Okay, so sorry for the delay, but my $.02 (for whatever it's worth) has been request ...
Your opinion of OMM and its place in modern medical education.
It's no secret that I've waved the DO banner for a long time on this site. I've been interested in OMM since I was a pre-medical student, I went into medical school interested in it, and I'm still interested in it today.
As far as whether or not it has a place in modern medical education - I definitely think that it does ... but please keep reading. Medical education is a funny thing in my very limited opinion. You learn a lot of stuff and even in the early stages of pre-clinical course work, there is stuff that I can tell will be more relevant that others.
Do I think learning how to microscopically identify and name all the layers of the epidermis during a histology image exam has a place in modern medical education? Of course. Do I think it's as relevant as learning about ECGs and MIs in physiology? In a general sense, no ... I do not.
OMM is a subject (and is even further broken down into smaller units and subsets just like any other course), and like any other subject there are pieces of it that are more relevant than others and, to be frank, entire subjects and courses that are likely more relevant in general medical practice. Do I still think it has a place in modern medical education? Yes. Do I think it's technically "as important" as gross anatomy, physiology, biochemistry? In a general sense ... no, I do not.
Having said that, OMM is a solid course and it's principles stretch a lot further than some individuals give it credit for. I can't even count the various number of times it overlapped with anatomy, physiology, etc, (KCOM is big on this integration) and I definitely see it's implications on an education level. Furthermore, I think it's a very good course as far as early "hands on," clinical interactions are concerned as you will be palpating your buddies within the first few weeks and performing code-able medical procedures (in the form of manipulation) very early in your medical career.
However, (and I'll touch on these issues various times) one issue that I think a lot of people have with OMM is that in many cases the above "perspective/importance" outline I harked on above isn't followed or respected. What I mean by that is that I think most DO students see OMM in the following, respectful (in my opinion) light: it's a good complementary treatment that has a place in certain musculoskeletal complaints and can really help certain patients without a lot of time, effort, or money. Unfortunately, my personal opinion is that OMM professors (in certain instances) don't see it this way ...
You can't blame them; every professor thinks their particular course or subject is the most important sect of information you'll cover in medical school. However, OMM professors dedicate their lives to the art and science of Osteopathic manipulation and they are masters. However, because of this, many times a lot of emphasis is placed on the "cure all" aspects of OMM and I think when not integrating the techniques with sound medical principles or overselling the use of OMM (as all medical procedures are good in some cases and not useful in others) occurs, people get frustrated and this type of teaching/information isn't conducive to modern medical education.
Finally, there are definitely certain aspects of OMM that from a modern education, scientific, logical point of view upset EVERYONE (just about) and I personally believe these parts of the OMM curriculum do not have a place in modern medical education. The most obvious example (and the one that I personally believe needs to be reevaluated) is cranial osteopathy. It's difficult to describe to those who haven't sat through cranial lectures and practiced/studied the cranial techniques, but from a STRICT concrete, scientific point of view: various aspects of cranial OMM are not backed by anatomical science, peer reviewed research, sound physiology principles, or recorded results (the anecdotal, "do it because I've seen it work" stories have no place in science) and it should be greatly modified and removed from the curriculum until the point where it's undeniably proven.
In this sense, this aspect of OMM seems to struggle to find a place in modern medical education, and I think streamlining and reevaluation is necessary. Should this condemn OMM as a whole? No, I do not believe so.
Additionally, as a personal aside, I have no problem learning the historical aspects of cranial OMM, reading about the techniques, the research, and the theories behind it, but learning it in a practical setting just didn't seem useful in my opinion. Additionally, if I were in charge of the future of cranial OMM, I would dedicate all efforts to showing it's basic effectiveness (minus palpating any sort of rhythmic pulse) in alleviating issues by adjusting cranial bones in infants. The most impressive evidence I saw with cranial OMM was all in infant patients.
Whether or not OMM can really make or break someones experience at a DO school.
Like I said before, OMM is a subject, just like anatomy or physiology, that you have to pass to get through medical school. Some people love anatomy and hate biochem. These individual suffer through biochem, pass, and move on, but it doesn't mean that not loving biochemistry makes them a lesser physician, nor does not loving OMM make anyone a worse physician, DO, etc.
As far as "making or breaking" someone's experience, I think it has much more potential to make than break.
I think breaking an experience is a strong word. OMM can greatly annoy people. Like I said before, it's a class and studying and practicing for a class that you personally don't enjoy or find overtly interesting is annoying. However, this doesn't mean that this one course (even if you do it for two years) is going to "break" your medical school experience and leave you on the verge of dropping out. Furthermore, I think you'd be hard pressed to find DO attendings who, when questioned about medical school, immediately rant on how much they disliked OMM.
