| For medical practitioners and osteopaths - Osteopathy Journal Articles Catalog. |
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| A low-velocity, high-amplitude procedure for demonstrating osteopathic principles and concepts of technique Higgins, B. E. and D. A. Patriquin (1987), J Am Osteopath Assoc 87(1): 127-31. |
| A model curriculum for the internship year and the first-year residency in osteopathic general practice: a progress report Alschuler, M. D. (1985), J Am Osteopath Assoc 85(11): 739-41. |
| A model for improving generalist physician output: the osteopathic experience Cummings, M. and M. Ennis (1995), Acad Med 70(1 Suppl): S57-63. Abstract: Osteopathic medicine is identified closely with primary care. Approximately one-half of all doctors of osteopathy (DOs) are family practitioners. The educational model responsible for producing such a high percentage of generalist physicians should be better understood for its achievements. Colleges of osteopathic medicine are unique in sharing a common mission of producing primary care physicians, and their methodologies reflect a similarly shared educational emphasis. Compared to allopathic medical schools, colleges of osteopathic medicine are the highest producers of generalist physicians because of several common features. This article evaluates colleges of osteopathic medicine by profiling each institution according to characteristics that have a potential impact on the output of generalist physicians: (1) institutional ownership; (2) age; (3) class size; (4) leadership; (5) educational focus; (6) whole-time as opposed to adjunct clinical faculty; (7) clinical educational settings; (8) clinical training sites; and (9) reliance on MD rather than DO clinical faculty. Comparisons between colleges of osteopathic medicine according to these characteristics yield mixed results but also highlight many differences from allopathic educational models. Factors separating the highest from lowest producers of generalist physicians vary at colleges of osteopathic medicine, and other characteristics or circumstances beyond their control may affect the number of graduates pursuing careers in primary care. |
| A national study of factors influencing the career choice of osteopathic and allopathic family physicians Xu, G., M. Cummings, et al. (1996), J Am Osteopath Assoc 96(12): 737-42. Abstract: This study examines the differences between osteopathic and allopathic physicians regarding those factors influencing their career choice of family practice. A total of 256 osteopathic physicians and 717 allopathic family physicians were surveyed. The surveyed physicians graduated in 1983 and 1984. Comparisons were made on 19 variables that influenced the physicians' decisions to enter family practice as well as on the six factor scores derived from these 19 variables. Osteopathic physicians' decisions to choose family practice was more influenced by financial obligations, medical school experiences, and family values, whereas the allopathic physicians were more influenced by personal social value. Overall, medical school experience and personal social value were two important factors that explained the largest variances of the 19 predictors influencing physicians' decisions to enter family practice. Those allopathic medical schools whose mission emphasizes the production of generalist physicians may be able to model some approaches already in place at osteopathic medical schools. Because of the influence of the personal social value factor in medical students' choosing family practice medicine, this factor warrants further study. |
| A neurophysiological basis for an osteopathic interpretation of etiology in internal disease Grumbach, L. (1950), J Am Osteopath Assoc 50(3): 155-65. |
| A perspective from osteopathic medical schools Arnstein, S. R. and L. U. Haspel (1994), Milbank Q 72(4): 725-33. |
| A proposal to modify research and scholarly activities during osteopathic residency training Coleridge, S. T. (1991), J Am Osteopath Assoc 91(9): 891-4. |
| A proposed cooperative study of osteopathic management of chronic obstructive lung disease Kappler, R. E. (1970), J Am Osteopath Assoc 69(10): 1037-9. |
| A proposed mechanism for osteopathic manipulative therapy effects on blood pressure Brown, T., E. Celander, et al. (1970), J Am Osteopath Assoc 69(10): 1035-6 passim. |
| A prospective study of osteopathic medical students' attitudes toward use of osteopathic manipulative treatment in caring for patients Chamberlain, N. R. and H. A. Yates (2003), J Am Osteopath Assoc 103(10): 470-8. Abstract: Two computer-assisted clinical case SOAP (subjective, objective, assessment, plan) note exercises were used for second-year osteopathic medical students, and a standardized patient was used during third year to measure recording behaviors regarding structural examinations and osteopathic manipulative treatment (OMT). Students were questioned before leaving campus for clinical rotations and at pregraduation to determine their attitudes toward use of these skills. Ninety-one percent of the students recorded structural examination findings in both computer-assisted clinical case SOAP notes, and 61% suggested OMT be given on their basic science SOAP (pneumonia). All of the students in the osteopathic theory and methods exercise suggested OMT. On a standardized patient with chronic obstructive pulmonary disease, 11% of the students performed a structural examination, and 0.7% suggested OMT. Preclinically, 73% of the students believed they were prepared to conduct structural examinations, and 71% believed they were prepared to use OMT. Between 64% and 73% of pregraduation students, however, reported they had few opportunities to use these skills during clinical rotations. Most of the students believed they would use palpatory diagnosis and OMT for fewer than 25% of their future patients and primarily for patients with musculoskeletal problems. |
