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Artificial intelligence and osteopathic medicine: preserving human-centered care in an era of technological advancement
As healthcare transforms with artificial intelligence (AI) tools offering enhanced diagnostic capabilities, predictive analytics, and administrative efficiency, there is a risk that overreliance on empirical data may undermine the osteopathic patient care. This commentary examines how physicians can ethically integrate AI systems while preserving osteopathic medicine’s humanistic core.
Advance Article
A proven template for providing streamlined, scalable, cost-effective clinical research opportunities in osteopathic medical schools
Clinical research plays a crucial role in advancing medical knowledge and contributing to the resume of medical students attempting to match into a residency, so the creation of sustainable and effective research opportunities within medical education is paramount. The authors describe a template that they've created to assist osteopathic medical students conduct streamlined, scalable, and cost-effective clinical research at their institution, which they believe can be implemented at other COMs.
Advance Article
The utility of the implantable loop recorder in patients with Ehlers-Danlos syndrome and hypermobility spectrum disorder
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.
Advance Article
Assessing fundamental clinical skills of osteopathic medical students
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.
J Osteopath Med; 125(10): 469-476
Medical malpractice liability in large language model artificial intelligence: legal review and policy recommendations
This commentary discusses areas of potential legal vulnerability for clinicians utilizing large language model artificial intelligence (AI) through review of past case law pertaining to third-party medical guidance and reviews the patchwork of current regulations relating to medical malpractice liability in AI.
J Osteopath Med; 124(7): 287-290
The sternal brace: a novel osteopathic diagnostic screening tool to rule out cardiac chest pain in the emergency department
Chest pain is one of the most common emergency medicine complaints in the United States, yet no reliable physical examination finding exists to help differentiate cardiac chest pain (CCP) from noncardiac chest pain (non-CCP). This is a diagnostic accuracy study of the sternal brace, a novel physical examination maneuver to rule out cardiac-related chest pain from non-CCP.
J Osteopath Med; 124(2): 45-50
Analysis of alternate material Onyx™ for total knee arthroplasty instrumentation sets
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.
J Osteopath Med; 123(12): 557-561
Validation of cognitive and neuromuscular latencies using an iPad-based tool to quantify simple reaction times in asymptomatic subjects
Previous studies have shown that the average number of finger-taps during a 10-second interval can be utilized to distinguish between patients with mild traumatic brain injury (TBI) and healthy controls. In this study, the authors used an iPad-based tool to quantify simple reaction times in asymptomatic subjects.
J Osteopath Med; 123(2): 59-64
At-home ECG monitoring with a real-time outpatient cardiac telemetry system during the COVID-19 pandemic
During the COVID-19 pandemic, essential in-person electrocardiogram (ECG) recordings became unfeasible, while patients continued to suffer from cardiac conditions. To circumvent these challenges, a cardiology clinic transitioned to a remote real-time outpatient cardiac telemetry (ROCT) service. The goal of this study is to test the hypothesis that at-home ROCT is an effective method of providing ECG monitoring to symptomatic patients during the COVID-19 pandemic.
J Osteopath Med; 122(10): 503-508
Retropubic Dilation With a Foley Catheter Balloon: A Novel Technique for Penile Prosthesis Reservoir Placement
The authors propose a novel approach for inflatable penile prosthesis reservoir placement involving gentle dilation of the retropubic space using a Foley catheter balloon.
J Osteopath Med; 116(9): 594-598