |
| Alaska | 0 | 0 | 0 | 1 | 12 | 8 | 1 | 12 | 8 |
| Arizona | 0 | 0 | 0 | 13 | 141 | 122 | 13 | 141 | 122 |
| Arkansas | 0 | 0 | 0 | 4 | 81 | 10 | 4 | 81 | 10 |
| California | 5 | 35 | 26 | 33 | 428 | 261 | 38 | 463 | 287 |
| Colorado | 0 | 0 | 0 | 11 | 163 | 89 | 11 | 163 | 89 |
| Connecticut | 2 | 18 | 6 | 4 | 46 | 43 | 6 | 64 | 49 |
| District of Columbia | 0 | 0 | 0 | 1 | 18 | 16 | 1 | 18 | 16 |
| Delaware | 0 | 0 | 0 | 1 | 24 | 8 | 1 | 24 | 8 |
| Florida | 7 | 131 | 69 | 91 | 1019 | 623 | 98 | 1150 | 692 |
| Georgia | 0 | 0 | 0 | 6 | 72 | 42 | 6 | 72 | 42 |
| Idaho | 0 | 0 | 0 | 1 | 12 | 11 | 1 | 12 | 11 |
| Illinois | 1 | 3 | 3 | 39 | 471 | 413 | 40 | 474 | 416 |
| Indiana | 0 | 0 | 0 | 4 | 45 | 38 | 4 | 45 | 38 |
| Iowa | 0 | 0 | 0 | 5 | 40 | 20 | 5 | 40 | 20 |
| Kansas | 0 | 0 | 0 | 1 | 20 | 15 | 1 | 20 | 15 |
| Kentucky | 0 | 0 | 0 | 8 | 81 | 45 | 8 | 81 | 45 |
| Maine | 0 | 0 | 0 | 6 | 67 | 39 | 6 | 67 | 39 |
| Maryland | 0 | 0 | 0 | 1 | 18 | 0 | 1 | 18 | 0 |
| Massachusetts | 1 | 4 | 0 | 3 | 25 | 19 | 4 | 29 | 19 |
| Michigan | 13 | 135 | 44 | 139 | 1663 | 1075 | 152 | 1798 | 1119 |
| Mississippi | 1 | 12 | 10 | 4 | 66 | 48 | 5 | 78 | 58 |
| Missouri | 3 | 15 | 6 | 21 | 155 | 113 | 24 | 170 | 119 |
| Montana | 0 | 0 | 0 | 1 | 12 | 8 | 1 | 12 | 8 |
| Nevada | 1 | 10 | 0 | 9 | 105 | 28 | 10 | 115 | 28 |
| New Jersey | 6 | 93 | 45 | 65 | 857 | 575 | 71 | 950 | 620 |
| New Mexico | 1 | 6 | 6 | 7 | 86 | 11 | 8 | 92 | 17 |
| New York | 12 | 163 | 86 | 81 | 1012 | 687 | 93 | 1175 | 773 |
| North Carolina | 4 | 62 | 24 | 17 | 285 | 139 | 21 | 347 | 163 |
| Ohio | 5 | 50 | 20 | 86 | 996 | 760 | 91 | 1046 | 780 |
| Oklahoma | 2 | 16 | 7 | 35 | 445 | 360 | 37 | 461 | 367 |
| Oregon | 1 | 12 | 4 | 12 | 129 | 105 | 13 | 141 | 109 |
| Pennsylvania | 14 | 109 | 64 | 98 | 1304 | 907 | 112 | 1413 | 971 |
| Rhode Island | 0 | 0 | 0 | 5 | 68 | 57 | 5 | 68 | 57 |
| South Carolina | 0 | 0 | 0 | 2 | 22 | 0 | 2 | 22 | 0 |
| Tennessee | 0 | 0 | 0 | 1 | 10 | 10 | 1 | 10 | 10 |
| Texas | 1 | 12 | 10 | 20 | 203 | 96 | 21 | 215 | 106 |
| Utah | 0 | 0 | 0 | 3 | 57 | 6 | 3 | 57 | 6 |
| Virginia | 1 | 5 | 4 | 15 | 258 | 193 | 16 | 263 | 197 |
| Washington | 0 | 0 | 0 | 9 | 138 | 102 | 9 | 138 | 102 |
| West Virginia | 3 | 8 | 3 | 13 | 154 | 105 | 16 | 162 | 108 |
| Wisconsin | 0 | 0 | 0 | 1 | 10 | 6 | 1 | 10 | 6 |
| Wyoming | 0 | 0 | 0 | 2 | 21 | 16 | 2 | 21 | 16 |
a Data shown represent positions approved by the American Osteopathic Association (AOA) Program and Trainee Review Council and are not necessarily all funded. No internship, residency, or fellowship programs were approved by the AOA during the 2017-2018 academic year in Hawaii, Louisiana, Nebraska, New Hampshire, North Dakota, South Dakota, and Vermont.
Source: Training Programs by State: Year-End Reports, Division of Postdoctoral Training, AOA, Chicago, Illinois.
