Advance Articles

Letters to the Editor

Osteopathic manipulative treatment for the allopathic resident elective: comments on survey selection

William Kyle Copenhaver, BS
Advance Article
Medical Education

Cognitive empathy of osteopathic students: a longitudinal study with data comparisons to the Project in Osteopathic Medical Education and Empathy (POMEE)

Bruce W. Newton, PhD; and Zachary T. Vaskalis, PhD
This study aims to measure the changes in student cognitive empathy as they progress through their undergraduate osteopathic medical education. Cognitive empathy scores are compared to the nationwide norms established by the Project in Osteopathic Medical Education and Empathy study Hojat et al.
Advance Article
NMM/OMT

Supine counterstrain technique for rhomboid tender point

Olivia C. Matz, MSA; Hannah C. Gustafson, MSA, MSBS; Lauren E. Hartwell, BS; Laura J. Rudberg-Post, BA; and Adrian L. Woolley, DO
The authors describe a modified supine counterstrain technique for the rhomboid tender point which incorporates both scapular retraction as well as superior, medial rotation of the inferior border of the scapula without abduction, providing a comprehensive treatment to accommodate patients with shoulder movement restrictions.
Advance Article
Public Health and Primary Care

The effectiveness of disinfection protocols in osteopathic family medicine offices

Riley Phyu, BS; Harrison A. Patrizio, BS; Thomas Boyle, MS; and Todd Schachter, DO
This study aims to assess the effectiveness of the current disinfection protocols in osteopathic family medicine offices.
Advance Article
Clinical Image

Raynaud’s phenomenon

Olivia Humpel, BS; and Robert Hostoffer, DO, LhD, MSMEd, MBA, FACOP, FAAP, FACOI, FCCP
Advance Article
NMM/OMT

Integrating osteopathic manipulative treatment into prenatal care visits in a family medicine resident clinic

Travis D. Rath, DO, MS; Kyle R. Baum, DO, MS; Bradley D. Kamstra, DO; and Jennifer A. Schriever, MD, MBA
The purpose of this Clinical Practice article is to provide a real-world example of integrating OMT into routine prenatal care in a family medicine resident clinic setting, which will be done by identifying barriers and developing solutions that allow for successful integration of OMT.
Advance Article
Public Health and Primary Care

Issues of informed consent for non-specialists conducting colorectal cancer screenings

Forrest Bohler, BS; and Allison Garden, BS
This commentary highlights inequities due to the overreliance on non-specialists to conduct a colorectal cancer screenings and the ethical issues raised by nondisclosure of elevated risks.
Advance Article
Clinical Image

Lichen planus pigmentosus inversus: a rare clinical variant

Charissa N. Obeng-Nyarko, MS; Robert Dazé, DO; and David Dorton, DO
Advance Article
Medical Education

Impact of the USMLE Step 1 and COMLEX Level 1 transition to Pass/Fail on osteopathic medical student stress levels and board preparation

Debra (Anderson) Twardowski, DO; Jennifer Montemayor, PhD; Mark Payton, PhD; and Jacquelyn Waller, PharmD, BCPS
The objectives of this study are to assess the impact of USMLE Step 1 and COMLEX Level 1 grade scale transition on medical student stress, wellness, board preparation decisions, and future residency selection processes.
Advance Article
Medical Education

Key factors for residency interview selection from the National Resident Matching Program: analysis of residency Program Director surveys, 2016–2020

Cooper L. Stone, DO; Godwin Y. Dogbey, PhD; John Falls, BS; and Yen-Ping Kuo, MS, PhD
In this study, the authors aim to synthesize National Resident Matching Program (NRMP) data showing factors that Program Directors reported and rated as important in their decision to select and invite applicants for interview.
Advance Article
Musculoskeletal Medicine and Pain

Ultrasound-guided injection through the rotator cuff interval: a clinical perspective of one institution’s results and description of technique

Nahum M. Beard, MD, CAQSM; Luke Beggs, PhD, MD; William G. Murphy, MD; Margaret Knack, RN, BSN, MS, CCRP; Owen Golden, MS, ATC; and William Ross, MD
The purpose of this study was to present a standardized technique of ultrasound-guided injection into the glenohumeral joint utilizing the rotator cuff interval in magnetic resonance imaging arthrography and to report one medical group’s experience with the technique.
Advance Article
General

