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The Value of Osteopathy in Anesthesiology: A Survey

Journal: The Journal of the American Osteopathic Association Date: 2008/08, 108(8):Pages: 414. doi: Subito , type of study: cross sectional study

Full text    (https://www.degruyter.com/document/doi/10.7556/jaoa.2008.108.8.413/html)

Keywords:

anesthesiology [1]
cross sectional study [866]
osteopathic physicians [206]
surgical care [63]
USA [1717]

Abstract:

Hypothesis: Osteopathy plays a role in the acceptance into anesthesiology residency programs and practice as an attending. Methods: A cover letter and 19 question survey, was mailed to all of the 558 osteopathic anesthesiologists in the 2007 membership directory of the American Osteopathic College of Anesthesiologists with a complete address. The survey asked about aspects of medical school, internship, residency, fellowship, and practice. Results: There were 174 respondents (31.2%). One hundred forty two of the respondents (82%) completed an Osteopathic Rotating Internship. Fifty four of them (38%) followed their internship with residency at the same hospital. Forty five of 174 of the respondents (26%) did an anesthesia fellowship; of these, 25 (54%) specialized in pain management. Sixty eight of 174 (41%) respondents applied to only one anesthesiology program. One hundred twenty seven of 174 (76%) applied to a maximum of four programs. One hundred fifty of 174 respondents got their first choice of residency and of these 150, 51 went through the match and 99 did not. Ninety six of 174 respondents (56%) feel that they employ basic osteopathic principles into patient care, while 52 of 174 (30%) use osteopathic manipulative medicine (OMM) on their patients. The anesthesiologist surveyed felt that graduating from an osteopathic medical school helped 47 (27%), hindered 27 (16%), or was a neutral 100 (57%) factor in their acceptance into residency. OMM training and osteopathic principles helped 88 (51%), hindered 2 (1%), or was a neutral 84 (48%) factor in their anesthesiology careers. Conclusions: The survey emphasizes that successful students (i.e., those students who were accepted into programs) felt confident in getting their choice of residency. This is illustrated by the large number of students who applied to between one and four residency programs. Osteopathic anesthesiologists who choose a fellowship most often choose pain management, which may be so because of a connection between pain management and osteopathic principles. Osteopathy has traditionally been associated with primary care medicine, but this survey shows that many anesthesiologists feel that OMM and osteopathic principles are helpful in their practice.


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