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General SurgeryDr. Gregory Imler, MD

General Surgery is a broad spectrum field that deals with the majority of the body. It i n c o r p o r a t e s d i a g n o s i s , preoperative, operative, and postoperative management of patients.

* T h e A O A - a p p r o v e d residency programs are all at least five clinical years, which includes an OGME-1R. The OGME-1R is a first year residency that is required for all general surgery, n e u r o l o g i c a l s u r g e r y a n d urological surgery residency programs in the AOA.

The ACGME res idency programs are also designed to

consist of at least five clinical years.

Both ACGME and AOA approved residency programs require residents to train in each of the following areas during their five clinical years:

-alimentary tract (including Bariatric Surgery)

-abdomen and contents-breast skin and soft tissue-endocrine system-solid organ transplantation-pediatric surgery-surgical critical care-surgical oncology (including

head and neck surgery)- t r a u m a , b u r n s a n d

emergency surgery

-vascular surgery.Many surgical specialties

require completing general surgery training prior to the subspecialty. The following specialities indicate the additional years in parenthesis: Thoracic Surgery (2), Colon and Rectal Surgery (1), Pediatric Surgery (2), Vascular Surgery (1-2). These disciplines all have training programs related to, but separated from general surgery

*since the recent unity between the AOA and ACGME graduate medical education this

portion may change. (More information can be found at So,

You Want to be A Surgeon by Dr. Kaj Johansen http://www.facs.org/residencysearch/contents.html)

ContentsOverview General Surgery...1

Dr. Imler Interview...........2-3

The da Vinci Surgical System...2

GME Funding Showdown Looms in Washington ......4-5

Breaking the Myth: what program directors really look

for ............................6-7

What Next? Scores..............8

Residency Programs.......9-11

Useful Resources.....12

Overview:

Presented by the Western University of Health Sciences COMPStudent Osteopathic Surgery Club

CUT-THROATA GUIDE TO EVERYTHING SURGERY

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http://www.facs.org/residencysearch/contents.html




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How did you get to where you are today?Well, I knew I wanted to be a doctor from a very early age. I remember even in elementary school I would have my parents drive me to the library so that I could check out anatomy books. I guess from there I did

well in school and went to college and eventually graduated from the University of Cincinnati College of Medicine and entered residency at UCSD. After my residency I joined a group of surgeons and have been with them for about 25 years now.

How conducive is your field to family life?Now? Well, I’d say it’s pretty good for family life at this point in my career. I’m able to spend time with my wife and kids and only take call every couple weeks now. Of course, at the beginning it was more difficult, during residency I had much less free time, but I feel it was definitely worth it. I love my job.

(continued on page 3)

“You need to be able to make difficult decisions with incomplete information. Surgeons often have to make the decision to operate before all the information they’d ideally want is available. Even more importantly, is someone that knows when NOT to operate...” Dr. Imler in response to student personality type for General Surgery

Dr. Imler InterviewGeneral Surgeon, Sharp Rees-Stealey GroupSan Diego, CA by Evan Robinson

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The da Vinci Surgical System: Start playing video gamesThe da Vinci Surgical System is designed to offer minimally invasive options for major surgeries. It combines computer and robotic technologies in laparoscopic, thoarcoscopic, and endoscopic surgeries. The da vinci consists of four arms which hold different surgical tools and an endoscopic camera. The physician controls the arms of the da Vinci at a console. The four arms are designed to exceed the natural range ROM of the human hand giving the physician optimal access to the problem. The da Vinci is also equipped with motion scaling and tremor reduction to further assist the physician. A magnified, 3-D image is produced for the physician to carry out his procedure.

"The advantages of the da Vinci are that one, it's minimally invasive, you only make small holes in the abdomen. Two you don't really lose very much blood. And three we're able to see much better so we're able to handle the tissues a lot more delicately," says Urologist Dr. Paul Bretton.

Intuitive Surgical, ranked sixth on Forbes’ list, created the da Vinci system which performed approximately 360,000 operations in 2011. The da Vinci has proven to cut down patient recovery time, having the potential to save the hospital $1000s. But so far only 1,840 machines have been installed in hospitals across the nation due to its high cost (a few million before maintenance and other service costs).

Check out these demonstrations:da Vinci Robot Origami demonstration: www.youtube.com/watch?v=pxInFn047jsda Vinci Robot Peeling a Grape: www.youtube.com/watch?v=PvUIocA12pc&feature=related(Chakravorty, Robotic Surgery Company Behind da Vinci System October 17th, 2012 )

http://www.youtube.com/watch?v=pxInFn047js

http://www.youtube.com/watch?v=pxInFn047js

http://www.youtube.com/watch?v=PvUIocA12pc&feature=related

http://www.youtube.com/watch?v=PvUIocA12pc&feature=related

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Do you have any advice for students who are looking to go into this field?You need to work hard and be confident in your abilities. Shadow to find out if this is really the career for you.

What is the DO bias in this field?Nowadays, I don’t think there’s much. I’ve hired D.O.’s in the past and I would again. To me, it’s much more important where you did your residency training and what your program director says about your abilities. It’s important to train in a center that has a high volume of patients and where you do a lot of different procedures.

