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Table Of Contents

Michigan OPTI Sets Pace for
Osteopathic Educational Quality

by MOA Member Michael Opipari, D.O.

The American Osteopathic Association (AOA) postdoctoral education system mandated the implementation of the Osteopathic Postdoctoral Training Institution (OPTI) as the mechanism for accreditation of all internship/residency programs in July 1999. OPTI requires all postdoctoral training programs to be incorporated into consortia consisting of a college of osteopathic medicine and osteopathic training institutions. The objectives include sharing of training resources (faculty, financial, clinical and didactic); development of new osteopathic teaching

faculty; quality enhancement and accountability by the consortium; promotion of osteopathic principles and practice and growth; and development and stability of osteopathic training opportunities.

The consortium concept was established originally in Michigan as the Consortium of Osteopathic Graduate Medical Education and Training (COGMET) in 1988 and officially transitioned into the Statewide Campus System of MSUCOM (SCS/MSUCOM) in 1996 and in 1999 met the AOA accreditation requirements as an OPTI. The SCS has been continuously accredited since that time.

Currently, the SCS/MSUCOM is an organization reflecting a continuum of osteopathic education from the third-year clinical clerkship through completion of AOA approved residency. Approximately 97% of MSUCOM graduating students match successfully and enter AOA internships and residencies. The SCS/MSUCOM is a partnership including MSUCOM, 21 training institution partners and one academic member (Kirksville College of Osteopathic Medicine) with its associated training programs in Michigan.

The number of training programs incorporated into the SCS is 135 within 26 specialties plus the rotating internship. The total number of trainees in our system is 812 residents and 154 interns.

The primary effort for the AOA, OPTI concept is the enhancement of our osteopathic educational programs through the consortium methodology of sharing resources discussed above. The goal ultimately is the improvement of the quality of care delivered to the people of our Michigan communities.

The SCS/MSUCOM is a true collaborative partnership, which consists of one voting member from every one of the training institutions, MSUCOM, and our academic member (KCOM). All bylaws, operational policies and budgets are approved by the full membership. The annual budget is $2.1M in addition to in-kind contributions from MSUCOM.

The OPTI in Michigan takes its role very seriously, as the overseer of quality osteopathic graduate medical education. In addition, we understand the significance of the continuum between the predoctoral and postdoctoral programs in our relationship between the college and our training community hospital sites.

In demonstrating the commitment and accountability to our interns and residents and the osteopathic profession for training of excellent physicians, a strategic plan was approved by the membership in May 2001. A plan provision calls for an annual self-assessment to evaluate progress. The five-year plan goals are:

1. Emphasize educational quality in its activities and operations
2. Provide educational services as needed to member institutions and all medical disciplines
3. Promote and integrate osteopathic principles and manipulative therapy into the educational programs of SCS
4. Encourage and participate in the development of core competencies for interns and residents
5. Increase levels of support and cooperation in SCS activities by clinical chairs at MSUCOM
6. Operate in a cost-effective manner in the provision of educational services to SCS members
7. Emphasize cooperation and collaboration among MSUCOM, member institutions, medical disciplines and other educational consortia
8. Be innovative in the delivery of educational materials, including the use of computer technology in delivering new knowledge
9. Measure the success of SCS educational programs predicated on outcomes

The consortium of osteopathic education programs in Michigan has served as a model for the osteopathic profession in the development of the OPTI concept. The accountability to quality clinical training exists and is continually strengthened by creating innovative educational models. The SCS/MSUCOM has truly established the pace of consortium medical education both within and outside of the osteopathic profession.