2020 ANNUAL BUSINESS MEETING OF THE BOARD OF TRUSTEES .

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Return to itinerary2020 ANNUAL BUSINESS MEETING OF THEBOARD OF TRUSTEESGeneral SessionFriday July 17, 2020 12 – 3 pm CTDial: (877)369-0926 Meeting ID: 6699930092#Zoom Video Conference Link: https://zoom.us/j/6699930092*Please remember to place yourself on mute if not speaking*12 pm12:10 pmCall to Order and WelcomeRonald R. Burns, DO, PresidentRoll Call and Quorum EstablishmentKevin M. Klauer, DO, EJD, CEOOsteopathic Pledge of Commitment / AOAMission and Vision StatementRonald R. Burns, DO, PresidentInvocationTyree M. Winters, DO, President, NOMAAction Items: Conflict of Interest Disclosures Adoption of AgendaRonald R. Burns, DO, PresidentLeadership Reports12:15 pmPresident ReportRonald R. Burns, DO, President12:25 pmPresident-Elect ReportThomas L Ely, DO, President-Elect12:35 pmCEO ReportKevin M. Klauer, DO, EJD, CEOAOA Operational Updates*12:45 pmAffiliate RelationsNicole Blankenship, VP of Affiliate Relations12:50 pmCertifying Board ServicesGenie James, SVP of Certifying Board Services1 pmCommunications and MarketingLori M. Wemhoff, SVP of Communications and Marketing1:05 pmGraduation Medical Education Single Accreditation System UpdateBoyd R. Buser, DOMaura Biszewski, VP of Graduate Medical Education1:20 pmMembership Services Update Engagement ToolTom Killam, SVP of Membership Services1:25 pmPhysician Education and CMEDebra Levinthal, VP of Physician Education and CME*Operational reports available upon request. Please email Tamara Collum at tcollum@osteopathic.org.

Return to agenda1:35 pmPublic Policy / Advocacy1:40 pmBreakDavid Pugach, VP of Public PolicyOrganization Reports**1:50 pmAdvocates for the American Osteopathic AssociationAngela Kalcec, President1:55 pmAffiliate Partners UpdatesVicki Whitaker, President, AOSEDLinda Taliaferro, President, SOSE2:15 pmAmerican Osteopathic Foundation (AOF) ReportMartin S. Levine, DO, PresidentRita Forden, CEO2:25 pmAmerican Osteopathic Information Association (AOIA):Analyzed Provider Relief Funds Survey DataNorman E. Vinn, ChairKathleen Creason, Executive Director of AOIA2:35 pmNational Board of Osteopathic Medical ExaminersJohn R. Gimpel, DO, President and CEO2:45 pmHouse of Delegates UpdateRay L. Morrison, Speaker, House of Delegates2:50 pmRecognition of Outgoing Advisors and Members of theAOA Board of Trustees:Ronald R. Burns, DO, PresidentCarisa R. Champion, DOAlexis Cates, DOAllison Hubschmann, OMS IVGregory Harris, DOMatthew Meranda, OMS IVMark A. Baker, DOPostdoc Trainee AdvisorStudent AdvisorStudent Member3 pmPostdoc Trainee MemberNew Physician MemberClosing RemarksRonald R. Burns, DO, PresidentAdjournmentRonald R. Burns, DO, President**Additional written organizational reports are included in this packet.

Organizational WrittenReports to the Board ofTrustees

Return to agendaReport to the American Osteopathic Association Board of TrusteesAmerican Association of Colleges of Osteopathic MedicineJune 2020Board of Deans UpdateThe 2020-2021 AACOM Board of Deans Executive Committee members are listed below. Chair: Margaret Wilson, DOVice Chair: William Craver, DOSecretary/Treasurer, Finance Chair: Paula Crone, DOImmediate Past Chair: Lori Kemper, DOAssembly of Presidents Representative to the Executive Committee: Angela L. Walker Franklin,PhDAssembly of Osteopathic Graduate Medical Educators Chair: Sandra Snyder, DOAt-Large Member: Robyn Phillips-Madson, DOAt-Large Member: Shane Speights, DOAt-Large Member: Wolfgang Gilliar, DOAt-Large Member: Darrin D’Agostino, DOEx-Officio Member: Robert A. Cain, DO, FACOI, FAODME, President and CEO, AACOMCollege of Osteopathic Medicine Dean Updates. The following dean has become a new member ofthe AACOM Board of Deans since our last report to the American Osteopathic Association Amanda Wright, DO, Interim Dean, Marian University College of Osteopathic MedicineOsteopathic Medical School Applications UpdateApplication Cycle UpdateThe 2019-2020 AACOMAS application cycle closed on April 10, 2020 with the largest applicant pool todate. By the close of the cycle, there were 23,549 individual paid applicants. This is an increase of 1,182applicants ( 5.28%) compared to the 2018-2019 cycle. There were 206,830 submitted designations, anincrease of 9,121 designations ( 4.61%) compared to the previous year. Applicants submitted an averageof 8.78 designations each, down from 8.84 in 2019. The 2020-2021 AACOMAS application cycle launchedon May 5, 2020, and colleges will begin receiving application data on June 15, 2020.Choose DO Medical School Virtual Expo(s) & Exploring Osteopathic Medicine for Pre-Meds EventAACOM hosted 3 Virtual Expos for prospective medical students in the 2019-2020 application cycleOverall, the goal of AACOM’s medical school virtual expo is to connect with large numbers ofpremedical students in an online and easily accessible space where AACOM and member institutionscan encourage exploration of the DO education, philosophy, and degree. AACOM’s hope is that1 AACOM Report to the AOA Board of Trustees