| A randomized controlled trial of osteopathic manipulative treatment following knee or hip arthroplasty Licciardone, J. C., S. T. Stoll, et al. (2004), J Am Osteopath Assoc 104(5): 193-202. Abstract: CONTEXT: Preliminary study results suggest that osteopathic manipulative treatment (OMT) may reduce pain, improve ambulation, and increase rehabilitation efficiency in patients undergoing knee or hip arthroplasty. OBJECTIVE: To determine the efficacy of OMT in patients who recently underwent surgery for knee or hip osteoarthritis or for a hip fracture. DESIGN: Randomized controlled trial involving hospital and postdischarge phases. SETTING: Hospital-based acute rehabilitation unit. PATIENTS: A total of 42 women and 18 men who were hospitalized between October 1998 and August 1999. INTERVENTION: Patients were randomly assigned to groups that received either OMT or sham treatment in addition to standard care. Manipulation was individualized and performed according to study guidelines regarding frequency, duration, and technique. MAIN OUTCOME MEASURES: Changes in Functional Independence Measure (FIM) scores and in daily analgesic use during the rehabilitation unit stay; length of stay; rehabilitation efficiency--defined as the FIM total score change per rehabilitation unit day; and changes in Medical Outcomes Study Short Form-36 scores from rehabilitation unit admission to 4 weeks after discharge. RESULTS: Of 19 primary outcome measures, the only significant difference between groups was decreased rehabilitation efficiency with OMT (2.0 vs 2.6 FIM total score points per day; P =.01). Stratified analyses demonstrated that poorer OMT outcomes were confined to patients with osteoarthritis who underwent total knee arthroplasty (length of stay, 15.0 vs 8.3 days; P =.004; rehabilitation efficiency, 2.1 vs 3.4 FIM total score points per day; P <.001). CONCLUSION: The OMT protocol used does not appear to be efficacious in this hospital rehabilitation population. |
| A Reflex Basis For Osteopathic Medicine Cole, W. V. (1963), J Am Osteopath Assoc 63: 246-52 CONTD. |
| A Reflex Basis For Osteopathic Medicine Cole, W. V. (1963), J Am Osteopath Assoc 63: 343-50. |
| A report on osteopathic medical manpower: growing pains Muldoon, P. L. (1978), Oh 22(8): 14-6. |
| A research program for the osteopathic profession, our great and only hope Patterson, M. M. (2001), J Am Osteopath Assoc 101(9): 534. |
| A research program for the osteopathic profession. 1948 Korr, I. M. (2001), J Am Osteopath Assoc 101(9): 535-41. |
| A research records system to meet osteopathic clinical research requirements Kelso, A. F. and A. A. Townsend (1973), J Am Osteopath Assoc 73(4): 318-21. |
| A snapshot of osteopathic medical education in 1997 Retz, K. C. (1997), J Am Osteopath Assoc 97(11): 625-7. |
| A strategy for the future success of osteopathic medicine Wax, C. M. (1994), J Am Osteopath Assoc 94(1): 33. |
| A study in osteopathic mechanics Northup, G. W. (1954), J Am Osteopath Assoc 53(11): 618-21. |
| A survey of cancer mortality at Detroit Osteopathic Hospital Fox, A. R. (1963), J Am Osteopath Assoc 62: 573-80. |
| A survey of osteopathic medicine Bond, D. B. and D. E. Reid (1973), Northwest Med 72(2): 72 passim. |
| A three-year survey of treatment of congenital talipes equinovarus at Detroit Osteopathic Hospital Mrstik, L. L., C. H. Heleotis, et al. (1957), J Am Osteopath Assoc 56(9): 583-5. |
| ABC of complementary medicine. The manipulative therapies: osteopathy and chiropractic Vickers, A. and C. Zollman (1999), Bmj 319(7218): 1176-9. |
| Academic geriatric programs in US allopathic and osteopathic medical schools Warshaw, G. A., E. J. Bragg, et al. (2002), Jama 288(18): 2313-9. Abstract: CONTEXT: By 2030, 20% of the US population will be older than 65 years compared with 12.4% in 2000. The development of geriatric medicine research and training programs to prepare for this increasing number of older individuals is largely dependent on the successful establishment of academic geriatric medicine programs in medical schools. OBJECTIVE: To assess the structure, resources, and activities of academic geriatric medicine programs in US allopathic and osteopathic schools of medicine. DESIGN, SETTING, AND PARTICIPANTS: Survey distributed to the academic geriatric medicine leaders of the 144 US allopathic and osteopathic medical schools in March 2001. MAIN OUTCOME MEASURES: Organizational structure, program information, curriculum, budgetary issues, and characteristics of academic geriatric medicine leaders. RESULTS: A total of 121 program directors (84%) responded. Most schools (87%) had an identifiable academic geriatric program structure, with 67% established after 1984. The greatest proportion of