Originally posted by muonwhiz:
To Blue philosopher-- why would a merger with allopathy in whatever form it might take, be a defeat for osteopathy? It isn't a contest. Can osteopathy now define a unique identity (other than historical heritage)?
Hey! you mispelled....err correctly spelled my name. Blasphemy! How dare you!
Ok, I'll let it go.
Actually, I will agree that there isn't any contest between the two professions, exactly. However, there is an abstract struggle to maintain a seperate but equal identity among the osteopathic profession. This movement began for defensive purposes; now it continues for internal, political, and marketing reasons. Not to mention that it is somewhat of a holdover from our past. These concepts deal with a wide range of problems. Such as a buffer for the inferiority label that scare some potential osteopaths away. Plus, it gives several DO's an easy way to attract patients ( particularly those with interests in alternative medicine.) Etc. However, if the osteopathic world were to "merge" with the allopathic world. This struggle would effectively be over.
Wait! You say that a "merger" would solve all the issues at hand and then more. Not really. Once again, the osteopathic schools could call themselves whatever they wanted. They would still be the same thing they are now. The community based hospitals would still be there. They still would teach the majority of the physicians that choose to use osteopathic manipulation in their practice. They still would be mostly private schools with higher tuition and a focus on producing disproportionatly more primary care physicians ( except not given any more prestige, and with less to truly differentiate them.) The students would still be able to take the USMLE, only it would be a requirement now. And on and on .... Oh! And the AOA; it would just cease to exist.
You asked could osteopathy establish a unique identity. Actually, it can. Let me use the birth of Arizona College of Osteopathic Medicine as an example. If I remember correctly the state legislature was in favor of the initiation of the school for a variety of reasons. One was because the Pheonix ( I know the school isn't based there.) area had more then sufficient resources to support it. Another, the state was experiencing a shortage of primary care physicians and the other medical school in the state couldn't repair this situation on its on, which was way they favored the idea of an osteopathic school being founded, when the idea was presented to them. ( Note: I explained why the state of Arizona and the AOA didn't turn down the proposal for AZCOM's inception, not why it was conceived. Other proposals during that time were dismissed, in fact. If I'm incorrect on my "history", then I trust that I will be corrected. )
All of the above may seem like a simple issue, yet it does signify one important justification for osteopathy to keep it's
identity. Another reason would be the positive affects of OMM treatment amongst several chronically ill patient and potential manipulative research which could benefit mankind as a whole.
I just have a hard time seeing a large number of students taking an optional 2 to 3 year class, unless there was some one marketing it to them. Whereas, DO schools have the fact that they are DO schools. Most that enter come expecting to learn manipulative medicine whether they plan on using it or not. There's always a couple of converts,anyway. As for manipulative research, if PT's, orthopedics, or physiatrists don't decide to widen their scope of practice greatly, I don't see any of the positive, yet still smaller than desirable, strides being made continue with anything resembling their present level.
Osteopathic medicine may not be as differentiated from allopathic medicine as many would desire. However, it does represent some things in proportional numbers greater than allopathy's whole. This is a good thing.
And as for as allopathy is concerned, let me ask a question. What is it? Well if I'm correct it signifies a group of physicians who believe that the only treatment possible are large doses of chemicals and drugs. Noone uses this idea now. Basically, there is no such thing. To quote prolixless, " What exactly would osteopathic medicine be merging into?" Nothing at all. It would just rollover and die.
There is an article in the New England Journal of Medicine which can be found at:
http://www.nejm.org/content/1999/0341/0019/1465.asp which states this whole issue well. During my interviews at osteopathic medical schools, I asked the panel members (consisting of professors, physicians and students) to explain the present difference in philosophy between allopathy and osteopathy. Not one of them could do it. I would like to know exactly what it is, if it presently exists. If osteopathy can no longer claim a sound basis for differentiation from allopathy, then what is the ratioanle for continuance as a separate entity?
I read that article, before. I think the guy was just giving his opinion at the end. Notice how his question of " why should osteopathy remain seperate" had little to do with the information presented. He has the right to ask that, but he didn't say anything supportive or unsupportive of his question. Nonetheless, he proved osteopathic physicians practiced reccomended medical protocols and didn't dwelve in voodoo "withdoctory", at least for the most part.
Hopefully this will not get me accused of being tautomeric as it has in other forums![/QB]