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https://www.readbyqxmd.com/read/29309088/medical-student-decision-making-standard-surgical-excision-or-mohs-micrographic-surgery-to-manage-basal-cell-carcinoma
#1
Christopher Mancuso, Jeffrey B Morris, Nilda Hernandez, M Isabel Fernandez
Context: As future physicians, osteopathic medical students will play a critical role in helping patients make informed decisions regarding treatment options. Objective: To examine the influence that the time, cost, and cosmetic effects associated with treatment options for basal cell carcinoma (BCC), along with students' demographic characteristics, have on treatment decision-making. The influence that different sources of information have on students was also studied...
January 1, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/29307457/integration-of-doctors-of-chiropractic-into-private-sector-health-care-facilities-in-the-united-states-a-descriptive-survey
#2
Stacie A Salsbury, Christine M Goertz, Elissa J Twist, Anthony J Lisi
OBJECTIVE: The purpose of this study was to describe the demographic, facility, and practice characteristics of doctors of chiropractic (DCs) working in private sector health care settings in the United States. METHODS: We conducted an online, cross-sectional survey using a purposive sample of DCs (n = 50) working in integrated health care facilities. The 36-item survey collected demographic, facility, chiropractic, and interdisciplinary practice characteristics, which were analyzed with descriptive statistics...
January 4, 2018: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/29234380/compression-of-the-fourth-ventricle-using-a-craniosacral-osteopathic-technique-a-systematic-review-of-the-clinical-evidence
#3
REVIEW
Anna Żurowska, Roksana Malak, Anna Kołcz-Trzęsicka, Włodzimierz Samborski, Małgorzata Paprocka-Borowicz
Compression of the fourth ventricle (CV4) is a well-known osteopathic procedure, utilized by osteopaths, osteopathic physicians, craniosacral therapists, physical therapists, and manual therapists as part of their healthcare practice based on some evidence suggesting impact on nervous system functions. The main objective of the study was to identify randomized controlled trials (RCTs) assessing the clinical benefits of CV4 and to show the evidence supporting clinical prescriptions, guides, and advice in treating...
2017: Evidence-based Complementary and Alternative Medicine: ECAM
https://www.readbyqxmd.com/read/29229691/opinion-and-special-articles-neurology-education-at-us-osteopathic-medical-schools
#4
Daniel A Freedman, Dara V F Albert
Osteopathic medical schools have a longstanding tradition of training primary care physicians (PCP). Neurologic symptoms are common in the PCP's office and there is an undersupply of neurologists in the United States. It is therefore crucial for osteopathic medical students to have a strong foundation in clinical neurology. Despite the importance, a mere 6% of osteopathic medical schools have required neurology clerkships. Furthermore, exposure to neurology in medical school through required clerkships has been correlated with matching into neurology residency...
December 12, 2017: Neurology
https://www.readbyqxmd.com/read/29227505/neurobiology-of-sexual-assault-and-osteopathic-considerations-for-trauma-informed-care-and-practice
#5
Kristen M Cuevas, Jane Balbo, Krista Duval, Elizabeth A Beverly
Sexual assault is a traumatic event with potentially devastating lifelong effects on physical and emotional health. Sexual assault is associated with gastrointestinal, neurologic, and reproductive symptoms, as well as obesity, diabetes, and chronic pain. With 1 in 3 women and 1 in 6 men experiencing some form of unwanted sexual violence in their lifetime, sexual assault is a significant public health problem that necessitates attention in the medical community. This review discusses relevant literature on the neurobiologic changes that occur as a consequence of sexual assault, such as how the brain responds during a traumatic experience and the impact of trauma on memory...
December 11, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/29202144/best-uses-of-osteopathic-manipulation
#6
REVIEW
Andrew H Slattengren, Tanner Nissly, Jodi Blustin, Andrew Bader, Erin Westfall
With the growing number of DOs and the high utilization of osteopathic manipulative treatment (OMT), it is important for all physicians to understand the role OMT can play in the treatment of conditions ranging from low back pain to irritable bowel syndrome so that patients may be offered, or referred for, the treatment when appropriate.
