Advance Articles

The authors report the case of a 66-year-old male with a history of granuloma faciale (GF) and multiple basal cell carcinomas (BCCs) who presented with a pearly plaque on the chest. Biopsy revealed extrafacial GF with a coincidental BCC, representing a rare case of a collision tumor.

Previous research has linked the manifestation of multiple chronic diseases that are frequently due to health behaviors to adverse childhood experiences (ACEs). Despite this, the link between ACEs and the age of type 2 diabetes mellitus diagnosis is scarce. As such, our primary objective was to evaluate and describe the impact of ACEs on the age at diagnosis utilizing the data from the 2021 Behavioral Risk Factor Surveillance System.

This study aims to examine gaps in healthcare education by evaluating whether targeted cultural competency training leads to improvement in student physician preparedness to meet the needs of diverse populations.

The goal of this paper is to understand the true mechanism of the muscle energy technique for a superiorly subluxed rib treatment by outlining the treatment technique, involved structures, and other possible proposed mechanisms.

A summer research internship program was established in 2023 to improve research self-efficacy, facilitate research participation, and encourage lifelong research engagement in Doctor of Osteopathic Medicine (DO) students. The purpose of this study was to evaluate participant research experience and self-efficacy through pre- and postprogram surveys.

The objective of this study was to investigate the effects of a standardized myofascial and lymphatic OMT protocol on body awareness, dissociation, and mood symptoms related to anxiety, depression, and stress.

Previous studies indicate an inverse relationship between physical activity (PA) and the risk of Alzheimer’s disease. This review aimed to evaluate existing literature to determine the effects of PA with an emphasis on late-life PA and the minimum levels of PA for older adults.

Asymmetry of bony landmarks, such as the anterior superior iliac spine or posterior superior iliac spine, is often utilized to identify somatic dysfunction in the pelvis. However, establishing good accuracy for these assessments can be challenging, so objective training models have been developed to enhance learning and accuracy. The aim of this study was to determine the effect of training with positional asymmetry models with objective feedback on the improvement and retention of pelvic asymmetry assessment accuracy.

Osteopathic manipulative treatment (OMT) has been utilized in managing chronic neck pain and neck somatic dysfunction. However, osteopathic assessments lack quantitative measures to detect muscle abnormalities and evaluate the effect of OMT. This study aims to investigate the feasibility of utilizing ultrasound shear wave velocity and shear wave relative anisotropy coefficient to assess neck somatic dysfunction and the effect of OMT.

Private equity (PE) involvement in healthcare has generated considerable debate regarding its implications for patient care, healthcare quality, and system sustainability. This Commentary provides an overview of both sides and offers policy recommendations addressing some of the detrimental effects of PE practices on the healthcare sector, to ensure that patient well-being remains the priority.

Existing studies have analyzed gender and race representation among otolaryngology - head and neck surgery (OHNS) applicants and residents in the United States. Further analysis by graduate medical degree type does not currently exist. The objective of this study was to identify and compare gender and racial disparities in osteopathic and allopathic OHNS applicants and residents.

The objective of this study was to assess the geographical distribution, training site characteristics, and match patterns of osteopathic otolaryngology residents from 2020 to 2024, including relationships with medical school location and program history (historically AOA-accredited vs. historically allopathic-only).

Patients with Ehlers-Danlos Syndrome (EDS) and hypermobility spectrum disorder (HSD) often complain of palpitations, presyncope/syncope, attributable to postural orthostatic tachycardia syndrome (POTS). This study aimed to evaluate the utility of implantable loop recorders in diagnosing and/or excluding arrhythmias not attributable to POTS in symptomatic patients with EDS and HSD.

There is currently no clinical research investigating the effect of osteopathic manipulation on the milk supply of lactating patients. Herbal and prescription galactagogues are limited and have the potential for serious side effects. The objective of this study was to determine whether OMT can increase milk supply in lactating people with low milk supply.

This study investigates the role that virtual interactive modules play on osteopathic medical students and physician assistant students’ empathy and attitudes toward individuals with diabetes mellitus who are also affected by an array of social determinants of health.

