My 2c:
They should incorporate OMM as an optional feature in a reality with a combined medical licensure exam. For example, a board certification in neuromuscular medicine (NMM). It’s a new sub speciality that is a more or less purely OMM consult service. I have heard good things about it.
That way if you don’t want to practice OMM as a career you could “fail” the distinctive OMM portion but pass everything else.
And for the people that use it, they’ll have a way of showing the public their distinctive advantage, just like how board certification is supposed to work.
In reality, this would mean the elimination of the DO degree title. Therefore unlikely unless the AOA somehow gets some benefit.
An alternative approach would be awarding the title MD, DO upon passing a combined medical licensure exam and the OMM distinctive portion of the exam, and award only the MD title for those that choose to “fail” the distinctive portion.
I would venture a hypothesis that is much more amenable to the AOA. It really maximizes the distinctiveness by making it an additional step beyond MD degree.
But requires the LCME and the COCA to work together, which is just as unlikely. Preclinicals aren’t even the most challenging portion of allowing DO schools to award MD degrees, it’s the disjunction between medical schools and teaching hospitals that Dr Bryan Carmody brought up in his podcast about the vulnerabilities of DO schools. The unfortunate thing is that is boils down to money and not teaching ability or academic rigor. Hospitals have become obsessed with profit and efficiency, which does have some merits but it also makes healthcare training wildly expensive not only for patients but for medical students, which disproportionately impacts DO schools.