Delayed discovery: the COVID-19 pandemic’s influence on osteoarthritis clinical trials

Nicholas B. Sajjadi, DO; Jon Michael Anderson, DO; Griffin K. Hughes, BA, BS; Christena E. Abraham, BS; Jamal Malik, BS; Micah Hartwell, PhD; and Matt Vassar, PhD
This study aims to explore the reasons for termination of clinical trials investigating osteoarthritis during the COVID-19 pandemic.
Advance Article
Innovations

Analysis of alternate material Onyx™ for total knee arthroplasty instrumentation sets

Nathan Gregg, BS; Alyssa M. Kendrick, BSN; Jill M. Carter, BS; Mark E. Gittins, DO, FAOAO; and Sarah C. MacNeill, MS, PAC
The goal of this study is to evaluate the novel material Onyx as a viable material utilized in reusable total knee arthroplasty instrumentation sets utilizing traditional steam sterilization as the sterilization method.
Advance Article
Clinical Image

Emerging treatment of prurigo nodularis with dupilumab

Olivia Humpel, BS; Lauren Fill, DO; and Robert Hostoffer, DO, LhD, MSMEd, MBA, FACOP, FAAP, FACOI, FCCP
Advance Article
Public Health and Primary Care

Preventing quality improvement drift: evaluation of efforts to sustain the cost savings from implementing best practice guidelines to reduce unnecessary electrocardiograms (ECGs) during the preadmisison testing evaluation

Rabeel Ahmad, BA; Ellen Hauck, DO, PhD; Huaging Zhao, PhD, MS; and Joseph McComb, DO, MBA
The objectives of this study were to improve and maintain adherence to published guidelines for preoperative ECG testing at a university hospital in a physician-led, nurse practitioner–staffed preadmission testing clinic.
Advance Article
Musculoskeletal Medicine and Pain

Retrospective analysis of robotic unicompartmental and total knee arthroplasties: patient demographics and outcomes

Alyssa M. Kendrick, BSN; Jill M. Carter, BS; Nathan Gregg, BS; Sarah C. MacNeill, MS, PAC; and Mark E. Gittins, DO, FAOAO
The aims of this study are to: (1) analyze adverse outcomes from robotic-assisted knee arthroplasty and its relation to sex, BMI, and age; and (2) explore any possible differences in outcomes among robotic-assisted unicompartmental knee arthroplasty (UKA) and robotic-assisted total knee arthroplasty (TKA).
Advance Article
Medical Education

Ultrasound-assisted bony landmark palpation in untrained palpators

Jared W. Nichols, DO; Cindy Schmidt, MA, PhD; Dipika Raghuraman, MBS; and D’Arcy Turner, MASc
The study's objective was to identify whether utilizing ultrasound assistance in teaching palpation of specific thoracic vertebral bony landmarks would improve palpation accuracy in first-year medical students with no previous palpatory experience.
Advance Article
Musculoskeletal Medicine and Pain

Educational intervention promotes injury prevention adherence in club collegiate men’s lacrosse athletes

Steven P. Gawrys, BS; Westin J. Wong, BS; Lawsen M. Parker, BS; Justin T. Bradshaw, BS; Evan G. Starr, BS; and Ben Wilde, DO
The objective of this study was to determine whether a brief educational intervention given to club collegiate athletes would affect injury rates, perceived pain, and compliance toward injury prevention practices.
Advance Article
NMM/OMT

Counterstrain technique for anterior and middle scalene tender point

Olivia C. Matz, MSA; Hannah C. Gustafson, MSA, MSBS; Lauren E. Hartwell, BS; Laura J. Rudberg-Post, BA; and Adrian L. Woolley, DO
This article details how to diagnose and treat an anterior/middle scalenes (AMS) tender point with an efficient technique that requires minimal exertion and maximal comfort for both the physician and patient at a new tender point location.
Advance Article
General

COVID-19 scent dog research highlights and synthesis during the pandemic of December 2019−April 2023

