Minutes of the Bureau of Osteopathic Education Retreat

Minutes of the Bureau of Osteopathic Education Retreat December 1, 2012 O’Hare Hilton Hotel – Chicago, IL

Voting Members Present: Joanna R. Pease, DO,Chair Anthony J. Silvagni, DO, PharmD, Vice- James J. Lally, DO Chair Harald Lausen, DO Mark Bailey, DO, PhD Michael P. Mahalik, PhD Joseph John Calabro, DO Joseph P. McNerney, DO Kathleen Creason, MBA Leah McWilliams, CAE William C. Cunningham, DO Benjamin Murcek, DO Tyler C. Cymet, DO Daniel P. Nolan, DO Dee Grimes, MBA Frederick W. White, DO

Voting Members Absent: Todd A. Nickloes, DO Matthew Schure, PhD

Ex-Officio Members: Lorenzo L. Pence, DO Jeffery Grove, DO

Secretary: Diane Burkhart, PhD Recording Secretary: Ariel Ryan

Guests: Clinton Adams, DO Marc Hahn, DO

AOA Board of Trustees: Ray E. Stowers, DO Norman E. Vinn, DO Joseph M. Yasso, DO Thomas L. Ely, DO Boyd R. Buser, DO

Staff: John B. Crosby, JD James E. Swartwout Andrea DeRosier Tennille Tenard-Stephens Cheryl Gross Maura Biszewski Minutes of the BOE Retreat December 1, 2012 Page 2

Terri Lischka Alisa Pierson Delores Rodgers Pamela Ball Stephan Trent, DO Savita Misra Margaret Hardy

Call to Order: Joanna R. Pease, DO, Chair of the Bureau of Osteopathic Education (BOE) called the meeting to order at 10 a.m. on December 1, 2012, and welcomed everyone to the Meeting. Jeffery Grove, DO, telephoned into the beginning of the meeting.

Roll was called and it was determined that a quorum was present, and the Chair asked all members present to introduce themselves. The Chair led the BOE in the recital of the Osteopathic Pledge of Commitment and referred the BOE to the AOA Mission and Vision Statements, recommending that the BOE members recommit themselves to this mission and vision.

Minutes: The bureau reviewed and approved the minutes of its August 25-26, 2012, retreat as presented. Reports:  Chair’s Report – Joanna R. Pease, DO, Chair A written report was submitted.  Secretary’s Report – Diane Burkhart, PhD, Secretary A written report was submitted, which included an Education calendar with meetings dates through August 2013 for education bureaus, councils, and committees.  BOT Educational Affairs – Joseph M. Yasso, Jr., DO, Chair See discussion item number three.  AACOM – Anthony J. Silvagni, DO, PharmD, Vice Chair A written report was submitted.  AODME – Harald Lausen, DO A written report was submitted.  BIOMEA – James W. Cole, DO A written report was submitted.  BOGMED – Boyd R. Buser, DO A written report was submitted.  BOH – Paul E. LaCasse, DO A written report was submitted.  BOME – Donald J. Sefcik, DO, MBA A written report was submitted.  BOS – Benjamin W. Murcek, DO Minutes of the BOE Retreat December 1, 2012 Page 3

A written report was submitted. Dr. Murcek urged the BOE to encourage educators to instill a culture of volunteerism at the undergraduate and then graduate level so that when students’ residency training is complete, they are willing to volunteer on bureaus and boards.  CCME – Jeffery S. Grove, DO A written report was submitted. Resolution 1 was Approved.  CIR – Bradford Landry, DO A written report was submitted.  COPT – Darrell E. Lovins, DO, MPH A written report was submitted. Resolutions 2, 3, 4, 5, 6, and 9 were Approved. Resolution 8, Revision to the AOA Basic Documents for Postdoctoral Training – Section IX: OPTI Standards, was Approved as Amended. A new language amendment to clarify the description of the library access requirement by the OPTI was recommended by Dr. Silvagni and approved by the COPT and BOE.  COPTI – Lorenzo L. Pence, DO A written report was submitted.  PTRC – John B. Bulger, DO A written report was submitted.

