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Evaluation of an Osteopathic Manipulative Medicine Curriculum for Pediatric Residents

Journal: Academic Pediatrics Date: 2025/01, 25(1):Pages: 102768. doi: Subito , type of study: pretest posttest design

Full text    (https://www.academicpedsjnl.net/article/S1876-2859(24)00713-7/abstract)

Keywords:

curriculum [293]
OMT [3779]
osteopathic manipulative treatment [3799]
osteopathic medicine [2055]
pediatrics [547]
pretest posttest design [221]
residency [332]
USA [1707]

Abstract:

Background Pediatric specific osteopathic manipulative medicine (OMM) training is minimal in many osteopathic medical schools, and as a result, there is often less comfort in treating this population with OMM after graduation without additional training. There is currently no nationally established OMM curriculum for pediatric residents and training in OMM in residency varies by institution. Objectives To examine the potential impact of a residency-wide pediatric OMM curriculum on attitudes toward and knowledge of pediatric OMM among pediatric residents from all educational backgrounds. Methods Residents participated in a workshop during academic half day which consisted of a brief didactic session introducing the basic principles of OMM, demonstrations of 7 selected techniques with a specific focus on indications in the pediatric clinical setting, and a hands-on practice session. Pre- and post-surveys were distributed to residents to assess perspectives on the utility of OMM, knowledge of indications, and comfort in performing the selected techniques using a 5-point Likert scale. Results A total of 30 pre- and 32 post-surveys were collected from residents representing all levels of training with a nearly even distribution of residents from osteopathic training backgrounds and non-osteopathic training backgrounds. After the session, there were clear positive changes in attitude towards OMM in both groups. In non-osteopathic trained residents, there was a 35% increase in interest in using OMM on patients. In osteopathic trained residents, there was a 42% increase in likelihood of using OMM on patients. There was also improvement noted in comfort level performing the various techniques for both groups. For the osteopathic trained residents, there was an average increase in comfort of 14.5% across all techniques. For the non-osteopathic trained residents, there was an average increase in comfort of 44.6% across all techniques. Conclusion The curriculum piloted in this project improved confidence and knowledge of the indications for use of osteopathic manipulative treatments for residents from osteopathic and non-osteopathic backgrounds, as well as improved opinions of OMM and its usefulness in the pediatric population.


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