Return to agendastudents leave feeling inspired to become applicants. The data reflected below suggests that executingonline expos is one of many tactics AACOM’s Recruitment and Outreach team employs to boostapplication numbers, providing participating institutions with a qualified and informed applicant pool.2019-2020 AACOM hosted events & corresponding application conversion rates: Choose DO Medical School Virtual Expo – 8/13/2019: 60%Choose DO Medical School Virtual Expo – 1/20/2020: 26%College Recruitment FairsAACOM continues to participate in multiple national high school and college recruitment events. In 20192020 AACOM attended, either in person or virtually, the following events: Columbia University Pre-Health Conference – New York, NY American Medical Student Association (AMSA) Convention & Exposition – Virtually SNMA AMEC – Virtually CAAHP Regional Conference – Chicago, IL NEAAHP Regional Conference – Boston, MA SAAHP Regional Conference – Memphis, TN Health Professions Week in Person Event – Boston, MA National Society of High School Scholars – Washington, DC OMED Pre Soma Event – Baltimore, MD AAMC Minority Recruitment Event – Phoenix, AZ ABRCMS – Anaheim, CA Health Professions Week Virtual Expo Alabama Advisors Conference Virtually UC Davis Pre-Health Fair – Davis, CAResearch UpdateThe Project on Osteopathic Medical Education and Empathy (POME2)The AOA decided in February 2020 to withdraw funding ( 125,000 per year) for the second and futureyears of POME2. POME2 is the first study of empathy in osteopathic medical education in the UnitedStates with a national scope. Phase I, Round 1 was a survey of incoming first year students, saw 43campuses participate with an average response rate of 86% (median 92%). Phase I, Round 2, a survey ofend-of-academic-year students in years one through four, concluded in August 2018, with 43 campusesagain participating with a mean response rate of 44%; a median of 39%, and usable responses totaling10,746. The Jefferson Survey of Empathy was administered twice to incoming students in the fall of2019 and spring of 2020. Students and COMs were also provided a nationally normed table to help2 AACOM Report to the AOA Board of Trustees

Return to agendainterpret the results, as well as suggestions for improving their empathy while in osteopathic medicalschool. AACOM continues to collect data on this project but can no longer afford to work with theconsultants, including Principal Investigator Mohammedreza Hojat, at Thomas Jefferson University inPhiladelphia, PA. To-date, four articles have detailed the findings of POME2:Hojat M, DeSantis J, Shannon SC, Mortensen LH, Speicher MR, Bragan L, LaNoue M, Calabrese LH. TheJefferson Scale of Empathy: a nationwide study of measurement properties, underlying components,latent variable structure, and national norms in medical students. Advances in Health SciencesEducation. December 2018. This study was designed to examine measurement properties, underlyingcomponents, and latent variable structure of the JSE in a nationwide sample of first year matriculants atU.S. colleges of osteopathic medicine, and to develop a national norm table for the assessment of JSEscores. A web-based survey was administered at the beginning of the 2017–2018 academic year whichincluded the JSE, a scale to detect “good impression” responses, and demographic/backgroundinformation. Usable surveys were received from 6009 students enrolled in 41 college campuses(median response rate 92%). The JSE mean score and standard deviation for the sample were 116.54and 10.85, respectively. Significant gender differences were observed on the JSE scores in favor ofwomen. Also, significant differences were found on item scores between top and bottom third scorerson the JSE.Hojat M, Shannon S, DeSantis J, Speicher M, Bragan L, Calabrese L. National Norms for the JeffersonScale of Empathy: A Nationwide Project in Osteopathic Medical Education and Empathy (POMEE).Journal of the American Osteopathic Association. August 2019. Participants in the study includedosteopathic medical students from 41 (of 48) campuses of osteopathic medical schools. Studentscompleted a web-based survey, which included the JSE, in the 2017-2018 academic year. A total of16,149 completed surveys were used for creating national norm tables. Three national norm tableswere developed for first year matriculants, and for students in preclinical (years 1 and 2) and clinical(years 3 and 4) phases of medical school. The norm tables allow any raw score on the JSE for male andfemale osteopathic medical students from matriculation to graduation to be converted to a percentilerank to assess an individual’s score against national data. The national norms developed in this project,for men and women, at different levels of medical school education, can not only be used for theassessment of student’s individual scores on the JSE, but can also serve as a supplementary measure foradmissions to medical school, postgraduate medical education programs, and for breaking the tie inapplicants with comparable academic qualifications.Hojat M, Shannon S, DeSantis J, Speicher M, Bragan L, Calabrese L. Does Empathy Decline in theClinical Phase of Medical Education? A Nationwide, Multi-Institutional, Cross-Sectional Study ofStudents at DO-Granting Medical Schools. Academic Medicine June 2020. Participants in this crosssectional study included 10,751 students enrolled in 41 campuses of osteopathic medical schools in theU.S. They completed a web-based survey that included the Jefferson Scale of Empathy (JSE) and theInfrequency Scale of the Zuckerman-Kuhlman Personality Questionnaire for measuring “goodimpression” response bias. Comparisons were made on empathy scores among students in different3 AACOM Report to the AOA Board of Trustees