Resolutions Approved

Council on Continuing Medical Education (CCME) JAOA CME Credits………………………………………………………………01

Council on Postdoctoral Training (COPT) Proposed Unified GME Accreditation System…………………………………… 02 OPTI Vision and Mission Statements……………………………………………..03 Revisions to the Handbook of the Program and Trainee Review Council………… 04 Recognition of ACGME Training as AOA Approved…………………………….05 Writing Basic Standards Workshop for Specialty College Members……………….06 Revision to the AOA Basic Documents for Postdoctoral Training – Section IX: OPTI Standards……………………………………………………………………..…..08 Standardized Accreditation Period………………………………………………..09

Sunset Resolutions – Approved by consent agenda H 200 – Acupuncture H 221 – Geriatric Healthcare Minutes of the BOE Retreat December 1, 2012 Page 4

H 234 – Licensure of Interns and Residents H 251 – Osteopathic Graduate Medical Education H 252 – Osteopathic Medicine Definition H 253 – Osteopathic Postdoctoral Training in all Specialty Areas H 259 – Physician Definition H 295 – Substance Use Disorders Education H 303 – Scope of Practice Statement by the American Osteopathic Association for Osteopathic Manipulative Medicine H 306 – Reaffirmation of the DO Degree

CMSS Code for Interactions with Companies The Council of Medical Specialty Societies’ (CMSS) Code for Interactions with Companies was presented as a code of conduct for disclosure and conflict of interest among association leadership. It was decided that because the Board of Trustees (BOT) voted to support the document two years earlier, the Bureau of Osteopathic Education (BOE) would simply support the recommendations made by CMSS in their Code for Interactions with Companies and use it as an informational tool.

Ex-Officio Seat on COCA for BOE Chair The memorandum requesting a seat on the Commission on Osteopathic College Accreditation (COCA) for the BOE chair was drawn up after concerns were expressed at the August 2012 BOE retreat about COCA activities and their relationship with the BOE, particularly with the new charge from the BOT that the BOE should be addressing the continuum-of-care in terms of GME reporting and oversight. The motion to send the memo to COCA was approved unanimously.

Dr. Pease asked to begin the discussion of what the BOE representative should be doing at COCA and what issues the BOE wants COCA to address. Dr. McNerney suggested that COCA do studies to find out the availability of faculty and GME residency training positions where students can be placed so that if there are any applications for a new school or for an increase in slots there would be information to clearly show if there is an availability of faculty to train the students. This accountability by COCA for a discernment process focusing on the availability of faculty and postgraduate training positions was supported by several other BOE members. It was also agreed that COCA would benefit from some external oversight of their actions and decisions.

ACGME Report with BOGMED Resolution

Role of BOE in Light of Changes to AOA OGME It was agreed that the BOE needs to make itself aware of the structure and process of the ACGME in order to be able to offer valuable and informed recommendations when it is consulted during the reconciliation of the two GME processes. It was also agreed that because the future structural and governance needs of a unified AOA and ACGME GME system are not yet known, that the BOE will not spend time creating a strategic plan for the merger, but will instead educate itself with an executive summary on the workings of ACGME and American Minutes of the BOE Retreat December 1, 2012 Page 5

Board of Medical Specialties (ABMS). An executive summary will be developed by a subcommittee of the BOE and members who have expertise in ACGME processes.

It was agreed that at the next BOE meeting a person who is already familiar with ACGME would be nominated to give a presentation to the BOE at a later date.

Public Website for BOE Dr. Cymet asked that the AOA create a website that the general public could search and use as a tool to contact the BOE. Dr. Burkhart addressed this concern by saying that her department was working on creating such a site and that she would be the contact person listed on the website.

AOA Approval of ACGME Residency Training A task force was assembled to refine the criteria for written papers considered as osteopathic components. Dr. Cymet volunteered and was voted as lead of the task force. Drs. Cunningham and Bailey also volunteered to be on the task force.

Strategic Plan Dr. Vinn gave an update on the process of the strategic plan for the upcoming new cycle. He informed the Bureau that, at Dr. Stowers’ suggestion, he was made the chair of the Strategic Planning Committee (SPC) so that he could take responsibility for implementing the goals of the Board of Trustees (BOT). The SPC has retained the AOA tenants of a family of members, Governance, Research, Education, Advocacy, and Teamwork (GREAT Team). The SPC has also taken a serious look at the the subject of enhancing and strengthening osteopathic culture to ensure it will not be lost or misrepresented in the process of creating a unified accreditation system with ACGME. The goal of the SPC is to provide the strategic plan to the members of the BOE within a week with a turnaround target date of January 15, 2013.

Adjournment The meeting was adjourned at 3:35 PM.

Respectfully submitted,

Diane Burkhart, PhD Secretary to the Bureau