Having said that, when you have to attend frequent OMM labs, study for practical, quizzes, and tests, it can be a hindrance to those who don't enjoy it. Additionally, I think these students become even more annoyed/disenfranchised when the people teaching he courses are very excited about OMM and possibly oversell some of it's merit (which, don't get me wrong, is still there and still valuable).
Additionally, I don't think there is ANYTHING wrong with students who enter DO school interested in OMM, give it their best shot, and don't enjoy it or see themselves using it. It doesn't make you any less of a DO or physician or whatever, it just means that subject wasn't your cup of tea and you aren't going to utilize it.
Furthermore, I'll be 100% honest with you and state that even as a student who likes OMM (a lot), there were definitely times (like a few others have said) where OMM has "bad timing" and you'll have some sort of practical a day before a big chunk of other tests. This is always tough, and I think even the most Osteopathic medical students curse tenderpoints on these long nights.
As far as "making" your medical education is concerned ...
If you're really into OMM (and I mean really into OMM) it does offer a lot of unique opportunities. For example, you can always pursue a pre-doctoral fellowship in OMM and really work on becoming proficient with the osteopathic manipulation techniques. Additionally, a lot of AOA residencies (like the FP residencies) are good about integrating OMM and now all residency trained DOs have the opportunity to do the "plus one" year, so there are a lot of chances to take OMM to a proficient and professional level if it "made" your medical school experience.
Furthermore, if you're a student like me who really likes it, but maybe doesn't quite see themselves doing a pre-doctoral fellowship or adding a year on to residency, it can really be a "make" point because you have the opportunity to practice it and become "good enough" (KCOM Uray joke if any 2013 or 2014s read this incessant rant) you can use it quite a bit.
Your opinion of the AOA and Dr. Levine's performance at the recent DO lobbying convention in D.C.
I'm not sure what Dr. Levine said or did at the convention in D.C., but a lot of the times speeches or public appearances on this level are more of a public relations or political sentiment and I'm sure he spread the "DO word" and represented our profession in a positive light (though if you have any specific instances you can explain and want comments on ... feel free to elaborate).
My opinion of the AOA ...
I've been accused of being too "pro AOA" on this site before, but I don't think that's the case. Altogether though, I do "like" the AOA (gasp), and I think they do a lot for our profession, especially when you compare it to a group like the AMA.
The AOA has done a good job with the osteopathic profession from a lot of various standpoints - they've greatly increased the number and visibility of DOs; they've kept our foot in the much needed ACGME residency door; they've worked hard to keep achieving pretty impressive things for new DOs (take the VSAS situation for example - could have been a slow nightmare for ACGME residency opportunities, and they stepped up and fixed this); and from a strictly administrative point of view, they are very good at keeping themselves financially stable and increasing membership (though many people could make arguments as to how they get this done).
Furthermore, I've always felt like the AOA has a personal investment in the future of DOs, and even if people disagree with their motives, I think we can all take some comfort in the fact that they will keep themselves chugging along, which means that "we" will stay strong as well.
Having said all that, I do have similar complaints about the AOA that various other individuals share: the school/class size expansion with respect to the number of AOA residencies is just unacceptable. Technically, this has a lot to do with COCA (which works closely with the AOA, but isn't really under their control) and I do respect the fact that people like Dr. Nichols are doing what they can to expand this, but the fact of the matter is that we need to bump this up and expansion should cease until the number are more comparable.
Additionally, I do have issues with certain rates of DO expansion (though, again, this is a double sided coin and it really depends on where you're sitting), I wish certain issues that are expressed by the DO community were reviewed more seriously, etc, etc.
It's not a perfect organization (no big political or lobbying group is by far), but I think it's demonized unfairly from time to time (especially on issues that are out of their hands or controlled by much bigger fish) and it does do a lot of good for the profession in my opinion. HOWEVER, having said that, remember that while I've sat for a year of OMM and feel comfortable commenting on that, I'm, very new to the "DO profession" game and my opinions can change as time goes on. Remember to heed the sage advice of residents and attendings as well (and probably above my own).
And what flavor of Doritos does he prefer.
Cool Ranch ... no doubt.
[YOUTUBE]http://www.youtube.com/watch?v=BvTNyKIGXiI[/YOUTUBE]
Win.
I hope this was helpful/what you were looking for.