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Physicians, Osteopathic
There are currently about 61,000 osteopathic physicians in the United States; they constitute about 7% of the nation's practicing physician workforce. But osteopathic physicians are responsible for 16% of patient visits in small communities with populations of fewer than 2,500 individuals. In addition, 22% of all osteopathic physicians practice in rural and medically underserved areas.
The osteopathic medical philosophy emphasizes preventive care and focuses on the unity of all body parts. Instead of just treating specific symptoms or illnesses, osteopathic physicians regard the body as an integrated whole, and they help patients develop attitudes and lifestyles that help prevent illness. Like allopathic physicians, osteopathic physicians are fully licensed to prescribe medications and practice in all medical specialty areas, including surgery.
Osteopathic physicians also receive extra medical training in the musculoskeletal system, the body's interconnected system of nerves, muscles, and bones that make up two thirds of its body mass. This training provides osteopathic physicians with a better understanding of the ways that an injury or illness in one part of the body can affect another.
Furthermore, osteopathic physicians incorporate osteopathic manipulative treatment into their medical care. With this treatment, osteopathic physicians use their hands to diagnose injury and illness and to encourage the body's natural tendency toward good health.
Background
Andrew Taylor Still (1828–1917) was the father of osteopathic medicine as well as the founder of the first college of osteopathic medicine. Born in a log cabin in Jonesville, Virginia, Still decided at an early age to follow in his father's footsteps and become a physician. As an apprentice physician to his father, he learned both from being at his father's side as well as from the course of study. Still later served in the Civil War as a surgeon in the Union Army.
It was not until the early 1870s that Still separated himself from his allopathic counterparts by his pervasive criticism of the misuse of drugs common in that day. Believing that medicine should offer the patient more, he supported a philosophy of medicine different from the practice of his day, and in its place he advocated the use of osteopathic manipulative treatment.
Still identified the musculoskeletal system as a key element of health and recognized the body's ability to heal itself. He stressed preventive care, eating properly, and keeping fit. In 1892, Still founded the American School of Osteopathy, now known as the Kirksville College of Osteopathic Medicine of the A. T. Still University of Health Sciences, in Kirksville, Missouri.
Osteopathic Medical Education
Currently, there are 26 osteopathic medical schools in the United States. Students in these programs take courses in anatomy, physiology, microbiology, histology, osteopathic principles and practices, including osteopathic manipulative medicine, pharmacology, clinical skills, physician-patient communications, and systems courses that focus on each major system of the body, such as the cardiac and respiratory systems.
Many osteopathic medical schools have students assigned to work with physicians beginning early in their 1st year of study. This process continues throughout the 2nd year in conjunction with the necessary science courses. In the 3rd and 4th years, osteopathic medical students spend time learning about and exploring the major specialties in medicine through clinical rotations.
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