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https://www.readbyqxmd.com/read/28846128/what-osteopathic-physicians-do
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
https://www.readbyqxmd.com/read/28662559/highlights-from-the-american-diabetes-association-s-2017-standards-of-medical-care-in-diabetes-for-osteopathic-physicians
#8
Eric L Johnson, Kim Pfotenhauer, Sarah Bradley, Rita R Kalyani, Jay H Shubrook
The American Diabetes Association (ADA) updates its Standards of Medical Care (SOMC) in Diabetes annually. These ADA standards make up a comprehensive document that serves as an excellent resource for clinical care. The current article comes from the ADA's Primary Care Advisory Group. This article highlights key aspects of the SOMC that are relevant to the day-to-day practice of osteopathic primary care physicians. It is not intended to replace the full SOMC but will refer to the master document for further explanation and evidence-based support...
July 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28662556/effect-of-latitude-on-vitamin-d-levels
#9
Patrick F Leary, Ina Zamfirova, Johnathan Au, Ward H McCracken
Context: Vitamin D levels have been linked to bone health and to numerous diseases; however, an element that lacks substantial direct data and limits the evidence basis regarding whom to screen for vitamin D deficiency is the effect of latitude on vitamin D levels. Objectives: To determine whether latitude influences vitamin D levels and to investigate the influence of other factors that may affect vitamin D levels, including sex, race, skin type, and body mass index...
July 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28646809/efficacy-of-fascial-distortion-model-treatment-for-acute-nonspecific-low-back-pain-in-primary-care-a-prospective-controlled-trial
#10
Detlef Richter, Matthias Karst, Hartmut Buhck, Matthias G Fink
Context • Low-back pain (LBP) is a prevalent and potentially crippling condition for which treatment is often unsatisfactory from the perspectives of physicians, patients, and payers. The application of the fascial distortion model (FDM), an integrated concept for the diagnosis and manipulative treatment of musculoskeletal disorders, is conceptually promising for LBP but has not been investigated systematically. Objective • The study intended to provide proof of concept to establish the noninferiority of the FDM treatment as opposed to the therapy recommended by the German National Disease Management Guideline (NDMG) for acute LBP...
June 23, 2017: Alternative Therapies in Health and Medicine
https://www.readbyqxmd.com/read/28611882/difference-in-r01-grant-funding-among-osteopathic-and-allopathic-emergency-physicians-over-the-last-decade
#11
Martina Antony, Jennifer Savino, John Ashurst
INTRODUCTION: Receiving an R01 grant from the National Institutes of Health (NIH) is regarded as a major accomplishment for the physician researcher and can be used as a means of scholarly activity for core faculty in emergency medicine (EM). However, the Accreditation Council for Graduate Medical Education requires that a grant must be obtained for it to count towards a core faculty member's scholarly activity, while the American Osteopathic Association states that an application for a grant would qualify for scholarly activity whether it is received or not...
June 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28556863/use-of-the-fascial-distortion-model-to-evaluate-a-limp-in-a-child
#12
Sarah J James, Jasmine Hudnall
Pediatric limp is a relatively common condition in primary care and can be challenging to diagnose and manage. Common causes of painful pediatric limp include transient synovitis, septic arthritis, osteomyelitis, and trauma. The authors present the case of an 11-year-old girl with a painful limp and anterior ankle pain of unclear origin. Osteopathic structural examination revealed a somatic dysfunction known as continuum distortion, 1 of 6 fascial alterations identified in the fascial distortion model. Myofascial release was applied, providing rapid, complete resolution of symptoms...
June 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28556862/therapeutic-hypothermia-to-treat-a-newborn-with-perinatal-hypoxic-ischemic-encephalopathy
#13
Todd R Fredricks, Christopher Gibson, Francis Essien, Jeffrey S Benseler
Hypoxic-ischemic encephalopathy is caused by neonatal asphyxia and can lead to mortality or long-term neurodevelopmental morbidity in neonates. Therapeutic hypothermia (TH) is one of the few effective ways to manage mitigating neurologic sequelae. The authors describe the case of a neonate who had a perinatal hypoxic insult and sustained no long-term sequelae after being treated with TH. It is important that osteopathic physicians who provide obstetric and gynecologic, perinatal, and emergency medical care are able to recognize a perinatal hypoxic event, understand the stratification of hypoxic-ischemic encephalopathy risk factors, and implement early TH protocols...
