American Osteopathic Association

Advancing the distinctive philosophy and practice of osteopathic medicine

AOA Recognition of ACGME PGY1 Year

The AOA has developed a review process for DOs seeking to obtain training recognition for their PGY1 year. The recognition can be obtained anytime during the residency after the PGY1 year has been completed. DOs who have already completed their residency programs are also eligible for recognition of their PGY1 training.

Criteria for AOA Recognition of PGY1 Training

  • The applicant must be an AOA member in good standing.

  • The applicant must complete and submit an AOA online application for PGY1 training recognition

 Complete the online application

  • The ACGME-accredited program must submit a letter (please see requirements below under “Verification Letter") listing PGY1 core rotations. 

  • Applicants must participate in an osteopathic educational activity.

Verification Letter

An official letter from the ACGME program must include:

  • Institutional letterhead

  • Specialty, along with the exact start and end date of PGY1 year

  • The length and date of each rotation

  • The title and signature of the program director (PD) or the designated institutional officer (DIO).

NOTE: Verification letters must be on institutional letterhead submitted directly by the program. Letters without the date, PD/DIO signature or submitted by the applicant will not be accepted. The AOA only recognizes training that has been successfully completed. Letters received and/or dated before the official PGY1 completion date will not be accepted.

View a sample letter for more information.

Comparison of Rotations

Rotations will be compared to the traditional rotating internship or the AOA's OGME-1 specialty. Refer to the link below for a list of core rotations:

If you have questions regarding meeting the rotational requirements or your training institution has closed, please contact the AOA Division of Trainee Services at (312) 202-8089.

NOTE: In the event of hospital closure, the Program and Trainee Review Council will review and determine approvals on a case-by-case basis.

Educational Activity

You must participate in one of the following osteopathic medical activities:

  • Attend one AOA Category 1-A CME sponsored educational conference for a minimum of 8 CME credits. All CME awarded must be attained at one conference and cannot be accrued. Acceptable forms of verification include either a certificate of attendance or an official letter from the program sponsor indicating the conference title, date(s) of attendance, and number of CME credits attained. Attestation forms are not acceptable.

    NOTE: NALS- and PALS-type courses are not accepted as educational activities.

  • Prepare and conduct an original osteopathic clinical presentation for peer residents and faculty at your ACGME-accredited residency program. The presentation must reflect your specialty, contain at least 20 slides with references, and include picture illustrations that explain and describe a minimum of four OMM techniques. You must submit your PowerPoint presentation via email within one year of being presented along with verification from the program director or sponsoring program indicating the date, title and audience in attendance. Only one applicant will be considered per presentation. Videos are not accepted for this requirement.

  • If you have completed ACGME residency training, you may prepare and present a clinical presentation at an osteopathic CME conference that offers AOA Category 1-A CME credit. An acceptable form of verification would be an official letter from the program sponsor indicating the conference title, modules presented, date(s) of attendance, and number of CME credits obtained. 

    NOTE: Presentations must be submitted within two months of being conducted and while the applicant is actively training (residency or fellowship). Only one applicant per presentation, and must be submitted electronically in PowerPoint format. The AOA requires an electronic copy of both the presentation and a letter from the program director or sponsoring program verifying the date, title and audience in attendance. Videos are not accepted.

  • Develop an original research paper on a clinical or education topic in osteopathic medicine that is suitable for publication in the JAOA or other osteopathic publication. Research papers older than two years are not acceptable.

NOTE: Manuscripts submitted can be prepared using JAOA, ICMJE or AMA guidelines. View complete JAOA manuscript criteria.

Please submit information to:

Dorothy Grant-Bryant
Education Specialist
Division of Trainee Services
American Osteopathic Association
142 E. Ontario St.
Chicago, IL 60611-2864