What student-personality type have you found to be suited for this specialty?You need to be able to make difficult decisions with incomplete information. Surgeons often have to make the decision to operate before all the information they’d ideally want is available. Even more importantly, is someone that knows when NOT to operate. You need to be confidant and a hard worker. Anyone can operate; taking out a gallbladder is not complicated. But, the remainder of a surgeon’s job is what makes someone a good surgeon, which is taking care of the patient before and after surgery. For a lot of your patients, when you operate on them, they will have never had surgery before and they’ll probably be scared. The art of developing trust with a patient and taking care of them can be more difficult than the operation itself.

What other rotations would help students prepare for this subspecialty?Internal medicine and psychiatry. Understanding your patients’ medical and mental health issues will pay off.

Did you do/ do you do research? Is that essential in getting into this field?I did a little research in medical school, but I didn’t really like research. I don’t think it’s necessary to become a surgeon, but of course it won’t hurt. I think if you enjoy research, and if you want to go into academics then you should do research.

What is the hardest part of your job?Telling someone that his or her family member has died, or telling a patient that you made a mistake.

What is the best part of your job?I love my job, and not many people can say that. I enjoy operating, I enjoy the relationship with my patients, and it has allowed me to spend time with my family. I wouldn’t choose anything else.

Dr. Imler, MD INTERVIEW CONTINUEDCU

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Dr. Gregory Imler, MD

Medical School: University of Cincinnati College of Medicine

Internship: University of California, San DiegoResidency: University of California, San Diego

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For years, medical educators and others in academic medicine have warned of the need to expand federal funding for graduate medical education to stave off impending physician shortages.

Nationwide, work force shortages are expected to reach 62,900 physicians by 2015 and 91,500 by 2020, according to the Assn. of American Medical Colleges. More doctors will be needed due to an aging population, rising chronic disease rates and an influx of an estimated 30 million newly insured individuals over the next decade under the Affordable Care Act.

Despite those projections, there have been multiple proposals to slash GME funding as pressure mounts for Congress to reduce federal spending and prevent automatic, governmentwide cuts from taking effect starting in 2013. GME reductions as high as 50% have been recommended by the Medicare Payment Advisory Commission and the National Commission on Fiscal Responsibility and Reform, as well as President Obama’s budget proposal.

However, some physicians and others are backing a proposal to expand GME funding. Introduced Aug. 2 in the House, with a companion bill in the Senate, HR 6352 calls for Medicare to add 15,000 more residency slots over five years.

“The U.S. is already facing the reality of having a significant shortfall in trained doctors and medical professionals, and this shortage will only continue to grow if we don’t begin to address the problem now,” said Rep. Aaron Schock (R, Ill.), the bill’s sponsor.

Medicare funding for GME has been capped since the Balanced Budget Act of 1997, raising concerns that there won’t be enough residency positions to train an expanding pool of U.S. medical school graduates.

Cutting those funds would be devastating, said Stephen Shannon, DO, MPH, president and CEO of the American Assn. of Colleges of Osteopathic Medicine.

“The shortage of physicians in our health care system, particularly in primary care, is nothing short of a national crisis,” he said.

The American Medical Association has supported lifting the 1997 funding cap. AMA policy says the Association will advocate to increase GME positions to address physician work force needs.

During the last several years, medical schools have responded to physician shortage projections by expanding class sizes and opening new allopathic and osteopathic schools for the first time in decades. But that growth hasn’t been mirrored in GME.

“There has been some growth, but it has been pretty marginal,” Dr. Shannon said. “There is increasing recognition that there is a squeeze coming. None of us wants to be graduating students who can’t go on to do their residency training to become physicians.”

Federal, state and private funds pay for GME. Medicare contributes the bulk, about $9.5 billion annually, while Medicaid pays about $2 billion, according to an Aug. 16 Health Affairs report. Of the Medicare portion, about $3 billion is for direct payments for the salaries of residents and supervising physicians, and $6.5 billion is for indirect payments to subsidize the costs of running a training program, such as longer hospital stays and more patient tests.

There are about 115,000 physicians in residency programs nationwide, says the Health Affairs report. About 23,000 physicians were assigned

first-year residency positions for Match Day 2012, of which about 6,800 were non-U.S. citizens who graduated from international medical schools, according to the National

Resident Matching Program. More than 95% of U.S. medical school seniors were matched to first-year positions.

Any effort to expand GME funding faces numerous obstacles, particularly with the presidential election Nov. 6, said Glen Stream, MD, president of the American Academy of Family Physicians.

The high cost of expanding GME is a major barrier. The projected cost of funding 15,000 new GME slots a few years ago was $12 billion to $15 billion over 10 years, said Len Marquez, AAMC director of government relations. There is no current estimate of the cost.

“It’s expensive, and we’re in the middle of very challenging fiscal times,” he said.

Without more federal money, many residency programs cannot grow to meet increasing demands, said Lisa Bellini, MD, vice chair for education in the Dept. of Medicine at the University of Pennsylvania Perelman School of Medicine.

“There are only so many sources of revenue for hospitals,” she said. “It just gets more and more difficult to

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American Medical NewsGME Funding Showdown Looms in Washington

Many in organized medicine want more residency positions, but government officials have recommended reducing federal GME Spending

BY: Carolyne Krupa, amednews staff. Posted Aug 27, 2012.

estimated in a 2011 report that a 50% reduction in Medicare GME funding

would result in the closing of 2,551 residency and fellowship programs

nationwide and the loss of 33,023 GME positions

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expand or even maintain what you’ve got.”

