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[PMID]:29229691
[Au] Autor:Freedman DA; Albert DVF
[Ad] Endereço:From the Department of Pediatrics, Division of Neurology, Nationwide Children's Hospital/Ohio State University, Columbus. daniel.freedman@nationwidechildrens.org.
[Ti] Título:Opinion and Special Articles: Neurology education at US osteopathic medical schools.
[So] Source:Neurology;89(24):e282-e283, 2017 Dec 12.
[Is] ISSN:1526-632X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Osteopathic medical schools have a longstanding tradition of training primary care physicians (PCP). Neurologic symptoms are common in the PCP's office and there is an undersupply of neurologists in the United States. It is therefore crucial for osteopathic medical students to have a strong foundation in clinical neurology. Despite the importance, a mere 6% of osteopathic medical schools have required neurology clerkships. Furthermore, exposure to neurology in medical school through required clerkships has been correlated with matching into neurology residency. As osteopathic medical schools continue to expand, it will become increasingly important to emphasize the American Academy Neurology's published guidelines for a core clerkship curriculum. Practicing neurologists should take an active role in encouraging osteopathic medical schools to adopt these guidelines.
[Mh] Termos MeSH primário: Educação de Graduação em Medicina
Neurologia/educação
Medicina Osteopática/educação
Atenção Primária à Saúde
[Mh] Termos MeSH secundário: Currículo
Seres Humanos
Faculdades de Medicina
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171218
[Lr] Data última revisão:
171218
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.1212/WNL.0000000000004750


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[PMID]:28759090
[Au] Autor:Clearfield M
[Ti] Título:A Path to Osteopathic Distinction: The Touro California GROUPIE Program.
[So] Source:J Am Osteopath Assoc;117(8):488-494, 2017 08 01.
[Is] ISSN:1945-1997
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Medicina Osteopática
Médicos Osteopáticos
[Mh] Termos MeSH secundário: California
Pessoal de Saúde
Seres Humanos
[Pt] Tipo de publicação:EDITORIAL; COMMENT
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170801
[St] Status:MEDLINE
[do] DOI:10.7556/jaoa.2017.098


  3 / 2410 MEDLINE  
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[PMID]:28735822
[Au] Autor:Feehan J; Macfarlane C; Vaughan B
[Ad] Endereço:College of Health & Biomedicine, Victoria University, Melbourne, Australia.
[Ti] Título:Conservative management of a traumatic meniscal injury utilising osteopathy and exercise rehabilitation: A case report.
[So] Source:Complement Ther Med;33:27-31, 2017 Aug.
[Is] ISSN:1873-6963
[Cp] País de publicação:Scotland
[La] Idioma:eng
[Ab] Resumo:Meniscal injury is one of the most common knee soft tissue injuries, commonly affecting young athletes and an older, degenerative population. Treatment largely depends on the type and extent of the injury with arthroscopic repair or meniscectomy being mainstays. Although non-surgical approaches have been described, there is no published literature regarding a combination of indirect osteopathic techniques and rehabilitation in the management of these injuries. The current case report follows a 20-year-old male presenting with a 5-day history of acute knee pain, following trauma during an Australian Rules Football (AFL) match. An 8-week management plan of indirect osteopathic techniques and a tailored rehabilitation program was implemented. The Knee Injury and Osteoarthritis Outcome Score (KOOS) and the Lower Extremity Functional Scale (LEFS) questionnaires were utilised to measure outcomes. After the 8-week treatment and rehabilitation program, the patient had exceeded the minimum detectable change score for all outcome measures. This case report suggests that osteopathic manipulative treatment and rehabilitation may be an alternative, non-surgical approach in the management of post-traumatic meniscal injuries.
[Mh] Termos MeSH primário: Tratamento Conservador
Terapia por Exercício
Traumatismos do Joelho/terapia
Articulação do Joelho
Menisco/lesões
Medicina Osteopática
Lesões do Menisco Tibial/terapia
[Mh] Termos MeSH secundário: Adulto
Traumatismos em Atletas/terapia
Terapia Combinada
Seres Humanos
Masculino
Osteoartrite do Joelho/prevenção & controle
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170725
[St] Status:MEDLINE


