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المؤلفون: Jonathan W, Torres, John R, Bowling, Christopher, Zipp, Nicholas, Williams, Jeanne M, Sandella, Lidia, Martinez, Bob, Moore
المصدر: Family Medicine. 54:615-620
مصطلحات موضوعية: Certification, Osteopathic Physicians, Humans, Internship and Residency, Educational Measurement, Family Practice, Osteopathic Medicine, United States
الوصف: Background and Objectives: Board certification is acknowledged as the mainstay for ensuring quality physician-delivered health care within medical specialties. The American College of Osteopathic Family Physicians (ACOFP) administers the American Osteopathic Board of Family Physicians’ (AOBFP) In-Service Examination (ISE) to provide residents and program directors with a formative examination to assess competency and preparation for successful completion of the AOBFP certifying examination (CE). Unique assessment processes are integral to monitoring development of the osteopathic family physician throughout training and into practice, and to verify their competency for the safety and protection of the public. This study sought to investigate whether performance on the AOBFP ISE predicted performance on the AOBFP CE, and thereby successfully equipped residents to safely enter medical practice. Methods: In 2020, data from 1,893 PGY-1 through PGY-3 residents (2016-2018), whose ISE scores could be matched with scores on the AOBFP initial board CE, were analyzed for this study. Results: Correlations among ISE administrations across 3 years of postgraduate medical education were in the mid-to-high .6 range; the ISE scores correlated with CE scores in the mid .4 to high .5 range. Less reliable measures of positive predictive value were 0.99, and sensitivity was 0.91. Conclusions: Results suggest that ISE administrations during residency training are effective in developing remediation strategies for subsequent successful CE performance. The inclusion of osteopathic principles in the AOBFP CE necessitates inclusion of osteopathic content in resident training exams like ISE.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::24dca6c1ef5f143bd227cb5dba3eb1ab
https://doi.org/10.22454/fammed.2022.156954 -
2
المصدر: Journal of the American College of Radiology. 19:997-1005
مصطلحات موضوعية: Data Analysis, Osteopathic Physicians, Radiologists, Workforce, Humans, Radiology, Nuclear Medicine and imaging, Medicare, Osteopathic Medicine, United States, Aged
الوصف: Radiologist medical school pathways have received little attention in recent workforce investigations. With osteopathic enrollment increasing, we assessed the osteopathic versus allopathic composition of the radiologist workforce.Linking separate Medicare Doctors and Clinicians Initiative databases and Physician and Other Supplier Files from 2014 through 2019, we assessed (descriptively and using multivariate panel logistic regression modeling) individual and practice characteristics of radiologists who self-reported medical degrees.Between 2014 and 2019, as the number of osteopathic radiologists increased 46.0% (4.7% to 6.0% of total radiologist workforce), the number of allopathic radiologists increased 12.1% (representing a relative workforce decrease from 95.3% to 94.0%). For each year since completing training, practicing radiologists were 3.7% less likely to have osteopathic (versus allopathic) degrees (odds ratio [OR] = 0.96 per year, P.01). Osteopathic radiologists were less likely to work in urban (versus rural) areas (OR = 0.95), and compared with the Midwest, less likely to work in the Northeast (OR = 0.96), South (OR = 0.95), and West (OR = 0.94) (all P .01). Except for cardiothoracic imaging (OR = 0.78, P = .24), osteopathic radiologists were more likely than allopathic radiologists to practice as general (rather than subspecialty) radiologists (range OR = 0.37 for nuclear medicine to OR = 0.65 for neuroradiology, all P.01).Osteopathic physicians represent a fast-growing earlier-career component of the radiologist workforce. Compared with allopathic radiologists, they more frequently practice as generalist radiologists, in rural areas, and in the Midwest. Given recent calls for greater general and rural radiology coverage, increasing osteopathic representation in the national radiologist workforce could improve patient access.
