Tanner Nissly, DO

 What makes a DO?  Where did osteopathy come from: Osteopathic History  What is Osteopathy about: Osteopathic Philosophy  Similarities between DO’s and MD’s  Comparisons – Classes and Curriculum  Why choose osteopathy?

 ”Whole person" approach to medicine.  DO’s do NOT just treat specific symptoms or illnesses  DO’s regard your body as an integrated whole.  DO’s focus on preventive health care.  Extra training on the musculoskeletal system  Provides understanding of ways an injury or illness in one part of your body can affect another.

 Osteopathic Manipulative Treatment (OMT)  DO’s Use their hands to diagnose injury and illness  Encourages your body's natural tendency toward good health.  By combining medical knowledge with OMT, D.O.s offer their patients the most comprehensive care available in medicine today.

 Colleges of Osteopathic Medicine emphasize preparing medical students to be primary care physicians.  Approximately 65% of practicing osteopathic physicians specialize in primary care areas

 AT Still was trained as an MD  Became dissatisfied with conventional medical practice after he had three children die of meningitis shortly after the Civil War.  So he began to develop his own medical treatment, based on anatomic alignment

 In Still’s time, orthodox medical treatment was ineffective and harmful  "blood-letting“  lead or mercury based purgatives to induce bowel movements  Still’s theory: Body capable of healing itself  What is creating the bodily disturbance  Remove that interference  Allow body to return to its normal state of healthful homeostasis

 The human being is a dynamic unit of function.  The body possess self- regulatory mechanisms, with inherent self-healing properties.  Structure and function are inter-related at all levels.  Rational therapy is then based upon this understanding of body unity, self-regulatory mechanisms and the inter- relatedness of structure and function.

 If part of the body is restricted, then the rest of the body must adapt and compensate  Leads to inflammation, pain, stiffness and other health conditions  OMT promotes anatomic alignment which helps minimize pain, reduces stress and leads to greater mobility.  This is turn allows the body an opportunity to heal itself.

 Osteopathic Manipulative Treatment  Broad range of techniques  Gentle hands-on techniques including soft tissue stretching, deep tactile pressure, mobilization and manipulation of joints.  HVLA techniques (cracks and pops)  Counterstrain techniques – resetting muscle spindles

 D.O. – Doctor of Osteopathic Medicine  M.D. – Doctor of Allopathic Medicine

 Four-year undergraduate degrees w/ required scientific courses.  Must take the MCAT  Four years of Medical School  Graduate medical education (internship/residency)

 Any specialty area of medicine-  Especially for DO’s: pediatrics, family medicine, psychiatry, emergency, obstetrics, PM&R, sports  Also surgery, anesthesia, neurology, neurosurgery…and any other specialty  Obtain state licenses to practice medicine  Practice in fully accredited and licensed health care facilities.

 D.O.s are one of the fastest growing segments of health care professionals  By the year ,000 osteopathic physicians will be in active medical practice.  D.O.s represent 6% of the total U.S. physician population.  25 colleges of osteopathic medicine, 31 locations  22 states

 U of Mn  Class size: 169  Age:  Average: 24 years  Range: years  Gender  Women 46.1%  Residence:  MN Residents 72%  Non Residents 28%  Academic Performance  Average UGPA – 3.74  Average MCAT –  DMU  Class size: 220.  Age:  Average: 25  Range: 21 – 47 years.  Gender:  Women: 50%  Residence:  IA Residents: 26%  Non Residents: 74%  Academic Performance:  Average GPA: 3.70  Average MCAT: 27.03

U of Mn  Fall  Human Structure and Function  Science of Medical Practice  Foundations of Critical Thinking Cases – Small group tutorials  Essentials of Clinical Medicine – two half-days of clinical experiences weekly  Spring  Microbiology & Immunology  Neuroscience  Physiology  Human Behavior  Human Sexuality  Principles of Pathology  Pharmacology  Foundations of Critical Thinking Cases – Small group tutorials  Essentials of Clinical Medicine – begin rotations to health care systems and settings of care DMU  Fall  Introduction to Osteopathic Medicine  Introduction to Medline and the Internet  History of Medicine  Biochemistry and Molecular Genetics  Osteopathic Manipulative Medicine I  Behavioral Science  Anatomy  Cell and Tissue Biology  Spring  Neuroanatomy  Microbiology/Immunology  Physiology  Physical Diagnosis I  Basic Life Support  Geriatrics  Pathology  Radiology  Introduction to Medical Ethics and the Doctor-Patient Relationship

 DO’s like to say, “Osteopathic education is traditional medical school plus OMT.”

 Chance to live in Des Moines  Interest in OMT or CAM  Interest in musculoskeletal medicine – i.e. sports med, PM&R, etc  Primary care focus

 "Osteopathy is a knowledge of anatomy applied to healing diseases. It is the surgical adjustment of all parts of the body by the anatomist who knows all bones of the human body, their forms, places and how they are held together, where each joint is, where the muscles are attached and how they act when in their normal places; how a normal limb looks, how it feels to his hand, how an abnormal limb, hand, foot, spine or neck feels to his fingers in which the sense of touch is developed to a very high degree….If he is wise in Anatomy and Physiology, he (the osteopath) will at a glance detect any abnormality in form and easily prove the cause of any failure in perfect functioning….thus establishing the normal functioning which is the all of health” - AT. Still