SURF  |   August 2017
Effects of Clinical Exposure to Osteopathic Manipulative Medicine on Confidence Levels of Medical Students
Author Notes
  • From the New York Institute of Technology College of Osteopathic Medicine in Old Westbury. Dr Shapiro is a first-year resident and Dr Defoe is a second-year resident. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to Sheldon C. Yao DO, New York Institute of Technology College of Osteopathic Medicine, Northern Blvd, Serota Building Room 126, PO Box 8000, Old Westbury, NY 11568-8000. E-mail: syao@nyit.edu
     
Article Information
Medical Education / Graduate Medical Education
SURF   |   August 2017
Effects of Clinical Exposure to Osteopathic Manipulative Medicine on Confidence Levels of Medical Students
The Journal of the American Osteopathic Association, August 2017, Vol. 117, e1-e5. doi:10.7556/jaoa.2017.105
The Journal of the American Osteopathic Association, August 2017, Vol. 117, e1-e5. doi:10.7556/jaoa.2017.105
Abstract

Context: Training in osteopathic manipulative medicine (OMM) is a unique component of the osteopathic medical school curriculum. Indicators of successful OMM programming include student comfort in explaining and performing OMM as well as confidence in using OMM on future patients. Research on the amount of clinical exposure sufficient to achieve this goal is limited.

Objectives: To gauge the impact of clinical OMM exposure on medical students’ self-assessed understanding of OMM, their ability to discuss, explain, and perform OMM, and their plan to use OMM in their future practice.

Methods: Fourth-year osteopathic medical students were e-mailed surveys before (baseline), during, and after 4 weeks (postrotation) of an elective OMM rotation. Answers were scaled from 0 to 10, with 0 being not at all comfortable/confident and 10 being the most comfortable/confident.

Results: Thirty-five students participated in the survey. A significant mean (SD) increase was found between the baseline and postrotation scores for students’ understanding of OMM principles (1.43 [0.51]; P<.001), comfort discussing OMM principles with patients (1.27 [0.88]; P<.001), comfort with explaining OMM to someone unfamiliar with it (1.32 [0.82]; P<.001), comfort with performing an osteopathic structural examination (2.23 [1.44]; P<.001), and confidence incorporating OMM into future practice (1.86 [0.47]; P<.001).

Conclusion: Increased clinical exposure to OMM increased the confidence of osteopathic medical students in all dimensions surveyed. This observation can help guide the development of undergraduate osteopathic clinical programming as well as standards for entry of allopathic residents into ACGME programs with osteopathic designation.

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