for those DO's

[ComicBookHero20]

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does anyone know if OMM is used at all in emergency medicine

and if it is, are there any DO residencies for ER that apply OMM?

 

[DrMom]

I occasionally use it with LBP patients, but that's about all.
All DO EM residencies have OMM requirements. At my program we have to go to 4 hrs of OMM lectures/year and we do a 2 week inpatient OMM rotation as interns.

 

[EM2BE]

I occasionally use it with LBP patients, but that's about all.
All DO EM residencies have OMM requirements. At my program we have to go to 4 hrs of OMM lectures/year and we do a 2 week inpatient OMM rotation as interns.

So not used for migraine pains? I thought that would be the most helpful. That and applying OMM to fractures / dislocations.

 

[kungfufishing]

or spend that time writing for compazine and seeing a couple new patients

 

[DrQuinn]

I'm an attending in the ED... and I use OMM occasionally. Mostly on the cute nurses.

No lie.

Q

 

[ERMudPhud]

So not used for migraine pains? I thought that would be the most helpful. That and applying OMM to fractures / dislocations.

I reduce fractures and dislocations a variety of ways but I don't think I'd recognize OMM if it grabbed me and cracked my back😀

 

[DropkickMurphy]

That and applying OMM to fractures / dislocations.

Care to elaborate for the premed who is not familiar with this aspect of OMM?

 

[EM2BE]

Care to elaborate for the premed who is not familiar with this aspect of OMM?

I meant that we were taught how muscles work in OMM. I was saying to apply some of this knowledge to fixing problems. For example, they taught us how to put an anteriorly dislocated shoulder back in with minimal pain to the patient, even if awake through procedure (this was from a dr that worked on sidelines at football games). Just a different way to think than jerking or rotating until it goes back into place.

 

[EM2BE]

or spend that time writing for compazine and seeing a couple new patients

True enough. However if I were the patient and was aware of how much it helps, I would request both. OMM helped my migraines occur less frequently. Almost a prevention for the next one.

 

[DrMom]

True enough. However if I were the patient and was aware of how much it helps, I would request both. OMM helped my migraines occur less frequently. Almost a prevention for the next one.

Okay. I've done inhibitory pressure for a HA once in the ED. I've also worked on someone with rib pain from coughing...once. Depends a lot on the patient, the specific complaint, and how busy we are at that given time (which doesn't give me much leeway).

There honestly aren't many situations in which I'd even consider OMM in the ED. I'm an OMM proponent, but the ED isn't the best place to use it.

 

[DOnut]

I agree with Dr. Mom. A busy ED is not the best place for OMM. If your department is very slow and you happen to have the time, then maybe, but other than that...leave it to the outpatient docs.

I have never found time to use it on patients. I have treated nurses and a PICU attending who specifically asked.

 

[DrMom]

I have treated nurses and a PICU attending who specifically asked.

I *do* get many requests for OMM from the staff.

 

[DropkickMurphy]

I *do* get many requests for OMM from the staff.

I used to begged my DO FP resident (my primary care doc) back home to "fix" my neck and back when I had pulled muscles. He told me I had to keep it quiet because the program didn't want either him or the other DO resident manipulating people.

 

[MavsFan08]

does anyone know if OMM is used at all in emergency medicine

and if it is, are there any DO residencies for ER that apply OMM?

Some residencies require rotations where you do OMM exclusively, whereas others don't do any at all.

It is highly variable, depending on the program.

If you are doing a residency at an osteopathic hospital it is much more likely than if you are doing an osteopathic residency at a mixed hospital.

 

[DrMom]

Some residencies require rotations where you do OMM exclusively, whereas others don't do any at all.

It is highly variable, depending on the program.

If you are doing a residency at an osteopathic hospital it is much more likely than if you are doing an osteopathic residency at a mixed hospital.

I am sure there are variations in how they're met, but if you're training at a DO EM program there are actual OMM requirements (set by the AOA and ACOEP) to be met regardless of the institution where you're training.

 

[ComicBookHero20]

I am sure there are variations in how they're met, but if you're training at a DO EM program there are actual OMM requirements (set by the AOA and ACOEP) to be met regardless of the institution where you're training.

my main concern is that i dont want to lose the basic omm fundamentals that i am taught bc well educated patients will expect me to have some omm knowledge

and im the person that needs constant reinforcement to remember and learn

 

[EM2BE]

my main concern is that i dont want to lose the basic omm fundamentals that i am taught bc well educated patients will expect me to have some omm knowledge

and im the person that needs constant reinforcement to remember and learn

I've been told to just practice (or keep working) on everyone you know around you that will let you. I work on my family over the breaks from class just so that I can keep up with it. It also helps because they don't know what to do, so you have to think of it all on your own. Just my opinion of course.