us trained doctors of osteopathic medicine...

US Trained Doctors of

Osteopathic Medicine (DOs)

Adrienne White-Faines, MPA, FACHEChief Executive Officer of American Osteopathic Association

Margaret Aguwa, DO, MPH, FACOFPAssociate Dean and Professor Emerita Michigan State Univ-COM

What is Osteopathic Medicine?

AMCOA 21ST ANNUAL CONFERENCE

Distinct branch of medical practice

Whole-person philosophyAll systems of the human body are interrelated and work together to heal the body in times of illness.

Pioneered by Andrew Taylor Still, MD, DO at the end of the nineteenth century.

Dr. Still developed a holistic approach to medicine. His philosophy stressed the importance of preventive medicine and used a set of manual techniques, now known as osteopathic manipulative treatment, to help diagnose, treat and prevent illness and injury.

Who Are DOs?

• DOs are one of two types of fully licensed

physicians in the U.S. (DOs & MDs) and

practice their patient-centered philosophy of

medicine in every medical specialty

• It is projected that before 2025 DOs will

comprise over 20% of the US physician

population.

• Today, 1 of every 4 (25%) of US medical

students are enrolled in Colleges of

Osteopathic Medicine (COM).

• DOs focus on prevention, considering

how a patient’s lifestyle and environment

can impact their wellbeing.



4 YearsUndergraduate

(Bachelors Degree)

4 YearsOsteopathic

Medical School

3-7 YearsInternshipResidency

1-3 YearsSpecialty

Fellowship

Board Certification/Licensure

11 to 18 years total

Both DOs and MDs must be licensed in their state(s) before they can practice medicine

DOs and MDs both practice in licensed hospitals and/or healthcare settings

Typical US Physician Training Timeline (DO and MD)

DO Specialty Choice

Source: AOA Masterfile Data May 31, 2016

56% Primary Care 44% Specialty Care

Family Medicine remains the largest specialty of DOs in the US (31%)

Emergency Medicine

7,523 (10%)

General Surgery

3,478 (4%)

OB/GYN

3,318 (4%)

Anesthesiology

2,545 (3%)

Psychiatry

2,438 (3%)

Next Top 5 Specialties

Pediatrics

5,259

7%

Internal Medicine

12,629

16%

Family Medicine

24,030

31%

Breakdown by Specialty


1890s 1st osteopathic medical school/ AOA founded

1901 California 1st state to grant DOs unlimited practice rights

1910 FLEXNER Report- Assessment of ALL US Medical Schools

1927 1st AOA residency programs

1952 AOA COCA became federally recognized accrediting body

1961 “California Challenge” - California Medical Association (creates proof of equivalency to MDs)

1966 DOs accepted into military as equivalent to MDs

1970s Payment reform leads to merge/buy OM and other hospitals

1972 DOs enter ACGME residencies

1975-1980 Increase from 5 schools to 15 schools

1980s Population Growth and Healthy People 2000 Project physician shortage… leads to growth of COMs

1980-2015 Explosive growth in DO schools to (15 to 48) and 300% growth in number of practicing DOs in US.

2014 AOA/ACGME approve Single Accreditation System

Our Journey …The History…


US TRAINED DOs - IMPACT TODAY


The AOA : Accreditation/ Membership/ Advocacy/ Public Health

• Accredit Medical colleges

• Accredit Post Grad Residency

• Provide Board Certification

• Membership

• Public Policy

• Research / Public Health


AOA International Affairs Division

• Practice Rights & Equity / Licensure

• Affiliation Expansion

• Research Collaboration & Global

Health

• Mission (DOCARE/ Medical

Education Exchange)

• Medical College Accreditation

DOCARE & Global Health Outreach

• DOCARE International is a medical outreach organization dedicated to providing medical education and healthcare to under-resourced communities around the world.

• DOCARE works with local healthcare personnel and carefully considers the needs of the community as voiced by their representatives.

• DOCARE supports sustained continuity clinics by helping to fund local providers and then growing outreach to surrounding communities.

• DOCARE provides all-volunteer trips for both DOs and MDs, students, nurses, dentists, pharmacists and lay people, to support mission efforts throughout the year.

The DO Connection to Africa

DOs from Africa


In 2016 data indicate 90 students of African origin

were matriculated at US Colleges of Osteopathic

Medicine

Cameroon Nigeria D.R. Congo SenegalEgypt SomaliaEthiopia South AfricaGhana SudanKenya SwazilandLiberia TanzaniaMorocco UgandaNamibia ZambiaNiger Zimbabwe

DOs At Work on the Continent:

We currently have research and clinical mission outreach ongoing in 4 African countries, and continual requests for licensure from DOs across the continent.


Perspectives on History of DO Physicians with Origins in Africa

Perspective through personal history

Student, resident and faculty presence in Medical Schools, such as Michigan State University College of Osteopathic Medicine

Many prior episodic efforts to achieve practice rights in African countries (ex. Nigeria)

With growth in US and growing global understanding of US trained DO physicians, it is the opportune time to clarify the practice rights confusion.


Discussion of AMCOA Opportunity


The AOA requests that AMCOA now

consider a resolution to recognize US-

trained DOs practice rights as equivalent to

MD practice rights across your member

regulatory authorities and health ministries.

Humayun Chaudry, DO, MS, MACP, MACOICEO, FSMBChair, IAMRA

Thank you for your commitment toward a world of wellness!


us trained doctors of osteopathic medicine...

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