Doctors of Osteopathic Medicine (D.O.s) educated in the United States are fully licensed physicians that practice the full scope of medicine, like Doctors of Medicine (M.D.s). Currently, there are 21 accredited D.O.-granting U.S. medical schools and 125 accredited M.D.-granting U.S. medical schools. Because of the abundance of M.D. schools, many people are more familiar with them; however, osteopathic medicine is growing at an unprecedented rate. Many new schools are planned to open in the coming years and existing schools have expanded enrollment to meet the increased demand for the physician workforce, particularly as baby boomers age. The majority of entering U.S. osteopathic medical students hold bachelor's degrees and some also hold master's (M.S., M.A.) or doctorate (Ph.D., J.D.) degrees.
M.D. and D.O.-granting U.S. medical schools have similar curricula. Generally the first two years are classroom-based, with certain programs providing patient contact, while third and fourth years consist of rotations through the different major specialties of medicine. Upon graduation, M.D. and D.O. physicians pursue residency training programs. Depending on state licensing laws, osteopathic physicians may also be required to complete a 1 year rotating internship. Osteopathic physicians also have the opportunity to pursue allopathic (M.D.) residency programs; however, the converse is not allowed. Within the U.S., osteopathic physicians practice in all medical specialties including, but not limited to, internal medicine, dermatology, surgery, radiology, etc. There is no distinction in pay between allopathic (M.D.) and osteopathic (D.O.) physicans; however, physician salaries differ noticeably among the various medical specialties.
Osteopaths educated in countries outside of the U.S. do not follow the same curriculum as U.S. trained D.O.s and are referred to as "non-physician osteopaths". Their scope of practice is limited mainly to musculoskeletal conditions and treatment of some other conditions using manual treatment [OMM], not unlike chiropractors in the U.S.
Osteopathic medicine around the world
There are two main schools of thought within the osteopathic world. They are so different in practice as to be separate professions, but there have been attempts in the last few years to enhance exchange and dialogue between them.
In the United States osteopathic medicine is practiced by those holding a Doctor of Osteopathic Medicine degree (D.O.). A doctor with a D.O. degree is a fully licensed physician, just like an M.D. (Doctor of Medicine). Many are unaware of the D.O. degree, yet those holding it serve as physicians and surgeons in all specialties from cardiothoracic surgery to family medicine. Because a doctor with a D.O. degree can prescribe the same medicines and perform the same surgeries as a doctor with an M.D., some argue that the distinction between the two has blurred enough to render the lesser known D.O. degree obsolete. However, many osteopathic physicians contend that they strive for a more holistic, compassionate, and community-minded approach to health care.
Osteopathic medicine in the USA
Acceptance by traditional M.D.s and their institutions was once an issue for osteopathic practitioners. Today D.O.s often hold comparable prestige to M.D.s where they work side by side in the health care setting.
In the 1960s in California, the American Medical Association (AMA) spent some $8 million to end the practice of osteopathy in the state. After passing a proposition backed by the AMA, D.O.s were granted an M.D. in exchange for paying $65 and attending a short seminar. The College of Osteopathic Physicians and Surgeons became the University of California, Irvine, College of Medicine. However, the decision proved quite controversial. In 1974, primarily due to the efforts of Viola M. Frymann, D.O., FAAO, the California Supreme Court ruled that licensing of D.O.s in that state must be resumed.
This decision by the California Medical Association in the 1960s to grant D.O. physicians an M.D. license was one of two turning points for D.O.s in their struggle for acceptance, the other being the U.S. Army's decision to allow D.O.s to enter the military as physicians. The California Medical Association may have been attempting to eliminate the osteopathic competition by converting thousands of their physicians to M.D.s. While most Californian D.O.s did take the opportunity to become M.D.s, nationally it provided the osteopathic physicans the stamp of equivalency they desired. The last state to grant D.O.s equal practice rights as a fully licensed physician was Mississippi, in 1973.
Today in the USA, an osteopathic physician is sometimes described as a physician who, while practicing conventional medicine much like his or her M.D. colleagues, also maintains the ability to perform osteopathic manipulative medicine (OMM), also referred to as osteopathic manipulative treatment, or technique (OMT). It must be emphasized that manipulation, while very useful for certain disease states, is simply one tool that the D.O. employs in addition to traditional medical practice. Some D.O.s use OMT on a limited basis, while others use it more frequently.
The scientific merit of manipulative medicine continues to be a point of controversy. The American Osteopathic Association has made an effort in recent years to both support and promote scientific inquiry into the effectiveness of osteopathic manipulation as well as encourage D.O.s to consistently offer manipulative treatments to their patients.
There is no doubt that the American osteopathic medicine, as a progressive social movement, has had a significant influence on the practice of American medicine generally. Indeed, some US osteopathic medical schools have opened basic courses in osteopathic manual therapy for their M.D. cousins.
Future challenges
In the United States Osteopathic medicine has been criticized for including therapies such as cranial and cranio-sacral manipulation, and for having a greater tolerance for alternative medical practices. Osteopathic medical schools have been criticized for being less focused on research than allopathic schools, although this trend is changing. Critics also have pointed towards the lower GPA, 3.45 for osteopathic vs 3.63 for allopathic, and MCAT scores, an average of 24.6 for osteopathic vs 30.1 for allopathic, among enrollees. While the GPA and MCAT scores are lower, this may be due to the fact the osteopathic schools admit many non-traditional students who do not perform as well on the MCAT. However, it is important to note that average MCAT and GPAs of osteopathic medical students are comparable to allopathic medical students who choose primary care residency programs.
Because the field of osteopathic medicine encompasses all conventional medical practices, it has been subject to the same criticisms. And, in other countries where osteopathy does not encompass conventional medical practices, it is subject to the same criticisms levelled at many alternative medicine modalities.
2006-07-06 12:26:06
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answer #1
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answered by Anonymous
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NO!
You have been misinformed.
I'm a nurse. An RN.
What the "D O" stands for, is Doctor of Osteopathy.
They specialize in bones. Diseases, fractures and most things that pertain to bones.
They have the same amount of schooling as an M D. They just have put in a couple of more years of medical school, so they can reset a compound fracture of a bone(bone poking out of the skin), do bone grafts and straighten your spine. Things like that.
It really doesn't take a whole lot more of scooling, so they are simply, MDs, with a little extra knowledge.
In the medical field, they can diagnose ALL the same things as someone, with just the simle I.D., as MD.
I think you might be confusing Chiropracters with D.O.s
Chiropracters do not require a medical degree, to be able to practice.
They are not real doctors. They can give themselves, the moniker, DR, because their are no laws to keep ANYONE from referring to themselves as doctors.
MOST countries, won't even let them practice there because they deceive the public. They don't have the proper schooling it takes to be wiggling around someone's spine, when they can often leave the patient with permanent damage. People automaticly ASSUME, they're doctors because they have DR. in front of their name.
D.O,s, are REAL doctors and simply know just a little bit more than a regular, plain, old, MD.
Yeah, I think someone, who told you that must have gotten the two, confused.
Chiropractors are NOT doctors.
D.O.s ARE.
2006-07-06 12:54:25
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answer #5
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answered by Molly 6
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