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A Pilot Study to Examine Medical Students’ Perception of their Osteopathic Manipulative Therapy Education
Mazzi, J. [2]
Leavitt, N. [2]
Kisby, G. [5]

Journal: Journal of Osteopathic Medicine Date: 2021/12, 121(12):Pages: A77-A78. doi: Subito , type of study: cross sectional study

Full text    (https://www.degruyter.com/document/doi/10.1515/jom-2021-2000/html)

Keywords:

cross sectional study [826]
medical students [644]
OMT [3746]
osteopathic manipulative treatment [3766]
osteopathic medicine [2016]
perception [131]
pilot study [193]
USA [1630]

Abstract:

Context: Osteopathic manipulative therapy (OMT) is a practical outworking of the osteopathic principles and one of the foundations of an osteopathic physician’s training. However, the utilization of OMT is on the decline. Previous studies have demonstrated a positive correlation between a medical student’s propensity to utilize OMT in their future practice with both their OMT exposure prior medical school and the level of preclinical and clinical training that they received throughout medical school. Objective: The goal of this pilot study was to assess how the OMT training curriculum influenced a medical student’s perception of OMT and their intent to use the treatment modality as a future practicing physician. Methods: A 13-question survey was created utilizing Qualtrics. The survey link was distributed through email by the clinical education department at two osteopathic medical schools to students in all four class years (n=1320). The survey was open for one month. During this month, two additional reminder emails were sent; one at the two-week mark and one on the last day of the survey. Results were collected through Qualtrics and analyzed with R. Results: A response rate of 18.3% was collected for a sample distribution across year of Osteopathic Medical Student (OMS): OMS I (31.7%), OMS II (21.3%), OMS III (24.6%) and OMS IV (22.5%). Nearly half of all students (42.98%) indicated that they were satisfied with their pre-clinical OMT training while 46.28% reported being “somewhat confident” in their ability to treat patients with OMT. The most notable positive influences on their perception of OMT were hands on experiences (41%) and experiences prior to medical school (16.63%). The most notable negative influences on a student’s perception of OMT were clinical lecture hours (31%) and virtual learning experiences (32%). Overall, half of all students (50%) had either a “greatly improved” or an “improved” perception of OMT through the course of their medical education, but the majority of students indicated that they would rarely (21.6%) or never (21.6%) use OMT in their future practice. Conclusion: The most beneficial training modalities that had a positive effect on a student’s perception of OMT were hands-on training and OMT exposure prior to medical school. In contrast, virtual lecture hours and preclinical lecture hours were perceived as negatively influencing a student’s perception of OMT. These findings indicate that hands-on and real-world experiences, rather than passive learning modalities had the greatest impact on their perception of OMT. Despite these positive educational experiences, most students were only “somewhat confident” in their abilities, which is consistent with the majority of students indicating that they do not plan to routinely utilize their post-graduation OMT skills. Additional studies with a larger sample size and response rate will be required to determine the generalizability of our results with the goal of optimizing OMT education among Colleges of Osteopathic Medicine. Such optimization will ensure continued interest in and use of this valuable and underutilized treatment modality for patients.

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