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According to the American Osteopathic
Association (AOA), osteopathic medicine is a
complete system of healthcare with a philosophy
that combines the needs of the patient with the
current practice of medicine. Doctors of
osteopathic medicine (DOs) practice a
whole-person approach, which means they consider
both the physical and mental needs of their
patients.
This "holistic" approach to healthcare was
actually developed by an American MD. Dr. Andrew
Taylor Still feared that 19th-century medicine
was doing more harm than good. Disgusted at the
ineffectiveness of fellow practitioners during
the Civil War, he decided to focus on the body's
ability to heal itself and began to stress
preventive medicine. He also identified the
musculoskeletal system as a key element of
health, stressing that muscles, nerves, bones,
and organs are all interrelated. In 1892, Dr.
Still founded the American School of Osteopathy
in Kirksville, Missouri.
A key part of osteopathic medicine is a
technique called OMT, or osteopathic
manipulative treatment. OMT allows physicians to
use their hands as a primary tool to diagnose
and treat illness and injury. This form of
manual medicine lets DOs examine the back and
other parts of the body, such as joints,
tendons, ligaments, and muscles, for pain and
restriction during motion that could signal an
injury or impaired function.
Although they sometimes focus on the back,
these physicians are not chiropractors. OMT is a
treatment very specific to how and where humans
injure themselves and how that injury can
manifest itself as symptoms.
Both DOs and MDs are physicians. They are
both licensed by state and specialty boards to
perform surgery and write prescriptions.
Applicants to both DO and MD colleges typically
have a 4-year undergraduate degree with an
emphasis on science courses, and both complete 4
years of basic medical education. In fact, both
DOs and MDs:
- can choose to practice in a specialty
area of medicine, such as surgery or
obstetrics
- complete a residency program, which
typically takes 2 to 6 years of additional
training
- must pass comparable state licensing
examinations
- are equal in the eyes of the law
- practice in fully accredited hospitals
and medical centers
- can order
medical tests and procedures
- must maintain a prescribed level of
continuing education units (CEUs) to remain
certified
Currently, there are more than 41,000
osteopathic physicians in practice in the United
States. That's approximately 5% of the total
number of physicians. Because osteopathic
schools emphasize primary care training, more
than half of all DOs practice in areas such as
pediatrics, obstetrics/gynecology, and internal
medicine. Each year, 100 million patient visits
are made to DOs.
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