Prerequisites

Promotion to fourth-year status as an osteopathic, allopathic, or international medical student.

Description

The Osteopathic Manipulative Medicine clinical rotation is designed to prepare students to integrate Osteopathic Principles and Practices to the wide range of patients seen in a family medicine practice.

The student will work collaboratively with their designated osteopathic attending physician at various sites in the Northwest Wisconsin region to see, assess, and manage all aspects of patient care assigned to them during their rotation. Rotation length is one to four weeks.

Specific goals

1. Describe the unique and distinctive practice of Osteopathic Medicine and how it integrates into the larger healthcare system
2. Integrate the Osteopathic Tenets of holistic care to each patient encounter utilizing patient-centered language
3. Identify tissue texture changes, structural asymmetries, restrictions of motion, and tenderness for each unique patient encounter
4. Refine neuro-musculoskeletal physical examination skills for patients of all ages
5. Formulate a prioritized differential diagnosis that integrates the history and osteopathic palpatory exam findings
6. Practice informed consent conversations that cover common indications and contraindications, and side effects to performing Osteopathic Manipulative Treatment (OMT)

Activity outline

• Perform a comprehensive history and physical examination on each unique patient encounter
• Perform a focused osteopathic structural examination on each unique patient encounter
• Discuss integration of OMT into treatment plan for each patient encounter
• Perform OMT under the direct supervision and guidance of attending physician when appropriate
• Attend Osteopathic Recognition Philosophy Book Club discussions on the third Wednesday of the Month
• Attend Family Medicine Residency OMT Clinic on Wednesday afternoons
• Attend OMT Peer Treatment Program on the third Wednesday of the month

Method of evaluation

Students are evaluated by the supervising osteopathic attending physician. Evaluation is based on clinical skills, knowledge, and attitudes including establishing a therapeutic relationship, taking appropriate histories, demonstrating appropriate physical exams, describing clinical findings, developing a differential diagnosis, formulating a plan and conveying your recommendations to supervising physician and patient, and performance of OMT on patients.

Per Mayo Clinic institutional policy, faculty and residents/fellows will not complete any outside evaluations. You will be provided with an electronic performance evaluation via Mayo Clinic’s MedHub portal. A final summative evaluation will be sent to you and your school official upon completion of your clerkship.