Journal of Osteopathic Medicine最新文献

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Uncovering gaps in management of vasomotor symptoms: findings from a national need assessment. 发现血管运动症状管理方面的差距:全国需求评估结果。
IF 1.5
Journal of Osteopathic Medicine Pub Date : 2024-05-30 DOI: 10.1515/jom-2024-0011
Teresa A Hubka, Andrew Crim, Ju Yong Koh, Chris Larrison, Tom McKeithen, Matthew Fleming, Jennifer Caruso, Martha Prud'homme
{"title":"Uncovering gaps in management of vasomotor symptoms: findings from a national need assessment.","authors":"Teresa A Hubka, Andrew Crim, Ju Yong Koh, Chris Larrison, Tom McKeithen, Matthew Fleming, Jennifer Caruso, Martha Prud'homme","doi":"10.1515/jom-2024-0011","DOIUrl":"https://doi.org/10.1515/jom-2024-0011","url":null,"abstract":"<p><strong>Context: </strong>This national needs assessment study explores the knowledge, attitude, beliefs, and practices (KABP) gaps related to vasomotor symptoms (VMS) associated with menopause among primary care and OB/GYN clinicians. VMS significantly impacts healthcare costs, workplace productivity, and patient psychosocial health, but a notable disconnect exists between healthcare providers and patients, with provider reticence and knowledge gaps playing a contributing role.</p><p><strong>Objectives: </strong>This study aims to identify and propose optimal educational strategies to address these barriers, with attention to health disparities affecting women of color.</p><p><strong>Methods: </strong>Methods employed include a multimodal approach of literature review, expert opinion, qualitative interviews, surveys, focus groups, and case studies, ensuring diverse clinician input. Data collection involved in-depth clinician interviews, a nationally disseminated clinician survey, and focus groups.</p><p><strong>Results: </strong>Results indicate a critical deficiency in healthcare providers' understanding and management of VMS, especially among OB/GYN residents, with 75 % showing limited knowledge. The study also highlights the disproportionate impact of knowledge gaps on women of color, emphasizing the need for a culturally informed approach in medical training and practice. There's a notable discrepancy between clinicians' current and desired abilities in managing VMS, indicating a need for ongoing professional development. Significant variability in approaches to diagnosing and treating VMS, as well as substantial knowledge gaps about treatment options, underscore the need for evidence-based protocols.</p><p><strong>Conclusions: </strong>Although VMS are a normal aspect of aging, they can significantly disrupt quality of life for many women, necessitating intervention. Beyond the immediate discomfort, VMS can impact quality of life and trigger insomnia and mood disturbances. This study exposes both new and previously recognized gaps in healthcare providers' knowledge and management skills concerning VMS treatment options, particularly regarding hormonal and nonhormonal therapies. Furthermore, our findings highlight the need for a deeper understanding of how VMS uniquely impacts women of diverse backgrounds. Research, including the Study of Women's Health Across the Nation (SWAN), suggests that the experience and severity of VMS may be influenced by socioeconomic status, race/ethnicity, body mass index (BMI), and smoking status. However, the complex interplay of these factors and their relative contributions remain unclear. Further investigation is crucial to facilitate equitable access to effective treatment for all women. To bridge these gaps, improved education starting as early as residency is essential. This education should address common misconceptions about VMS and its management. Healthcare providers must enhance their competence i","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141173742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of manual manipulation on mechanical gait parameters. 手动操作对机械步态参数的影响
IF 1.4
Journal of Osteopathic Medicine Pub Date : 2024-05-30 eCollection Date: 2024-10-01 DOI: 10.1515/jom-2023-0203
Solomon B Yanuck, Sarah K Fox, Bethany R Harting, Thomas M Motyka
