Resident Physicians Training Recognition

Training Recognition

Guide to recognition

Approval of non-AOA postdoctoral training

A step-by-step guide through the process of obtaining AOA recognition for your ACGME or military residency training program.

If you completed residency or fellowship training in an ACGME program, applying for AOA recognition of your training allows you to be eligible for AOA board certification in your specialty. You’ll also need to obtain it if you:

  • Plan to practice in Florida or Pennsylvania, since these states require DOs to have completed an OGME-1 year in order to become licensed. (Michigan and Oklahoma no longer require DOs to have completed an AOA-approved internship for licensure.)
  • Are a resident physician who is transferring from an ACGME residency program to an AOA residency program.

Please note that AOA recognition of ACGME training is not advanced standing. To obtain advanced standing, you’ll need to apply to your specialty college.

Select an option below to view step-by-step processes for obtaining AOA recognition for your training.


If you completed your first year of residency in an ACGME-accredited program and plan to obtain AOA board certification or practice medicine in Pennsylvania or Florida, here’s the process you’ll need to follow.

Read more

Military/Federal PGY1 Year

DOs who completed their first year of residency in a federal or military program can petition for AOA recognition of their training by following these steps. Once you’ve received AOA training recognition, you’ll be eligible for osteopathic board certification.

Read more

ACGME PGY2 and Beyond

If you completed your second year or beyond of residency training in an ACGME residency program, here’s how to obtain AOA recognition for your training so you’ll be eligible for AOA board certification. This process also applies to DOs who completed ACGME fellowships.

Read more


​Why would I get AOA recognition for my PGY1 year?

If you want to enter an AOA-approved residency program, pursue AOA board certification, or practice medicine in Pennsylvania or Florida, you’ll need AOA recognition of your ACGME or federal/military PGY1 year.

To meet state licensure requirements, DOs in Pennsylvania and Florida must either complete an AOA rotating internship or obtain AOA recognition for their ACGME or federal/military PGY1 year.

The West Virginia Board of Osteopathic Medicine requires an AOA-approved internship, but will accept an ACGME internship if the applicant also completes 40 hours of Category 1-A CME in osteopathic medicine. Ten of the 40 hours required must be in osteopathic manipulative treatment.

Does AOA recognition of my PGY1 year approve my ACGME program or training?

Because AOA recognition of the PGY1 year recognizes your training, not your program, each trainee must apply individually. Each individual is considered on his or her own merits aside from other trainees in the program.

Does the verification letter from the program need to come from the program or me?

The verification letter can be mailed or emailed to by the program. Verification letters should be written on institutional letterhead and include the signature of the program director or director of medical education.

What conferences can I attend to meet the PGY1 osteopathic CME requirement?

You may attend any continuing medical education (CME) event that offers AOA Category 1-A CME. This could be an AOA conference such as ROME or OMED, or a state or specialty osteopathic conferences. You can use our CME Search tool to find osteopathic CME near you.

What type of verification do I need if I attend a conference?

A certificate of attendance must be provided to the AOA for any conferences you attend.​

Back To Top