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Osteopathic MedicineOsteopathic Medicine
Tom Grawey OMS-IIITom Grawey OMS-III
National Pre-SOMA DirectorNational Pre-SOMA Director
Student Osteopathic Medical Student Osteopathic Medical AssociationAssociation
D.O. and Osteopathic D.O. and Osteopathic MedicineMedicine
Doctor of Medicine (MD)Doctor of Medicine (MD) Typically referred to as “Allopathic Medicine”Typically referred to as “Allopathic Medicine”
Doctor of Osteopathic Medicine (DO)Doctor of Osteopathic Medicine (DO) Typically referred to as “Osteopathic Medicine”Typically referred to as “Osteopathic Medicine”
DOs have the same practice rights as MDsDOs have the same practice rights as MDs DOs practice in any and all specialties of DOs practice in any and all specialties of
medicinemedicine
Professional Professional OpportunitiesOpportunities
DOs can complete MD DOs can complete MD residenciesresidencies
DOs/MDs participate in same DOs/MDs participate in same professional organizationsprofessional organizations
DOs/MDs both treat Olympic DOs/MDs both treat Olympic athletesathletes
DOs/MDs both work overseas DOs/MDs both work overseas DOs/MDs both work at DO/MD DOs/MDs both work at DO/MD
medical schoolsmedical schools
So What?So What?
Osteopathic Manipulative Osteopathic Manipulative MedicineMedicine
Osteopathic PhilosophyOsteopathic Philosophy
Some Basic MathSome Basic Math
What people think:What people think:
MD + OMM = DOMD + OMM = DO
In reality:In reality:
MD + OMM + MD + OMM + Osteopathic Philosophy Osteopathic Philosophy = = DODO
MD + MD + Osteopathic Philosophy Osteopathic Philosophy = DO= DO
History LessonHistory Lesson
Where did Medicine Come Where did Medicine Come From?From?
History of MedicineHistory of Medicine
1919thth Century Heroic Medicine Century Heroic Medicine Many forms of alternative healthcareMany forms of alternative healthcare
No “Evidence Based Medicine”No “Evidence Based Medicine” Little knowledge of Physiology and AnatomyLittle knowledge of Physiology and Anatomy No LicensureNo Licensure Poor education systemsPoor education systems
One/two year schoolsOne/two year schools ApprenticeshipsApprenticeships
OsteopathyOsteopathy
A. T. Still, MDA. T. Still, MD Lost three kids to Lost three kids to
spinal meningitisspinal meningitis Medicine Is StupidMedicine Is Stupid He began to look at He began to look at
the relationship the relationship between structure between structure and function and function
OsteopathyOsteopathy
Still began to develop techniques based on Still began to develop techniques based on studies of anatomystudies of anatomy
Proposed the ideas of Osteopathy in 1874, two Proposed the ideas of Osteopathy in 1874, two years prior to the development of the Germ years prior to the development of the Germ Theory of Disease by Robert Koch.Theory of Disease by Robert Koch.
Osteopathic medicine is not about finding Osteopathic medicine is not about finding disease, but about disease, but about allowing the body to find allowing the body to find healthhealth
Osteopathic Medicine in the Osteopathic Medicine in the 2020thth century and beyond century and beyond
Osteopathy becomes Osteopathic MedicineOsteopathy becomes Osteopathic Medicine DO’s were granted full practice rights in the DO’s were granted full practice rights in the
U.S.U.S. Now 74,000 DOs practice anywhere in any Now 74,000 DOs practice anywhere in any
specialty.specialty. 60% practice in primary care – related to the 60% practice in primary care – related to the
Osteopathic PhilosophyOsteopathic Philosophy
1 in 5 Medical students is in a DO Program1 in 5 Medical students is in a DO Program MSUCOM is the only school with both DO and MD MSUCOM is the only school with both DO and MD
tracks, where students take most of their classes tracks, where students take most of their classes togethertogether
Osteopathic vs AllopathicOsteopathic vs Allopathic
Application ProcessApplication Process CurriculumCurriculum Board ExamsBoard Exams ResidenciesResidencies Osteopathic Manipulative Osteopathic Manipulative
Medicine/Treatment Medicine/Treatment (OMM or OMT)(OMM or OMT) 400 hours of extra training 400 hours of extra training
DO students receive in DO students receive in hands on musculoskeletal hands on musculoskeletal treatmenttreatment
So What’s the Difference?So What’s the Difference?
