YSK Doctors of Osteopathy in the US seldom practice Osteopathy
YSK Doctors of Osteopathy in the US seldom practice Osteopathy
www.nytimes.com
nytimes.com
TL;DR: Studies show they do the same things as and have the same effects as Medical Doctors.
11 comments
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A lot of DOs go to Osteopathic medical schools because getting into MD schools is crazy competitive. It’s just another path to becoming a doctor that’s an option if you don’t get into a US MD school. The medicine curriculum is basically the same between the two. Though I’ve worked with a bunch of DOs who believe in osteopathy and practice it.
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It's not even don't get in. They're rigorous institutions that have a marginal difference in competitiveness. They just make you take a class on those dumb manipulations. In the end it doesn't matter if you went through DO school or med school: if you're shit you're not getting matched into or getting through residency. And the key part is both sides of that pipeline compete for the same limited residency placements that are significantly fewer than the number of graduates and are judged the same.
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Oh they’re definitely not judged the same. There’s a reason DOs interested in the more sought after specialties rarely try for MD programs. When you have a bunch of alpha nerds who base their self worth on test scores and other stuff like that, you get arbitrary stratification. And I’ve seen good doctors fail STEP tests and shit doctors who graduated from Harvard. There’s always those situations when some happen to be good at the stuff a system deems worthwhile but suck at being a person and vice versa.
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So they're schools of medicine with just enough quackery sprinkled on top to receive a different name. And some of their alumni embrace the quackery while others reject it.
How would you know the DO you're about to see is a quack? You don't I guess. If you're risk averse, you'll just call them all quacks and find a doctor without the quackery pixie dust.
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research has found no significant differences between the professions when it comes to hospital readmissions, death after hospitalizations, surgery outcomes or other patient metrics
While vestiges from Dr. Still’s original philosophy are still incorporated into modern training — students spend roughly 200 hours learning a hands-on approach for diagnosing and treating various ailments called osteopathic manipulative treatment — most D.O.s say they don’t use these techniques.
Following the link:
Of 10,000 surveyed osteopathic physicians, 1,683 (16.83%) responded. Of those respondents, 1,308 (77.74%) reported using OMT on less than 5% of their patients, while 958 (56.95%) did not use OMT on any of their patients. Impactful barriers to OMT use included lack of time, lack of reimbursement, lack of institutional/practice support, and lack of confidence/proficiency. Factors positively correlated with OMT use included female gender, being full owner of a practice, and practicing in an office-based setting.
I swear I read in the newsletter with the article I posted that this <5% was around the same percentage of MD patients who received osteopathy...
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11 comments
I don't understand why an MD would want any association with the pseudoscience that osteopathy is. https://en.m.wikipedia.org/wiki/Osteopathy
Marketing I guess?
In the US, the AMA has always artificially limited the supply of MDs. Over the last century osteopathic medical schools basically adopted all the same philosophies of evidence based medicine as “regular” medical schools, maybe with a vestigial course or two on spinal alignment. Both have the same licensing requirements.
At this point, DOs in the US are basically just regular doctors with lower MCAT scores and undergraduate GPAs, and indeed, they basically fill the role of providing doctors to less lucrative specialties and regions.
The main bottleneck in training new doctors (both MD and DO) is that federal funding for medical residency slots have remained mostly unchanged since 1996. Some hospitals have been able to pay for extra slots out of their clinical revenues, but they'll be facing more financial pressures because of the Big Beautiful Bill.
I don't understand it as well, they're quacks here in Germany
E: typo