3/14/2016. Group 2 DOs Review of core. Group 1 MDs Basic review with MDs * Anatomy * Screening * Pathophysiology * Theory behind

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1 Shirin Clark DO To outline a limited curriculum for teaching basic OPP/OMT to allopathic physicians to be used for programs seeking osteopathic recognition To provide a framework for teaching OPP/OMM to MDs in a FM residency To review palpatory/manual skills in workshop manner for common FM topics for MDs To review the concept of OMM master class To discuss the benefits of using osteopathic residents as mentors/teachers To review methods of evaluating MDs skills and competency in OPP/OMM 1

2 Upon graduation, allopathic resident physicians will have a better understanding of osteopathy, will know how to screen important anatomic landmarks, will have a differential that includes somatic dysfunction, will have basic skills in soft tissue techniques, myofascial release, muscle energy, and articulatory techniques for both musculoskeletal and non-musculoskeletal diagnoses, and will know when to refer for more in depth screening and treatment by an osteopathic physician. In addition the allopathic resident will gain education in how to appropriately code/bill for OMT. Principles of Manual Medicine Phillip Greenman DO 2010 Foundations for Osteopathic Medicine Anthony Chila DO 2010 Somatic Dysfunction in Osteopathic Family Practice Kenneth Nelson 2014 Better Atul Gawande MD 2007 Cranial Osteopathy for Infants, Children, and Adolescents Nicette Sergueef DO 2008 Philosophy of Osteopathy Andrew Taylor Still 1899 Lectures 2 hour sessions Intro to OMM for the MD/12 Step Screening Exam or Modified 10 Step Approach/Palpatory techniques July Cranial/Cervical September Ribs/Thoracic Region November Abdomen/Pelvis January Lumbar/Sacrum March Extremities May 2

3 Body Region Cranial/Cervical Ribs/Thoracic Region Lumbar/Pelvis Sacrum Extremities Technique Counterstrain Soft tissue/still Muscle Energy ME/Myofascial Articular Techniques Group 1 MDs Basic review with MDs Anatomy Screening Pathophysiology Theory behind technique Demonstration and discussion of techniques Checklist Group 2 DOs Review of core techniques Advanced techniques Balanced ligamentous tension Functional HVLA Cranial Other Didactic portion of 2 hour workshops is done for entire group of residents Background information (anatomy, common symptoms, pathophysiology, theory behind techniques with contraindications) Rib workshop MD screening of ribcage/diaphragm and how to do thoracic inlet/1st ribs/rib raising and diaphragm release DO inhalation/exhalation restrictions and key ribs, floating rib technique, articulatory techniques, ME, HVLA 3

4 Lumbar/Pelvis workshop MD screening L-spine/piriformis/standing flexion test with muscle energy to psoas/piriformis/inominates, soft tissue to paraspinals and pubic release DO pelvic diaphragm, sacral balancing, torsion and unilateral flexion/extention/inflare/outflare, ligamentous release Combined didactics are difficult to provide for a mixed group MDs can feel very overwhelmed DOs feel much of the information is too basic Dividing learners into beginner and advanced groups helps to address these issues The goal is to move the MD into the more advanced group by year 2-3 Curriculum is repeated annually (repetition is key) Lectures - 1 hour sessions Cranial/Cervical August Ribs/Thoracic Region October Abdomen/Pelvis December Lumbar/Sacrum February Pregnancy April Extremities May 4

5 1 DO/MD pair per table DO leads review of case with MD Anatomy/screening Pathophysiology review Treatment (at least 2-3 different techniques per area) Peer to peer role modeling Mock practical OMT board exam Review cases and techniques as whole group HA/Migraine Sinusitis/URI Chest Pain Abdominal Pain Neck Pain LBP/Pelvic pain Shoulder/Wrist Pain Ankle/Knee Pain Tender points/trigger points CHF/edema/lymphostasis See examples: Cranial/Cervical Ribs Viscerosomatic Reflexes Lumbar/Pelvis Pregnancy/OB/Gyn Extremities 5

