Spring 2019 Issue
Volume 11 | Number 2
1Thornley E, 2Kramer J
1Phoenix Children's Hospital/Maricopa Integrated Health System Pediatric Residency Program, Phoenix, AZ, USA
2Phoenix Children's Hospital, Phoenix, AZ, USA
Graduates of osteopathic medical schools (DOs) have had the option of applying to residency training programs that are accredited by the American Osteopathic Association (AOA) or the Accreditation Council of Graduate Medical Education (ACGME). AOA-accredited residency training programs maintain a required osteopathic component to their residency training whereas ACGME programs do not. DOs who choose to pursue training at an ACGME-approved residency program therefore have few avenues for continuing their osteopathic education, specifically in regard to the use of Osteopathic Manipulative Treatment (OMT). It is unclear how the new single-accreditation system under the ACGME will impact the overall use of OMT by residents in the future. However, previous research has suggested that DOs are less likely to use OMT if they attend ACGME programs.1 A review of the literature shows that the structured introduction of osteopathic medicine can be successful at ACGME programs.2,3 However, this has predominantly been demonstrated in family medicine residency programs through the establishment of OMT clinics.2,3 There were no studies that specifically focused on the introduction of an OMT curriculum at an ACGME-accredited pediatric residency program.
Our first objective was to establish a monthly Osteopathic Interest Group (OIG) that provided hands-on training to enhance knowledge of and confidence using OMT. Secondly, we aimed to gain a better understanding of the barriers that prevent the use OMT by learners during their training.
Monthly, 60 minute, OMT focused sessions were developed to align with a pre-existing institutional systems-based curriculum. Sessions were divided into two components: a didactic component that focused on common pediatric pathology and related OMT principles and a hands-on instructional section. Residents were given the option to voluntarily complete a pre-meeting survey at their first session to help shape the objectives of the interest group. They were asked about their level of confidence in using OMT, preferred OMT techniques and their perceived barriers to the use of OMT in their residency program.
At the time of publication, there have been nine OIG sessions. Seven of the seventeen DO residents at our program have attended at least one OIG. This supports that although some DO residents may choose to pursue training at an ACGME program, there is still interest in incorporating an osteopathic component in their training. To our knowledge, there are no established osteopathic educational pathways or interest groups for DOs at ACGME-accredited pediatric residency programs that do not hold AOA recognition. Future research is still needed to better understand the impact of an osteopathic interest group on resident confidence and frequency of OMT use in an ACGME accredited pediatric residency program.
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