  4 / 2410 MEDLINE  
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[PMID]:28657554
[Au] Autor:Cummings M
[Ad] Endereço:M. Cummings is associate dean (emeritus), Michigan State University College of Osteopathic Medicine, East Lansing, Michigan, and consultant, Germane Solutions, Dayton, Ohio.
[Ti] Título:Meeting ACGME Standards Under a Unified Accreditation System: Challenges for Osteopathic Graduate Medical Education Programs.
[So] Source:Acad Med;92(7):936-942, 2017 Jul.
[Is] ISSN:1938-808X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In 2014, the American Osteopathic Association (AOA) and the American Association of Colleges of Osteopathic Medicine signed a memorandum of understanding (MOU) with the Accreditation Council for Graduate Medical Education (ACGME) to create a unified accreditation system for graduate medical education (GME) under the ACGME. The AOA will cease to accredit GME programs on June 30, 2020. By then, AOA-accredited programs need to apply for and achieve ACGME initial accreditation. The terms of the MOU also made it advantageous for some formerly nonteaching hospitals to establish AOA programs, chiefly in primary care, as a step toward future ACGME accreditation.In transitioning AOA programs to the ACGME system, hospitals with osteopathic GME can expect to encounter challenges related to major differences between AOA and ACGME standards. The minimum numbers of residents for ACGME programs in most specialties are greater than those for AOA programs, which will require hospitals that may already be at their federal caps to add additional residency positions. ACGME standards are also more faculty- and staff-intensive and require additional infrastructure, necessitating additional financial investments. In addition, greater curricular specificity in ACGME standards will generate new educational and financial challenges.To address these challenges, hospitals may need to reallocate resources and positions among their current AOA programs, reducing the number of programs (and specialties) they sponsor. It is expected that a number of established and new AOA programs will choose not to pursue ACGME accreditation or will fail to qualify for ACGME initial accreditation.
[Mh] Termos MeSH primário: Acreditação/normas
Educação de Pós-Graduação em Medicina/normas
Medicina Osteopática/educação
[Mh] Termos MeSH secundário: Acreditação/tendências
Educação de Pós-Graduação em Medicina/tendências
Previsões
Hospitais/normas
Seres Humanos
Internato e Residência/métodos
Internato e Residência/normas
Medicina Osteopática/tendências
Sociedades Médicas/organização & administração
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170810
[Lr] Data última revisão:
170810
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170629
[St] Status:MEDLINE
[do] DOI:10.1097/ACM.0000000000001458


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[PMID]:28241197
[Au] Autor:Adashi EY; Krishna GR; Gruppuso PA
[Ad] Endereço:Warren Alpert Medical School, Brown University, Providence, Rhode Island.
[Ti] Título:For-Profit Medical Schools-A Flexnerian Legacy Upended.
[So] Source:JAMA;317(12):1209-1210, 2017 03 28.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Acreditação/normas
Educação de Graduação em Medicina/normas
Setor Privado/normas
Faculdades de Medicina/normas
[Mh] Termos MeSH secundário: Acreditação/economia
Currículo/normas
Educação de Graduação em Medicina/economia
Educação de Graduação em Medicina/legislação & jurisprudência
Seres Humanos
Medicina Osteopática/economia
Medicina Osteopática/educação
Medicina Osteopática/legislação & jurisprudência
Médicos/provisão & distribuição
Setor Privado/economia
Faculdades de Medicina/economia
Faculdades de Medicina/legislação & jurisprudência
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170228
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.0920


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[PMID]:28104901
[Au] Autor:Vaughan B; Orrock P; Grace S
[Ad] Endereço:School of Health and Human Sciences, Southern Cross University, Lismore, Australia.
[Ti] Título:Reliability of a viva assessment of clinical reasoning in an Australian pre-professional osteopathy program assessed using generalizability theory.
[So] Source:J Educ Eval Health Prof;14:1, 2017.
[Is] ISSN:1975-5937
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:Clinical reasoning is situation-dependent and case-specific; therefore, assessments incorporating different patient presentations are warranted. The present study aimed to determine the reliability of a multi-station case-based viva assessment of clinical reasoning in an Australian pre-registration osteopathy program using generalizability theory. Students (from years 4 and 5) and examiners were recruited from the osteopathy program at Southern Cross University, Lismore, Australia. The study took place on a single day in the student teaching clinic. Examiners were trained before the examination. Students were allocated to 1 of 3 rounds consisting of 5 10-minute stations in an objective structured clinical examination-style. Generalizability analysis was used to explore the reliability of the examination. Fifteen students and 5 faculty members participated in the study. The examination produced a generalizability coefficient of 0.53, with 18 stations required to achieve a generalizability coefficient of 0.80. The reliability estimations were acceptable and the psychometric findings related to the marking rubric and overall scores were acceptable; however, further work is required in examiner training and ensuring consistent case difficulty to improve the reliability of the examination.
[Mh] Termos MeSH primário: Avaliação Educacional/métodos
Medicina Osteopática/educação
Estudantes de Medicina/psicologia
[Mh] Termos MeSH secundário: Austrália
Competência Clínica
Estudos Transversais
Seres Humanos
Psicometria
Reprodutibilidade dos Testes
Pensamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170811
[Lr] Data última revisão:
170811
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170121
[St] Status:MEDLINE
[do] DOI:10.3352/jeehp.2017.14.1