{"title":"Effect of manual manipulation on mechanical gait parameters.","authors":"Solomon B Yanuck, Sarah K Fox, Bethany R Harting, Thomas M Motyka","doi":"10.1515/jom-2023-0203","DOIUrl":"10.1515/jom-2023-0203","url":null,"abstract":"<p><strong>Context: </strong>A variety of manual manipulation techniques are utilized in clinical practice to alleviate pain and improve musculoskeletal function. Many manual practitioners analyze gait patterns and asymmetries in their assessment of the patient, and an increasing number of gait motion capture studies are taking place with recent improvements in motion capture technology. This study is the first systematic review of whether these manual modalities have been shown to produce an objectively measurable change in gait mechanics.</p><p><strong>Objectives: </strong>This study was designed to perform a systematic review of the literature to assess the impact of manual medicine modalities on biomechanical parameters of gait.</p><p><strong>Methods: </strong>A master search term composed of keywords and Medical Subject Headings (MeSH) search terms from an initial scan of relevant articles was utilized to search six databases. We screened the titles and abstracts of the resulting papers for relevance and then assessed their quality with the Cochrane Risk of Bias Tool. Clinical trials that featured both a manual manipulation intervention and multiple mechanical gait parameters were included. Case reports and other studies that only measured gait speed or other subjective measures of mobility were excluded.</p><p><strong>Results: </strong>We included 20 studies in our final analysis. They utilize manipulation techniques primarily from osteopathic, chiropractic, massage, and physiotherapy backgrounds. The conditions studied primarily included problems with the back, knee, and ankle, as well as healthy patients and Parkinson's patients. Control groups were highly variable, if not absent. Most studies measured their gait parameters utilizing either multicamera motion capture systems or force platforms.</p><p><strong>Conclusions: </strong>Twelve of 20 papers included in the final analysis demonstrated a significant effect of manipulation on gait variables, many of which included either step length, walking speed, or sagittal range of motion (ROM) in joints of the lower extremity. However, the results and study design are too heterogeneous to draw robust conclusions from these studies as a whole. While there are initial indications that certain modalities may yield a change in certain gait parameters, the quality of evidence is low and there is insufficient evidence to conclude that manual therapies induce changes in biomechanical gait parameters. Studies are heterogeneous with respect to the populations studied and the interventions performed. Comparators were variable or absent across the studies, as were the outcome variables measured. More could be learned in the future with consistent methodology around blinding and sham treatment, and if the gait parameters measured were standardized and of a more robust clinical significance.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interoceptive bodily awareness in patients seeking pain relief with osteopathic manipulative treatment: an observational cohort pilot study. 寻求通过整骨疗法缓解疼痛的患者的身体互感意识:一项观察性队列试点研究。
IF 1.5
Journal of Osteopathic Medicine Pub Date : 2024-04-24 DOI: 10.1515/jom-2022-0081
Danielle Emmet, Glenn Davis, Stacey Pierce-Talsma, Jay H. Shubrook, Wolf Mehling
{"title":"Interoceptive bodily awareness in patients seeking pain relief with osteopathic manipulative treatment: an observational cohort pilot study.","authors":"Danielle Emmet, Glenn Davis, Stacey Pierce-Talsma, Jay H. Shubrook, Wolf Mehling","doi":"10.1515/jom-2022-0081","DOIUrl":"https://doi.org/10.1515/jom-2022-0081","url":null,"abstract":"CONTEXT\u0000Interoceptive bodily awareness (IBA) is one's attentional focus on and relationship with comfortable and uncomfortable (e.g., pain) internal body sensations. Integrating IBA into research on osteopathic manipulative treatment (OMT) is growing, both as an outcome and predictor of treatment outcomes; however, it has yet to be studied in a clinical setting.\u0000\u0000\u0000OBJECTIVES\u0000We aimed to conduct a pilot study to measure IBA, with the Multidimensional Assessment of Interoceptive Awareness (MAIA), in patients seeking OMT for pain, and to test if OMT exposure may be associated with higher IBA as measured by the MAIA. The primary outcome was the change in MAIA scores, and the secondary outcomes were reduction in pain intensity, reduction in pain interference, and increase in participants' perception of change post-OMT.