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Clinically Based OMM Competency Standards for Physicians in Residencies Designated With Osteopathic Recognition in the Single Accreditation System for GME

Journal: Journal of Osteopathic Medicine Date: 2018/11, 118(11):Pages: e151-e152. doi: Subito , type of study: cross sectional study

Full text    (https://www.degruyter.com/document/doi/10.7556/jaoa.2018.163/html)

Keywords:

clinical competence [189]
cross sectional study [597]
curriculum [229]
OMT [2951]
osteopathic manipulative treatment [2973]
osteopathic medicine [1540]
residency [206]
USA [1086]

Abstract:

Research Question: How do we create a set of clinically based OMM competency standards to train physicians in residencies designated with osteopathic recognition (OR) in the single accreditation system for graduate medical education (GME)? Statement of Significance: By 2021, the much anticipated single GME accreditation system will be complete. To date, there are few details about how many programs will be applying to carry on the osteopathic philosophy and practice, or how this teaching will take place. With the granting of OR for either historically DO or MD programs, a set of clinically relevant competency standards for osteopathic manipulative medicine (OMM) will be required. Accreditation Council for Graduate Medical Education (ACGME) and American Osteopathic Association (AOA) program directors were surveyed to gather information to support the construction of said competencies. This research will present a set of proposed, clinically relevant, OMM competencies for physicians in ACGME residency programs acquiring OR. Methods: After permission was obtained from the institutional review board, ACGME and AOA program directors were sent a survey link via email. The survey was created by the researcher and was reviewed by faculty peers for face validity. The primary investigator then created a set of OMM competency standards based on clinical utility as derived from survey data pertaining to common diagnoses and frequently used OMM techniques as cited by participants. Data Analysis: Data were collected and analyzed using descriptive statistics from the surveys completed by participants. Results: Data were collected from program directors in the general practice fields of family medicine, internal medicine, obstetrics/gynecology, pediatrics, and general surgery. Data were analyzed using descriptive statistics from the surveys completed by participants. There was an overall response rate of 11% (n=236) from all participants. The first question of the survey was a routing question indicating interest in OR, and 52.7% (n=126) of aforementioned participants completed the entire survey. Participants were asked to report the specialty rotations where OMM was most often used in their program. The top 3 responses were family medicine (31%), sports medicine (18%), and internal medicine (13%). In addition, participants were asked to report the most common diagnoses where OMM was used in their program. Low back pain (95.96%), neck pain (86.87%), headache (82.83%), and shoulder pain (76.77%) were cited most often. Lastly, soft tissue/myofascial release (72.9%), muscle energy (71.02%), and counterstrain (60.38%) were the most frequently used OMM techniques reported from participants. Conclusion: With data gathered from current program directors and with focus on performance of specific osteopathic techniques and common clinical diagnoses, a set of proposed clinically-based competencies could be used for structuring an osteopathic curriculum within an ACGME combined residency program with OR. This poster provides a set of sample competency standards based on clinical diagnosis.


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