Return to agendayears of medical school by using analysis of covariance, controlling for the effect of “good impression”response bias. Also, comparisons were made with data from allopathic medical students. A statisticallysignificant decline in empathy scores was observed when comparing students in the preclinical (years 1and 2) and the clinical (years 3 and 4) phases of medical school (p 0.01); however, the magnitude ofthe decline was negligible (effect size 0.13). Comparison of findings with allopathic medical studentsshowed that while the pattern of empathy decline was similar, the magnitude of the decline was lesspronounced in osteopathic medical students. Differences in the osteopathic and allopathic medicaleducation systems provide plausible explanations for disparity in the magnitude of empathy decline inosteopathic compared to allopathic medical students. More research is needed to examine changes inempathy in longitudinal study and explore reasons for changes to avert erosion of empathy in medicalschool.Hojat M, Shannon S, DeSantis J, Shannon S, Speicher M, Bragan L, Calabrese L. Empathy as related togender, age, race and ethnicity, academic background and career interest: A nationwide study ofosteopathic medical students in the United States. Medical Education. January 2020. This articlediscusses correlates of empathy (e.g., demographics [gender, age, ethnicity], undergraduate major,prior work experiences, future career plans, etc.) Statistically significant and practically importantassociations were found between empathy scores and gender (in favor of women), race and ethnicity(in favor of African-American and Hispanic/Latino/Spanish), academic background (in favor of ‘Socialand Behavioral Sciences’ and ‘Arts and Humanities’ in Samples 1 and 2) and career interest (in favor of‘People-Oriented’ and ‘Psychiatry’ specialties). Special features of this study (e.g., nationwiderepresentative samples, use of a validated instrument for measuring empathy in patient care, statisticalcontrol for the effect of ‘good impression’ response bias, and consistency of findings in differentsamples from multiple institutions) provide more definitive answers to the issue of correlates ofempathy in medical students and increase our confidence in the validity, reliability and generalizabilityof the results. Findings have implications for career counselling and targeting students who need moreguidance to enhance their empathic orientation. This publication is a key publication from the POME2and is likely to attract attention from the media.The research department produces reports used by the COMs, departments within AACOM, otherhealth professions, and external researchers on an annual basis from three major core sources of data:AACOM’s application services (AACOMAS), the Annual Survey, and the Student Surveys. In addition,several other surveys are distributed throughout the year on topics ranging from tuition and fees toplans for unmatched students.In the past 12 months, AACOM’s research department has created a data lake of its applicant, survey,and COM data, as well as data from a data sharing agreement with the American OsteopathicAssociation for the Physician Masterfile data. In January 2020, it rolled out more than 20 secured,individualized predictive analytics dashboards, illustrating admissions, matriculant, curriculum, faculty,graduate, and alumni data. The Research Department is currently working with several outsideresearchers using AACOM data to look at rural practice patterns of osteopathic physicians, the impact4 AACOM Report to the AOA Board of Trustees