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المؤلفون: Kaori Morimoto, Alisha Harrington, Claudia Nelson, Brian Loveless
المصدر: Journal of Osteopathic Medicine. 122:235-242
مصطلحات موضوعية: musculoskeletal diseases, Complementary and Manual Therapy, Complementary and alternative medicine, Pregnancy, Osteopathic Physicians, Humans, Female, Sacroiliac Joint, Manipulation, Osteopathic, Arthralgia, Osteopathic Medicine
الوصف: This paper aims to provide a comprehensive review of the management of sacroiliac (SI) joint pain in pregnant patients. Although SI joint pain is highly prevalent among pregnant patients, the unique anatomy of the joint is rarely discussed in a clinical setting. This paper provides comprehensive review of the epidemiology, anatomy, alarm findings, standard treatment, osteopathic assessment, and osteopathic manipulative treatment (OMT) of the SI joint, and it provides a general and in-depth understanding of the SI joint pain in pregnant patients and its management.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a9576c37c77524ea79a3de09be7209a0
https://doi.org/10.1515/jom-2021-0231 -
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المؤلفون: Nicholas B. Sajjadi, Ryan Ottwell, Samuel Shepard, Natasha Bray, Robin Dyer, Jennifer Wilson, Matt Vassar, Micah Hartwell
المصدر: Journal of Osteopathic Medicine. 122:219-227
مصطلحات موضوعية: Complementary and Manual Therapy, Complementary and alternative medicine, Physicians, Osteopathic Physicians, Humans, Internship and Residency, Manipulation, Osteopathic, Osteopathic Medicine, United States
الوصف: Context Osteopathic medicine in the United States continues to produce a substantial number of physicians and medical educators. However, recently popularized misconceptions about osteopathic medical practice, education, and manual therapy suggest an unsettling prevalence of inaccurate beliefs held by the public. The public often searches the internet to find out information about osteopathic medicine, but the content of questions and the transparency of the resulting information is unknown. Objectives We sought to explore frequently asked questions (FAQs) generated by Google to assess commonly searched questions about the osteopathic profession and to determine the level of information transparency associated with resulting sources. Methods On June 16, 2021, we searched Google for three terms: “osteopathic medicine,” “doctor of osteopathic medicine,” and “DO,” until a minimum of 100 FAQs and their answer links were extracted from each search. After excluding irrelevant FAQs, we used Rothwell’s Classification of Questions to categorize the FAQs. We then used the Journal of the American Medical Association’s Benchmark Criteria to assess information transparency for each corresponding answer source provided by Google. The answer sources were screened for the inappropriate use of “osteopathy” in place of “osteopathic medicine” and for “osteopath” in place of “DO,” “Doctor of Osteopathic Medicine,” or “Osteopathic Physician.” We performed statistical tests to ascertain the differences in information transparency between osteopathic and nonosteopathic information sources. Results Our Google search revealed 110 unique FAQs about osteopathic medicine. The majority of FAQs were classified as fact-based (82/110; 74.55%), nearly half of which (45.12%) were related to the medical practicing privileges of DOs. The FAQs were most commonly answered by academic institutions (44/110, 40.0%). Nearly half (49.09%) of the linked answer sources were deemed inadequate by JAMA benchmark criteria. Of the 110 linked answer sources, 19 (17.27%) misused either osteopathy, osteopath, or both to describe osteopathic physicians. Only 30 sources were linked to US-based osteopathic organizations. Osteopathic organizations were statistically less likely to meet high-transparency criteria than nonosteopathic organizations (p=0.002). Conclusions Our study shows that the US public may be unsure about the physician status of DOs, which may prevent securing the professional identity of osteopathic physicians in the eyes of the public. Osteopathic organizations should tailor awareness campaigns toward addressing the common misconceptions revealed by our study. Osteopathic organizations should use transparency criteria as a rubric when publishing information to enhance transparency.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e34369585af0c575aee8e98749e287af
https://doi.org/10.1515/jom-2021-0281 -
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المؤلفون: Lorraine, Fugazzi, Mark, Cummings