June 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28556861/osteopathic-medical-students-entering-family-medicine-and-attitudes-regarding-osteopathic-manipulative-treatment-preliminary-findings-of-differences-by-sex
#14
Helen H Baker, Machelle Linsenmeyer, Lance C Ridpath, Laurie J Bauer, Robert W Foster
Context: Factors distinguishing osteopathic physicians from their allopathic counterparts include the use of osteopathic manipulative treatment (OMT), application of osteopathic principles and practice (OPP), and a greater likelihood of entering primary care, specifically family medicine (FM). In the United States, the percentage of entering osteopathic medical students who were female rose from 14.3% in fall 1977 to 44.3% in fall 2015. Objectives: To investigate the perspectives of female osteopathic medical students as they relate to osteopathic distinctiveness...
June 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28556860/bridging-the-gap-an-osteopathic-primary-care-centered-approach-to-duchenne-muscular-dystrophy
#15
Christopher Carls, Predrag Krajacic
Duchenne muscular dystrophy (DMD) is a deadly and incurable disease typically diagnosed in early childhood. Presently, the delay between a caregiver's initial concern and the primary care physician obtaining creatine kinase levels-the most important screening test-is more than a year. It is imperative to diagnose DMD as soon as possible because early treatment has the potential to double the patient's lifespan. In addition, because of geographic and economic disadvantages, multidisciplinary DMD treatment centers are not readily available to all patients...
June 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28464140/types-and-distribution-of-payments-from-industry-to-physicians-in-2015
#16
Kathryn R Tringale, Deborah Marshall, Tim K Mackey, Michael Connor, James D Murphy, Jona A Hattangadi-Gluth
Importance: Given scrutiny over financial conflicts of interest in health care, it is important to understand the types and distribution of industry-related payments to physicians. Objective: To determine the types and distribution of industry-related payments to physicians in 2015 and the association of physician specialty and sex with receipt of payments from industry. Design, Setting, and Participants: Observational, retrospective, population-based study of licensed US physicians (per National Plan & Provider Enumeration System) linked to 2015 Open Payments reports of industry payments...
May 2, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28459476/an-osteopathic-approach-to-chronic-pain-management
#17
John A Jerome
Chronic pain reduces quality of life and productivity, costing billions in health care dollars and lost revenue. Physicians routinely prescribe opioids, which has led to opioid addiction and overdose. The US surgeon general recommends nonpharmacologic treatment for patients with chronic pain. A paradigm shift is necessary for patients to partner with physicians to take control of their own health. This article outlines the cognitive behavioral approaches, nonopioid therapies, and nonpharmacologic therapies that osteopathic physicians can integrate in their treatment of patients with chronic pain...
May 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28459472/preparing-physicians-for-rural-based-primary-care-practice-a-preliminary-evaluation-of-rural-training-initiatives-at-osu-com
#18
Denna L Wheeler, Jeffrey B Hackler
The physician shortage in Oklahoma coupled with geographic maldistribution of primary care physicians limits access to care in rural and underserved areas. One of the most effective strategies to recruit and retain physicians in rural areas is to create undergraduate and graduate medical education training sites in these locations. Oklahoma State University Center for Health Sciences College of Osteopathic Medicine has implemented a rural training program that begins with early recruitment of rural high school students, introduces medical students to rural practice options through rural clinical training opportunities, and provides opportunities to remain in rural Oklahoma for residency training through ongoing graduate medical education development...
May 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28459471/introducing-high-school-students-to-careers-in-osteopathic-medicine
#19
Nedra F Wilson
An aging population and expansion of health care coverage under the Patient Protection and Affordable Care Act have led to a predicted deficit of primary care physicians by 2025. In response, medical schools must develop new strategies to identify students early in their educational pathways to encourage exploration of careers in science, technology, engineering, and mathematics (STEM) fields, especially medicine. Oklahoma State University Center for Health Sciences developed 2 internship programs, Oklahoma Science Training and Research Students (OKStars) and Native OKStars, to introduce high school students to osteopathic medicine...
May 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28401276/-chronic-pelvic-pain-syndrome-treatment-options-using-osteopathy
#20
S Marx
Urogenital problems are dramatically increasing; especially chronic pelvic pain syndrome (CPPS) poses a major challenge for physicians and therapists. Few forms of therapy have been able to promise relief because the cause of CPPS remains unclear. Functional complaints are increasingly discussed as triggers. Osteopathic treatment has been reported to help many patients in recent years. In this article, the approach and osteopathic point of view of functional complaints are presented. In addition, possible causes for the development of CPPS and important anatomical structures that are directly involved in it are explained...
August 2017: Der Urologe. Ausg. A
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