Letter to AOA President on AOA plan for ACGME takeover of OGME

Dr. Juhasz,

Just when did AOAs dues paying osteopathic physician membership and societies get to feedback alternative ideas and weigh in on OGME funding options as you stated in your Med Ec interview below? Not at all. The AOA trustees unilaterally make the decision some time ago. Many DOs and many component specialty societies like AOCD were dead set against the ACGME takeover, or, at least wanting defined terms and conditions set like ACOFP, otherwise bail out. Never did the AOA solicit member opinions or allow input, let alone dissent against the preset policy OGME sellout to ACGME takeover. AOA top-down propaganda are not grass-roots fact. Has the AOA administration learned nothing from the failed AMA takeover in California in 1960?

Quote: Juhasz says AOA members have had ample time to consider the agreement and offer input. “We’ve been having an ongoing dialogue with ACGME since 2012 that’s been reported to the membership,” he says. Since arriving at the agreement in February, “there have been multiple opportunities for dialogue with the profession at state and specialty society meetings to help them understand how we’ve moving forward.” http://medicaleconomics.modernmedicine.com/medical-economics/news/allopathic-osteopathic-graduate-training-programs-unify-accreditation-process

We’re being forceably strapped into AOA’s leftist liberal agenda “moving forward” off the government debt cliff, like the current US administration. No, thank you. As a private practice DO and AOA member for 20 years, I protest. And if you think I’m the only one… You will see.

After twenty years of increasing AOA corporatization and weak physician leadership, now is your chance at the helm. Steer our 140 year old brave physician profession into independence and freedom for the betterment of the patient-physicians relationship, away from government, hospital health system and special interest dependence. The choice is yours. We are all making ours.

Best wishes for good health,
Craig M. Wax, DO
Family physician, Editorial Board of Medical Economics
Host of Your Health Matters
Rowan Radio 89.7 WGLS FM
http://wgls.rowan.edu/?feed=YOUR_HEALTH_MATTERS
Twitter @drcraigwax
Independent Physicians For Patient independence @IP4PI
IP4PI.wordpress.com

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JAOA’s One-Sided View of ACGME Takeover

Dr Juhasz,

The newest JAOA is below with two articles supporting the ACGME takeover of OGME. There seemed to be no article on or credence paid to the work of Dr. Norman Gevitz and his well researched, valid & logical argument that the ACGME takeover would sell out and dismantle the DO profession and its schools.

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The ACGME/OGME merger will produce many unintended consequences

Dear Drs. Vinn and Juhasz,

Thanks for the update. That was one thing that John Crosby did well. He initiated and sent out the daily AOA update email. This is something sadly missing now.

At any rate, the ACGME/OGME merger will produce many unintended consequences.  I’m sure you’ve already read the position paper by Norman Gevitz PhD on how the unintended consequence of the merger will result in the destruction of the Osteopathic education system and it schools, and the profession with it. I am in agreement with Dr. Gevitz and I am very concerned for the survival of the osteopathic profession, schools and training programs. It seems to me this merger comes down from the top leadership not grassroots up from the bottom membership. At the AROC conference, the merger idea was presented as a done deal or fait accompli; not a flexible idea subject to change. There are other ideas to fund and maintain Osteopathic based OGME residency slots. Further, it seems like the plan would go in lockstep with the governments plan for OCC MOC leaving to MOL and the government controlled practice of medicine. You can bet your bottom dollar that this would not include Osteopathic anything.

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Letter to AOA on ACGME merger: Problem & new solution

Dear AOA Pres. Dr. Vinn, et al.

This letter is in regard to, “Single accreditation for MDs and DOs by 2020,” in family practice news this month. We have been told by former AOA President Dr Ray Stowers that in recent years Osteopathic schools proliferated too quickly and created the need for more residencies than AOA could supply and government could fund. We were then told last year that the only solution would be to combine our Osteopathic GME with allopathic MD ACGME. In the article Dr. Vinn states, “… But Osteopathic training programs will still retain their unique focus.” He goes on to say, “this is an opportunity to both reinforce and proliferate or principles.” The question I raise is how is it possible to train, reinforce our principal teachings, philosophy and skills while not experiencing the potential disaster of the California experience of 1960?

As a product of, and believer in Osteopathic principles, schools, internships, residency training, postgraduate fellowships and CME, I believe our programs offer unique and distinct advantages over the other possibilities that exist. This unique Osteopathic approach to training, education and practice must be maintained for the betterment of human health. Under the plan to merge osteopathic graduate medical education with ACGME we would be absorbed, overrun and thereby changed to accommodate only the allopathic practice model.

Osteopathic graduate medical education has always strived for independence and excellence. This merger of programs would be a catastrophic mistake in the history of osteopathic medicine. Our DO distinctiveness would disappear from the practice of medicine of the merger goes to completion. The logical sequellae of the merger would be the loss of Osteopathic Medical philosophy in practice, as well as, all of our DO program directors will lose their jobs by the merger completion date of 2020.

I offer the DOs COMITT alternate plan to save Osteopathic training programs: The first step would be control of and smart steady growth of osteopathic schools, not uncontrolled proliferation. Osteopathic training programs produce diverse physicians with a large number of primary care specialty physicians including family medicine, pediatrics, gynecology, etc. The second step is the AOA to bring the data of our current primary care programs’ output to the government authorities and Congress that authorizes money for training programs. If we can mount a organized and cogent movement to convince the Congress and government leaders to champion the cause of primary care specialty training, they will support it for the good of the country’s health and their own political goals. Please consider this approach previous to your acceptance of the ACGME merger program which would destroy our osteopathic integrity.

http://www.familypracticenews.com/single-view/single-accreditation-for-mds-and-dos-by-2020/882f1fd642fed66cceba959c2629d65a.html

Best wishes for good health,
Craig M. Wax, DO
Family physician, Editorial Board of Medical Economics
Host of Your Health Matters
Rowan Radio 89.7 WGLS FM
http://wgls.rowan.edu/?feed=YOUR_HEALTH_MATTERS
Twitter @drcraigwax
Independent Physicians For Patient independence @IP4PI
IP4PI.wordpress.com