Osteopathic medicine and primary care [Archive] - Student Doctor Network Forums

bth7

02-13-2008, 06:15 PM

drusso

02-14-2008, 07:38 PM

Hi all,

I am researching into the relationship (past, present and future) of osteopathic medicine and primary care medicine.

I working with the following articles:

Cummings M, Dobbs KJ (2005). "The irony of osteopathic medicine and primary care (http://meta.wkhealth.com/pt/pt-core/template-journal/lwwgateway/media/landingpage.htm?issn=1040-2446&volume=80&issue=7&spage=702)". Acad Med 80 (7): 702–5. PMID 15980090 (http://www.ncbi.nlm.nih.gov/pubmed/15980090).
Ruddy G, Phillips RL, Klein LS, McCann JL, Dodoo MS, Green LA, et al. (2005). "Osteopathic physicians and the family medicine workforce (http://www.graham-center.org/onepager34.xml)". Am Fam Physician 72 (4): 583. PMID 16127950 (http://lib.bioinfo.pl/pmid:16127950).
Peters AS, Clark-Chiarelli N, Block SD (1999). "Comparison of osteopathic and allopathic medical Schools' support for primary care (http://www.blackwell-synergy.com/doi/pdf/10.1046/j.1525-1497.1999.03179.x)". J Gen Intern Med 14 (12): 730–9. PMID 10632817 (http://www.ncbi.nlm.nih.gov/sites/entrez?db=pubmed&uid=10632817&cmd=showdetailview&indexed=google).
Miller T, Hooker RS, Mains DA (2006). "Characteristics of osteopathic physicians choosing to practice rural primary care (http://www.jaoa.org/cgi/content/full/106/5/274)". J Am Osteopath Assoc 106 (5): 274–9. PMID 16717369 (http://lib.bioinfo.pl/pmid:16717369).
Terry RR (2003). "Dually accredited family practice residencies: wave of the future (http://www.jaoa.org/cgi/pmidlookup?view=long&pmid=12956249)". J Am Osteopath Assoc 103 (8): 367–70. PMID 12956249 (http://www.ncbi.nlm.nih.gov/pubmed/12956249).

If you have any others sources, suggestions or thoughts on this topic, I'm all ears!

bth

I think it was primarily a serrendipitous relationship. Most DO's gravitated toward primary care because 1) DO's were in rural areas and that was the need at the time; 2) Specialty training was limited; 3) Holistic attitude and orientation of traditional osteopathy supported the interest.

A very interesting historical period to research would be post-world war II and pre-Hill-Burton Hospital Act.

http://en.wikipedia.org/wiki/Hill-Burton_Act

It was this peroid of time when DO's really "stepped up" out of the background into the lime light. Since they did not go oversees to fight the war, they ended up expanding their practices while their MD colleagues were away.

When the war was over, DO's were very successful in lobbying and getting Hill-Burton $$ for osteopathic hospital construction. What followed was an expansion in internship/residency training for DO's (and specialization).