Hayes O W
Michigan State University-College of Osteopathic Medicine, East Lansing 48824-1316, USA.
J Am Osteopath Assoc. 1998 Nov;98(11):647-52.
In 1985, the American Osteopathic Association (AOA) changed its educational policies to permit osteopathic postdoctoral programs in settings that were accredited by the Accreditation Council for Graduate Medical Education (ACGME). In response to this policy change, an existing ACGME-accredited emergency medicine residency was modified to create a combined osteopathic/allopathic residency program that meets the educational requirements of both the AOA and the ACGME. Our 10-year experience with this combined osteopathic/allopathic emergency medicine residency is described in terms of program development, governance structure involving key stakeholders, faculty distribution--equal numbers of allopathic and osteopathic faculty, and educational outcome of the total number of residents graduated (93 graduates, with 33 osteopathic physicians and 60 allopathic physicians). Lessons learned from the 10 years' experience of this combined residency program, as well as current issues, are explained. The future potential of such dual-approved programs on the supply of residency positions is discussed from the viewpoint of osteopathic postdoctoral education.
1985年，美国整骨疗法协会（AOA）改变了其教育政策，允许在经毕业后医学教育认证委员会（ACGME）认证的机构中开展整骨疗法博士后项目。针对这一政策变化，一个现有的经ACGME认证的急诊医学住院医师培训项目进行了调整，以创建一个符合AOA和ACGME教育要求的整骨疗法/西医综合住院医师联合培训项目。我们介绍了在这个整骨疗法/西医综合急诊医学住院医师联合培训项目中的10年经验，内容包括项目发展、涉及关键利益相关者的管理结构、师资分配（西医综合和整骨疗法师资数量相等）以及毕业住院医师总数（93名毕业生，其中33名整骨疗法医生和60名西医综合医生）的教育成果。解释了从这个联合住院医师培训项目10年经验中吸取的教训以及当前存在的问题。从整骨疗法博士后教育的角度讨论了此类双重认证项目在住院医师培训岗位供应方面的未来潜力。
