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Research Database -
International Updates
Osteopathy
Issue 23
SINGER, Research and Information Services, American Association of
Colleges of Osteopathic Medicine, Rockville MD USA analysed the selection of the
medical specialty chosen to pursue in postgraduate training by graduating
seniors from osteopathic medical schools in 1995. RESULTS: The
author found that the speciality training chosen was considerably influenced by 10
common factors, ranging from the students' orientation toward people or
techniques, to the prestige and income associated with the particular specialty. In
students planning to pursue primary care specialities - Family Practice,
General Internal Medicine, General Paediatrics - the People orientation factor
exerted a strong influence upon students. For students planning to pursue a nonprimary
care specialty, factors influencing their decision included the Prestige/income,
Intellectual Content and Research Factors. CONCLUSIONS: The
findings of this analysis have implications for the medical school admissions process,
which could be used to identify students who relate well to people and are more oriented
to preventive medicine and health problems presented by individual patients. This could
become a greater force in the movement toward generalism in medicine.
Singer AM. In pursuit of generalism: basic factors
influencing the specialty decisions of osteopathic medical school seniors in 1995. J
Am Osteopath Assoc. 96(11): 699-703. Nov 1996.
MUSSER and VINN, Department of Family Medicine,
Western University of Health Sciences College of Osteopathic Medicine of the Pacific,
Pomona, CA USA review (46 references) the strengths of
traditional osteopathic medical education. RESULTS and CONCLUSIONS: The
authors identify principles that managed care organisations have identified as essential
to preparing physicians to succeed in the medical marketplace and discuss the advantages
of incorporating the best principles of managed care into osteopathic medical education. A
strategy and outline integrating these principles into undergraduate education, proposed
by the Department of Family Medicine at their Osteopathic College is presented.
Musser AE and Vinn N. Osteopathic medical education: the
introduction of managed care principles into our undergraduate curriculum. J Am
Osteopath Assoc 96(10): 627-30. Oct 1996.
COMMENTS: As many Positive Health readers are aware, in the
USA the professions of Chiropractic, Osteopathy and Naturopathy are considered and treated
very much on a par with conventional (allopathic) medical schools. The training provided
in these professions follows closely that of medical schools and payment reimbursement is
provided by most insurance providers. This appears also to be happening in the UK,
although the options for types of practice are obviously not as diverse yet as in America.
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