tanner nissly, do. what makes a do? where did osteopathy come from: osteopathic history what is...
TRANSCRIPT
WHAT IS A DOCTOR OF OSTEOPATHY?
Tanner Nissly, DO
Overview
What makes a DO? Where did osteopathy come from:
Osteopathic History What is Osteopathy about: Osteopathic
Philosophy Similarities between DO’s and MD’s Comparisons – Classes and Curriculum Why choose osteopathy?
What makes a DO?
”Whole person" approach to medicine. DO’s do NOT just treat specific symptoms or
illnesses DO’s regard your body as an integrated whole. DO’s focus on preventive health care.
Extra training on the musculoskeletal system Provides understanding of ways an injury or
illness in one part of your body can affect another.
What makes a DO?
Osteopathic Manipulative Treatment (OMT) DO’s Use their hands to diagnose injury and
illness Encourages your body's natural tendency
toward good health. By combining medical knowledge with OMT,
D.O.s offer their patients the most comprehensive care available in medicine today.
What makes a DO?
Colleges of Osteopathic Medicine emphasize preparing medical students to be primary care physicians. Approximately 65% of practicing osteopathic
physicians specialize in primary care areas
The Osteopathic History & Philosophy
Andrew Taylor Still, MD, DO (1828-1917)
Osteopathic History
AT Still was trained as an MD Became dissatisfied with conventional
medical practice after he had three children die of meningitis shortly after the Civil War.
So he began to develop his own medical treatment, based on anatomic alignment
Osteopathic History
In Still’s time, orthodox medical treatment was ineffective and harmful "blood-letting“ lead or mercury based purgatives to induce
bowel movements Still’s theory: Body capable of healing
itself What is creating the bodily disturbance Remove that interference Allow body to return to its normal state of
healthful homeostasis
Osteopathic Philosophy The four principles.
The human being is a dynamic unit of function.
The body possess self-regulatory mechanisms, with inherent self-healing properties.
Structure and function are inter-related at all levels.
Rational therapy is then based upon this understanding of body unity, self-regulatory mechanisms and the inter-relatedness of structure and function.
Osteopathic Philosophy
If part of the body is restricted, then the rest of the body must adapt and compensate Leads to inflammation,
pain, stiffness and other health conditions
OMT promotes anatomic alignment which helps minimize pain, reduces stress and leads to greater mobility.
This is turn allows the body an opportunity to heal itself.
Osteopathic Philosophy
Osteopathic Manipulative Treatment Broad range of techniques
Gentle hands-on techniques including soft tissue stretching, deep tactile pressure, mobilization and manipulation of joints.
HVLA techniques (cracks and pops) Counterstrain techniques – resetting muscle
spindles
Is There a Difference? MD vs DO
D.O. – Doctor of Osteopathic Medicine M.D. – Doctor of Allopathic Medicine
Similarities
Four-year undergraduate degrees w/ required scientific courses.
Must take the MCAT
Four years of Medical School
Graduate medical education (internship/residency)
Similarities
Any specialty area of medicine- Especially for DO’s: pediatrics, family
medicine, psychiatry, emergency, obstetrics, PM&R, sports
Also surgery, anesthesia, neurology, neurosurgery…and any other specialty
Obtain state licenses to practice medicine
Practice in fully accredited and licensed health care facilities.
Osteopathic Future
D.O.s are one of the fastest growing segments of health care professionals
By the year 2020-100,000 osteopathic physicians will be in active medical practice.
D.O.s represent 6% of the total U.S. physician population.
25 colleges of osteopathic medicine, 31 locations
22 states
Class Comparison UMn and DMU
U of Mn Class size: 169 Age:
Average: 24 years Range: 21 - 42 years
Gender Women 46.1%
Residence: MN Residents 72% Non Residents 28%
Academic Performance Average UGPA – 3.74 Average MCAT – 32.39
DMU Class size: 220. Age:
Average: 25 Range: 21 – 47 years.
Gender: Women: 50%
Residence: IA Residents: 26% Non Residents: 74%
Academic Performance: Average GPA: 3.70 Average MCAT: 27.03
Curriculum Comparison UMn and DMU
U of Mn Fall
Human Structure and Function Science of Medical Practice Foundations of Critical Thinking
Cases – Small group tutorials Essentials of Clinical Medicine – two
half-days of clinical experiences weekly
Spring Microbiology & Immunology Neuroscience Physiology Human Behavior Human Sexuality Principles of Pathology Pharmacology Foundations of Critical Thinking
Cases – Small group tutorials Essentials of Clinical Medicine –
begin rotations to health care systems and settings of care
DMU Fall
Introduction to Osteopathic Medicine Introduction to Medline and the Internet History of Medicine Biochemistry and Molecular Genetics Osteopathic Manipulative Medicine I Behavioral Science Anatomy Cell and Tissue Biology
Spring Neuroanatomy Microbiology/Immunology Physiology Physical Diagnosis I Basic Life Support Geriatrics Pathology Radiology Introduction to Medical Ethics and the
Doctor-Patient Relationship
Comparison
DO’s like to say, “Osteopathic education is traditional medical school plus OMT.”
Why choose osteopathy?
Chance to live in Des Moines
Interest in OMT or CAM
Interest in musculoskeletal medicine – i.e. sports med, PM&R, etc
Primary care focus
Thank You!a closing quote from AT Still:
"Osteopathy is a knowledge of anatomy applied to healing diseases. It is the surgical adjustment of all parts of the body by the anatomist who knows all bones of the human body, their forms, places and how they are held together, where each joint is, where the muscles are attached and how they act when in their normal places; how a normal limb looks, how it feels to his hand, how an abnormal limb, hand, foot, spine or neck feels to his fingers in which the sense of touch is developed to a very high degree….If he is wise in Anatomy and Physiology, he (the osteopath) will at a glance detect any abnormality in form and easily prove the cause of any failure in perfect functioning….thus establishing the normal functioning which is the all of health” - AT. Still