Advance Articles

Medical Education

Understanding COMLEX-USA Level-1 as a Pass/Fail examination: impact and opportunities

Ashley Gerhardson, PhD; Melissa Efurd, EdD; Patricia Sexton, MS, DHEd; and Donald Sefcik, DO, MBA
In late 2020, the National Board of Osteopathic Medical Examiners announced that the Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA) Level 1 examination would discontinue reporting numeric scores, only providing a Pass/Fail designation. The authors of this study generated a series of five hypotheses to investigate the perceived impact of the transition to Pass/Fail scoring.
Advance Article
NMM/OMT

Effects of a single osteopathic manipulative treatment on intraocular pressure reduction: a pilot study

Hollis H. King, DO, PhD; Robert N. Weinreb, MD; Evan Walker, MS; and Linda M. Zangwill, PhD
Research on the effects of osteopathic manipulative treatment (OMT) on visual functions and conditions is very limited, so a pilot randomized clinical trial was conducted to assess the impact of one OMT session on patients diagnosed with suspected ocular hypertension or glaucoma.
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Cardiopulmonary Medicine

Impact of osteopathic tests on heart rate and heart rate variability: an observational study on osteopathic students

Flora Gillet, DO; Mathilde Gault, DO; Vincent Dussault, DO; Saïda Cheggour, MD; Marilyne Grinand, PhD; and Pierrick Martinez, DO
This study aims to evaluate the influence of osteopathic listening tests on heart rate and heart rate variability markers, including the root mean square of successive differences and the low-frequency/high-frequency ratio, in healthy participants, and to contextualize the findings within existing osteopathic research on autonomic nervous system modulation.
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Musculoskeletal Medicine and Pain

Longitudinal outcomes among patients with fibromyalgia, chronic widespread pain, or localized chronic low back pain

John C. Licciardone, DO, MS, MBA; Elizabeth Brownell, BSEE; Uchechi Nwaichi, BS; Arpan Patel, BSA; and Khanh Do, BS
The objective of this study was to compare longitudinal outcomes of patients with fibromyalgia, chronic widespread pain, or localized chronic low back pain to determine whether fibromyalgia is an extreme manifestation of the chronic widespread pain continuum.
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General

Comparing intubation techniques of Klippel–Feil syndrome patients in the last 10 years: a systematic review

Mitchell Fisher, BS; Andrew Simonsen, BS; Christopher Stewart, BS; Salma Alkhatib, BS; Abbigail Niewchas, BS; Alex Otto, DO; Randall Hansen, DO; Kent McIntire, DO; and Suporn Sukpraprut-Braaten, PhD
The purpose of this study is to analyze first-attempt intubation success rates of Klippel–Feil syndrome patients by intubation technique and stratified by location and quantity of cervical fusions and a Mallampati score if reported.
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Medical Education

Pioneering the future: incorporating lifestyle medicine tools in osteopathic medical education

Shipra Bansal, MD, Assistant Professor, and Jay H. Shubrook, DO
The role of lifestyle has taken a renewed importance in disease prevention and chronic disease management. Osteopathic medicine has long focused on comprehensive, holistic care for our patients, and the tenets support the role of lifestyle medicine (LM) in osteopathic clinical care. In this commentary, the authors make the argument for incorporating LM more formally into the clinical curriculum at colleges of osteopathic medicine and will draw parallels with these two programs.
Advance Article
NMM/OMT

Carpal tunnel dimensions following osteopathic manipulation utilizing dorsal carpal arch muscle energy: a pilot study

Lilian Zhan, BS; Juanita Brown, DO; Sharon Gustowski, DO; Patrick Davis, PhD; and Mario Loomis, MD
This pilot project investigated the mechanism of a previously undescribed technique of nonoperative carpal tunnel treatment, dorsal carpal arch muscle energy, which focuses on the dorsal arch (trapezium, trapezoid, capitate, and hamate bones) manipulating the bones to redome the arch, round the tunnel, and increase its volume.
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Medical Education