  7 / 2410 MEDLINE  
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[PMID]:28055087
[Au] Autor:Volokitin M; Ganapathiraju PV
[Ti] Título:Osteopathic Philosophy and Manipulation Enhancement Program: Influence on Osteopathic Medical Students' Interest in Osteopathic Manipulative Medicine.
[So] Source:J Am Osteopath Assoc;117(1):40-48, 2017 Jan 01.
[Is] ISSN:1945-1997
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CONTEXT: Interest in osteopathic manipulative medicine (OMM) among first- and second-year osteopathic medical students typically declines toward the end of the second year of medical school. An osteopathic philosophy and manipulation enhancement (OPME) program was implemented for osteopathic medical students to gain additional exposure to OMM at the Touro College of Osteopathic Medicine in New York, New York. OBJECTIVE: To assess how additional exposure to OMM through the OPME program influenced first- and second-year students' interest in using OMM. METHODS: A survey of first- and second-year osteopathic medical students was conducted at the end of the school years to evaluate students' demographics, exposure to OMM before matriculation, reasons for participating in the OPME program, and level of interest in OMM before and after participating in the OPME program. RESULTS: Of 390 students, 204 returned the survey. Respondents reported that their exposure to OMM before enrollment was mostly from reading about OMM philosophy (112 [54.9%]). Respondents also gained exposure from learning about OMM from family members or friends who had been treated by an osteopathic physician (37 [18.1%]), shadowing an osteopathic physician before matriculation (33 [16.2%]), and being treated by an osteopathic physician themselves (22 [10.8%]). After the OPME sessions, respondents reported improved practical skills (98 of 170 [57.6%]) and increased level of confidence in applying OMM (87 of 170 [51.2%]). Nearly half of respondents reported that being treated by a faculty member (100 [49.0%]) was very likely to increase their level of interest in OMM, followed by treating other classmates (77 [37.7%]) and being treated by classmates (73 [35.8%]). CONCLUSION: The OPME program improved students' interest in OMM and can be modified and implemented in any college of osteopathic medicine.
[Mh] Termos MeSH primário: Escolha da Profissão
Manipulação Osteopática/educação
Medicina Osteopática/educação
[Mh] Termos MeSH secundário: Adulto
Currículo
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudantes de Medicina
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170106
[St] Status:MEDLINE
[do] DOI:10.7556/jaoa.2017.006


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[PMID]:28055086
[Au] Autor:Levine MS
[Ti] Título:Keeping Osteopathic Medicine Osteopathic in a Single Accreditation System for Graduate Medical Education.
[So] Source:J Am Osteopath Assoc;117(1):4-6, 2017 01 01.
[Is] ISSN:1945-1997
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Acreditação
Educação de Pós-Graduação em Medicina
Medicina Osteopática/educação
[Mh] Termos MeSH secundário: Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170106
[St] Status:MEDLINE
[do] DOI:10.7556/jaoa.2017.001


