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ACGME Releases Approved Program Requirements for Osteopathic Recognition and ONMM

February 23, 2015

AACOM Announcement

February 23, 2015

Today, the ACGME Board-approved program requirements were released for Osteopathic Recognition and Osteopathic Neuromusculoskeletal Medicine. This marks an historic development in medical education in the U.S., as for the first time osteopathic principles and practices (OPP) are incorporated into the ACGME accreditation system. ACGME governs graduate medical education (GME) for all MDs and many DO physicians in the U.S. (All DO residency programs will be  part of the ACGME by 2020.) As part of the establishment of this Single GME Accreditation System in the U.S., two new committees were established by the AGME Board: the  Osteopathic Principles Recognition Committee (OPC) and the Osteopathic Neuromusculoskeletal Medicine Review Committee (ONMM RC), and those committees developed these standards over the last several months. The ONMM RC is the first review committee to be created by the ACGME in several decades, and the OPC is the first recognition committee ever created.

AACOM applauds members of the OPC and ONMM committees, staff at ACGME, and all those involved, on their accomplishment. The process for establishing these two sets of requirements was complex, beginning with the nomination and approval of members of the OPC  and ONMM committees, who then embarked on the difficult task of incorporating OPP into the ACGME system. To assist the OPC during these deliberations, AACOM’s Ad Hoc Committee on GME Transition developed and shared a White Paper with its recommendations. In November 2014, the OPC and ONMM committees posted proposed requirements for a 45-day public comment period. After considering the public’s feedback, the requirements were revised and submitted to the ACGME full Board, resulting in unanimous approval of both requirements during the ACGME February, 2015 board meeting.

These approved requirements, effective July 1, 2015, mark the accomplishment of one of the key goals in the transition to a single GME accreditation system. The framework for the new system sought to ensure consistency, quality, and efficiency in postdoctoral education, while preserving the unique dimensions of the osteopathic profession and recognizing its contribution to health care in the U.S. These two sets of requirements assure the maintenance and continuation of osteopathic training programs under the ACGME accreditation system. Significantly, the requirements recognize and codify osteopathic principles and practices through their integration into all six ACGME Core Competencies. Furthermore, the ONMM requirements establish neuromusculoskeletal education and training—which is at the core of the osteopathic profession—as a specialty within ACGME.

A set of evolving frequently asked questions (FAQs) will be developed for both sets of requirements, and will be made available on each committee’s website. These FAQs will help in the interpretation of each requirement and when available, should be viewed side-by-side with the requirements. Additionally, educational activities will be offered to help stakeholders with the interpretation of these requirements.

To view the approved OPC requirements on the OPC’s webpage click here, to view the final ONMM requirements on the ONMM’s webpage click here. For more information about the transition to a single accreditation system, please visit AACOM’s single GME accreditation system webpage


The American Association of Colleges of Osteopathic Medicine (AACOM) represents the 30 accredited colleges of osteopathic medicine in the United States.  These colleges are accredited to deliver instruction at 42 teaching locations in 28 states. In the 2014-15 academic year these colleges are educating over 24,600 future physicians – more than 20 percent of US medical students. Six of the colleges are public and 24 are private institutions.

AACOM was founded in 1898 to support and assist the nation's osteopathic medical schools, and to serve as a unifying voice for osteopathic medical education. AACOM’s mission is to promote excellence in osteopathic medical education, in research and in service, and to foster innovation and quality among osteopathic medical colleges to improve the health of the American public.


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