Table 2 shows the number of AOA-approved residency and fellowship programs and their approved and filled positions as reported by academic year and specialty. Fifty percent of residents are in the primary care specialties of family medicine (30%) and internal medicine (20%) for 2017-2018. They were followed by emergency medicine, which accounted for 12% of total residents.
No. of AOA-Approved Residency Programs and Approved/Filled Positions as Reported by Academic Year and Specialty as of May 31, 2018a
| 2015-2016 | 2016-2017 | 2017-2018 | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Specialty | Programs | Positions | Residents | Programs | Positions | Residents | Programs | Positions | Residents |
| Anesthesiology | 13 | 139 | 121 | 13 | 139 | 122 | 10 | 87 | 73 |
| Anesthesiology and pain management | 3 | 6 | 2 | 2 | 3 | 2 | 2 | 3 | 1 |
| Pediatric anesthesiology | 1 | 3 | 1 | 1 | 3 | 1 | 1 | 3 | 0 |
| Dermatology | 33 | 226 | 150 | 28 | 194 | 132 | 24 | 165 | 117 |
| MOHS micrographic surgery | 5 | 6 | 4 | 5 | 6 | 5 | 4 | 4 | 3 |
| Pediatric dermatology | 1 | 2 | 0 | 1 | 2 | 0 | 1 | 2 | 0 |
| Diagnostic Radiology | 14 | 156 | 112 | 11 | 120 | 94 | 8 | 82 | 65 |
| Vascular and interventional radiology | 1 | 3 | 0 | NA | NA | NA | NA | NA | NA |
| Emergency Medicine | 63 | 1468 | 1080 | 56 | 1369 | 1075 | 46 | 1063 | 844 |
| Family Medicine | 258 | 3874 | 2314 | 246 | 3812 | 2383 | 218 | 3381 | 2167 |
| Geriatrics (family medicine) | 15 | 44 | 5 | 13 | 39 | 6 | 10 | 33 | 3 |
| Internal Medicine | 141 | 2977 | 1798 | 132 | 2832 | 1829 | 107 | 2173 | 1427 |
| Cardiac electrophysiology | 1 | 3 | 0 | 1 | 3 | 0 | 1 | 3 | 0 |
| Cardiology | 30 | 207 | 144 | 29 | 207 | 157 | 25 | 189 | 142 |
| Cardiology (interventional) | 13 | 31 | 10 | 12 | 28 | 14 | 13 | 29 | 14 |
| Critical care medicine | 7 | 27 | 20 | 8 | 32 | 21 | 6 | 27 | 19 |
| Endocrinology | 5 | 15 | 6 | 5 | 16 | 8 | 6 | 20 | 10 |
| Gastroenterology | 23 | 120 | 76 | 22 | 118 | 92 | 22 | 113 | 86 |
| Geriatrics (internal medicine) | 10 | 34 | 2 | 8 | 28 | 1 | 8 | 27 | 0 |
| Hematology and oncology | 6 | 21 | 16 | 4 | 16 | 15 | 4 | 16 | 16 |
| Infectious diseases | 6 | 23 | 6 | 6 | 23 | 3 | 3 | 11 | 0 |
| Nephrology | 9 | 27 | 9 | 8 | 24 | 5 | 4 | 12 | 4 |
| Oncology | 2 | 7 | 0 | 1 | 4 | 2 | 1 | 4 | 1 |
| Pulmonary (critical care) | 14 | 69 | 43 | 14 | 69 | 52 | 15 | 78 | 52 |
| Pulmonary medicine | 1 | 2 | 0 | NA | NA | NA | NA | NA | NA |
| Rheumatology | 3 | 10 | 7 | 3 | 10 | 9 | 4 | 14 | 9 |
| Neurology | 11 | 129 | 78 | 11 | 147 | 83 | 9 | 107 | 59 |
| NMM and Osteopathic Manipulative Medicine | 8 | 41 | 17 | 9 | 47 | 19 | 9 | 47 | 18 |
| NMM plus 1 | 31 | 102 | 29 | 30 | 99 | 31 | 30 | 99 | 36 |
| Obstetrics and Gynecology | 36 | 442 | 319 | 32 | 393 | 295 | 25 | 311 | 216 |
| Female pelvic medicine | 2 | 4 | 2 | 2 | 4 | 2 | 2 | 4 | 1 |
| Gynecological oncology | 4 | 12 | 8 | 4 | 12 | 8 | 4 | 12 | 9 |
| Maternal and fetal medicine | 5 | 17 | 15 | 5 | 16 | 13 | 4 | 13 | 11 |
| Reproductive endocrinology | 3 | 9 | 2 | 2 | 6 | 2 | 2 | 6 | 2 |
| Ophthalmology | 14 | 79 | 53 | 13 | 73 | 56 | 13 | 77 | 51 |
| Orthopedic Surgery | 44 | 700 | 534 | 43 | 697 | 565 | 42 | 683 | 546 |
| Hand surgery | 1 | 3 | 1 | 1 | 3 | 1 | 1 | 3 | 1 |
| Otolaryngology and Facial Plastic Surgery | 20 | 149 | 117 | 18 | 139 | 109 | 16 | 126 | 93 |
| Otolaryngic allergy | 3 | 9 | 2 | 3 | 9 | 2 | 2 | 6 | 2 |