December 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/29181520/predictors-of-osteopathic-medical-students-readiness-to-use-health-information-technology
#7
Robin J Jacobs, Hassan Iqbal, Arif M Rana, Zaid Rana, Michael N Kane
Context: The advent of health information technology (HIT) tools can affect the practice of modern medicine in many ways, ideally by improving quality of care and efficiency and reducing medical errors. Future physicians will play a key role in the successful implementation of HIT. However, osteopathic medical students' willingness to learn, adopt, and use technology in a health care setting is not well understood. Objective: To understand osteopathic medical students' knowledge, attitudes, and behaviors regarding HIT and to identify factors that may be related to their readiness to use HIT...
December 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/29180562/the-single-graduate-medical-education-gme-accreditation-system-will-change-the-future-of-the-family-medicine-workforce
#8
Michael R Peabody, Thomas R O'Neill, Aimee R Eden, James C Puffer
BACKGROUND: Due to the Accreditation Council for Graduate Medical Education (ACGME)/American Osteopathic Association (AOA) single-accreditation model, the specialty of family medicine may see as many as 150 programs and 500 trainees in AOA-accredited programs seek ACGME accreditation. This analysis serves to better understand the composition of physicians completing family medicine residency training and their subsequent certification by the American Board of Family Medicine. METHODS: We identified residents who completed an ACGME-accredited or dual-accredited family medicine residency program between 2006 and 2016 and cross-tabulated the data by graduation year and by educational background (US Medical Graduate-MD [USMG-MD], USMG-DO, or International Medical Graduate-MD [IMG-MD]) to examine the cohort composition trend over time...
November 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29137632/descriptive-study-of-interprofessional-collaboration-between-physicians-and-osteopaths-for-the-pediatric-population-in-quebec-canada
#9
Chantal Morin, Johanne Desrosiers, Isabelle Gaboury
BACKGROUND: Osteopathy is an increasingly popular healthcare approach that uses a wide variety of therapeutic manual techniques to address pain and somatic dysfunction. In Quebec, Canada, osteopathy is the complementary medicine most often recommended by family physicians. However, factors fostering the development of interprofessional collaboration (IPC) between physicians and osteopaths are unknown. This study aimed to describe the current situation in terms of IPC among practitioners working with pediatric patients...
November 14, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29084323/measuring-multidimensional-empathy-theoretical-and-practical-considerations-for-osteopathic-medical-researchers
#10
Alison Jane Martingano, Daniel Martingano
Osteopathic physicians are increasingly recognizing the importance of empathy for improving patient satisfaction and clinical outcomes. This review advocates for a multidimensional perspective of empathy, encompassing both affective and cognitive empathy, and highlights situational and dispositional factors relevant to the curtailment of empathy. A review of the utility of self-report, behavioral, and physiological measures that researchers may use to quantify empathy in further research is also provided. The authors encourage members of the osteopathic medical profession to embrace a fuller understanding of empathy...
November 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/29049674/collaboration-between-acgme-and-aoa-programs-to-enhance-success-in-the-single-accreditation-system-a-process-paper
#11
Amanda K H Weidner, Judith Pauwels, Marcia McGuire, Ardis Davis
Beginning in 2020, all residency programs will be accredited by the Accreditation Council for Graduate Medical Education (ACGME). Programs accredited by the American Osteopathic Association (AOA) that do not achieve ACGME pre-accreditation status by 2020 will be forced to close, resulting in loss of graduate medical education slots and affecting the physician workforce locally and nationally. Current ACGME programs are in a position to help consult, support, and learn from local AOA-only programs as they work toward meeting ACGME accreditation requirements, but to date there have been only limited collaborations...
November 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28973179/assessment-of-nutrition-knowledge-and-attitudes-in-preclinical-osteopathic-medical-students
#12
Emily J Hargrove, Darlene E Berryman, Jennifer M Yoder, Elizabeth A Beverly
Background: Nutrition is often overlooked in everyday health care despite the definitive connection between diet and health. Many practicing physicians and medical students feel unqualified to discuss specific dietary recommendations with patients, which may be attributed to inadequate nutrition education during medical school. Objective: To assess the nutrition knowledge of osteopathic medical students and their attitudes regarding the importance of nutrition counseling in their future role as practicing physicians...
October 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28961617/physician-assistant-applicant-pool-the-first-50-years
#13
M Jane McDaniel, Ted J Ruback
The physician assistant (PA) profession's first attempt to characterize the applicant pool for PA education began with publication of the first Annual Report on Physician Assistant Educational Programs in the United States in 1985. The methodology used in the report was limited, however, in identifying the number of unique applicants to PA programs. Collecting accurate and reliable data on the profession's applicant pool was the primary motivator leading to initiation of the Central Application Service for Physician Assistants (CASPA) in 2001...
