Program Director's Annual Evaluation of Program

The primary purpose of the RESC is to monitor the training of osteopathic surgical residents and to establish and maintain high educational standards and ethical practices among its accredited/approved programs.  Another purpose is to ensure program compliance to these standards.  The AOA and other Osteopathic Graduate Medical Education (OGME) entities have similar missions.

As a part of this process, the Program Directors are required to submit a Program Director’s Report of the Program to the ACOS, which includes a current roster of residents and teaching faculty members. The form and rosters of residents and faculty are due prior to July 1.

OGME-1R Quarterly Report

In July 2008, the PGY-1/OGME-1R became part of the existing General Surgery, Neurological Surgery and Urological Surgery Residency Training Programs. At most institutions this has been a seamless transition. The Surgical Residency Program Directors have worked with DMEs and GME offices to effect this transition.

The expectation from the ACOS RESC is that the DME will oversee the training of the first year trainee in conjunction with the program director. DMEs and program directors will monitor and evaluate the rotations and training of the OGME-1R resident. There is no requirement for OGME-1R residents to complete a scholarly activity or to maintain surgical oplogs. It is the prerogative of the program and the resident to decide if they would like to utilize the surgical resident oplog system. Although the first year of surgical procedures will not be reviewed by the ACOS, it is incumbent upon the resident to begin to track their surgical procedures for their own professional surgical portfolio. Paperwork previously in place for first year trainees at the institution will still be maintained by the GME office and be subject to review at the time of the programs’ site visit for continuing approval.

In addition to the evaluations of the trainee after each rotation maintained on site, the surgery program director will provide the ACOS with a quarterly, electronic evaluation of the OGME-1R trainee within thirty days of the end of the quarter (quarters ending September 30, December 31, March 31, and July 31). DME’s have been directed by the AOA to provide all OGME-1R residents with a letter of completion for the first year of training. (A template for that letter has been provided to the institutions for their use.) A copy of the completion letter and Quarterly Report for the 4th Quarter will be provided to the ACOS within 30 days (July 31st) of program completion to evidence completion of the program. The ACOS will notify the AOA of the satisfactory completion of the first year of residency training.

If you have any questions or need additional guidance, call Susan Rall at (703) 684-0416 ext. 110 or Jessika Brown at ext. 103.
OGME-1R (First-Year Residency) Rotation Requirements –
General Surgery, Neurological Surgery, and Urological Surgery

The first year of the residency program for general surgery, urological surgery, and neurological surgery must include the following rotations.  These rotations may be scheduled as 12 one-month rotations or 13 four-week rotations or any combination thereof. 
1. Rotations for ½ day per week, for 46 weeks, in a surgical out-patient clinic or office.
2. Two months of general internal medicine
3. One month of ICU
4. One month of emergency medicine
5. Four months of general surgery
6. Four months of Selectives to include any of the following areas:
a. Urology                                
b. Orthopedics                         
c. Anesthesia                             
d. ENT                        
e. General Surgery                     
f. Vascular Surgery
g. Neurosurgery
h. Cardiovascular Thoracic Surgery
i. Plastic and Reconstructive Surgery
j. Radiology
k. one month of female reproductive medicine
l. one month of pediatrics, if available, or other primary care specialty, at the discretion of the training institution

These requirements may be altered at the discretion of the program director, with the approval of the sponsoring institution’s GME committee, director of medical education, and the Residency Evaluation and Standards Committee (RESC), which will best serve the experience of the resident.  Program’s not complying with these OGME-1R requirements must provide their actual rotation schedule to the RESC and a rationale for any variance.

Approved by COPT, 11/7/08 - Approved by the AOA BOT, 2/28/09