المصدر: Family Medicine. 54:91-96
مصطلحات موضوعية: Education, Medical, Graduate, Osteopathic Physicians, Humans, Internship and Residency, Family Practice, Osteopathic Medicine, United States, Accreditation
الوصف: Background and Objectives: The American Osteopathic Association (AOA) agreed to combine its graduate medical education programs with the Accreditation Council for Graduate Medical Education (ACGME) between July 1, 2015 and June 30, 2020 in an initiative called the Single Accreditation System (SAS). The objective of our study was to identify the impact the SAS had on the ACGME, family medicine (FM), and implications for the future of FM. Methods: We collected and compiled data from the AOA, ACGME, and the National Residency Matching Program (NRMP). Analysis reveals the effects that the addition of former 122 AOA-accredited FM residencies had on the ACGME and FM programs. Results: Several osteopathic FM programs encountered challenges meeting ACGME accreditation standards. As of June 1, 2020, 89 of 122 accreditation applications received initial or continuing accreditation; the others had accreditation issues to resolve. The Osteopathic Recognition program emphasizing training in osteopathic principles and practices was a popular option in FM residencies. Fewer DOs serve as program directors in former AOA-accredited FM residencies. Conclusions: The SAS has shifted the balance in the percentages of MDs, DOs, and international medical graduates (IMGs) in FM. Trends in FM show that as more DOs enter the NRMP the percent of MDs and IMGs decreases. In the future, it is projected that DOs will outnumber MDs and IMGs in ACGME FM residencies. The 51 new medical schools started between 2010 and 2020 will generate a test for the integration of their graduates into GME. Increased competition for FM residencies is expected.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a006694069474490bcb3fe0aa4b9dbb2
https://doi.org/10.22454/fammed.2022.266260 -
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المصدر: Journal of Osteopathic Medicine. 122:187-194
مصطلحات موضوعية: Adult, Male, Complementary and Manual Therapy, Young Adult, Students, Medical, Complementary and alternative medicine, Osteopathic Physicians, Humans, Female, Educational Measurement, Osteopathic Medicine, Retrospective Studies
الوصف: Context National licensing exams (NLEs) including the Comprehensive Osteopathic Medical Licensing Examination (COMLEX) Level 1 evaluate student achievement. Scores have historically been utilized to stratify medical student applicants for residency. Grade point average (GPA), number of practice questions completed, and performance on practice exams have been shown to be predictive of NLE performance. Test anxiety and acute stress have been shown to negatively impact NLE performance. The role of study behaviors and other nonacademic factors in COMLEX Level 1 performance is unknown. Objectives This study aims to evaluate academic and nonacademic factors and to correlate them with COMLEX Level 1 performance. Additional analysis is conducted to associate COMLEX Level 1 performance with academic and nonacademic factors when controlling for GPA. Methods An anonymous online survey was administered to third- (OMS III) and fourth-year (OMS IV) osteopathic medical students at Kansas City University that had completed the COMLEX Level 1 examination. In total, 72 students responded to the survey. Survey results were linked to student records of GPA and COMLEX Level 1 scores, resulting in 59 complete responses for analysis. Independent-sample t-tests and linear ordinary least squares regression were utilized to analyze the results. Results The majority of participants are male (62.7%) and OMS III (98.3%) with an average age of 27.14 ± 2.58 (mean ± standard deviation). Further demographic data reveal hours per week spent for personal time during dedicated study (n=46, 19.7 ± 18.53), hours of sleep per night during dedicated study (7.34 ± 0.92), and money spent on board preparation ($1,319.12 ± $689.17). High ($1,600–$3,000), average ($1,000–$1,500), and low ($100–$900) spenders do not statistically differ and COMLEX Level 1 performance is not related to the number of resources utilized (F statistics 0.05). Pearson correlations reveal a statistically significant relationship between COMLEX Level 1 scores with GPA (0.73, p Conclusions The data show the association of money spent on board preparation, numbers of questions competed, and time spent studying with a student’s COMLEX Level 1 score. Additionally, these results highlight the amount of money students spend on extracurricular materials to prepare for COMLEX Level 1, yet the data show that the number of resources that students utilized is not related to a student’s COMLEX Level 1 performance.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4207f0f2cdf060ee24da241ae2c1e3b6
