Osteopathic Medicine Osteopathic Medicine Tom Grawey OMS-III National Pre-SOMA Director Student Osteopathic Medical Association

D.O. and Osteopathic Medicine Doctor of Medicine (MD) Doctor of Medicine (MD) Typically referred to as “Allopathic Medicine” Typically referred to as “Allopathic Medicine” Doctor of Osteopathic Medicine (DO) Doctor of Osteopathic Medicine (DO) Typically referred to as “Osteopathic Medicine” Typically referred to as “Osteopathic Medicine” DOs have the same practice rights as MDs DOs have the same practice rights as MDs DOs practice in any and all specialties of medicine DOs practice in any and all specialties of medicine

Professional Opportunities DOs can complete MD residencies DOs can complete MD residencies DOs/MDs participate in same professional organizations DOs/MDs participate in same professional organizations DOs/MDs both treat Olympic athletes DOs/MDs both treat Olympic athletes DOs/MDs both work overseas DOs/MDs both work overseas DOs/MDs both work at DO/MD medical schools DOs/MDs both work at DO/MD medical schools

So What? Osteopathic Manipulative Medicine Osteopathic Manipulative Medicine Osteopathic Philosophy Osteopathic Philosophy

Some Basic Math What people think: MD + OMM = DO In reality: MD + OMM + Osteopathic Philosophy = DO MD + Osteopathic Philosophy = DO

History Lesson Where did Medicine Come From?

History of Medicine 19 th Century Heroic Medicine 19 th Century Heroic Medicine Many forms of alternative healthcare Many forms of alternative healthcare No “Evidence Based Medicine” No “Evidence Based Medicine” Little knowledge of Physiology and Anatomy Little knowledge of Physiology and Anatomy No Licensure No Licensure Poor education systems Poor education systems One/two year schools One/two year schools Apprenticeships Apprenticeships

Osteopathy A. T. Still, MD A. T. Still, MD Lost three kids to spinal meningitis Lost three kids to spinal meningitis Medicine Is Stupid Medicine Is Stupid He began to look at the relationship between structure and function He began to look at the relationship between structure and function

Osteopathy Still began to develop techniques based on studies of anatomy Still began to develop techniques based on studies of anatomy Proposed the ideas of Osteopathy in 1874, two years prior to the development of the Germ Theory of Disease by Robert Koch. Proposed the ideas of Osteopathy in 1874, two years prior to the development of the Germ Theory of Disease by Robert Koch. Osteopathic medicine is not about finding disease, but about allowing the body to find health Osteopathic medicine is not about finding disease, but about allowing the body to find health

Osteopathic Medicine in the 20 th century and beyond Osteopathy becomes Osteopathic Medicine Osteopathy becomes Osteopathic Medicine DO’s were granted full practice rights in the U.S. DO’s were granted full practice rights in the U.S. Now 74,000 DOs practice anywhere in any specialty. Now 74,000 DOs practice anywhere in any specialty. 60% practice in primary care – related to the Osteopathic Philosophy 60% practice in primary care – related to the Osteopathic Philosophy 1 in 5 Medical students is in a DO Program 1 in 5 Medical students is in a DO Program MSUCOM is the only school with both DO and MD tracks, where students take most of their classes together MSUCOM is the only school with both DO and MD tracks, where students take most of their classes together

Osteopathic vs Allopathic Application Process Application Process Curriculum Curriculum Board Exams Board Exams Residencies Residencies Osteopathic Manipulative Medicine/Treatment (OMM or OMT) Osteopathic Manipulative Medicine/Treatment (OMM or OMT) 400 hours of extra training DO students receive in hands on musculoskeletal treatment 400 hours of extra training DO students receive in hands on musculoskeletal treatment

So What’s the Difference? Treating Disease vs Treating Patients

Case Presentation 45 year old male presents with sudden onset of “the shakes” last night followed by a fever, cough, trouble breathing and chest pain 45 year old male presents with sudden onset of “the shakes” last night followed by a fever, cough, trouble breathing and chest pain He has a past medical history of chronic lung disease from smoking since he was 8 years old. He has a past medical history of chronic lung disease from smoking since he was 8 years old.