| Pediatrics | 21 | 316 | 207 | 19 | 284 | 220 | 10 | 157 | 113 |
| Physical Medicine and Rehabilitation Medicine | 6 | 70 | 45 | 6 | 70 | 52 | 6 | 70 | 58 |
| Preventive Medicine and Public Health | 1 | 3 | 0 | 1 | 3 | 0 | 1 | 3 | 0 |
| Preventive Medicine (Occupational and Environmental) | 1 | 6 | 0 | NA | NA | NA | NA | NA | NA |
| Proctology | 2 | 5 | 2 | 2 | 5 | 3 | 2 | 5 | 1 |
| Psychiatry | 24 | 362 | 174 | 22 | 358 | 178 | 15 | 246 | 114 |
| Child and adolescent psychiatry | 5 | 22 | 8 | 5 | 22 | 9 | 5 | 22 | 8 |
| Forensic psychiatry | 1 | 4 | 0 | 1 | 4 | 0 | 1 | 4 | 0 |
| Geriatric psychiatry | 2 | 6 | 0 | 2 | 6 | 0 | 2 | 6 | 0 |
| Surgery (General) | 59 | 982 | 651 | 57 | 949 | 686 | 47 | 761 | 556 |
| Cardiothoracic surgery | 1 | 9 | 0 | NA | NA | NA | NA | NA | NA |
| Critical care surgery | 4 | 11 | 5 | 4 | 11 | 5 | 3 | 9 | 1 |
| General vascular surgery | 6 | 14 | 10 | 6 | 14 | 10 | 6 | 14 | 8 |
| Neurological surgery | 11 | 126 | 91 | 11 | 126 | 93 | 10 | 114 | 74 |
| Plastic and reconstructive surgery | 8 | 32 | 18 | 8 | 32 | 20 | 6 | 26 | 19 |
| Urological surgery | 11 | 123 | 97 | 8 | 87 | 68 | 4 | 37 | 29 |
| Combined | |||||||||
| Emergency medicine and family medicine | 3 | 52 | 38 | 3 | 52 | 32 | 3 | 52 | 24 |
| Emergency medicine and internal medicine | 8 | 101 | 65 | 7 | 95 | 57 | 7 | 95 | 42 |
| Integrated FM/NMM | 9 | 75 | 48 | 9 | 75 | 59 | 8 | 70 | 50 |
| Integrated IM/NMM | 1 | 4 | 3 | 1 | 4 | 2 | 1 | 4 | 1 |
| Pediatrics and internal medicine | 1 | 10 | 5 | NA | NA | NA | NA | NA | NA |
| Conjointb | |||||||||
| Addiction medicine | 1 | 6 | 3 | 1 | 6 | 0 | 1 | 6 | 0 |
| Adult/pediatric allergy and immunology | 2 | 10 | 9 | 2 | 10 | 10 | 2 | 10 | 11 |
| Correctional medicine | 2 | 6 | 0 | 2 | 6 | 0 | 2 | 6 | 0 |
| Dermatopathology | 2 | 4 | 0 | 2 | 4 | 2 | 1 | 2 | 1 |
| Hospice and palliative medicine | 15 | 34 | 14 | 16 | 36 | 10 | 13 | 30 | 6 |
| Pain medicine | 1 | 5 | 4 | 1 | 5 | 4 | 1 | 5 | 5 |
| Pediatric emergency medicine | 2 | 12 | 0 | 2 | 12 | 0 | 2 | 12 | 0 |
| Sleep medicine | 2 | 8 | 2 | 1 | 6 | 0 | 1 | 6 | 2 |
| Sports medicine | 24 | 72 | 31 | 21 | 63 | 30 | 18 | 56 | 26 |
| Undersea and hyperbaric medicine | 1 | 2 | 1 | 1 | 2 | 1 | 1 | 2 | 0 |
|
Total Residency/
Fellowship |
1097 | 13,688 | 8634 | 1023 | 13,089 | 8765 | 881 | 10,863 | 7247 |
| Internship | 103 | 1056 | 469 | 92 | 956 | 441 | 84 | 899 | 437 |
| Total | 1200 | 14,744 | 9103 | 1115 | 14,045 | 9206 | 965 | 11,765 | 7684 |
a Approved positions are not necessarily funded. Data include fellowship programs, positions, and residents.
b Fellowships governed by Conjoint Standards by 2 or more specialties.
Abbreviations: AOA, American Osteopathic Association; NA, not available; NMM, neuromusculoskeletal medicine.
Source: AOA Intern/Resident Contracts received by the division of postdoctoral training for the academic years shown (taken annually on May 31); and AOA's Trainee Information, Verification and Registration Audit system, (TIVRA) academic years 2017-2018. Data for the 2015-2016 and 2016-2017 academic years have been reported previously in The Journal of the American Osteopathic Association.
-
Editor's Note: This article is an update of last year's appendix (http://jaoa.org/article.aspx?articleid=2676983) on osteopathic graduate medical education.
© 2019 American Osteopathic Association
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