Tommy Dickey, MS, MA, PhD; and Heather Junqueira, CVT
The authors examined the safety, effectiveness, and practicality of utilizing trained scent dogs in clinical and public situations for COVID-19 screening. Specifically, results of 29 trained scent dog screening peer-reviewed studies were compared with results of real-time reverse-transcription polymerase chain reaction (RT-PCR) and rapid antigen (RAG) COVID-19 testing methods.
Advance Article
Medical Education

A student-driven mindfulness curriculum for first-year osteopathic medical students: a pilot study

Christina Nielsen, BS; Sabrina Katz, BA; Meriah Parker, BS; Janelle Trefsgar, BS; Hend Bcharah, BS; Jacob Kalin, BS; Desiree Delavary, BA; Mark Brunk-Grady, MS; and Breanne Jaqua, DO, MPH
The objectives of this study are to assess student satisfaction with four student-selected and student-led mindfulness activities incorporated into mandatory small-group sessions, the immediate impact of these activities on student stress levels, and student use of these activities outside the mindfulness sessions.
Advance Article
Medical Education

Effects of a focused training on first-year osteopathic medical students’ ability to incorporate point-of-care ultrasound in assessment of the anterior knee

Christina Weaver, DO; Deborah M. Heath, DO; Inder Raj S. Makin, MD, PhD, RDMS; Kamalani Hanamaika’i, DO; Raghu Kanumalla, MS; Starr Matsushita, BS; Payush Chatta, BS; and Srikar Adhikari, MS, MD
The objectives of this article are to determine the effects of a focused ultrasound training on first-year osteopathic medical students’ ability to identify normal sonographic anatomy of the anterior knee and to differentiate between three common pathologies: joint effusion, prepatellar bursitis, and cellulitis
Advance Article
Public Health and Primary Care

Diabetic ketoacidosis diagnosis in a hospital setting

Amber M. Healy, DO; Mallory Faherty, PhD, ATC; Zeryab Khan, DO; Naveen Emara, DO; Cody Carter, DO; Andrew Scheidemantel, DO; Musa Abu-Jubara, DO; and Robert Young, DO
The aims of this study were to determine how often diabetic ketoacidosis (DKA) is overdiagnosed in the context of other acute hyperglycemic emergencies, to describe the baseline characteristics of patients, to determine the hospital treatments for DKA, and to identify the frequency of endocrinology or diabetology consultation in the hospital setting.
Advance Article
Clinical Image

Acute generalized exanthematous pustulosis with systemic involvement

Sama Alazawi, DO
Advance Article
Cardiopulmonary Medicine

Sudden cardiac death in a young male endurance athlete

Kevin D. Seely, BS; Kentlee B. Crockett, MS; and Andrew Nigh, MD
Sudden cardiac death is a rare but tragic event that can occur in endurance sport athletes. The authors present a case of an otherwise healthy young male runner who collapsed during a marathon and could not be resuscitated despite aggressive measures.
Advance Article
General

Optimal hand surgery fellowship interview format

Lauren E. Dittman, MD; Nicholas F. Munaretto, MD; and Peter C. Rhee, DO, MS
The purpose of this study was to examine hand surgery fellowship applicants’ perspectives regarding in-person and virtual interviews.
Advance Article
Obstetrics/Gynecology

Implementation of an enhanced recovery after surgery (ERAS) protocol for total abdominal hysterectomies in the division of gynecologic oncology: a network-wide quality improvement initiative

Kathleen E. Ackert, DO; Wayne Bauerle, MD; Anna Ng Pellegrino, MD; Jill Stoltzfus, PhD; Shaun Pateman, BS; Dan Graves, CRNA; Ashley Graul, MD; Nicholas Taylor, MD; and Israel Zighelboim, MD
An ERAS protocol for gynecologic oncology surgeries performed in a community hospital was instituted with the goal to optimize patient outcomes preoperatively. The primary outcome of interest was to reduce patient opioid usage.
Advance Article
Letters to the Editor

A call to include intersectionality on board examinations

Darian R. Dozier, BS; and José E. Rodríguez, MD, FAAFP
Advance Article