6 Osteopathic Evaluation and Treatment of the Hospitalized Patient The Care of Hospitalized Patients with Cardiovascular and Respiratory Disease Evaluation and Treatment of Patients Who Have Undergone Abdominal Surgical Procedures Evaluation and Treatment of Patients with Extremity Complaints Evaluation and Treatment of Patients with Acute Head, Chest, and Low Back Pain after Ruling Out Conditions Causing the "Red Flags Evaluation and Treatment of the Pediatric Patient With Acute Upper Respiratory, Ear, and Throat Infections Michigan State University Statewide Campus System Can be purchased as a set Mix of inpatient/outpatient focus Shallow yet deep enough for both MDs learning about osteopathy for the first time and DOs needing a refresher on core concepts/treatment methods Can be used for faculty development/cme credit Workshop checklists OSCE (orientation) Written Exams OMT Practical Exams OMT logs Chart audits (OMT documentation/coding and billing) Osteopathic Milestones Certificate of completion 6

7 Kenneth Nelson DO, Somatic Dysfunction in Osteopathic Family Medicine, 2010 Anthony Chila DO, Foundations of Osteopathic Medicine, 2010 MSUCOM SCS Educational DVDs ic+principles+and+practice PDFs/Milestones/OsteopathicRecognitionMilest ones.pdf 7

Curriculum for Teaching MDs the Basic Tenets/Skills of Osteopathy, Tuesday, April 5, 2016, 3:30-4:30 Curriculum for Teaching MDs the Basic Tenets/Skills of Osteopathy.

8 ACOFP FULL DISCLOSURE FOR CME ACTIVITIES Please check where applicable and sign below. Provide additional pages as necessary. Name of CME Activity: ACOFP Program Directors Workshop and 53rd Annual Convention and Scientific Seminars Dates and Location of CME Activity: April 5-9, 2016, San Juan, Puerto Rico Topic(s): Curriculum for Teaching MDs the Basic Tenets/Skills of Osteopathy, Tuesday, April 5, 2016, 3:30-4:30 Curriculum for Teaching MDs the Basic Tenets/Skills of Osteopathy. Tuesday, April 5, 2016, 4:30-5:30 Name of Faculty/Moderator: Shirin E. Clark, DO / A. Neither I nor any member of my immediate family has a financial relationship or interest with any proprietary entity producing health care goods or services. DISCLOSURE OF FINANCIAL RELATIONSHIPS WITHIN 12 MONTHS OF DATE OF THIS FORM B. I have, or an immediate family member has, a financial relationship or interest with a proprietary entity producing health care goods or services. Please check the relationship(s) that applies. Research Grants Speakers Bureaus Ownership Consultant for Fee Stock/Bond Holdings (excluding mutual funds) Employment Partnership Others, please list: Please indicate the name(s) of the organization(s) with which you have a financial relationship or interest, and the specific clinical area(s) that correspond to the relationship(s). If more than four relationships, please list on separate piece of paper: Organization With Which Relationship Exists Clinical Area Involved _.!_. _.!&_. lf you checked Speakers Bureaus in item B, please continue: Did you participate in company-provided speaker training related to your proposed topic? Did you travel to participate in this training? Did the company provide you with slides of the presentation in which you were trained as a speaker? Yes: No: Did the company pay the travel/lodging/other expenses? Did you receive an honorarium or consulting fee for participating in this training? Y!.L. L Have you received any other type of compensation from the company? Please specify: :_.. When serving as faculty for ACOFP, will you use slides provided by a proprietary entity for your presentation and/or lecture handout materials? Yes. No: Will your topic involve information or data obtained from commercial speaker training? _ _ DISCLOSURE OF UNLABELED/INVESTIGATIONAL USES OF PRODUCTS j/ A. The content of my material(s)/presentation(s) in this CME activity will not include discussion of unapproved or investigational uses of products or devices. B. The content of my material(s)/presentation in this CME activity will include discussion of unapproved or investigational uses of products or devices as indicated below: I have read the ACOFP policy on full disclosure. If I have indicated a financial relationship or interest, I understand that this information will be reviewed to determine whether a conflict of interest may exist, and I may be asked to provide additional information. I understand that failure or refusal to disclose, false disclosure, or inability to resolve conflicts will require the ACOFP to identify a replacemen),/ 7 Signature: Date: Shirin E. Clark, DO i/ 7//S Please fax this form to ACOFP at or to binamiacofp.org as soon as possible. Deadline: Friday, January 15, 2016

Joint Session ACOFP and AOASM: Exercise Induced Asthma. Bruce Dubin, DO, JD, FCLM, FACOI

Joint Session ACOFP and AOASM: Exercise Induced Asthma Bruce Dubin, DO, JD, FCLM, FACOI ACOFP FULL DISCLOSURE FOR CME ACTIVITIES Please check where applicable and sign below. Provide additional pages as