Return to agendaof student loan forgiveness programs, and other policy issues, sharing AACOM data with otherorganizations.Recently Posted Reports: Trends in Osteopathic Medical School Applicants, Applications, Enrollment, and Graduates 2014-15 to 2018-19 Osteopathic Medical School Attrition Summary Matriculants by COM and Race/Ethnicity 2009-2018 FY2017 Revenues and Expenditures by Osteopathic Medical College Applicants by COM by Race and Ethnicity 2002-2019 Applicants by COM and Gender 2002-2019 2017-18 Osteopathic Medical College Basic Science Faculty by RankResearch Department Projects & Surveys Currently in the Field: 2019-20 Annual Osteopathic Medical School Questionnaire (Annual Survey) - the deadline forthis survey was extended to August 14, 2020 due to COVID-19 crisis. Three COMs have finalizedtheir survey as of May 29, 2020. 2019-2020 Graduating Seniors Survey – All surveys were sent to 2020 graduates, the responserate is 54 percent as of May 29, 2020 and the deadline for this survey is June 23, 2020. AACOM 2020 Match Week Survey – the data from all COMs was finalized on May 22, 2020 andthe Match Report is scheduled for release in early June 2020. Matchbook – efforts are underway to release the Matchbook to the COMs. Predictive Analytics – HelioCampus continues to develop the AACOM research department’spredictive analytics capabilities. Currently HelioCampus’ data scientists are exploring models,such as lead scoring, to support admissions offices, who are now reviewing AACOMASapplications without official MCAT scores and official transcripts due to the impact of COVID19. Matriculant Data – the 2019 entering class matriculant report willbe produced once all the COMs have finalized their admissions data. Currently one COMs hasnot finalized their admissions decisions for the class entering in 2019.Predictive AnalyticsPredictive analytics involves using available data to predict unknown future events, and includes datamining, machine learning, modeling and other techniques to analyze information (often in large datasets, hence, the term “big data”) and make the results of those analyses usable for business decisions.AACOM’s initiative also includes data visualization, making these patterns and relationships easier tounderstand through interactive graphical representations. AACOM wants to provide its members, usingmostly existing data that our members provide to us, the ability for COMs to incorporate predictiveanalytics and data visualization into their organizations so that they can become more proactive andforward-looking.5 AACOM Report to the AOA Board of Trustees

Return to agendaAACOM’s proposed Predictive Analytics Initiative involves three steps:1. The data AACOM currently collects or has access to is aggregated and catalogued in a secure,cloud-based data lake, where each dataset will have a descriptive data dictionary, outlining thedata fields that are available and how the datasets are related to each other. Our consultant onthis project, HelioCampus, is working on this phase at this time, and has a June 2019 estimatedcompletion date. This Phase is Complete.2. Additional data necessary to answer questions that are important to our member COMs will becollected and added to the data lake. AACOM and HelioCampus developed a pilot groups ofDeas and others to help us iterate some dashboards. The First Phase of This Step Is Complete; ItWill Be Ongoing.3. The data in the data lake will be linked and used to create analyses and dashboards that answerquestions that will help our members better educate tomorrow’s physicians and make betterbusiness decisions. The First Phase of This Step Is Complete; It Will Be Ongoing.The interactive management Dashboards allow COM leaders to interact with data that they and othershave provided to AACOM, including data on their applicants and matriculants, data on COMperformance in areas includingcurricular hours, COMLEX performance, and the match and practice status, as well as location, ofgraduates. Four groups of dashboards are being rolled out from January – March to all COMs; theyinclude dashboards on applicants, COM information (such as faculty information, curriculum, costs andtuition levels), matriculating students, and graduating students. Additionally, another analytic effort,the MatchBook, an interactive infographic of previous osteopathic graduates’ match qualifications andresidency match information, is being pilot tested with three COMs currently.Medical Education UpdateCOVID ResponsesAACOM has developed four adaptive teams to respond to various aspects of the COVID crisis, as wellas other groups surrounding the Match and success in residency. They are:Transforming Medical Education through Technology – This workgroup explores the technology toolsused by our campuses both before and after the changes due to COVID-19, and generates ideas fordeveloping shared resources and offerings to students and faculty. Future education models usingtechnology will also be included. AACOM Staff: Pat Delaney and Jeff Tjiputra (new VP of IT).Mobilizing the Future Healthcare Workforce – This interprofessional workgroup is spearheaded byAACOM, and brings together public health, nursing, physician assistant, social work and allopathicmedicine to enable students in the health professions to safely aid in the fight against COVID-19."Students Assist America" officially launched in early April and will serve as a repository for vetted6 AACOM Report to t

2:35 pm National Board of Osteopathic Medical Examiners John R. Gimpel, DO, President and CEO 2:45 pm House of Delegates Update Ray L. Morrison, Speaker, House of Delegates 2:50 pm Recognition of Outgoing Advisors and Members of the AOA Board of Trustees: Carisa R. Champion, DO Postdoc Trainee Advisor Allison Hubschmann, OMS IV

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