Some argue that the federal government shouldn’t be investing so

heavily in the training of physicians when it doesn’t make the same kind of contributions to train other health professionals, Dr. Shannon said. It’s a challenge to get Congress to consider the long-term picture.

“We’re always dealing with the short-term issues and not the long-term,” he said. “The politics is pretty thick in this on a lot of levels, and it is a lot of money, but it is a major need.”

The Institute of Medicine also is examining issues surrounding GME. An 18-member committee has been appointed to look at the regulation, financing, governance and organization of GME. The group is charged with developing recommendations by the spring of 2014 on how to increase the physician work force to meet current and future needs.

More than adding residency slots

HR 6352, also known as the Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transparency Act, would do more than expand Medicare funding for an additional 15,000 GME slots. It also would require academic medical centers to meet new performance standards or risk payment reductions.

Dr. Bellini supports any proposal that helps to expand the pool of physicians. But the bill is unclear whether it would expand GME positions through new funding or a restructuring of the existing approach.

“It needs to be a combination of both,” she said.

The American Medical Student Assn. would like to see more focus on ensuring that any expansion of funding is tied to meeting society’s health care needs, particularly through training more primary care physicians, said AMSA President Elizabeth Wiley, MD, MPH.

Representatives of the AMSA and the AAFP are concerned that the bill would allocate a portion of Medicare GME money to pay for residency positions that already are funded by other sources, such as hospitals.

“They would have the federal government pay for positions that already exist,” Dr. Wiley said.

The bill also emphasizes hospital-based residency programs at a time when there needs to be more focus on training physicians in community-based clinics and health centers, Dr. Stream said. “It doesn’t make sense that all of the funding has to flow through teaching hospitals,” he said.

Another bill, HR 3667, calls for a budget-neutral pilot program to test community-based residency training models. It emphasizes primary care training in rural and other medically underserved communities, and allows for more flexibility in training models while also requiring accountability, Dr. Stream said.

“There is a lot of concern about the nearly $10 billion that the federal government spends on GME every year, and what is it getting for that,” he said.

Meeting future health care needs

While debate continues about how best to fund and structure GME, many agree that proposals to cut GME funding suddenly would be devastating to the system.

After surveying GME programs, the Accreditation Council for Graduate

Medical Education estimated in a 2011 report that a 50% reduction in Medicare GME funding would result in the closing of 2,551 residency and fellowship programs nationwide and the loss of 33,023 GME positions.

Such cuts would result in some U.S. medical school graduates losing their chance to complete training, said Dr. Wiley, of the AMSA. Cuts also would hit teaching hospitals, which rely on physicians-in-training to help care for patients at less cost than attending physicians.

“It’s a recipe for disaster,” she said.

At the same time, the AMSA doesn’t agree that there needs to be an expansion of GME funding — at least not yet. Under the current system, there are more residency positions than there are U.S. medical school graduates, and the country relies on international medical graduates to fill the remaining positions.

The AMSA supports federal funding to ensure only that there is a sufficient number of positions for U.S. medical school graduates, Dr. Wiley said.

“We don’t think it’s necessary to lift the cap yet,” she said. “We think it’s more important to focus on ensuring that medical schools are producing enough graduates to meet our needs.”

Dr. Stream said the focus needs to be on expanding the number of primary care physicians.

“Not a lot has been done to expand our training capacity for family medicine and primary care,” he said. “Our concern is that any expansion of GME positions needs to take into consideration the physician work force needs of the country. We don’t just need to produce more people with MD after their name. We need to produce people who will meet the health care needs of America.”

(Krupa, C. (2012, August 27). Gme funding showdown looms in washington. .

Retrieved from http://www.ama-assn.org/amednews/2012/08/27/prl20827.htm)

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Medicare funding for GME has been capped

since the balanced Budget Act of 1997

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Breaking the Myth Many students enter medical school with a false sense of what is needed to match into surgery.

On a daily basis, I encounter false accusations of what residencies require of us to be competitive

applicants:“To be a surgeon I need to be the class gunner”“To get into a surgical residency I need to be top

10%”“I have to be published multiple times or I wont

be considered”Well I decided it was time to break that myth

and shed some REAL light on this topic. These percentages came from the 2012ACGME National

Resident Matching Program director survey.

http://www.nrmp.org/data/programresultsbyspecialty2012.pdf

Figure GS-1General SurgeryPercentage of Programs Citing Each Factor in Selecting Applicants to Interview

0% 20% 40% 60% 80% 100%

USMLE/COMLEX Step 1 score

Letters of recommendation in the specialty

Personal Statement

Grades in required clerkships


Grades in clerkship in desired specialty

Graduate of U.S. allopathic medical school

Medical Student Performance Evaluation(MSPE/Dean's Letter)

Class ranking/quartile

Gaps in medical education

Personal prior knowledge of the applicant

Perceived commitment to specialty

Honors in clinical clerkships

Applicant was flagged with Match violation by theNRMP

Volunteer/extracurricular experiences

Other life experience

Honors in clerkship in desired specialty

Consistency of grades

Audition elective/rotation within your department

84%

89%

74%

78%

73%

75%

71%

63%

66%

69%

65%

56%

64%

59%

65%

64%

69%

64%

59%

N=140

NRMP Program Director Survey Results, 2012 51

Wait what!? Grades are number 9??? so stop

gunning so hard...cough cough

Well we all knew that BUT

notice that your letters of rec. are more important...

