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The Impact of Osteopathic Manipulative Treatment on Future Osteopathic Physicians

Journal: The Journal of the American Osteopathic Association Date: 2005/07, 105(7):Pages: 343. doi: Subito , type of study: cross sectional study

Full text    (https://www.degruyter.com/document/doi/10.7556/jaoa.2005.105.7.317/html)

Keywords:

career choice [55]
cross sectional study [842]
medical students [647]
OMT [3752]
osteopathic manipulative treatment [3772]
osteopathic medicine [2025]
osteopathic physicians [203]
residency [326]
USA [1656]

Abstract:

Introduction: Recent studies have demonstrated the decline in osteopathic manipulative treatment (OMT) by osteopathic physicians and poor integration of OMT in osteopathic medical student clerkships. To evaluate this decline, the authors surveyed 3rd and 4th year osteopathic students to examine OMT use in clinical rotations and its impact on residency selections, career decisions, and OMT use in future medical practice. The survey was also designed to evaluate current determining factors for residency selection. Hypothesis: Students who are more frequently exposed to OMT in clinical clerkships are more likely to attend AOA-affiliated residencies, enter primary care medicine, and utilize OMT in their practice upon completion of training. Methods: A survey was prepared by a panel of students and residents to test the reliability of prior studies, as well as to address current concerns regarding the use of OMT in clinical rotations. The questionnaire was distributed via intercollegiate e-mail to 3rd and 4th year students. Three hundred twenty-one osteopathic medical students responded within the designated time frame of the study, representing 173 third-year students, 148 fourth-year students, 16 osteopathic medical schools, 45 states and Canada. Results: The majority of respondents (85.6%) indicated the incorporation of osteopathic manipulation in less than 25% of clinical rotations. Students with greater exposure to OMT on clinical clerkships state they are more likely to incorporate OMT in their future practice (84.8%), attend AOA-affiliated residencies (80.4%), and enter primary care medicine (52.2%). In addition, most respondents (49%) indicated location as the main determining factor in choosing a residency program. With 76.5% of the AOA-affiliated programs in only eight states, students who want to practice elsewhere must consider ACGME residencies. Conclusion: The decline of OMT exposure on student clinical rotations has a significant influence on future career goals, residency selections, and the use of manipulation by future osteopathic physicians. Also, residency location was identified as the most determining factor for residency selection. As osteopathic residencies expand into more states, this study suggests that osteopathic graduates would consider AOA-affiliated programs more often.


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