Osteopathic MedicineOsteopathic Medicine

Tom Grawey OMS-IIITom Grawey OMS-III

National Pre-SOMA DirectorNational Pre-SOMA Director

Student Osteopathic Medical Student Osteopathic Medical AssociationAssociation

D.O. and Osteopathic D.O. and Osteopathic MedicineMedicine

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 MDsDOs have the same practice rights as MDs DOs practice in any and all specialties of DOs practice in any and all specialties of

medicinemedicine

Professional Professional OpportunitiesOpportunities

DOs can complete MD DOs can complete MD residenciesresidencies

DOs/MDs participate in same DOs/MDs participate in same professional organizationsprofessional organizations

DOs/MDs both treat Olympic DOs/MDs both treat Olympic athletesathletes

DOs/MDs both work overseas DOs/MDs both work overseas DOs/MDs both work at DO/MD DOs/MDs both work at DO/MD

medical schoolsmedical schools

So What?So What?

Osteopathic Manipulative Osteopathic Manipulative MedicineMedicine

Osteopathic PhilosophyOsteopathic Philosophy

Some Basic MathSome Basic Math

What people think:What people think:

MD + OMM = DOMD + OMM = DO

In reality:In reality:

MD + OMM + MD + OMM + Osteopathic Philosophy Osteopathic Philosophy = = DODO

MD + MD + Osteopathic Philosophy Osteopathic Philosophy = DO= DO

History LessonHistory Lesson

Where did Medicine Come Where did Medicine Come From?From?

History of MedicineHistory of Medicine

1919thth Century Heroic Medicine Century Heroic Medicine Many forms of alternative healthcareMany forms of alternative healthcare

No “Evidence Based Medicine”No “Evidence Based Medicine” Little knowledge of Physiology and AnatomyLittle knowledge of Physiology and Anatomy No LicensureNo Licensure Poor education systemsPoor education systems

One/two year schoolsOne/two year schools ApprenticeshipsApprenticeships

OsteopathyOsteopathy

A. T. Still, MDA. T. Still, MD Lost three kids to Lost three kids to

spinal meningitisspinal meningitis Medicine Is StupidMedicine Is Stupid He began to look at He began to look at

the relationship the relationship between structure between structure and function and function

OsteopathyOsteopathy

Still began to develop techniques based on Still began to develop techniques based on studies of anatomystudies of anatomy

Proposed the ideas of Osteopathy in 1874, two Proposed the ideas of Osteopathy in 1874, two years prior to the development of the Germ years prior to the development of the Germ Theory of Disease by Robert Koch.Theory of Disease by Robert Koch.

Osteopathic medicine is not about finding Osteopathic medicine is not about finding disease, but about disease, but about allowing the body to find allowing the body to find healthhealth

Osteopathic Medicine in the Osteopathic Medicine in the 2020thth century and beyond century and beyond

Osteopathy becomes Osteopathic MedicineOsteopathy becomes Osteopathic Medicine DO’s were granted full practice rights in the DO’s were granted full practice rights in the

U.S.U.S. Now 74,000 DOs practice anywhere in any Now 74,000 DOs practice anywhere in any

specialty.specialty. 60% practice in primary care – related to the 60% practice in primary care – related to the

Osteopathic PhilosophyOsteopathic Philosophy

1 in 5 Medical students is in a DO Program1 in 5 Medical students is in a DO Program MSUCOM is the only school with both DO and MD MSUCOM is the only school with both DO and MD

tracks, where students take most of their classes tracks, where students take most of their classes togethertogether

Osteopathic vs AllopathicOsteopathic vs Allopathic

Application ProcessApplication Process CurriculumCurriculum Board ExamsBoard Exams ResidenciesResidencies Osteopathic Manipulative Osteopathic Manipulative

Medicine/Treatment Medicine/Treatment (OMM or OMT)(OMM or OMT) 400 hours of extra training 400 hours of extra training

DO students receive in DO students receive in hands on musculoskeletal hands on musculoskeletal treatmenttreatment

So What’s the Difference?So What’s the Difference?

Treating Disease vs Treating Treating Disease vs Treating PatientsPatients

Case PresentationCase Presentation

45 year old male presents with 45 year old male presents with sudden onset of “the shakes” sudden onset of “the shakes” last night followed by a fever, last night followed by a fever, cough, trouble breathing and cough, trouble breathing and chest painchest pain

He has a past medical history of He has a past medical history of chronic lung disease from chronic lung disease from smoking since he was 8 years smoking since he was 8 years old. old.