October 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/28846128/what-osteopathic-physicians-do
#14
John R Gimpel
No abstract text is available yet for this article.
September 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28846124/self-efficacy-of-osteopathic-medical-students-in-a-rural-urban-underserved-pathway-program
#15
Sharon L Casapulla
Context: Self-efficacy has been shown to play a role in medical students' choice of practice location. More physicians are needed in rural and urban underserved communities. Ohio University Heritage College of Osteopathic Medicine has a co-curricular training program in rural and urban underserved practice to address this shortage. Objective: To assess whether participation in the co-curricular program in rural and urban underserved practice affects self-efficacy related to rural and underserved urban practice...
September 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28846121/pennsylvania-otolaryngologists-as-a-model-for-the-implications-of-practice-location-of-osteopathic-vs-allopathic-surgical-subspecialists
#16
Shane Griffith, Anton Power, Mark Strand
Background: Evidenced-based models should be used to predict future implications of the single accreditation system for graduate medical education. Compared with other states, Pennsylvania has a relatively high number of osteopathic physicians (ie, DOs) and may be used as a model for a health care system with an increased DO presence. Objective: To compare the geographic distribution of otolaryngologist DOs with otolaryngologist allopathic physicians (ie, MDs) in Pennsylvania and identify differences in community size (urban, urbanized, and rural) in which these physicians practice...
September 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28834843/step-up-not-on-the-step-2-clinical-skills-exam-directors-of-clinical-skills-courses-docs-oppose-ending-step-2-cs
#17
David J Ecker, Felise B Milan, Todd Cassese, Jeanne M Farnan, Wendy S Madigosky, F Stanford Massie, Paul Mendez, Sharon Obadia, Robin K Ovitsh, Ronald Silvestri, Toshiko Uchida, Michelle Daniel
Recently, a student-initiated movement to end the United States Medical Licensing Examination Step 2 Clinical Skills and the Comprehensive Osteopathic Medical Licensing Examination Level 2-Performance Evaluation has gained momentum. These are the only national licensing examinations designed to assess clinical skills competence in the stepwise process through which physicians gain licensure and certification. Therefore, the movement to end these examinations and the ensuing debate merit careful consideration...
August 22, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28762297/the-association-of-usmle-step-1-and-step-2-ck-scores-with-residency-match-specialty-and-location
#18
Jacqueline L Gauer, J Brooks Jackson
BACKGROUND: For future physicians, residency programs offer necessary extended training in specific medical specialties. Medical schools benefit from an understanding of factors that lead their students to match into certain residency specialties. One such factor, often used during the residency application process, is scores on the USA Medical Licensing Exam (USMLE). OBJECTIVES: To determine the relationship between USMLE Step 1 and Step 2 Clinical Knowledge (CK) scores and students' residency specialty match, and the association between both USMLE scores and state of legal residency (Minnesota) at the time of admission with students staying in-state or leaving the state for residency program...
2017: Medical Education Online
https://www.readbyqxmd.com/read/28759093/functional-somatic-syndrome-assessment-and-management
#19
Christopher J Graver
Functional somatic syndrome (FSS) occurs in as many as 30% of patients in general medical practice, but it is infrequently a topic of formal instruction. Many physicians feel uncomfortable with medically unexplained symptoms and are unfamiliar with how to assess or manage them. Traditional medical approaches can be ineffective and can contribute to iatrogenic or adverse physiologic effects in patients. Physicians treating patients with FSS should not only consider standard medical tests, but they should also try to gain a deeper behavioral understanding of the mind-body connections that underlie the presenting symptoms...
August 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28759092/clinical-preceptors-perceptions-of-empathy-the-empathy-in-osteopathic-training-and-education-emote-study
#20
Glenn Elbert Davis, Walter Carl Hartwig, Adam J McTighe
Context: Physician empathy influences rapport with patients and improves outcomes, but it is not well understood as an outcome of osteopathic medical education. Objective: To determine how clerkship preceptors at Touro University College of Osteopathic Medicine-CA (TUCOM) in Vallejo define empathy and how they compare observed empathetic behavior of TUCOM students with that of other medical students. Methods: Cross-sectional data were obtained from a survey of TUCOM clinical preceptors comparing TUCOM students with other medical students on 10 behaviors...
August 1, 2017: Journal of the American Osteopathic Association
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