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The Osteopathic Crisis: A Call for the Reform of M.D.-D.O. Relations
Meyer, C. T. [9]

Journal: Unpublished MSc thesis University of Michigan, Date: 1992/03, , type of study:

Full text    (https://deepblue.lib.umich.edu/handle/2027.42/143376)

Keywords:

interdisciplinarity [14]
primary care [40]
USA [1107]

Abstract:

In 1992, the osteopathic profession will celebrate its centennial anniversary. During the last 100 years relations between D.O.'s and M.D.'s have generally been negative. In the last 20 years, however, the profession has been transformed from “osteopathy“ characterized by manipulative therapy to “osteopathic medicine“ characterized by full-service health care. In its development the osteopathic profession passed through four stages that inevitably led to a current crisis that threatens the continued existence of the profession. The essence of the crisis is that most osteopathic graduates are abandoning the profession to serve residency programs in M.D. university programs. The impact of this crisis raises a number of disturbing questions the chief of which concerns the continued existence or need for osteopathy in our society. Why should the nation continue to support parallel medical systems on the assumption that osteopathic medicine is different, when after graduation most D.O.'s choose to train in the allopathic profession, thereby obscuring whatever difference exists. The outcome of this crisis concerns not only D.O.'s, but also M.D.'s who increasingly accept the responsibility of training D.O.'s, the public because 28 percent of Medicaid patients receive their care from D.O.’s, and public policy makers because the outcome will effect societal resource allocation and physician specialty maldistribution which has resulted in a lack of primary care physicians. M.D.-D.O. relations must be reformed to reflect events occurring at local levels, to create appropriate lines of communication, and to facilitate the development of a rational national policy for primary health care that incorporates the potential of osteopathic medicine. This thesis outlines a proposal for the reform of M.D.-D.O. relations that includes official AMA recognition of osteopathic medicine, establishment of lines of communication, joint dialogue on primary care, reforms in osteopathic graduate medical education resulting in the elimination of non-primary care residencies, and joint accreditation for osteopathic medical schools.

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