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The effect of longitudinal osteopathic experiences on family medicine resident confidence and utilization of osteopathic manipulative treatment

Journal: The AAO Journal Date: 2022/06, 32(2):Pages: 11-12. doi: Subito , type of study: cross sectional study

Free full text   (https://meridian.allenpress.com/aaoj/article/32/2/8/482676/LBORC-NUFA-Poster-Abstracts-2022-Residents)

Keywords:

cross-sectional study [67]
curriculum [229]
family medicine [25]
internship and residency [150]
OMT [2951]
osteopathic manipulative treatment [2973]

Abstract:

Introduction/Background: Family Medicine (FM) residents receive varying degrees of osteopathic manipulative treatment (OMT) training. Our FM residency program implemented a new Osteopathic Recognition curriculum. Residents self-selected into an OMT tier, which dictated their involvement in OMT curriculum: Foundational (FT, least), Integrated (IT), or Osteopathic (OT, most). Objectives: We sought to measure the impact of the new OR curriculum on resident OMT utilization and resident competency, confidence, and efficiency in OMT treatment. Methods: For IT and OT residents, we tracked the number of OMT visits performed six months pre and post curriculum implementation. Residents were surveyed pre and post, to assess OMT competency, confidence, and efficiency. Two FM faculty members completed similar pre and post surveys of IT and OT residents. Results: The average number of OMT visits per OT resident increased from 8 to 20 visits but decreased for IT residents from 16 to 8 visits. The percent of OT resident visits with OMT increased from 7% to 11% but decreased for IT residents from 7% to 3%. Resident self-assessment surveys showed no significant change in OMT competence or confidence (all p>0.05 from McNemar’s tests), however, faculty noted improvement in resident performance in all surveyed categories. The largest improvements were “Confident patient communication/ education” (Pearson’s Chi-squared p=0.02), “Efficient osteopathic charting and billing” (p=0.03), and “Efficient osteopathic charting and billing” (p=0.05). Discussion/Conclusion: OT residents completed more OMT encounters after curriculum implementation, indicating that commitment to the most rigorous track gave more opportunity to apply OMT skills. Faculty noted resident improvement in several important areas, but residents did not perceive the same improvement. More research is needed to evaluate the impact of OMT curriculum in FM residencies.


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