Treating Disease Pneumonia Pneumonia Prescribe Antibiotics Prescribe Antibiotics

Treating the person Work? Work? Pt works as UPS driver Pt works as UPS driver Recreation? Recreation? Pt training for marathon Pt training for marathon Responsibility? Responsibility? Pt takes care of his 2 year old son Pt takes care of his 2 year old son Comorbidities? Comorbidities? Pt has chronic lung disease Pt has chronic lung disease Comfort? Comfort? Pt cannot sleep as well Pt cannot sleep as well Other Concerns? Other Concerns? Pts grandma died of pneumonia Pts grandma died of pneumonia

Treating the person UPS Driver UPS Driver Advise time off from work Advise time off from work Marathon Training Marathon Training Consider less intense work outs, get rest Consider less intense work outs, get rest Watching Son Watching Son Can patient get help? Can patient get help? Lung Disease Lung Disease OMM to increase breathing OMM to increase breathing Discomfort Discomfort Medication for pain Medication for pain Grandma’s History Grandma’s History Reassure patient he is healthier than his grandmother was. Reassure patient he is healthier than his grandmother was.

Other concerns Patient’s first visit to doctor Patient’s first visit to doctor First time in hospital First time in hospital First surgery First surgery First emergency First emergency Distressed family member of patient? Distressed family member of patient?

How do I become a DO? Osteopathic Medical School

Pre-Med Years Get involved! Get involved! Pre-med vs non pre-med clubs Pre-med vs non pre-med clubs Volunteer work Volunteer work Study hard Study hard Learn material, pass your classes Learn material, pass your classes Find your passion for medicine Find your passion for medicine Make it unique to you Make it unique to you Explore options Explore options DO? PA? PT? Pharm.D? OT? RN? DO? PA? PT? Pharm.D? OT? RN?

What do I get involved in? Find something you’re passionate about Find something you’re passionate about Sewing club, math team, quidditch Sewing club, math team, quidditch Learn as much as you can about medicine Learn as much as you can about medicine Budget time wisely Budget time wisely Learning how to manage time Learning how to manage time

Pre-SOMA Student Osteopathic Medical Association Student Osteopathic Medical Association Pre-SOMA Pre-SOMA Joining the osteopathic family Joining the osteopathic family Pre-SOMA Liaisons Pre-SOMA Liaisons Involved in SOMA conventions Involved in SOMA conventions San Diego! San Diego! Des Moines, Iowa – November 7th Des Moines, Iowa – November 7th DC every spring DC every spring Coming to a town near you! Coming to a town near you!

The Osteopathic Applicant Good Grades Good Grades Well rounded Well rounded What makes you unique? What makes you unique? The “Non-Traditional Student” The “Non-Traditional Student”

CCOM Class of 2015 Stats Average GPA : 3.56 Average GPA : 3.56 Average MCAT: 28.5 Average MCAT: 28.5 Average Age: 24 Average Age: 24 Top Home States: Illinois (57%), Michigan, Indiana, Wisconsin Top Home States: Illinois (57%), Michigan, Indiana, Wisconsin Class Size: 203 Class Size: % Female, 54% Male 46% Female, 54% Male

Being a DO Student

Osteopathic Manipulative Medicine A unique tool DOs possess to treat patients with their hands A unique tool DOs possess to treat patients with their hands Focuses on how the body reacts to illness and attempts to correct this Focuses on how the body reacts to illness and attempts to correct this

Chronic Obstructive Pulmonary Disease

Thank you!! Tom Grawey Tom Grawey AACOMAS AACOMAS Pre-SOMA Pre-SOMA AOA AOA