Clinical Course Director: Todd Dombroski, DO
Core Rotation Coordinator and Canvas Administrator: Cari McTaggart
Clinical Rotation in OMM
(Mandatory 3rd year four-week)
The Osteopathic Manipulative Medicine Core Rotation is a four-week clinical OMM-specific rotation with faculty and community DOs in the state of Texas. Clinical environments in which patient care is extended include, but are not limited to, the on-campus Patient Care Center, preceptor’s respective practices in the North Texas community and at remote sites in Baytown, Conroe, Longview, and Corpus Christi, and the hospital environments in which the preceptors and faculty provide service.
During this rotation, students serve with the members of the Department of Osteopathic Manipulative Medicine for consultations and treatment of the musculoskeletal component of medical and surgical disorders. Students become familiar with all aspects of the cases; and, following satisfactory demonstrations of proficiency in osteopathic manipulation, students are responsible for treatment of selected patients.
Objective and Requirements:
- Know, understand and apply the four basic tenants of osteopathic philosophy in the approach to patient management. Evidenced in measurable data collected from:
- A required didactic quiz administered on the first day of rotation. Information covered includes a Web-delivered Didactic Review, in Blackboard Learn and Modules of 14 Core presentations covering: the Cervical Spine; Cranial, Ileus, the Gastrointestinal System, Lower Extremity Somatic Dysfunctions, Lumbar spine, Ribs, Thoracic spine, Cervical and Thoracic Pain and Cephalgia; and 20 manipulative technique videos also reviewed in preparation for the orientation didactic quiz. Both collections also serve as OMT resources throughout the OMM rotation.
- Pre- and Post-Rotation (qualitative) Surveys crafted to measure Osteopathic and OMT perceptions, bias, intention, and belief.
- Perform an osteopathic screening exam and document findings in standardized terminology on AOA OMM forms for each encounter. Evidenced in measurable data collected from:
- Preceptors in the form of a Clerkship Clinical Assessment collected at the end of the rotation
- A Case Report that emphasizes the application of manipulative treatment across a broad landscape of specialties – in family practice, physical medicine and rehabilitation, geriatrics, pain management and others. The case report allows the student doctor to focus deeply on the medical history of a single patient, investigate the history, course of treatment, literature and test findings, discuss failings and best practices – and draw his/her own conclusions. The case report illustrates the impact of manipulative treatment in your unique clinical experience. Submissions of superior quality case reports are submitted for consider for publication to peer-reviewed Osteopathic journals. In the 2012-2013 academic year, twelve were recommended for publication and are in the IRB/edit process.
Students have responded very positively to having continuity of their osteopathic medical education.
During the academic year of July 9, 2012 through June 21, 2013, 173 DFW students were scheduled for rotations with OMM physician’s through our academic department. These students rotated with campus and community faculty.
Multiple students at satellite site completed their rotations in OMM at Conroe, Corpus Christi, and Houston.
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Elective Rotations in OMM
Third and fourth year students may choose to do a four week elective rotation in osteopathic manipulative medicine and also a Primary Care Partnership (PCP) Rotation. The elective would afford the student more time in the osteopathic manipulative clinic, the family medicine office and the hospital.
At the end of the course the student should be able to demonstrate:
- The ability to perform an osteopathic screening exam on patients in the clinical and hospital setting.
- The diagnosis and correct application of osteopathic manipulative treatment to the axial and appendicular musculoskeletal system.
- Documentation of the patient encounter.
- Twenty TCOM students chose to do a PCP rotation with an OMM physician in the 2012-2013 year.