Eiko said:
Thank you. That is exactly how I feel.
Yeah, their are down points to the DO process... the fact that most lay people have no idea what a DO is... "Is that a chiropracter?" I have been asked.
Its chiropractOR... and the lay publuc will never fully appreciate the differences between osteopaths, naturopaths, homeopaths, allopaths, and quackopaths. It is up to osteopathic physician/clinicians to maintain exceedingly high practice standards. When a member of the public says, "wow.. I didn't know that guy was a DO.." I consider that a compliment and an educational opportunity. Its difficult to open up those rusty doors of perception.
But I am happy with choosing to apply to only DO schools. Yeah, I would like the "prestige" (notice it's in quotation marks) of attending an allopathic school or writing MD behind my name, but that is about it.
Writing MD after your name gives you prestige? That seems to me an entirely personal issue. Your future patients will not care what those letters are provided that the receive excellent care and get their meds refilled on time.
Everything else about the DO process (heavens, I know nothing about the residency programs, so exclude them out of this comment) is exactly the way I want to learn medicine.
The DO process? The years of training focused on maintaining health? The uniquely osteopathic and holistic approach to wellness? Where do you perform clinical rotations, at an osteopathic teaching hospital?... now that's a rare find indeed....
Its rather ironic to read post after post about identity crisis/regret and then watch the misunderstandings snowball right here on SDN. There are several points in the preceeding posts on which I'd like to comment.
1. OMM as, "witchcraft": It will forever be regulated to the realm of witchcraft until clinical trials bear it out. Like it or not, the western world is obsessed with evidence based medicine and formulates guidelines, as we all know, on available data. While it is true that OMM incorporates much, 'art', it is also undeniable that much of OMM is like a fable.. passed on from generation to generation. The clinic at our school showcases this very fact. Students and faculty can visit the OMM clinic and receive treatments ranging from tried and true counterstrain to laser and prolotherapy. (Did I also mention acupuncture?) I can personally attest to the efficacy of OMM but I am extremely reluctant to utilize it in a clinical setting due to these dubious aspects. I believe that OMM can find its place within the current medical literature but only after the current osteopaths are willing to subject the entire arsenal of techniques to scrutiny. Unfortunately, many manipulative medicine teachers are far more interested in searching for the holy cranial grail than integrating their techniques into the mainstream.
2. DO residencies: This issue has been debated so long that most avid users of SDN can name the top 10 objections to osteopathic graduate medical education. I wholeheartedly disagree with people who suggest that DO students should, "live with" their decisions. There is much incorrect and misleading information out there with respect to DO training and education. First of all, "pre med" advisors at most colleges know nothing specific about DO schools and cannot make knowledgeable recommendations about the osteopathic course of study. Honestly.. when starting your medical education, how many future DO's knew about issues pertinent to the osteopathic match, the internship, the GME funding disparity, and the generalized confusion about manipulative medicine? Students should not be blamed in any way for their objections and challenges to the current osteopathic dogma. Its fortunate that the profession can tolerate such discourse. The real concern is whether or not the profession will move forward and cease the ridiculous debate about "loss of identity."
The fact is- our identity is already, "LOST!" When DO's labored (intensively, as we all know) for equal practice rights, we made a committment to similar preclinical, clinical, and graduate medical education. The practice rights, prescription privileges, and scope of practice between MDs and DOs are indistinguishable. Now that osteopathic physicians have made it into the mainstream, we lament the acceptance! We forged ahead with such speed that we've forgotten to take care of ourselves! It no longer matters that DO's originally focused on generalist and primary care. Now that DOs are appreciably, "equal" to MDs, osteopathic students and the public at large are correct to expect similar education, training, and competence.
As osteopathic medical students, we're almost manic... we go through the extremes of satisfaction, frustration, resentment, and then eventually achieve peace of mind. The issue of osteopathic education is exceedingly comlex (hah!) and goes beyond the scope of this thread. In the spirit of closure, however, here are some final thoughts.
The term "paradox" has been used in the past to describe our profession. I believe that term is timeless. DOs have evolved rapidly and have adopted most of the rules and regs of the allopathic profession. Indeed, 45 states in our beloved union have combined medical licensing boards. As such, it is the responsibility of DO graduates and schools to practice medicine in a respectful, clinically competent, and scientific manner. 2004 is NOT 1894 and we are no longer flinging our banner of osteopathy to the breeze. The public doesn't care to read some shiny pamphlet about the, "DO difference." Most of them, I think, want and subsequently deserve excellent doctors. It is also our responsibility, therefore, to integrate manipulative medicine into sound clinical practice. Just like drugs and surgery, OMT should withstand the rigors of clinical trials. The development of, "evidence based" OMM guidelines might help elevate the osteopathic profession and reclaim some of that elusive prestige. Currently, the practice of OMM is highly politicized and inconsistent. Anyone who thinks otherwise of the wonders of OMM is encouraged to visit the clinic in South Florida for a cranial massage, a laser light show, some acupuncture, and a little prolotherapy.... and who knows? Maybe the next clinical trial will make me eat my words! Finally, this issue of osteopathic vs. allopathic GME has GOT to go away. I agree with previous posters that COMBINED accreditation, COMBINED matching, COMBINED resources, and COMBINED funding will eventually lead to COMBINED credibility. Good luck to all and don't have no regrets!