The AAO Journal, 2023/06, 33(2):16-17. doi: 10.53702/2375-5717-33.2.10, type of study: ,css,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Free full text   (https://meridian.allenpress.com/aaoj/article/33/2/10/493538/LBORC-NUFA-Poster-Abstracts-2023-Residents)

Keywords:

cross sectional study [894]
curriculum [301]
OMT [3925]
osteopathic manipulative treatment [3946]
osteopathic medicine [2108]
pediatrics [573]
residency [337]
USA [1751]

Abstract:

Introduction: In 2022, 19.7% of pediatric interns were osteopathic graduates. Despite this volume, few residency programs have dedicated osteopathic education. Thus, it is challenging for osteopathic residents to maintain and sharpen osteopathic skills. As a result, allopathic residents have minimal exposure to osteopathy and a limited view of its application. This project implemented an osteopathic-focused curriculum and assessed understanding of OMT amongst MD and DO residents. Methods: The first of four lectures was a brief introduction into osteopathy followed by 3 case-based lectures where OMT was integral to the care plan. These lectures were attended by DO and MD residents. A 6 question Likert scale survey was distributed pre- and post-curriculum assessing for understanding of OMT, indications for OMT, comfort utilizing OMT and clinical benefit of OMT. Results: We collected 100 pre-curriculum survey responses and 46 post-curriculum. Allopathic residents demonstrated statistically significant increases in comfort explaining differences between MD and DO physicians (65% pre, 71% post, p = 0.0088), comfort explaining basics of OMT (22% pre, 62% post, p < 0.0001), and comfort identifying clinical indications for OMT (22% pre, 58% post, p = 0.0001.) Combined MD and DO responses demonstrated statistically significant increases in comfort using OMT (0% to 39%, p < 0.0001), seeing clinical benefit in OMT (69% to 86%, p = 0.0014) and likeliness of referral for OMT (62% to 82%, p = 0.001). Discussion: Our 4-part curriculum increased understanding of OMT and its role in patient care. Limitations include fewer post-survey respondents and lack of a validated survey to assess these specific areas. In sum, this work demonstrates significant impact of a brief curriculum on utility and benefit of OMT for all pediatric residents.