https://doi.org/10.1515/jom-2021-0175 -
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المؤلفون: Carl Hoegerl
المصدر: Journal of Osteopathic Medicine. 121:483-487
مصطلحات موضوعية: Complementary and Manual Therapy, Medical education, Faculty, Medical, 020205 medical informatics, Medical school, 02 engineering and technology, Burnout, Market fragmentation, 03 medical and health sciences, 0302 clinical medicine, Professionalism, Complementary and alternative medicine, Organizational behavior, Osteopathic Physicians, Osteopathic physicians, 0202 electrical engineering, electronic engineering, information engineering, Humans, 030212 general & internal medicine, Psychology, Burnout, Professional, Schools, Medical
الوصف: The study of organizational behavior in an academic medical school setting has many variables for consideration, including fragmentation, responsibilities, professionalism, burnout, and gender. In this Commentary, the author highlights some major factors affecting osteopathic physicians who practice in an academic setting, to bring to the attention of the medical community some of the inherent problems with modern academic medical education structure.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::508021475d32dfd5d1904ee9e998ca19
https://doi.org/10.1515/jom-2020-0065 -
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المؤلفون: Benjamin Farthing, Rachel L. Giesey, Jenifer Lloyd, Elise Craig, Erica Brotzman
المصدر: Journal of Osteopathic Medicine. 121:281-286
مصطلحات موضوعية: Complementary and Manual Therapy, medicine.medical_specialty, American Osteopathic Association, Specialty, Graduate medical education, MEDLINE, Context (language use), Dermatology, United States, Accreditation, Complementary and alternative medicine, Education, Medical, Graduate, Osteopathic Physicians, Osteopathic physicians, Orthopedic surgery, medicine, Humans, Psychology, Osteopathic Medicine
الوصف: Context There has been a steady increase in the number of osteopathic (DO) medical students in the United States without a corresponding increase in DO representation in competitive specialties. Objectives To investigate the trends and impact of the Accreditation Council for Graduate Medical Education (ACGME) single accreditation system on DO match rates into dermatology and other competitive specialty programs. Methods Information was collected through public databases (Electronic Residency Application Service [ERAS]; National Resident Matching Program [NRMP]; Association of American Medical Colleges [AAMC]; National Match Service, Inc. [NMS]; and the ACGME) to evaluate the match statistics of competitive specialties, including dermatology, otolaryngology, orthopedic surgery, neurosurgery, and plastic surgery. Residency program and medical school websites and residency communications were used to confirm whether the match placements were to programs that had traditionally been ACGME-accredited or former American Osteopathic Association (AOA) programs. Results From 2012 to 2016 (pre-unification), osteopathic graduates comprised only 0.5% of the matches the specific specialties studied here and only 0.9% of ACGME dermatology positions. Post-unification (2017–2019), DOs comprised 2.0% of the matches into these specialties and 4.4% of the total ACGME dermatology positions. This apparent increase is misleading, as it is solely due to the transition of formerly AOA programs to ACGME status. The true post-unification DO match rate to traditionally ACGME programs is actually 0.6% for all competitive specialties and 0.4% for dermatology. Post-unification, 27.6% of formerly AOA positions in these competitive specialties were filled by allopathic (MD) applicants. Conclusions DO match rates into dermatology and other competitive specialties were poor prior to GME unification and continue to remain low. This situation, when coupled with the closing of many AOA programs and MDs matching into former AOA positions, threatens the future of osteopathic physicians in competitive specialties. Osteopathic recognition is one way to potentially help preserve osteopathic representation and philosophy in the single accreditation system era. Programs should not be hesitant to consider osteopathic applicants for competitive specialties.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::05fda7df02e1d073dc3f146c8c5764f0