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Figure GS-1General SurgeryPercentage of Programs Citing Each Factor in Selecting Applicants to Interview

0% 20% 40% 60% 80% 100%


Letters of recommendation in the specialty

Personal Statement

Grades in required clerkships


Grades in clerkship in desired specialty

Graduate of U.S. allopathic medical school

Medical Student Performance Evaluation(MSPE/Dean's Letter)

Class ranking/quartile

Gaps in medical education

Personal prior knowledge of the applicant

Perceived commitment to specialty

Honors in clinical clerkships

Applicant was flagged with Match violation by theNRMP

Volunteer/extracurricular experiences

Other life experience

Honors in clerkship in desired specialty

Consistency of grades

Audition elective/rotation within your department

84%

89%

74%

78%

73%

75%

71%

63%

66%

69%

65%

56%

64%

59%

65%

64%

69%

64%

59%

N=140


Figure GS-1General SurgeryPercentage of Programs Citing Each Factor in Selecting Applicants to Interview (continued)

0% 20% 40% 60% 80% 100%

Evidence of professionalism and ethics

Interpersonal skills

Perceived interest in program

Graduate of highly regarded U.S. medical school

Leadership qualities

Alpha Omega Alpha (AOA) membership

Demonstrated involvement and interest in research

Feedback from current residents

Visa status*

Honors in basic sciences

Fluency in language spoken by your patient population

Interest in academic career

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score*

Other post-interview contact

Gold Society membership

47%

51%

49%

54%

52%

60%

56%

54%

56%

49%

26%

43%

21%

24%

22%

22%

N=140

* International Medical Graduates only


(statistics continued on page 52 of report)

...These numbers are to illustrate the point that not everything you hear is true! There are many false accusations about what the ACGME is looking for, so instead of stressing about

it go check out the numbers yourself. These were specifically collected from General Surgery residency program directors by the NRMP but the report has a breakdown of all

specialties so go check it out! Obviously, don’t take this advice as a reason to slack off during the first two years, but

rather realize that other things are just as or more important. http://www.nrmp.org/data/programresultsbyspecialty2012.pdf

or www.nrmp.org under DATA AND REPORTS

Figure GS-1General SurgeryPercentage of Programs Citing Each Factor in Selecting Applicants to Interview (continued)

0% 20% 40% 60% 80% 100%

Evidence of professionalism and ethics

Interpersonal skills

Perceived interest in program

Graduate of highly regarded U.S. medical school

Leadership qualities

Alpha Omega Alpha (AOA) membership

Demonstrated involvement and interest in research

Feedback from current residents

Visa status*

Honors in basic sciences

Fluency in language spoken by your patient population

Interest in academic career

Away rotation in your specialty at another institution

USMLE/COMLEX Step 3 score*

Other post-interview contact

Gold Society membership

47%

51%

49%

54%

52%

60%

56%

54%

56%

49%

26%

43%

21%

24%

22%

22%

N=140

* International Medical Graduates only


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whoa! according to ACGME Volunteer/

extracurricular experience is only 1%

lower than rank!!! aka:

LEAVE THE LIBRARY

If you want to pad your resume go and do

research but if you will do better in school and boards without doing research... you do the

math

Honors in clerkship (69%) and clerkship

grades in desired specialty (75%) are super important!



http://www.nrmp.org

http://www.nrmp.org

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What Next?

Getting the USMLE Score! Matching These scores reflect the 2011 match*It should be noted that we advice aiming for the USMLE score or better.

http://www.nrmp.org/data/index.html

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Senior

Number

FilledSpecialty

Number ofPositions

Matches by Specialty and Applicant Type, 2012 Table 2 NumberUnfilled

PGY- 1 Positions22313701958725897919Anesthesiology

Child Neurology 99 79 58 3 34 0 11 2000100000222323Dermatology

Emergency Medicine 1,668 1,668 1,335 68 69171 0 25 000020000244Emergency Med-Family Med

Family Medicine 2,740 2,591 1,322 79 515324 1 347 14932200010146Family Med-Preventive Med

Internal Medicine (Categorical) 5,277 5,226 2,941 87 598355 4 1,239 5121000000889Medicine-Dermatology

Medicine-Emergency Med 26 22 17 0 12 0 2 400110000244Medicine-Family Medicine

Medicine-Medical Genetics 1 1 1 0 00 0 0 000000000222Medicine-Neurology

Medicine-Pediatrics 362 344 276 2 2527 0 14 1801231141020271221,4271,7381,861Medicine-Preliminary (PGY-1 Only)

Medicine-Preventive Med 5 4 2 0 02 0 0 1011574400103186300311Medicine-Primary

Medicine-Psychiatry 20 18 12 0 20 0 4 202000001013Neurodevelopmental Disabilities

Neurological Surgery 196 194 170 5 51 0 13 203672100226173289292Neurology

Obstetrics-Gynecology 1,240 1,223 913 24 80133 1 72 17006300230641682682Orthopedic Surgery

Otolaryngology 285 283 277 5 10 0 0 20559633104331262466521Pathology

Pediatrics (Categorical) 2,475 2,443 1,732 27 187254 1 242 3200000000777Pediatrics-Anesthesiology

