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May 2022 Vol. 122, No. 5

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Latest Articles
Medical Education

UGRC 2021 recommendations on GME transition: pros and cons, opportunities and limitations

John R. Gimpel, DO, MEd; Jennifer L. Swails, MD; Jessica L. Bienstock, MD, MPH; Grant L. Lin, MD; Michelle A. Roett, MD, MPH; Juhee K. Patel, DO; and Daniel W. Giang, MD
The Coalition for Physician Accountability’s Undergraduate Medical Education-Graduate Medical Education (UME-GME) Review Committee (UGRC): Recommendations for Comprehensive Improvement of the UME-GME Transition final report includes a total of 34 recommendations and outlines opportunities to transform the current processes of learner transition from a US-based MD- or DO-granting medical school or international medical education pathway into residency training in the United States. This review provides a reflection on the recommendations from the authors, all members of the UGRC, describing the pros and cons and the opportunities and limitations, in the hopes that they might inspire readers to dig deeper into the report and contribute to meaningful improvements to the current transition.
Public Health and Primary Care

Atraumatic spontaneous splenic rupture in a female COVID-19 patient

Michele T. Melamed, DO, MPH; and Jake L. Gigliotti, MSI
The authors present the case of a 30-year-old woman with no significant medical history presented to the emergency department in October 2020 with sudden onset of severe left upper and lower abdominal pain. The purpose of this case report is to illustrate and make other clinicians aware of unusual potential complications and clinical presentations of COVID-19.
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Recurrent bronchiolitis and stridor in an infant

Alexandra Byrne, MD; and Puneet Tung, DO

Proposed Amendments to the AOA Constitution

View the proposed amendments to the American Osteopathic Association (AOA) Constitution that were presented for First Reading at the July 2021 Annual Meeting of the House of Delegates and will be presented for action at the 2022 Annual Meeting and amendments to the AOA Constitution that will be presented for First Reading at the 2022 Annual Meeting of the House of Delegates, which will occur on July 15–17, 2022.

Proposed Amendments to the AOA Bylaws

View the proposed amendments to the American Osteopathic Association (AOA) Bylaws that will be presented for action at the 2022 Annual Meeting of the House of Delegates, which will occur July 15-17, 2022.

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  2. Management of Postaxial Polydactyly in the Neonatal Unit
  3. Assessing the United States’ most frequently asked questions about osteopathic medicine, osteopathic education, and osteopathic manipulative treatment
  4. Atraumatic spontaneous splenic rupture in a female COVID-19 patient
  5. Osteopathic Manipulative Treatment of a 26-Year-Old Woman With Bell’s Palsy
Clinical Image

Tracheobronchial cast

In June 2021, a 65-year-old male presented for respiratory distress, altered mental status, and tracheostomy bleeding. Emergency medical services reported the tracheostomy was placed approximately 11 days prior for squamous cell carcinoma of the tongue. Patient was bagged through his tracheostomy and was not responding to verbal stimuli. Read more