Browsing by Subject "Osteopathic"
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Item A Novel Curriculum: Integrating Anatomy, Osteopathic Principles and Practice, and Clinical skills.(2011-05-01) Colston, John S.; Cruser, des AngesThe purpose of this project was to create and test a novel curricular model integrating anatomy, osteopathic principles and practice, and clinical skills. The curricular model was created through collaborative effort with a multi-discipline advisory group. The model’s effectiveness was assessed in two separate learning events involving medical students and pre-medical students. Knowledge assessments and opinion surveys distributed pre and post-learning event demonstrated a positive trend toward knowledge acquisition and support of the curricular model. Implementation of the novel curriculum was successful, producing desired learning outcomes and demonstrating the value of integrating clinical context with basic sciences. Further research and implementation of a more complete version of the model is warranted.Item ENHANCING PATIENT AND DOCTOR EXPERIENCE IN AN OUTPATIENT OSTEOPATHIC MANIPULATIVE MEDICINE (OMM) CLINIC VIA UTILIZATION OF ELECTRONIC MEDICAL RECORD (EMR) SCRIBES(2014-03) Mason, David; Myers, JohnSurvey-based study to identify whether employing a scribe in an osteopathic manipulative medicine (OMM) office increases physician and/or patient satisfaction. Purpose (a): Osteopathic Manipulative Medicine (OMM) is both patient-centered and hands-on. Therefore, successfully integrating electronic medical records (EMR) into the OMM physician’s practice presents a unique challenge. The purpose of our study was to determine whether the presence of scribes (people trained to take notes for the doctor while they interview, examine, and treat the patient) within an OMM clinic would increase both physician and patient satisfaction by allowing physicians to devote increased attention to the patient. Similar research had been conducted in emergency departments and allopathic outpatient offices, but we believed the benefit in an osteopathic manipulative environment would be higher because EMR physically prevented the osteopath from performing manipulative techniques. Methods (b): The study was conducted by a scribe who was employed within the Osteopathic Manipulative Medicine (OMM) outpatient office at the University of North Texas-Health Science Center (UNTHSC) during the time period of June 10 through July 11, 2013. The study was structured to gather data via two sets of surveys. One survey was given to all practice physicians before the scribe on-boarding date and again after termination of scribe employment. This survey’s purpose was to judge scribe impact on physician satisfaction. The second survey was given to each patient who visited the practice between June 10 and July 11. It’s purpose was to determine scribe impact on patient satisfaction. Results (c): The findings of the study were inconclusive. It was not possible to determine whether scribe presence influenced either physician or patient satisfaction. This outcome was the result of factors that were not taken into account at project commencement. For example, third year medical students sometimes took notes for physicians in the Osteopathic Manipulative Medicine (OMM) office. This confused patients: many believed the student was a scribe which skewed study results. Conclusions (d): Despite these difficulties, we continue to believe scribes would be beneficial for the Osteopathic Manipulative Medicine (OMM) outpatient office environment. Therefore, we anticipate further studies will be undertaken which better elucidate this theory.Item OSTEOPATHIC MANIPULATIVE TREATMENT IN HISPANIC PATIENTS: A RETROSPECTIVE CHART STUDY(2014-03) Patel, Asmani; Patterson, Rita M.; Mason, DavidPurpose (a): To understand the incidence of Hispanic patients presenting to the Osteopathic Manipulative Medicine (OMM) Clinic, and to compare their demographics to the Hispanic and other ethnic populations in Tarrant County. Methods (b): Data for this retrospective chart study was collected for Hispanics patients who had visited the OMM Clinic from June 25, 2012 to June 25, 2013. Patient charts were reviewed for the following data: demographics, somatic dysfunction, osteopathic manipulative treatment, and assessment/diagnosis. Data for demographics of the population in Tarrant County was obtained through HealthyNorthTexas.Org. Results (c): The data for patients attending the OMM Clinic showed that 75.9% of patients were White, Non-Hispanic and 7.6% of the patients were Hispanic. In Tarrant County, 50.7% of the population is White, Non-Hispanic and 27.4% of the population is Hispanic. 82.5% of the White, Non-Hispanic population and 47.5% of the Hispanic population has health insurance. When comparing the data from the OMM Clinic and Tarrant County, it is evident that 41.8% of the White, Non-Hispanics in Tarrant County should be coming to the OMM Clinic based on health insurance status, and 13% of the Hispanics should be coming to the OMM Clinic. The Hispanics come into the OMM Clinic at a rate of 1:10 (1 Hispanic patient for every 10 White, Non-Hispanic patients). However, Hispanics should be coming to the OMM Clinic at a rate of 1:3. Conclusions (d): The study established that the Hispanic population does not come into the OMM Clinic at the same rate as the White, Non-Hispanic population does, despite having health insurance. Therefore, it is necessary to educate the Hispanic population on the benefits of Osteopathic Manipulative Treatment (OMT).