Pediatrics-Emergency Med 7 7 6 0 01 0 0 001200000467Pediatrics-Medical Genetics

Pediatrics-P M & R 2 2 2 0 00 0 0 007310010434855Pediatrics-Preliminary

Pediatrics-Primary 67 64 27 0 142 0 21 301010030131718Peds/Psych/Child Psych

Physical Medicine & Rehab 86 86 51 4 917 1 4 0040100098797101Plastic Surgery (Integrated)

Preventive Medicine 4 2 1 0 10 0 0 203813716811124336161,0801,118Psychiatry (Categorical)

Psychiatry-Family Medicine 10 8 8 0 00 0 0 201000000112Psychiatry-Neurology

Radiation Oncology 15 15 15 0 00 0 0 00111150014490124135Radiology-Diagnostic

Surgery (Categorical) 1,146 1,143 914 76 5936 0 57 31484143780020184787371,221Surgery-Preliminary (PGY-1 Only)

Thoracic Surgery 20 20 19 1 00 0 0 00265136102814785915941Transitional (PGY-1 Only)

Vascular Surgery 41 41 38 0 01 0 2 00Total PGY-1 24,034 22,934 15,712 560 2,1021,764 12 2,775 1,1009



Neurodevelopmental Disabilities 7 6 6 0 00 0 0 1020734101246181326346Neurology

Nuclear Medicine 4 3 0 0 10 0 2 104163400787142277281Physical Medicine & Rehab

Plastic Surgery 20 20 19 0 10 0 0 001000000001Preventive Medicine

Psychiatry 3 0 0 0 00 0 0 300000000000Psychiatry-Neurology


Total PGY-2 2,738 2,592 1,950 118 161206 2 155 1460

GRAND TOTAL 26,772 25,526 2,930141,970 2,263967817,662 1,246

5Results and Data 2012 Main Residency Match

Non-U.S.

IMG

Canadian

Osteo

U.S.IMG

5th

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U.S.Grad

U.S.

Senior

Number

FilledSpecialty

Number ofPositions

Matches by Specialty and Applicant Type, 2012 Table 2 NumberUnfilled



Emergency Medicine 1,668 1,668 1,335 68 69171 0 25 000020000244Emergency Med-Family Med

Family Medicine 2,740 2,591 1,322 79 515324 1 347 14932200010146Family Med-Preventive Med

Internal Medicine (Categorical) 5,277 5,226 2,941 87 598355 4 1,239 5121000000889Medicine-Dermatology

Medicine-Emergency Med 26 22 17 0 12 0 2 400110000244Medicine-Family Medicine

Medicine-Medical Genetics 1 1 1 0 00 0 0 000000000222Medicine-Neurology

Medicine-Pediatrics 362 344 276 2 2527 0 14 1801231141020271221,4271,7381,861Medicine-Preliminary (PGY-1 Only)

Medicine-Preventive Med 5 4 2 0 02 0 0 1011574400103186300311Medicine-Primary

Medicine-Psychiatry 20 18 12 0 20 0 4 202000001013Neurodevelopmental Disabilities

Neurological Surgery 196 194 170 5 51 0 13 203672100226173289292Neurology

Obstetrics-Gynecology 1,240 1,223 913 24 80133 1 72 17006300230641682682Orthopedic Surgery

Otolaryngology 285 283 277 5 10 0 0 20559633104331262466521Pathology

Pediatrics (Categorical) 2,475 2,443 1,732 27 187254 1 242 3200000000777Pediatrics-Anesthesiology

Pediatrics-Emergency Med 7 7 6 0 01 0 0 001200000467Pediatrics-Medical Genetics

Pediatrics-P M & R 2 2 2 0 00 0 0 007310010434855Pediatrics-Preliminary

Pediatrics-Primary 67 64 27 0 142 0 21 301010030131718Peds/Psych/Child Psych

Physical Medicine & Rehab 86 86 51 4 917 1 4 0040100098797101Plastic Surgery (Integrated)

Preventive Medicine 4 2 1 0 10 0 0 203813716811124336161,0801,118Psychiatry (Categorical)

Psychiatry-Family Medicine 10 8 8 0 00 0 0 201000000112Psychiatry-Neurology


Surgery (Categorical) 1,146 1,143 914 76 5936 0 57 31484143780020184787371,221Surgery-Preliminary (PGY-1 Only)

Thoracic Surgery 20 20 19 1 00 0 0 00265136102814785915941Transitional (PGY-1 Only)

Vascular Surgery 41 41 38 0 01 0 2 00Total PGY-1 24,034 22,934 15,712 560 2,1021,764 12 2,775 1,1009



Neurodevelopmental Disabilities 7 6 6 0 00 0 0 1020734101246181326346Neurology

Nuclear Medicine 4 3 0 0 10 0 2 104163400787142277281Physical Medicine & Rehab

Plastic Surgery 20 20 19 0 10 0 0 001000000001Preventive Medicine

Psychiatry 3 0 0 0 00 0 0 300000000000Psychiatry-Neurology


Total PGY-2 2,738 2,592 1,950 118 161206 2 155 1460

GRAND TOTAL 26,772 25,526 2,930141,970 2,263967817,662 1,246


Specialty No. % No. % No. % No. %2010 2009 20082011

% No.2012

Table 11 Osteopathic Graduates Matched to PGY-1 Positions by Specialty, 2008 - 2012

i 4753767295Anesthesiology 3.53.85.34.65.4Child Neurology 0.24 0.00 0.00 0.00 0.00