Treating Disease vs Treating Treating Disease vs Treating PatientsPatients
Case PresentationCase Presentation
45 year old male presents with 45 year old male presents with sudden onset of “the shakes” sudden onset of “the shakes” last night followed by a fever, last night followed by a fever, cough, trouble breathing and cough, trouble breathing and chest painchest pain
He has a past medical history of He has a past medical history of chronic lung disease from chronic lung disease from smoking since he was 8 years smoking since he was 8 years old. old.
Treating DiseaseTreating Disease
PneumoniaPneumonia
Prescribe Prescribe AntibioticsAntibiotics
Treating the personTreating the person
Work?Work? Pt works as UPS Pt works as UPS
driverdriver Recreation?Recreation?
Pt training for Pt training for marathonmarathon
Responsibility?Responsibility? Pt takes care of Pt takes care of
his 2 year old his 2 year old sonson
Comorbidities?Comorbidities? Pt has chronic Pt has chronic
lung diseaselung disease Comfort?Comfort?
Pt cannot sleep Pt cannot sleep as wellas well
Other Concerns?Other Concerns? Pts grandma died Pts grandma died
of pneumoniaof pneumonia
Treating the personTreating the person
UPS DriverUPS Driver Advise time off Advise time off
from workfrom work Marathon Marathon
TrainingTraining Consider less Consider less
intense work intense work outs, get restouts, get rest
Watching SonWatching Son Can patient get Can patient get
help?help?
Lung DiseaseLung Disease OMM to increase OMM to increase
breathingbreathing DiscomfortDiscomfort
Medication for Medication for painpain
Grandma’s Grandma’s HistoryHistory Reassure patient Reassure patient
he is healthier he is healthier than his than his grandmother grandmother was.was.
Other concernsOther concerns
Patient’s first visit to doctorPatient’s first visit to doctor First time in hospitalFirst time in hospital First surgeryFirst surgery First emergencyFirst emergency Distressed family member of Distressed family member of
patient?patient?
How do I become a DO?How do I become a DO?
Osteopathic Medical SchoolOsteopathic Medical School
Pre-Med YearsPre-Med Years
Get involved!Get involved! Pre-med vs non pre-med clubsPre-med vs non pre-med clubs Volunteer workVolunteer work
Study hardStudy hard Learn material, pass your classesLearn material, pass your classes
Find your passion for medicineFind your passion for medicine Make it unique to youMake it unique to you
Explore optionsExplore options DO? PA? PT? Pharm.D? OT? RN?DO? PA? PT? Pharm.D? OT? RN?
What do I get involved What do I get involved in?in?
Find something you’re Find something you’re passionate aboutpassionate about Sewing club, math team, quidditchSewing club, math team, quidditch
Learn as much as you can about Learn as much as you can about medicinemedicine
Budget time wiselyBudget time wisely Learning how to manage timeLearning how to manage time
Pre-SOMAPre-SOMA
Student Osteopathic Medical Student Osteopathic Medical AssociationAssociation
Pre-SOMAPre-SOMA Joining the osteopathic familyJoining the osteopathic family Pre-SOMA LiaisonsPre-SOMA Liaisons Involved in SOMA conventionsInvolved in SOMA conventions
San Diego!San Diego! Des Moines, Iowa – November 7thDes Moines, Iowa – November 7th DC every springDC every spring Coming to a town near you!Coming to a town near you!
The Osteopathic The Osteopathic ApplicantApplicant
Good GradesGood Grades Well roundedWell rounded What makes you unique?What makes you unique? The “Non-Traditional Student”The “Non-Traditional Student”
CCOM Class of 2015 CCOM Class of 2015 StatsStats
Average GPA : 3.56Average GPA : 3.56 Average MCAT: 28.5Average MCAT: 28.5 Average Age: 24Average Age: 24 Top Home States: Illinois Top Home States: Illinois
(57%), Michigan, Indiana, (57%), Michigan, Indiana, WisconsinWisconsin
Class Size: 203Class Size: 203 46% Female, 54% Male46% Female, 54% Male
Being a DO StudentBeing a DO Student
Osteopathic Manipulative Osteopathic Manipulative MedicineMedicine
A unique tool DOs possess to A unique tool DOs possess to treat patients with their handstreat patients with their hands
Focuses on how the body reacts Focuses on how the body reacts to illness and attempts to correct to illness and attempts to correct thisthis
Chronic Obstructive Chronic Obstructive Pulmonary DiseasePulmonary Disease
Thank you!!Thank you!!
Tom GraweyTom Grawey [email protected]
AACOMASAACOMAS http://aacomas.aacom.org/http://aacomas.aacom.org/
Pre-SOMAPre-SOMA http://studentdo.com/pre-soma www.facebook.com/pre.somawww.facebook.com/pre.soma
AOAAOA http://osteopathic.orghttp://osteopathic.org