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[PMID]:27863834
[Au] Autor:Kane KE; Yenser D; Weaver KR; Barr GC; Goyke TE; Quinn SM; Worrilow CC; Burckhart AJ; Leonetti AL; Yoshioka IE; Dusza SW; Kane BG
[Ad] Endereço:Department of Emergency Medicine, Lehigh Valley Hospital and Health Network/University of South Florida Morsani College of Medicine, Allentown, Pennsylvania.
[Ti] Título:Correlation Between United States Medical Licensing Examination and Comprehensive Osteopathic Medical Licensing Examination Scores for Applicants to a Dually Approved Emergency Medicine Residency.
[So] Source:J Emerg Med;52(2):216-222, 2017 Feb.
[Is] ISSN:0736-4679
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: It is important for emergency medicine (EM) residency programs to be able to correlate the United States (US) Medical Licensing Examination (USMLE) and Comprehensive Osteopathic Medical Licensing Examination (COMLEX) scores of applicants. OBJECTIVE: We sought to determine the correlation between USMLE and COMLEX scores for EM residency applicants. METHODS: Retrospectively, from 2006 through 2013, USMLE and COMLEX examination scores for applicants to our 4-year, 56-member, dually approved EM residency were analyzed. Using the COMLEX score as the outcome variable and USMLE score as the predictor, multiple linear regression models, stratified by test step, were created. RESULTS: There were 556 students representing 25 discrete medical schools included. Pair 1 consisted of applicants submitting COMLEX Level-1 and USMLE Step-1 scores (n = 486). Pair 2 were those with COMLEX Level-2 and USMLE Step-2 scores (n = 356). For Pair 1, mean, standard deviation, and median scores on the COMLEX were 551, 69, and 548, respectively; for the USMLE, scores were 216, 16, and 217, respectively. Results for Pair 2 on COMLEX were 566, 80, and 562, respectively; USMLE results were 228, 18, and 229, respectively. A strong correlation was observed for Pair 1 (r = 0.78; p < 0.001). A 1-point increase in USMLE Step-1 is associated with a 3.55-point increase in the COMLEX Level-1 score (ß = 3.55; 95% confidence interval [CI] 3.30-3.80; p < 0.001). A similar strong correlation was observed for Pair 2 (r = 0.72; p < 0.001), where a 1-point increase in USMLE Step-2 is associated with a 3.29-point increase in the COMLEX Level-2 score (ß = 3.29; 95% CI 2.96-3.62; p < 0.001). CONCLUSIONS: A strong positive correlation between Steps 1 and 2 of the USMLE and COMLEX was found.
[Mh] Termos MeSH primário: Avaliação Educacional/métodos
Licenciamento/normas
[Mh] Termos MeSH secundário: Adulto
Educação de Pós-Graduação em Medicina/métodos
Educação de Pós-Graduação em Medicina/normas
Avaliação Educacional/normas
Avaliação Educacional/estatística & dados numéricos
Medicina de Emergência/educação
Medicina de Emergência/estatística & dados numéricos
Feminino
Seres Humanos
Licenciamento/estatística & dados numéricos
Masculino
Medicina Osteopática/educação
Medicina Osteopática/estatística & dados numéricos
Estudos Retrospectivos
Estudantes de Medicina/estatística & dados numéricos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161120
[St] Status:MEDLINE


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[PMID]:28179718
[Au] Autor:Gettig JP; Noronha S; Graneto J; Obucina L; Christensen KJ; Fjortoft NF
[Ad] Endereço:Midwestern University Chicago College of Pharmacy, Downers Grove, Illinois.
[Ti] Título:Examining Health Care Students' Attitudes toward E-Professionalism.
[So] Source:Am J Pharm Educ;80(10):169, 2016 Dec 25.
[Is] ISSN:1553-6467
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To compare pharmacy, osteopathic medicine, dental medicine, and physician assistant (PA) students' perceptions of e-professionalism. A 20-item questionnaire was developed and administered to four cohorts of health care professions students early in their first professional year. The questionnaire contained 16 scenarios in which a hypothetical health care student or professional shared information or content electronically and students were asked to indicate how much they agreed that the scenario represented professional behavior. Ninety-four percent of students completed the questionnaire. More female students were in the pharmacy and PA cohorts. There were statistical differences in students' perceptions of e-professionalism in five of 16 scenarios. Specific differences were most often between the osteopathic medicine students and the other cohorts. The health care professions students surveyed had similar perceptions of e-professionalism. Of the four cohorts, osteopathic medicine students appeared less conservative in their approach to e-professionalism than the other cohorts.
[Mh] Termos MeSH primário: Profissionalismo
Estudantes de Farmácia
[Mh] Termos MeSH secundário: Adulto
Atitude
Atitude do Pessoal de Saúde
Educação em Odontologia
Educação em Farmácia
Feminino
Seres Humanos
Masculino
Medicina Osteopática/economia
Assistentes Médicos/educação
Papel Profissional
Estudantes
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170328
[Lr] Data última revisão:
170328
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170210
[St] Status:MEDLINE
[do] DOI:10.5688/ajpe8010169



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