faculty and staff time (40%) was spent in clinical practice, followed by research and scholarship (12%), residency and fellowship education (10% each), and medical student education (7.8%). Clinical practice accounted for the greatest portion (27%) of revenue, and 25.7% of the programs had total annual budgets of less than $250,000, while 11% had budgets of greater than $5 million. The largest obstacles to achieving the goals of an academic geriatric medicine program were a lack of research faculty and fellows and poor clinical reimbursement. CONCLUSIONS: Most US medical schools have an identifiable academic geriatric medicine program; most have been established within the last 15 years. Resources are needed to train faculty for roles as teachers and researchers and to develop medical school geriatric programs of the size and scope equivalent to other academic disciplines. |
| Acceptance of osteopathic heritage means beginning of a greater service; medicine as a service will not be limited by persons activated primarily by devotion to strict organization Keesecker, R. P. (1952), J Osteopath (Kirksvill) 59(12): 9-14. |
| Access to the scholarly record of medicine by the osteopathic physicians of southeastern Michigan Pings, V. M. and J. E. Malin (1970), Bull Med Libr Assoc 58(1): 18-22. |
| Accreditation at colleges of osteopathic medicine Sweet, S. (2001), J Am Osteopath Assoc 101(11): 675-6. |
| Accreditation of osteopathic education Thomas, R. B. (1955), J Am Osteopath Assoc 54(5): 317-9. |
| Accredited osteopathic hospitals: sterling silver patient care McGraw, J. R. (1979), Oh 23(2): 15-9. |
| Acupuncture in the service of osteopathic medicine: a pathway to comprehensive patient management Nemerof, H. (1972), J Am Osteopath Assoc 72(4): 346-51. |
| Adjunctive osteopathic manipulative treatment in the elderly hospitalized with pneumonia: a pilot study Noll, D. R., J. Shores, et al. (1999), J Am Osteopath Assoc 99(3): 143-6, 151-2. Abstract: To evaluate the benefit of osteopathic manipulative treatment in the elderly with pneumonia, the authors recruited 21 individuals older than 60 years who were hospitalized with acute pneumonia. Eleven patients were randomly assigned to the treatment group and ten to the control group. The treatment group received specific osteopathic manipulative treatment for somatic dysfunction and a standardized treatment protocol. Both groups received conventional therapy, and the attending physician was blind to group assignments. No significant difference existed between groups for age, sex, or severity of illness. Although the mean duration of leukocytosis, intravenous antibiotic treatment, and length of stay were shorter for the treatment group, these measures did not reach statistical significance. However, the mean duration of oral antibiotic use did reach statistical significance at 3.1 days for the treatment group and 0.8 day for the control group. Osteopathic manipulative treatment may reduce antibiotic use and length of stay; however, a larger study is needed to clarify this outcome. |
| Adjunctive osteopathic manipulative treatment in women with depression: a pilot study Plotkin, B. J., J. J. Rodos, et al. (2001), J Am Osteopath Assoc 101(9): 517-23. Abstract: The authors assessed the impact of osteopathic manipulative treatment (OMT) as an adjunct to standard psychiatric treatment of women with depression. Premenopausal women with newly diagnosed depression were randomly assigned to either control (osteopathic structural examination only; n = 9) or treatment group (OMT; n = 8). Both groups received conventional therapy consisting of the antidepressant paroxetine (Paxil) hydrochloride plus weekly psychotherapy for 8 weeks. Attending psychiatrists and psychologists were blinded to group assignments. No significant differences existed between groups for age or severity of disease. After 8 weeks, 100% of the OMT treatment group and 33% of the control group tested normal by psychometric evaluation. No significant differences or trends were observed between groups in levels of cytokine production (IL-1, IL-10, IL-2, IL-4, and IL-6) or in levels of anti-HSV-1, anti-HSV-2, and anti-EBV antibody. There was no pattern to the osteopathic manipulative structural dysfunctions recorded. The findings of this pilot study indicate that OMT may be a useful adjunctive treatment for alleviating depression in women. |
| Administration of the student financial aid program in osteopathic colleges Walter, F. M. (1967), J Am Osteopath Assoc 66(5): 542-7. |
| Admission procedures at the College of Osteopathic Physicians and Surgeons Bell, G. B. (1958), J Am Osteopath Assoc 57(5): 362-3. |
| Advancing a traditional view of osteopathic medicine through clinical practice Rogers, F. J. (2005), J Am Osteopath Assoc 105(5): 255-9. |
| Advisory Board for Osteopathic Specialists Pearson, H. D. (1966), J Am Osteopath Assoc 65(8): 845-90. |
| Advisory Board for Osteopathic Specialists and Boards of Certification Arends, N. W. (1970), J Am Osteopath Assoc 69(7): 671-706. |
| Advisory Board For Osteopathic Specialists And Boards Of Certification Button, J. T. and W. V. Cole (1965), J Am Osteopath Assoc 64: 817-62. |
| Advisory Board for Osteopathic Specialists and boards of certification Congdon, E. E. and R. A. Steen (1953), J Am Osteopath Assoc 52(6): 334-8. |