\u0000\u0000\u0000METHODS\u0000A convenience sample was recruited from individuals presenting for OMT appointments at a College of Osteopathic Medicine OMT teaching clinic. Participants were recruited into our single-arm observational cohort study (n=36), and categorized into one of two groups, OMT-naïve (n=19) or OMT-experienced (n=17), based on prior exposure to OMT. We measured MAIA scores and clinical pain-related outcomes prior to, immediately after, and at 1 and 3 weeks after a usual-care OMT session in the clinic. Covariates including experience with mind-body activities, non-OMT body work, and physical and emotional trauma were also collected to explore potential relationships. We utilized t tests to compare MAIA scores and pain outcomes between groups and across time points. Stepwise regression models were utilized to explore potential relationships with covariates.\u0000\u0000\u0000RESULTS\u0000The OMT-experienced group scored higher on the MAIA scales \"Not-worrying\" (p=0.002) and \"Trusting\" (p=0.028) at baseline. There were no significant changes in the MAIA scores before and after the single OMT session. Analysis of secondary outcomes revealed that all pain outcomes significantly decreased post-OMT (p<0.05), with the largest relative improvements in the acute pain and OMT-naïve subgroups, with diminishing effects over time.\u0000\u0000\u0000CONCLUSIONS\u0000Assessing IBA with MAIA in a clinical OMT setting is feasible. There were significant positive correlations between OMT exposure and two of the eight MAIA scales. Future studies are justified to further explore this relationship.","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140664506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Common outpatient diagnoses and associated treatments logged by osteopathic medical students within a geriatric population. 骨科医学生在老年病人群中记录的常见门诊诊断和相关治疗。
IF 1.5
Journal of Osteopathic Medicine Pub Date : 2024-04-22 DOI: 10.1515/jom-2022-0251
Hannah C Coulson, Miriam Brown, Kyle Burke, Emma Griffith, Victoria Shadiack, Harold R Garner, Jaime A Foushee
{"title":"Common outpatient diagnoses and associated treatments logged by osteopathic medical students within a geriatric population.","authors":"Hannah C Coulson, Miriam Brown, Kyle Burke, Emma Griffith, Victoria Shadiack, Harold R Garner, Jaime A Foushee","doi":"10.1515/jom-2022-0251","DOIUrl":"https://doi.org/10.1515/jom-2022-0251","url":null,"abstract":"CONTEXT\u0000Clinical clerkships provide osteopathic medical students the opportunity to participate in the diagnosis and treatment of commonly encountered medical conditions. Appropriate management of these conditions may include pharmacotherapy and/or nonpharmacologic interventions, such as osteopathic manipulative treatment (OMT). Opportunities may exist to expand the utilization of OMT in the management of common conditions, particularly for geriatric patients, who are at increased risk for adverse outcomes from pharmacologic treatments.\u0000\u0000\u0000OBJECTIVES\u0000This study aimed to assess the most common diagnoses and corresponding treatments logged by osteopathic medical students within an ambulatory geriatric population.\u0000\u0000\u0000METHODS\u0000Patient encounters logged electronically by osteopathic medical students were retrospectively reviewed to determine the most commonly reported diagnostic codes and their treatments. Logged interventions were filtered to include patients over the age of 65 years who were seen on family medicine rotations within an ambulatory setting. The top 10 diagnoses were sorted and assessed to determine the associated treatments, including medications, procedures, and OMT.\u0000\u0000\u0000RESULTS\u0000Between January 2018 and June 2020, a total of 11,185 primary diagnoses were logged pertaining to the defined patient population. The most frequently documented diagnoses were essential hypertension (n=1,420; 12.7 %), encounter for well examination (n=1,144; 10.2 %), type 2 diabetes mellitus (n=837; 7.5 %), hyperlipidemia (n=346; 3.1 %), chronic obstructive pulmonary disease (COPD; n=278; 2.5 %), osteoarthritis (OA; n=221; 2.0 %), low back pain (LBP; n=202; 1.8 %), pain in joint (n=187; 1.7 %), hypothyroidism (n=164; 1.5 %), and urinary tract infections (n=160; 1.4 %). Three of the top 10 logged diagnoses were musculoskeletal in nature (OA, LBP, and pain in joint). Pharmacotherapy was reported as the predominant treatment for musculoskeletal conditions, with OMT being logged as a treatment for 10.9 % (n=50) of those cases. The most commonly logged medication class in the management of patients with those musculoskeletal conditions was nonsteroidal anti-inflammatory drugs (NSAIDs; n=128; 27.9 %), while opioids were the second most frequently documented class of medications (n=65; 14.2 %).\u0000\u0000\u0000CONCLUSIONS\u0000Musculoskeletal complaints were commonly logged by osteopathic medical students within the studied population. Opioids were documented as a treatment for musculoskeletal conditions more frequently than OMT. As such, opportunities exist to expand the utilization of OMT during clinical clerkships and to decrease the frequency of prescribed medications for pain management.","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140675005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