Trends in osteopathic medical education: a scoping review

Katie Hoskins, MLS, MEd; Molly Montgomery, MLS, MS; Abbey Griffith, MLS, AHIP; Hannah Pollard, MLIS, AHIP; Debra Orr-Roderick, MSS, MLIS; Darell Schmick, MLS, MBA, EdD, AHIP; Jeanne Strausman, MLS, AHIP; Sarah Wade, MLS; Melinda Robertson, MSLS, MBA; and Megan DeArmond, MSLIS, MFA
Following the transition to a single graduate medical education accreditation system in 2020, leaders at American Association of Colleges of Osteopathic Medicine (AACOM) were interested in learning more about the research being done about osteopathic medical education leading up to that point in time. The objective of this scoping review was to identify trends in undergraduate and graduate osteopathic medical education and to determine where this information was being disseminated and the institutions who were creating the content.
Advance Article
NMM/OMT

The effect of osteopathic manipulative treatment on chronic rhinosinusitis

Marija Rowane, DO; Ashwin Shankar, DO; Supriya Nagireddi, DO; Amanpreet Kalkat, MD; Cheryl Hammes, DO, FACOFP; Eshika Kohli, BS; Meghan Callahan, BS; and Robert Hostoffer, DO, LhD, MSMEd, MBA, FACOP, FACOI, FCCP
Chronic rhinosinusitis (CRS) is a prevalent inflammatory disease of the paranasal sinuses that may significantly impair quality of life. This study aimed to assess whether OMT focused on lymphatic drainage of cranial structures can provide immediate, as well as sustained, relief of CRS symptoms.
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General

Determining the effects of social media engagement on surgery residents within the American College of Osteopathic Surgeons

Vincent S. Alexander, MS; Bebe Eke, BS; Andrew Xu, BS; Ryan Wong, BS; Andrew Greek, BS; Michael Ernst, MS; Hayden Roberts, BS; Ogechukwu Ariwodo, BS; Andrew D. Vogel, MS; Bracken Burns, DO; and Kristen Conrad-Schnetz, DO
This study aimed to evaluate the effectiveness of “X” (formerly Twitter) in networking between osteopathic medical students and surgical residents, specifically assessing engagement rates and the potential of social media as a tool for mentorship in the osteopathic surgical community.
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Clinical Image

Pityriasis lichenoides chronica presenting in skin of color

Bailey Cook, DO, MBA; Richard Bindernagel, DO, MBA; Robert Dazé, DO; and Richard Miller, DO
Advance Article
Public Health and Primary Care

Impact of a clinician-directed educational program on communicating with patients regarding gun violence at two community urban healthcare centers

Erik Langenau, DO, MS, MAPP; Alexa M. Kaminsky, BS; and Michael B. Roberts, PsyD
In this quality-improvement study, the authors investigated an educational program designed to help clinicians talk to their patients about gun violence, prevention, and available resources to support and treat those impacted by gun violence.
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Medical Education

Recent and future trends in osteopathic orthopedic surgery residency match rates following the transition to a single accreditation system

Morgan Turnow, DO; Minali Nemani, BS; Nithin Gupta, BS; Hayden Hartman, BS; Taylor Manes, DO; Tyler Williamson, DO; and Arianna Gianakos, DO
This study aims to investigate recent match rate trends in orthopedic surgery within the past 5 years, and also to forecast match trends for both MD and DO students to further analyze the future projection of the orthopedic surgery match.
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Public Health and Primary Care

Improving vascular access knowledge and assessment skill of hemodialysis staff

Kyle Smith, DO, EdD, FACP, FASDIN; and Candace Ayars, PhD
The study’s purpose is to determine the effect of an advanced vascular access educational module presented to hemodialysis nurses and technicians, focusing on physical examination findings to identify a dialysis access at risk for malfunction.
Advance Article
General

Incidence of fall-from-height injuries and predictive factors for severity

Carlos Palacio, MD; Muhammad Darwish, MD; Marie Acosta, RN; Ruby Bautista, RN; Maximillian Hovorka, MD; Chaoyang Chen, MD; and John Hovorka, MD
This retrospective study investigated the incidence of fall-from-height injuries utilizing conventional statistics and a predictive AI model to understand the fall-related injury profile and predictive factors.
Advance Article
NMM/OMT