https://doi.org/10.1515/jom-2020-0202 -
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المؤلفون: Jeffrey S. Berns, Bernard G. Jaar, Furman S McDonald, Rebecca S. Lipner, Bradley G. Brossman, Weifeng Weng
المصدر: J Am Soc Nephrol
مصطلحات موضوعية: Adult, Male, Nephrology, medicine.medical_specialty, Certification, Demographics, IMG, Sex Factors, Primary outcome, Percentile rank, Up Front Matters, Internal medicine, Internal Medicine, Humans, Medicine, Fellowships and Scholarships, Foreign Medical Graduates, business.industry, Age Factors, Female sex, Pass rate, General Medicine, computer.file_format, Exam score, United States, Education, Medical, Graduate, Osteopathic Physicians, Female, Educational Measurement, business, computer
الوصف: Background The pass rate on the American Board of Internal Medicine (ABIM) nephrology certifying exam has declined and is among the lowest of all internal medicine (IM) subspecialties. In recent years, there have also been fewer applicants for the nephrology fellowship match. Methods This retrospective observational study assessed how changes between 2010 and 2019 in characteristics of 4094 graduates of US ACGME-accredited nephrology fellowship programs taking the ABIM nephrology certifying exam for the first time, and how characteristics of their fellowship programs were associated with exam performance. The primary outcome measure was performance on the nephrology certifying exam. Fellowship program pass rates over the decade were also studied. Results Lower IM certifying exam score, older age, female sex, international medical graduate (IMG) status, and having trained at a smaller nephrology fellowship program were associated with poorer nephrology certifying exam performance. The mean IM certifying exam percentile score among those who subsequently took the nephrology certifying exam decreased from 56.7 (SD, 27.9) to 46.1 (SD, 28.7) from 2010 to 2019. When examining individuals with comparable IM certifying exam performance, IMGs performed less well than United States medical graduates (USMGs) on the nephrology certifying exam. In 2019, only 57% of nephrology fellowship programs had aggregate 3-year certifying exam pass rates ≥80% among their graduates. Conclusions Changes in IM certifying exam performance, certain trainee demographics, and poorer performance among those from smaller fellowship programs explain much of the decline in nephrology certifying exam performance. IM certifying exam performance was the dominant determinant.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::16169cce56660c93e498772f0cb3bdb0
https://doi.org/10.1681/asn.2021020160 -
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المؤلفون: Simon Pinsky, David Sarkany, Mark Raden, Jerel Chacko, Priscilla J. Slanetz, Nassier Harfouch, Joel Grunhut, Alexander L. Hsu
المصدر: Current Problems in Diagnostic Radiology. 50:820-824
مصطلحات موضوعية: medicine.medical_specialty, business.industry, media_common.quotation_subject, MEDLINE, Graduate medical education, Internship and Residency, United States, Education, Medical, Graduate, Surveys and Questionnaires, Family medicine, Perception, Osteopathic Physicians, medicine, Humans, Radiology, Nuclear Medicine and imaging, business, Osteopathic Medicine, Career development, media_common
الوصف: To highlight perspectives about differing medical degrees and graduate medical education amongst current allopathic (MD) and osteopathic (DO) radiology residents.Two hundred sixty-eight radiology residents were interviewed using an approved Association of Program Coordinators in Radiology (APCR) survey designed to evaluate perceptions of allopathic and osteopathic radiology residents regarding type of medical degree and their career development. The surveys were kept anonymous with no identifiable information. Residents in their first through fourth years of training replied with an approximate equal distribution amongst the different years.Based on the 268 respondents, DOs' more so than MDs', reported that their degree type altered their medical careers (P0.0001) and that they were advised to not pursue a radiology residency based on degree type (P0.0001). In addition, a large majority of both DOs' and MDs' felt that residency selection is favored towards the allopathic degree (P= 0.0451).This survey-based study does reveal perceived differences in the residency recruitment process based on degree type. Future discussions to bridge this perceived gap will be important, especially in light of the recent ACGME merger between the 2 educational pathways.
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