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Approaching the barrier: Improved pediatric resident knowledge and confidence in osteopathic manipulative medicine after a resident-led educational intervention

Journal: The AAO Journal Date: 2023/06, 33(2):Pages: 16. doi: Subito , type of study: cross sectional study

Full text    (https://meridian.allenpress.com/aaoj/article/33/2/10/493538/LBORC-NUFA-Poster-Abstracts-2023-Residents)

Keywords:

cross sectional study [597]
medical students [402]
OMT [2951]
osteopathic manipulative treatment [2973]
pediatrics [375]
residency [206]

Abstract:

Background: Osteopathic manipulative medicine (OMM) is a safe, effective, low-cost intervention focused on optimizing bodily function through applied anatomy. Only two ACGME accredited pediatric residencies have osteopathic recognition, leaving most pediatric residents without residency-level osteopathic education. Literature suggests exposure to osteopathic training during residency increases resident utilization of OMM in patient care. Offering osteopathic education at more sites will bridge this educational gap and likely increase patient access to OMM. Objective: This study aimed to assess pediatric residents’ knowledge of one osteopathic technique, confidence in performing OMM, and likelihood to perform OMM in patient care after an educational session about OMM. Methods: Two DO residents at the University of Wisconsin pediatric residency designed and taught a required half-day educational session to MD and DO residents about OMM, including basic principles and hands-on application of four techniques (soft tissue, counterstrain, muscle energy, and visceral). Participating residents were sent pre- and post-session, anonymous, voluntary surveys to determine the intervention’s impact. Analysis was performed using unpaired t-tests. Results: Data from eighteen pre-session (29% DOs, 55% response rate) and fifteen post-session (27% DOs, 45% response rate) surveys revealed a statistically significant increase in residents’ knowledge about (p=0.029) and confidence in performing (p=0.029) OMM following the educational session. There was a non-significant trend toward increased likelihood to personally perform OMM in patient care. Conclusion: A single, required, half-day, resident-led educational session about OMM effectively increased pediatric resident knowledge about and confidence in performing OMM techniques. Similar sessions can equip pediatric residents with the ability to effectively incorporate OMM into patient care. Further research should assess the optimal frequency of such activities and explore their effects on long-term knowledge and utilization of OMM.


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