20200Dermatology 0.10.00.10.00.0i Emergency Medicine 9.7171 11.3177 11.0159 11.6163 9.9133

10220Emergency Med-Family Med 0.10.00.10.10.0i Family Medicine 18.4324 18.6291 18.7270 17.3244 19.7264

00001Family Med-Preventive Med 0.00.00.00.00.1i Internal Medicine (Categorical) 20.1355 19.8309 20.2292 21.7306 19.7264

00000Medicine-Dermatology 0.00.00.00.00.0Medicine-Emergency Med 0.12 0.11 0.11 0.12 0.45

01110Medicine-Family Medicine 0.00.10.10.10.0Medicine-Medical Genetics 0.00 0.00 0.00 0.00 0.00

10000Medicine-Neurology 0.10.00.00.00.0Medicine-Pediatrics 1.527 1.321 1.521 1.927 1.824

i 4759534771Medicine-Preliminary (PGY-1 Only) 3.54.23.73.04.0Medicine-Preventive Med 0.12 0.00 0.00 0.00 0.11

111013810Medicine-Primary 0.80.70.90.50.6Medicine-Psychiatry 0.00 0.11 0.00 0.12 0.11

00000Medical Genetics 0.00.00.00.00.0Neurodevelopmental Disabilities 0.00 0.00 0.00 0.00 0.00

01101Neurological Surgery 0.00.10.10.00.1Neurology 1.222 1.929 1.420 0.710 0.811

i 118108105120133Obstetrics-Gynecology 8.87.77.37.77.5Ophthalmology 0.00 0.00 0.00 0.00 0.00

25322Orthopedic Surgery 0.10.40.20.10.1Otolaryngology 0.00 0.00 0.11 0.00 0.11

i 2434313443Pathology 1.82.42.12.22.4i Pediatrics (Categorical) 14.4254 14.5226 13.9200 13.5190 15.9213

00000Pediatrics-Anesthesiology 0.00.00.00.00.0Pediatrics-Dermatology 0.00 0.00 0.00 0.00 0.00

11001Pediatrics-Emergency Med 0.10.10.00.00.1Pediatrics-Medical Genetics 0.00 0.00 0.00 0.00 0.00

00000Pediatrics-P M & R 0.00.00.00.00.0Pediatrics-Preliminary 0.11 0.00 0.00 0.00 0.00

11112Pediatrics-Primary 0.10.10.10.10.1Peds/Psych/Child Psych 0.23 0.34 0.00 0.00 0.11

1415131917Physical Medicine & Rehab 1.01.10.91.21.0Plastic Surgery 0.00 0.00 0.00 0.11 0.00

00010Plastic Surgery (Integrated) 0.00.00.00.10.0Preventive Medicine 0.00 0.00 0.00 0.00 0.00

i 100102109114124Psychiatry (Categorical) 7.57.27.57.37.0Psychiatry-Family Medicine 0.00 0.00 0.11 0.11 0.00

01010Psychiatry-Neurology 0.00.10.00.10.0Radiation Oncology 0.00 0.00 0.00 0.00 0.00

6881114Radiology-Diagnostic 0.40.60.60.70.8Surgery (Categorical) 2.036 1.828 1.420 2.231 2.331

i 816191820Surgery-Preliminary (PGY-1 Only) 0.61.11.31.21.1Thoracic Surgery 0.00 0.11 0.00 0.00 0.00

i 716222228Transitional (PGY-1 Only) 0.51.11.51.41.6Urology 0.00 0.00 0.00 0.00 0.00

00001Vascular Surgery 0.00.00.00.00.11,3391,408TOTAL - PGY-1 100 100100100100 1,4441,5611,764

Denotes increase/decrease in number of positions filled by U.S. allopathic seniors of more than 10 percent and 10 positions between 2008 and 2012. Neurological Surgery joined The Match in 2009. ACGME created a new PGY-1 Plastic Surgery (Integrated) specialty in 2009. Combined/coordinated Plastic Surgery programs (which are not integrated) now appear under PGY-2 positions. Many Anesthesiology, Emergency Medicine, and Neurology programs have converted their positions from Advanced (PGY-2) to Categorical (PGY-1) over the period, affecting the trends in those specialties.

ij


Specialty No. % No. % No. % No. %2010 2009 20082011

% No.2012

Table 11 Osteopathic Graduates Matched to PGY-1 Positions by Specialty, 2008 - 2012

i 4753767295Anesthesiology 3.53.85.34.65.4Child Neurology 0.24 0.00 0.00 0.00 0.00

20200Dermatology 0.10.00.10.00.0i Emergency Medicine 9.7171 11.3177 11.0159 11.6163 9.9133

10220Emergency Med-Family Med 0.10.00.10.10.0i Family Medicine 18.4324 18.6291 18.7270 17.3244 19.7264

00001Family Med-Preventive Med 0.00.00.00.00.1i Internal Medicine (Categorical) 20.1355 19.8309 20.2292 21.7306 19.7264

00000Medicine-Dermatology 0.00.00.00.00.0Medicine-Emergency Med 0.12 0.11 0.11 0.12 0.45