The transition from collegiate sports to life beyond athletics is a critical period marked by significant changes in identity, routine, and lifestyle. For many former athletes, these changes are compounded by mental health challenges, particularly depression and anxiety, which often go unaddressed during this pivotal phase. This review seeks to identify the existing research and gaps concerning the described supports in mental health, particularly depression and anxiety, in retired athletes.

This longitudinal study followed the research competency and scholarly product evolution of Scholar 12 — a free, interactive virtual platform designed for the osteopathic medical community — learners through consecutive academic years at a multi-campus COM, to demonstrate accessibility and application to all institutional remote learning needs during a pandemic and beyond.

This scoping review evaluates the efficacy of OMT in elderly patients by analyzing selected studies that specifically explore its effects on balance, quality of life, and pain management.

This study aimed to compare the outcomes of patients with chronic low back pain treated by osteopathic and allopathic physicians in the United States utilizing a pragmatic design reflecting medical care in real-world settings, including an assessment of potential mediators of osteopathic medical care.

The objective of this study was to determine if the implementation of an advanced mandatory 2-week patient safety course, leading to the attainment of the Certified Professional in Patient Safety (CPPS™) credential, can yield a measurable impact on medical students’ patient safety knowledge entering into residency.

The primary objective of this study was to determine the prevalence of negative fetal outcomes such as low birth weight, birth defects, prolonged hospital stay, and infant mortality in cesarean section deliveries and their increased risk of occurrence among mothers with comorbidities.

Although a large proportion of US emergency physicians are osteopathic physicians, the frequency of osteopathic manipulative medicine (OMM) use in emergency departments (EDs) is unknown. The aim of this study was to estimate the frequency of OMM in EDs across the United States and describe the cohort who received OMM.

The objectives of this survey were to evaluate the impact of stigmatizing language on medical students’ responses to case presentations of mental illnesses, and to determine how these perceptions vary across the course of medical education.

The authors of this study assess whether patients with a history of alcohol use disorder (AUD) and/or positive blood alcohol content (BAC+) affect emergency department (ED) wait times.

This study aimed to examine the number of DO graduates in urology residency programs over time and map their current distribution throughout the United States.

Pediatric lymphedema is a progressive condition of chronic swelling and soft-tissue damage, caused by impaired lymphatic function. The objective of this study was to systematically review and evaluate the evidence supporting the effectiveness of OMT in managing pediatric lymphedema and compare it to traditional therapies such as complex decongestive therapy.

Based on the recommendations of the Special Commission on Osteopathic Medical Licensure Assessment, the NBOME established the Core Competency Capstone for Doctors of Osteopathic Medicine (C3DO). The objectives of this study were to describe the assessment and to ascertain the feasibility of administering it at multiple colleges of osteopathic medicine.

The objectives of this study were to gather all relevant literature reporting features of vertebrobasilar insufficiency (VBI) pertaining to atherosclerosis, with the aim to help provide evidence that may guide clinical practice in the use of manual therapy interventions and to raise awareness of the manifestations that VBI may present.

A small percentage of patients comprise a high proportion of healthcare utilization, particularly the costs associated with Emergency Department (ED) visits and inpatient hospitalization readmissions. The purpose of this study was to demonstrate a decrease in ED utilization and hospital readmissions in a selected group of super-utilizers post-intervention by a Community Care Coordination team and to determine cost avoidance.

Clinical guidelines are the backbone of evidence-based medical practice, shaping healthcare delivery and patient outcomes. To ensure that guidelines reflect the entire medical community, it is important that guideline-creation bodies have adequate representation from stakeholder groups with diverse viewpoints. To quantify the contribution of DOs to the body of literature guiding practice, author information was extracted from all US-based guidelines published in the years 2021, 2022, and 2023 listed in the ECRI Guidelines Trust database.

Sarcopenia is a condition characterized by the age-related loss of muscle mass and function that diminishes physical capabilities and increases the risk of falls, fractures, and overall morbidity. In this study, the authors utilized a rat model of sarcopenia due to disuse atrophy and examined the effects of STM on recovery of muscle mass and regulation of pro-/anti-inflammatory cytokines.

Simulation-based medical education (SBME) is a method for enhancing learner skill prior to initiating care for real patients. This study aimed to determine the effectiveness of the SBME lab to enhance the training of medical learners of OMM on hospitalized patients.