On-site peer mentorship's effect on personal and professional development, stress reduction, and ease of transition into the medical education system. 现场同伴指导对个人和专业发展、减轻压力以及轻松过渡到医学教育体系的影响。
IF 1.5
Journal of Osteopathic Medicine Pub Date : 2024-04-19 DOI: 10.1515/jom-2023-0086
Savannah Whitfield, Caryn Hazard, Brittnee Haynes, Todd Coffey, Launa Lynch, Sarah Davis
{"title":"On-site peer mentorship's effect on personal and professional development, stress reduction, and ease of transition into the medical education system.","authors":"Savannah Whitfield, Caryn Hazard, Brittnee Haynes, Todd Coffey, Launa Lynch, Sarah Davis","doi":"10.1515/jom-2023-0086","DOIUrl":"https://doi.org/10.1515/jom-2023-0086","url":null,"abstract":"CONTEXT\u0000Mentorship aids in the transition into the medical education system, which is a demanding and stressful time for learners. The development of new medical schools to offset the physician shortage has posed a challenge in that the inaugural class of students lacks an upperclassman cohort as a resource for advice and mentorship. Mentorship has proven to have positive impacts on three domains: personal and professional development (PPD), stress reduction (SR), and ease of transition (ET) into medical school.\u0000\u0000\u0000OBJECTIVES\u0000The purpose of this study was to identify sources of mentorship within the medical education system and compare the subjective growth of the inaugural and second classes of a newly established medical school in the three domains.\u0000\u0000\u0000METHODS\u0000The inaugural and second classes at a newly established medical school completed an Institutional Review Board (IRB)-approved anonymous survey with questions pertaining to unidentifiable demographics, sources of mentorship, and a five-point Likert scale assessing characteristics related to the three domains.\u0000\u0000\u0000RESULTS\u0000Twenty-three students responded to the survey. The second class (n=9) rated their growth higher in all three domains compared to the inaugural class (n=14). The inaugural class utilized the faculty mentor the most (11/14, 78.6 %). The second class utilized the on-site peer mentor the most (9/9, 100 %). Qualitative data analysis led to the emergence of three themes: (1) students utilizing their faculty mentor had the greatest growth in PPD and ET; (2) students utilizing on-site peer mentorship reporting the greatest growth in SR; and (3) informal peer mentorship utilization correlating with less growth in the three domains.\u0000\u0000\u0000CONCLUSIONS\u0000Our study demonstrates the profound impact that mentorship has on growth in the three domains regardless of the type of mentorship utilized. The benefits, specifically with regard to SR, of an on-site peer mentorship program may not have been satisfied by other sources of mentorship.","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140684247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of osteopathic manipulative treatment on quality of life in patients with cardiac implantable electronic devices. 整骨疗法对心脏植入式电子装置患者生活质量的影响。
IF 1.5
Journal of Osteopathic Medicine Pub Date : 2024-04-19 DOI: 10.1515/jom-2023-0218
Jacqueline Nikakis, Ermin Tale, Denis Malkov, Uddampreet S Arora, Jordan Keys, To Shan Li, Sheldon C Yao, Todd J Cohen
{"title":"The effect of osteopathic manipulative treatment on quality of life in patients with cardiac implantable electronic devices.","authors":"Jacqueline Nikakis, Ermin Tale, Denis Malkov, Uddampreet S Arora, Jordan Keys, To Shan Li, Sheldon C Yao, Todd J Cohen","doi":"10.1515/jom-2023-0218","DOIUrl":"https://doi.org/10.1515/jom-2023-0218","url":null,"abstract":"CONTEXT\u0000Osteopathic manipulative treatment (OMT) has been demonstrated to have an effect on the autonomic nervous system, which may have antiarrhythmic effects. The effects of OMT in patients with cardiac implantable electronic devices (CIEDs) have not previously been reported. This study investigated the impact of OMT on quality of life (QOL) in this patient population.\u0000\u0000\u0000OBJECTIVES\u0000The purpose of this study is to investigate the effects of OMT on QOL in CIED patients.