Stressbusters: a pilot study investigating the effects of OMT on stress management in medical students

Robert Valencia, MEd; Gowtham Anche, BS; Gabriela Do Rego Barros, MS; Victor Arostegui, BS; Henal Sutaria, BS; Emily McAllister, BS; Mary Banihashem, DO; and Mikhail Volokitin, MD, DO
This study aimed to determine if regular osteopathic manipulative treatments could impact the stress levels of first-year osteopathic medical students at Touro College of Osteopathic Medicine Harlem campus by measuring physiologic stress through changes in weekly salivary cortisol levels, perceived emotional and psychological stress levels, and cognitive function.
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Obstetrics/Gynecology

Management of endometriosis: a call to multidisciplinary approach

Jordann-Mishael Duncan, MBS, MD; Ritchie Delara, MD; Gina Ranieri, DO; and Megan Wasson, DO
In this Clinical Practice article, the authors describe their experience of utilizing a multidisciplinary team (composed of a gynecologic surgeon trained in advanced pelvic surgery and endometriosis, a urologist, a colorectal and/or general surgeon, a cardiothoracic surgeon, and a radiologist experienced in gynecologic imaging) to increase the likelihood of providing cost-effective care and delivering adequate, evidence-based treatment of endometriosis.
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Pediatrics

Non-Herlitz junctional epidermolysis bullosa in a Native American newborn

Ayah A. Ibrahim, BS; Macken Yrun-Duffy, DO; Rochelle D. Almario, DO; Jordyn R. Mullins, BS, BA; and Scott S. Cyrus, DO
This case report details the presentation, diagnosis, and management of a newborn Native American male with non-Herlitz junctional epidermolysis bullosa, a rare diagnosis specifically in the Native American population.
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Musculoskeletal Medicine and Pain

Urinary incontinence in elite female powerlifters aged 20–30: correlating musculoskeletal exam data with incontinence severity index and survey data

Kloie D. Nutt, BS; Michael Carnes, DO, FAAO; Laura Griffin, DO, FAAO; and Gregory Rivin, BS
Urinary incontinence (UI) in the powerlifting community has been a hot topic due to its noticeability during competition and the burden it places on female athletes who experience it. The objectives of this study were to determine whether UI in elite female powerlifters is correlated with any musculoskeletal diagnoses and to further evaluate potentially contributing factors for UI within this group.
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Musculoskeletal Medicine and Pain

Osteopathic approach to injuries of the overhead thrower’s shoulder

Arthur J. De Luigi, DO, MHSA; George Raum, DO; Benjamin W. King, BS; and Robert L. Bowers, DO
The goal of this article is to discuss the impact of overhead motions on the shoulder, with a primary focus on throwing, as well as to highlight the osteopathic approach to assessment, treatment, management, and prevention.
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Musculoskeletal Medicine and Pain

Elbow injuries in overhead throwing athletes: clinical evaluation, treatment, and osteopathic considerations

Benjamin W. King, BS; George M. Raum, DO; Arthur J. De Luigi, DO, MHSA; and Robert L. Bowers, DO, PhD
This review provides an update on common elbow injuries in the throwing athlete and covers clinical presentation, diagnosis, and treatment of these injuries.
Advance Article
Cardiopulmonary Medicine

Effects of the Strong Hearts program at two years post program completion

Bruce E. Murphy, MD, PhD; Peyton D. Card, MD; Leybi Ramirez-Kelly, MD; Brandon Wensley, MS; and Robert E. Heidel, PhD
The Strong Hearts program was designed as a secondary prevention program to help improve cardiovascular disease (CVD) risk factors in the CVD population. This study evaluated the long-term efficacy of the program up to 2 years after program completion.
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Obstetrics/Gynecology

Reduction in deep organ-space infection in gynecologic oncology surgery with use of oral antibiotic bowel preparation: a retrospective cohort analysis

Kathryn Kennedy, MD; Jennifer Gaertner-Otto, DO; and Eav Lim, DO, FACOOG
The primary aim of this study was to compare the rate of deep organ-space surgical site infection in gynecologic surgery before and after institution of an oral antibiotic bowel preparation, thus assessing whether the preparation is associated with decreased infection rate.
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