I will be ever vigilant in aiding in the general welfare of the community, sustaining its laws and institutions, not engaging in those practices which will in any way bring shame or discredit upon myself or my profession. Rather, it was an approach to the patient that required the physician to consider the totality of the human being when diagnosing illness or planning treatment. As a teacher in osteopathic medical education for twenty years, I found this book is the most comprehensive and authoritative standard reference available for teaching osteopathic medicine, its philosophy, research, basic science foundations and clinical applications that goes far beyond manipulation of the spine. The body is a unit; the person is a unit of body, mind, and spirit. The interrelationship between structure and function is one of the most unique aspects of osteopathic medicine. Later in his career he served as a medical officer for the Union Army during the Civil war. In a similar fashion, when responding to an illness, the specific organ or system does not operate alone. In times of disease, when a part of the body is functioning sub-optimally, other parts of the body come out of their natural state of health in order to compensate for the dysfunction. Osteopathic medicine as we know it begins with Andrew Taylor Still, M.D. Being a physician with all the medical knowledge of the time available to him proved to be of no value to Doctor Still. Core Curriculum Outline. Published by The American Association of Colleges of Osteopathic Medicine, Rockville, MD, 1990, p. 4. However, should stressors accumulate to the point where these mechanisms are overwhelmed, the body’s inherent tendency toward health is weakened. Finding a Cure: An Open Discussion on Racism and Injustice in the American Healthcare System. Still’s concept of holism, however, went beyond the idea of the human body as a unit and included a holism of body, mind and spirit. The Osteopathic Philosophy. Last accessed March 1, 2014. His success led him to start the first osteopathic college, the American School of Osteopathy, in Kirksville, Missouri in 1892. The structure of a body part governs its function, and thus abnormal structure manifests as dysfunction. One day, when he was suffering from a headache, he got the idea to lower a rope swing to about 8 – 10 inches from the ground, threw a blanket over the rope and then laid down on the ground, using the rope swing as a pillow. The treatment goal within this model is to restore the body’s ability to adequately move air and fluids throughout its systems. Osteopathic physicians bring the additional benefits of osteopathic manipulative techniques to diagnose and treat patients. He believed that all elements of a person’s body, mind and spirit had to be incorporated into the total care of that person. This might include teaching the patient strategies for stress reduction, helping the patient improve his or her abilities for social interaction, and helping the patient improve his or her spiritual outlook. Still later came to realize that, in treating his own headaches, he was doing something to alter the structural relationships of his body which somehow improved its function. Its founder, Andrew Taylor Still, thought that correcting problems with the body's structure could help the body heal itself. Thus treatment is based on the principles of body unity, self-regulatory and self-healing mechanisms, the somatic component of disease, the interrelationship between structure and function, and the appropriate use of manipulative treatment. The body, through its own regulatory mechanisms, constantly attempts to maintain itself in a state of health. Osteopathic medicine dates back more than 100 years. To my college I will be loyal and strive always for its best interests and for the interests of the students who will come after me. Similarly, abnormalities in the structure or function of the musculoskeletal system could also adversely affect the viscera. Prepared by the Glossary review Committee sponsored by the Educational Council on Osteopathic Principles of the AACOM, revised 2011. As guardians of wellness, DOs focus on prevention by gaining a deeper understanding of your lifestyle and environment, rather than just treating your symptoms. The fourth basic principle of osteopathic medicine is that rational treatment is based upon integration of the first three principles into the total care of the patient. This holistic approach to patient care means that osteopathic medical students learn how to integrate the patient into the health care process as a partner. What an osteopathic physician does for a patient (aside from the use of osteopathic manipulative treatment) is often not different from what any physician might do when faced with a similar situation. Foundations of Osteopathic Medicine 3rd Ed. Philadelphia: Lippincott Williams & Wilkinson, 2011:3-7. https://www.aacom.org/about/osteomed/Pages/default.aspx. If the body can handle stressors without excessive demand on itself, then it remains healthy. For example, as a youth he suffered from headaches, and though obviously not understanding it at the time, he discovered a method of treatment that he would later refer to as his first experience with the science of osteopathy. Thus, for A. T. Still, holism was more than an open-mindedness to other forms of diagnosis and treatment. He believed that the body had self-regulatory and self-healing powers, that the body contained within it all the substances necessary for maintaining health. According to this principle, abnormalities in the structure or function of one part of the body may unfavorably influence other parts, and eventually, the body as a whole. He saw that the musculoskeletal system (bones, muscles, ligaments and connective tissues) was the largest collective system of the body, making up 60 percent or more of the body’s mass. Still received a good deal of this apprenticeship training from his father, who was a physician as well as a minister in the Methodist Church. The Metabolic-Nutritional Model The metabolic-nutritional model takes into consideration such things as dietary deficiencies and excesses, food allergies, the effect of toxins, and any other factors that may affect the self-regulatory and self-healing mechanisms of the body. OMM: Optimizing Patient-focused Health Care, The Difference Between U.S.-Trained Osteopathic Physicians and Osteopaths Trained Abroad, Philosophy & Tenets of Osteopathic Medicine, Osteopathic Medicine Specialties and Primary Care, How To Apply To Osteopathic Medical College, Student Guide to Osteopathic Medical College, AACOMAS Application Instructions and FAQs, Shadowing a DO and Learning About the Practice of Osteopathic Medicine, Training for Health Professionals Interested in Osteopathic Medicine, Undergraduate Timeline for PreMed Students, Web Sites for Prospective Medical Students, Arnstein Application for Current DO Students, Dr. Rose M. 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