\u0000\u0000\u0000METHODS\u0000Subjects with CIEDs were recruited into a double-blind randomized controlled institutional review board (IRB)-approved clinical trial (ClinicalTrials.gov ID: NCT04004741) and randomized to OMT or light touch (control) groups. Subjects received a one-time intervention, performed by board-certified neuromusculoskeletal medicine (NMM) and osteopathic manipulative medicine (OMM) physicians. The OMT protocol utilized techniques including myofascial release, rib raising, facilitated positional release (FPR), and osteopathic cranial manipulative medicine. Subjects' QOL was assessed immediately preceding intervention and one-month postintervention utilizing the Research ANd Development (RAND) 36-Item Short Form Health Survey (SF-36, eight parameters). Groups were compared utilizing unpaired t tests; α=0.05.\u0000\u0000\u0000RESULTS\u0000Forty-two subjects were enrolled, with four lost to follow-up, which resulted in 19 OMT and 19 control subjects for analysis. Of the eight QOL parameters, two showed significant improvement with OMT: role limitations due to physical health (p=0.001) and pain (p=0.003).\u0000\u0000\u0000CONCLUSIONS\u0000This study demonstrates the potential for QOL improvement in CIED patients. Specifically, subjects in the OMT group reported an improvement in activities of daily living as well as a decrease in overall pain, including pain interfering with work. Additional research is necessary to further understand the physiologic effects of OMT, including its effects on arrhythmias, in CIED patients.","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140684158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
DO seniors and IMGs have lower match probabilities than MD seniors after adjusting for specialty choice and USMLE Step 1 score. 在对专业选择和 USMLE 第 1 步分数进行调整后,高年级 DO 和 IMG 的匹配概率低于高年级 MD。
IF 1.5
Journal of Osteopathic Medicine Pub Date : 2024-04-15 DOI: 10.1515/jom-2023-0143
D. Nikolla, Kaitlin M. Bowers, Brittany Smith, Christina L Elsayed, Abigail Daniels, Thomas Sandoval, Kyle J Hitchman, Irtaza Asar, Dillon C Kolacz, Vishnu Mudrakola
{"title":"DO seniors and IMGs have lower match probabilities than MD seniors after adjusting for specialty choice and USMLE Step 1 score.","authors":"D. Nikolla, Kaitlin M. Bowers, Brittany Smith, Christina L Elsayed, Abigail Daniels, Thomas Sandoval, Kyle J Hitchman, Irtaza Asar, Dillon C Kolacz, Vishnu Mudrakola","doi":"10.1515/jom-2023-0143","DOIUrl":"https://doi.org/10.1515/jom-2023-0143","url":null,"abstract":"CONTEXT\u0000It is unknown if US residency applicants of different educational backgrounds (US allopathic [MD], Doctor of Osteopathic Medicine [DO], and international medical graduates [IMG]) but comparable academic performance have similar match success.\u0000\u0000\u0000OBJECTIVES\u0000Our objective was to compare match probabilities between applicant types after adjusting for specialty choice and United States Medical Licensing Examination (USMLE) Step 1 scores.\u0000\u0000\u0000METHODS\u0000We performed a secondary analysis of published data in National Resident Matching Program (NRMP) reports from 2016, 2018, 2020, and 2022 for US MD seniors, DO seniors, and IMGs (US citizens and non-US citizens). We examined the 10 specialties with the most available spots in 2022. Average marginal effects from a multiple variable logistic regression model were utilized to estimate each non-MD senior applicant type's probability of matching into their preferred specialty compared to MD seniors adjusting for specialty choice, Step 1 score, and match year.\u0000\u0000\u0000RESULTS\u0000Each non-MD applicant type had a lower adjusted percent difference in matching to their preferred specialty than MD seniors, -7.1 % (95 % confidence interval [CI], -11.3 to -2.9) for DO seniors, -45.6 % (-50.6 to -40.5) for US IMGs, and -56.6 % (-61.5 to -51.6) for non-US IMGs. Similarly, each non-MD applicant type had a lower adjusted percent difference in matching than MD seniors across almost all Step 1 score ranges, except for DO seniors with Step 1 scores <200 (-2.0 % [-9.5 to 5.5]).\u0000\u0000\u0000CONCLUSIONS\u0000After adjusting for specialty choice, Step 1 score, and match year, non-US MD applicants had lower probabilities of matching into their preferred specialties than their US MD colleagues.","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140702696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Where are the Black men in osteopathic medical schools? 骨科医学院中的黑人在哪里?