01110Medicine-Family Medicine 0.00.10.10.10.0Medicine-Medical Genetics 0.00 0.00 0.00 0.00 0.00

10000Medicine-Neurology 0.10.00.00.00.0Medicine-Pediatrics 1.527 1.321 1.521 1.927 1.824

i 4759534771Medicine-Preliminary (PGY-1 Only) 3.54.23.73.04.0Medicine-Preventive Med 0.12 0.00 0.00 0.00 0.11

111013810Medicine-Primary 0.80.70.90.50.6Medicine-Psychiatry 0.00 0.11 0.00 0.12 0.11

00000Medical Genetics 0.00.00.00.00.0Neurodevelopmental Disabilities 0.00 0.00 0.00 0.00 0.00

01101Neurological Surgery 0.00.10.10.00.1Neurology 1.222 1.929 1.420 0.710 0.811

i 118108105120133Obstetrics-Gynecology 8.87.77.37.77.5Ophthalmology 0.00 0.00 0.00 0.00 0.00

25322Orthopedic Surgery 0.10.40.20.10.1Otolaryngology 0.00 0.00 0.11 0.00 0.11

i 2434313443Pathology 1.82.42.12.22.4i Pediatrics (Categorical) 14.4254 14.5226 13.9200 13.5190 15.9213

00000Pediatrics-Anesthesiology 0.00.00.00.00.0Pediatrics-Dermatology 0.00 0.00 0.00 0.00 0.00

11001Pediatrics-Emergency Med 0.10.10.00.00.1Pediatrics-Medical Genetics 0.00 0.00 0.00 0.00 0.00

00000Pediatrics-P M & R 0.00.00.00.00.0Pediatrics-Preliminary 0.11 0.00 0.00 0.00 0.00

11112Pediatrics-Primary 0.10.10.10.10.1Peds/Psych/Child Psych 0.23 0.34 0.00 0.00 0.11

1415131917Physical Medicine & Rehab 1.01.10.91.21.0Plastic Surgery 0.00 0.00 0.00 0.11 0.00

00010Plastic Surgery (Integrated) 0.00.00.00.10.0Preventive Medicine 0.00 0.00 0.00 0.00 0.00

i 100102109114124Psychiatry (Categorical) 7.57.27.57.37.0Psychiatry-Family Medicine 0.00 0.00 0.11 0.11 0.00

01010Psychiatry-Neurology 0.00.10.00.10.0Radiation Oncology 0.00 0.00 0.00 0.00 0.00

6881114Radiology-Diagnostic 0.40.60.60.70.8Surgery (Categorical) 2.036 1.828 1.420 2.231 2.331

i 816191820Surgery-Preliminary (PGY-1 Only) 0.61.11.31.21.1Thoracic Surgery 0.00 0.11 0.00 0.00 0.00

i 716222228Transitional (PGY-1 Only) 0.51.11.51.41.6Urology 0.00 0.00 0.00 0.00 0.00

00001Vascular Surgery 0.00.00.00.00.11,3391,408TOTAL - PGY-1 100 100100100100 1,4441,5611,764

Denotes increase/decrease in number of positions filled by U.S. allopathic seniors of more than 10 percent and 10 positions between 2008 and 2012. Neurological Surgery joined The Match in 2009. ACGME created a new PGY-1 Plastic Surgery (Integrated) specialty in 2009. Combined/coordinated Plastic Surgery programs (which are not integrated) now appear under PGY-2 positions. Many Anesthesiology, Emergency Medicine, and Neurology programs have converted their positions from Advanced (PGY-2) to Categorical (PGY-1) over the period, affecting the trends in those specialties.

ij


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9

AOA Residency Programs:http://opportunities.osteopathic.org/search/search.cfm?searchType=1&CFID=492492&CFTOKEN=8d81293a8d0b7e3f-51EE5758-E67E-977F-5D2E5FA02D9D4BAA&jsessionid=f0307fb7231e3d08ad51557f6b7e6a2d1614

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Program Number

Program Specialty City State

341509 Mountain Vista Medical Center - Surgery-General Residency

Surgery-General Mesa AZ

152159 WesternU/COMP/Arrowhead Regional Medical Center -

Surgery-General Residency

Surgery-General Colton CA

182454 NSUCOM/Largo Medical Center - Surgery-General Residency

Surgery-General Largo FL

339637 NSUCOM/Larkin Community Hospital - Surgery-General

Residency

Surgery-General South Miami FL

148246 DMU/OMC/Mercy Hospital Medical Center - Surgery-

General Residency

Surgery-General Des Moines IA

126376 St James Hosp & Health Centers - Surgery-General Residency

Surgery-General Olympia Fields IL

195296 Henry Ford Macomb Hospitals MEP - Surgery-General

Residency

Surgery-General Clinton Township MI

326172 DMC Osteo Division/Sinai Grace Hospital - Surgery-General

Residency

Surgery-General Detroit MI

131417 Botsford General Hospital - Surgery-General Residency

Surgery-General Farmington Hills MI

128416 Garden City Hospital - Surgery-General Residency

Surgery-General Garden City MI

128283 Genesys Regional Med Ctr-Health Park - Surgery-General

Residency

Surgery-General Grand Blanc MI

341466 MSUCOM/Allegiance Health - Surgery-General Residency

Surgery-General Jackson MI

126079 McLaren-Greater Lansing - Surgery-General Residency

Surgery-General Lansing MI

130115 McLaren-Macomb - Surgery-General Residency

Surgery-General Mount Clemens MI

130781 McLaren-Oakland - Surgery-General Residency

Surgery-General Pontiac MI

328833 MSUCOM/Lakeland Regional Med Ctr - Surgery-General

Residency

Surgery-General St. Joseph MI

http://opportunities.osteopathic.org/search/search.cfm?searchType=1&CFID=492492&CFTOKEN=8d81293a8d0b7e3f-51EE5758-E67E-977F-5D2E5FA02D9D4BAA&jsessionid=f0307fb7231e3d08ad51557f6b7e6a2d1614