Treating DiseaseTreating Disease

PneumoniaPneumonia

Prescribe Prescribe AntibioticsAntibiotics

Treating the personTreating the person

Work?Work? Pt works as UPS Pt works as UPS

driverdriver Recreation?Recreation?

Pt training for Pt training for marathonmarathon

Responsibility?Responsibility? Pt takes care of Pt takes care of

his 2 year old his 2 year old sonson

Comorbidities?Comorbidities? Pt has chronic Pt has chronic

lung diseaselung disease Comfort?Comfort?

Pt cannot sleep Pt cannot sleep as wellas well

Other Concerns?Other Concerns? Pts grandma died Pts grandma died

of pneumoniaof pneumonia

Treating the personTreating the person

UPS DriverUPS Driver Advise time off Advise time off

from workfrom work Marathon Marathon

TrainingTraining Consider less Consider less

intense work intense work outs, get restouts, get rest

Watching SonWatching Son Can patient get Can patient get

help?help?

Lung DiseaseLung Disease OMM to increase OMM to increase

breathingbreathing DiscomfortDiscomfort

Medication for Medication for painpain

Grandma’s Grandma’s HistoryHistory Reassure patient Reassure patient

he is healthier he is healthier than his than his grandmother grandmother was.was.

Other concernsOther concerns

Patient’s first visit to doctorPatient’s first visit to doctor First time in hospitalFirst time in hospital First surgeryFirst surgery First emergencyFirst emergency Distressed family member of Distressed family member of

patient?patient?

How do I become a DO?How do I become a DO?

Osteopathic Medical SchoolOsteopathic Medical School

Pre-Med YearsPre-Med Years

Get involved!Get involved! Pre-med vs non pre-med clubsPre-med vs non pre-med clubs Volunteer workVolunteer work

Study hardStudy hard Learn material, pass your classesLearn material, pass your classes

Find your passion for medicineFind your passion for medicine Make it unique to youMake it unique to you

Explore optionsExplore options DO? PA? PT? Pharm.D? OT? RN?DO? PA? PT? Pharm.D? OT? RN?

What do I get involved What do I get involved in?in?

Find something you’re Find something you’re passionate aboutpassionate about Sewing club, math team, quidditchSewing club, math team, quidditch

Learn as much as you can about Learn as much as you can about medicinemedicine

Budget time wiselyBudget time wisely Learning how to manage timeLearning how to manage time

Pre-SOMAPre-SOMA

Student Osteopathic Medical Student Osteopathic Medical AssociationAssociation

Pre-SOMAPre-SOMA Joining the osteopathic familyJoining the osteopathic family Pre-SOMA LiaisonsPre-SOMA Liaisons Involved in SOMA conventionsInvolved in SOMA conventions

San Diego!San Diego! Des Moines, Iowa – November 7thDes Moines, Iowa – November 7th DC every springDC every spring Coming to a town near you!Coming to a town near you!

The Osteopathic The Osteopathic ApplicantApplicant

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

CCOM Class of 2015 CCOM Class of 2015 StatsStats

Average GPA : 3.56Average GPA : 3.56 Average MCAT: 28.5Average MCAT: 28.5 Average Age: 24Average Age: 24 Top Home States: Illinois Top Home States: Illinois

(57%), Michigan, Indiana, (57%), Michigan, Indiana, WisconsinWisconsin

Class Size: 203Class Size: 203 46% Female, 54% Male46% Female, 54% Male

Being a DO StudentBeing a DO Student

Osteopathic Manipulative Osteopathic Manipulative MedicineMedicine

A unique tool DOs possess to A unique tool DOs possess to treat patients with their handstreat patients with their hands

Focuses on how the body reacts Focuses on how the body reacts to illness and attempts to correct to illness and attempts to correct thisthis

Chronic Obstructive Chronic Obstructive Pulmonary DiseasePulmonary Disease

Thank you!!Thank you!!

Tom GraweyTom Grawey presoma@studentdo.com

AACOMASAACOMAS http://aacomas.aacom.org/http://aacomas.aacom.org/

Pre-SOMAPre-SOMA http://studentdo.com/pre-soma www.facebook.com/pre.somawww.facebook.com/pre.soma

AOAAOA http://osteopathic.orghttp://osteopathic.org