IF 1.5
Journal of Osteopathic Medicine Pub Date : 2024-04-11 DOI: 10.1515/jom-2023-0091
Michael N. Megafu
{"title":"Where are the Black men in osteopathic medical schools?","authors":"Michael N. Megafu","doi":"10.1515/jom-2023-0091","DOIUrl":"https://doi.org/10.1515/jom-2023-0091","url":null,"abstract":"Over the past decade, the American Association of Colleges of Osteopathic Medicine (AACOM) and the Association of American Medical Colleges (AAMC) have emphasized the need to enhance diversity within medical education. Despite concerted efforts, the representation of underrepresented populations in medicine (URiM), particularly Black men, remains alarmingly low. This commentary delves into the persisting challenges and potential solutions surrounding the lack of diversity of Black men in osteopathic schools. Black men, in particular, continue to be significantly underrepresented in osteopathic medical schools across the United States. Factors contributing to this disparity include limited access to resources, pervasive negative stereotypes, and biases within the medical community. Addressing these challenges necessitates multifaceted interventions such as mentorship programs, pipeline initiatives, and implicit bias training to enhance the recruitment and support for URiM applicants, particularly Black men. Institutions like Touro College of Osteopathic Medicine and A.T. Still University have underscored the importance of tailoring programs in fostering a sense of belonging and academic success among Black men aspiring to be osteopathic physicians. The creation of a supportive environment for Black men in osteopathic medical schools is not only crucial for promoting diversity but also crucial for improving patient health outcomes, because research consistently depicts enhanced patient outcomes and experiences with diverse healthcare teams. However, despite progress in some areas, Black men continue to face systemic barriers and biases that hinder the pursuit of a career in osteopathic medicine. Thus, increasing the representation of Black men in osteopathic medical schools requires a concerted effort from all stakeholders, including medical institutions, policymakers, and the broader medical community. By implementing targeted interventions, fostering a sense of belonging, and addressing systemic barriers, the medical community can work toward a more equitable and inclusive future in healthcare. Ultimately, promoting diversity is not only a matter of fairness but also essential for ensuring the delivery of high-quality, culturally competent care to all patients.","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140715674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A masquerading presentation of dermatofibrosarcoma protuberans. 原发性皮纤维肉瘤的一种伪装表现。
IF 1.4
Journal of Osteopathic Medicine Pub Date : 2024-04-01 eCollection Date: 2024-07-01 DOI: 10.1515/jom-2023-0219
Erin Berg, Nadia Khan, Robert Dazé
{"title":"A masquerading presentation of dermatofibrosarcoma protuberans.","authors":"Erin Berg, Nadia Khan, Robert Dazé","doi":"10.1515/jom-2023-0219","DOIUrl":"10.1515/jom-2023-0219","url":null,"abstract":"","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The short- and long-term effect of osteopathic manipulative treatment on pain, and psychosocial factors in adults with chronic low back pain. 整骨疗法对慢性腰背痛成人患者的疼痛和社会心理因素的短期和长期影响。
IF 1.4
Journal of Osteopathic Medicine Pub Date : 2024-03-25 eCollection Date: 2024-07-01 DOI: 10.1515/jom-2023-0201
Clarence L Nicodemus, Jessica Epstein, Marianne Huebner, Barry DeCicco, Moaid Shaik
{"title":"The short- and long-term effect of osteopathic manipulative treatment on pain, and psychosocial factors in adults with chronic low back pain.","authors":"Clarence L Nicodemus, Jessica Epstein, Marianne Huebner, Barry DeCicco, Moaid Shaik","doi":"10.1515/jom-2023-0201","DOIUrl":"10.1515/jom-2023-0201","url":null,"abstract":"<p><strong>Context: </strong>Chronic low back pain (CLBP) has long plagued mankind, but little progress has been made in finding a rational and effective treatment, let alone a common cause. This study is an attempt to fill that void by measuring short- and long-term effects of osteopathic manipulative treatment (OMT), including psychosocial and pain reduction in CLBP patients.</p><p><strong>Objectives: </strong>The objectives of this study were to investigate the effectiveness of neuromusculoskeletal medicine/osteopathic manipulative medicine (OMM) in treating CLBP, with a focus on biopsychosocial (pain sensitivity questionnaire [PSQ]) and pain control in chronic conditions.</p><p><strong>Methods: </strong>The study involved a large, single cohort observational design of 101 patients. The inclusion criteria for selecting patients targeted those with \"nonspecific\" CLBP. The National Institutes of Health (NIH) Minimum Dataset for Chronic Low Back Pain (NMD) was the measurement tool and was administered at consent (baseline), 2, 4, and 8 weeks and at 6 and 12 months. Time trends were analyzed as overall mean. Pairwise differences were compared between time points. Mixed-effects models were utilized to test the association of time with pain and biopsychosocial scores.</p><p><strong>Results: </strong>Pain and PSQ scores decreased over the study timeline. The most significant change for both pain and biopsychosocial scores occurred at 6 months compared to baseline, with a further reduction at 12 months.</p><p><strong>Conclusions: </strong>OMT has been demonstrated to significantly reduce pain and psychosocial factors related to CLBP in both the short and long term.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140194770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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