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195889 Oakwood Healthcare System Osteo Div - Surgery-General

Residency

Surgery-General Trenton MI

182006 St John Providence Health System-Osteo Div - Surgery-

General Residency

Surgery-General Warren MI

169367 Henry Ford Wyandotte Hospital - Surgery-General Residency

Surgery-General Wyandotte MI

128524 Metro Health Hospital - Surgery-General Residency

Surgery-General Wyoming MI

339641 KCUMB/St Mary's Hospital of Blue Springs - Surgery-General

Residency

Surgery-General Blue Springs MO

132357 Northeast Regional Med Ctr - Surgery-General Residency

Surgery-General Kirksville MO

130236 Des Peres Hospital - Surgery-General Residency

Surgery-General Saint Louis MO

339160 Palisades Medical Center - Surgery-General Residency

Surgery-General North Bergen NJ

189075 UNECOM/St Joseph's Hospital & Med Ctr - Surgery-General

Residency

Surgery-General Paterson NJ

126309 UMDNJ/SOM/Kennedy University Hosp/Our Lady of Lourdes - Surgery-General

Residency

Surgery-General Stratford NJ

339639 UMDNJ/SOM/South Jersey Healthcare - Surgery-General

Residency

Surgery-General Vineland NJ

126101 St Barnabas Hospital - Surgery-General Residency

Surgery-General Bronx NY

129229 NYCOM/Wyckoff Heights Medical Center - Surgery-General

Residency

Surgery-General Brooklyn NY

148267 NYCOM/Lutheran Medical Center - Surgery-General Residency

Surgery-General Brooklyn NY

341465 LECOM/Arnot Ogden Medical Center - Surgery-General

Residency

Surgery-General Elmira NY

132274 St. John's Episcopal Hospital - Surgery-General Residency

Surgery-General Far Rockaway NY

336416 NYCOM/Flushing Hospital Medical Ctr - Surgery-General

Residency

Surgery-General New York NY

AOA continued

11

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328837 NYCOM/EastEnd Health Alliance - Surgery-General Residency

Surgery-General Riverhead NY

126136 OUCOM/Doctors Hospital - Surgery-General Residency

Surgery-General Columbus OH

126187 Summa Western Reserve Hospital - Surgery-General

Residency

Surgery-General Cuyahoga Falls OH

126164 OUCOM/Grandview Hosp & Med Ctr - Surgery-General Residency

Surgery-General Dayton OH

126171 OUCOM/Affinity Medical Center - Surgery-General Residency

Surgery-General Massillon OH

164259 Mercy St Vincent MC - Surgery-General Residency

Surgery-General Toledo OH

126196 South Pointe Hosp - Surgery-General Residency

Surgery-General Warrensville Heights OH

130317 Oklahoma State University Medical Center - Surgery-

General Residency

Surgery-General Tulsa OK

194850 WesternU/COMP/Good Samaritan Reg Med Ctr -

Surgery-General Residency

Surgery-General Corvallis OR

130996 UPMC Horizon - Surgery-General Residency

Surgery-General Farrell PA

127068 LECOM/Pinnacle Health Community General Osteopathic

Hosp - Surgery-General Residency

Surgery-General Harrisburg PA

130922 Mercy Suburban Hospital - Surgery-General Residency

Surgery-General Norristown PA

126229 Philadelphia College Osteopathic Med - Surgery-General

Residency

Surgery-General Philadelphia PA

187725 PCOM/Geisinger Wyoming Valley - Surgery-General Residency

Surgery-General Wilkes-Barre PA

129830 Memorial Hospital - Surgery-General Residency

Surgery-General York PA

142347 UNTHSC/TCOM/Plaza Medical Center - Surgery-General

Residency

Surgery-General Fort Worth TX

AOA continued

Due to the shear volume of ACGME General Surgery programs they are not listed in this issue. This list can be accessed by following this link:

https://www.acgme.org/ads/Public/Reports/Report/1



12

Useful Websites:ACGME Statistics with the Match: http://www.nrmp.org/http://www.nrmp.org/data/resultsanddatasms2012.pdfThe American Osteopathic Board of Surgery: http://www.aobs.org/AOA Residency Training in Surgery and the Surgical Subspecialties:http://www.osteopathic.org/inside-aoa/accreditation/postdoctoral-training-approval/postdoctoral-training-standards/Documents/basic-standards-for-residency-training-in-surgery-and-surgical-specialties.pdf

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http://www.nrmp.org

http://www.nrmp.org

http://www.nrmp.org/data/resultsanddatasms2012.pdf

http://www.nrmp.org/data/resultsanddatasms2012.pdf

http://www.aobs.org

http://www.aobs.org