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Professional Impact of the DMU Predoctoral OMM Fellowship

Journal: The AAO Journal Date: 2022/03, 32(1):Pages: 18-31. doi: Subito , type of study: cross sectional study

Free full text   (https://meridian.allenpress.com/aaoj/article-abstract/32/1/18/478394/Professional-Impact-of-the-DMU-Predoctoral-OMM)

Keywords:

cross-sectional study [67]
fellowships [10]
graduate medical education [136]

Abstract:

Context: Predoctoral Osteopathic Manual Medicine Fellowships (pOMMFs) are an additional year of medical training that frequently involve direct patient care, educating medical students, and research. Research has supported that a pOMMF can increase student satisfaction with, and understanding of, Osteopathic Manual Medicine (OMM) curriculum at their respective medical institution. In the interest of identifying programs that improve OMM utilization in practice and promote osteopathic leaders in medicine, pOMMFs might play a significant role. Overall, there is little known research on pOMMFs. Objective(s): To investigate the impact of the Des Moines University (DMU) pOMMF on the medical and professional careers of its graduates. Methods: A 26-question survey to be completed online was sent to 88 graduates of the DMU pOMMF who represented graduating classes from 1979 to 2020. The survey contained a combination of Likert scale, yes-no, and free text questions. Statistical analysis included descriptive statistics, Chi-square test of goodness-of-fit, and simultaneous 95% confidence intervals. Free text was qualitatively analyzed for recurrent themes. Results: Out of 61 respondents, 90.2% of participants reported that the pOMMF significantly improved their ability to teach medical students and residents, along with 77.1% of participants teaching residents/attendings OMM during residency. Of those eligible, 79.2% of alumni held at least one of the following leadership positions: chief resident, clinical preceptor, department chair, medical director. Most participants (83.6%) report providing OMT to their patients, along with 80.7% of respondents attributing the fellowship to significantly improving their ability to incorporate OMT into their medical practice. Conclusion: The study supports that the DMU pOMMF may create positive downstream effects in the medical careers of its graduates by providing abundant teaching opportunities, encouraging leadership roles, and promoting the utilization of OMT within residency and future practice. Graduates drew from the DMU pOMMF experiences to promote their medical and professional careers. Limitations include potential selection bias and inability to establish causal effect without a control population of non-pOMMF graduates from DMU or other institutions. Further research could corroborate these findings by investigating other pOMMFs and compare responses to non-pOMMF osteopathic medicine graduates.


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