Medical Education  |   September 2016
Teaching and Assessment of High-Velocity, Low-Amplitude Techniques for the Spine in Predoctoral Medical Education
Author Notes
  •  * Address correspondence to Millicent King Channell, DO, MA, Assistant Dean of Curriculum, Academic Affairs, Rowan University School of Osteopathic Medicine, One Medical Center Dr, Suite 234, PO Box 1011, Stratford, NJ 08084-1500. E-mail: kingmi@rowan.edu
     
Article Information
Medical Education   |   September 2016
Teaching and Assessment of High-Velocity, Low-Amplitude Techniques for the Spine in Predoctoral Medical Education
The Journal of the American Osteopathic Association, September 2016, Vol. 116, 610-618. doi:10.7556/jaoa.2016.120
The Journal of the American Osteopathic Association, September 2016, Vol. 116, 610-618. doi:10.7556/jaoa.2016.120
Abstract

Although national didactic criteria have been set for predoctoral education and assessment in osteopathic manipulative treatment, there is no criterion standard for teaching methods and assessments of osteopathic manipulative treatment competence in colleges of osteopathic medicine. This issue is more pressing with the creation of the single graduate medical education accreditation system by the American Osteopathic Association and Accreditation Council for Graduate Medical Education, which introduced the creation of “osteopathic recognition” for residencies that want to incorporate osteopathic principles and practice into their programs. Residencies with osteopathic recognition may include both osteopathic and allopathic graduates. Increased standardization at the predoctoral level, however, is recommended as osteopathic principles and practice training applications are expanded. The objectives of this article are to review the standards for teaching osteopathic medical students high-velocity, low-amplitude (HVLA) techniques for the spine; to review and discuss the methods used to assess medical students’ proficiency in using HVLA; and to propose baseline standards for teaching and assessing HVLA techniques among medical students.

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