정골 의학: 교육, 트렌드 및 직업에 대한 종합 가이드

### 정골 의학: 신화와 현실
* 🗣 미국 정골의학대학협회(AACOM)의 채용 및 지원 서비스 담당 부책임자인 지나 모세(Gina Moses)가 정골의학에 대해 설명합니다.
* 👩 ↪f_200D↩⚕️ 모세는 건강과 예방에 중점을 둔 정골 의학의 철학적 접근 방식을 강조하며 과거의 동종요법적 접근 방식과 대조했습니다.
* 👨 ↪f_200D↩⚕️ 그녀는 오스테오페틱 의학의 네 가지 특징인 △단일체로서의 신체(몸, 마음, 정신) △자가 치유 능력 △구조와 기능의 상호 관계 △전인적 이해를 바탕으로 한 합리적인 치료 등을 강조하며, "오스테오페틱은 전인적 치료"라고 말했습니다.
* 핵심 구성 요소인 오스테오파틱 조작 치료(OMT)는 신체의 상호 연결성을 활용한 수기 진단과 치료를 포함합니다.
* 📈 전인적 치료에 대한 관심이 높아지고 의료에 대한 사회적 인식이 변화하면서 오스테오페틱 의과대학 지원자 수가 기록적인 증가세를 보이고 있습니다.
* 📚 연사는 교육 요건에 대해 자세히 설명하면서 동종요법 의학과 마찬가지로 평생의 노력이 필요하다는 점을 강조하며 MCAT 시험, 임상 경험, 추천서 등 다양한 요건을 요구했습니다.
* 🌎 DO는 60개국 이상에서 진료권을 가지고 있으며 일차 진료에 중점을 두기 때문에 점점 더 많은 수요가 증가하고 있습니다.
* 👨 프레젠테이션에는 GPA 및 MCAT 점수를 포함한 지원자 프로필과 미국 내 오스테오페틱 의과대학의 증가 추세에 대한 데이터가 포함되었습니다.  "2019년이 되면, 어쩌면 그보다 더 빨리 이 나라의 의대생 4명 중 1명이 오스테오페틱 의대에 진학할 것입니다."

오스테오페틱 의학의 전체론적 접근 방식과 인기 상승은 기록적인 지원자 수에 반영되어 있습니다.

I'm very excited to introduce our speaker for tonight; she's a well-known voice in the world of osteopathic

medical education.  This is Gina Moses. She currently serves as the associate director of Recruitment and Application Services at the American Association of

Colleges of Osteopathic Medicine, which is in Maryland. Prior to joining ACOM in 2006, Gina was the assistant

director of Law and Health Professions advising at the University of Maryland, College Park.  And she has served as an

academic specialist at Georgetown University Medical Center, where she worked with pre-health students successfully matriculating to medical

schools around the nation. And for more than 10 years, Gina was at the University of Southern California, as you may have

heard earlier, and served as the principal pre-health academic advisor for pre-med students. She's

also an alumna of USC. So we're very excited to welcome Gina here tonight to tell us a little bit more about

osteopathic medicine and osteopathic education. Thank you for coming, Gina.

a truly a pleasure to be back in California. So we're going to talk a little bit about osteopathic medicine.  I'm

going to present a lot of information about what's happening in terms of data, what's trending in the profession,

a little bit about application numbers, how that's impacting and helping to actually change the workforce

in this country in terms of medicine. So we're going to go ahead and get started. So a little bit about ACOM. ACOM

is the American Association of Colleges of Osteopathic Medicine. We were founded in the late 1800s, and we support all of

the colleges of osteopathic medicine in this nation. And as Shana said, we're located in Chevy Chase, Maryland.

You're not too familiar with osteopathic medicine. I would submit to you that it's really a philosophical approach.

It's an equivalent to, um, our colleagues in the allopathic or MD world, but it's really a philosophical approach, if you

will, on how osteopathically trained students and practitioners look at healthcare and at medicine. So it was

founded in the 1800s by a gentleman named Andrew Taylor Still, hence our founding institution in this country is

at Still University, which is located in Kirksville, Missouri. Um, the interesting thing about Andrew Taylor Still was he was trained

as an MD, and if you know a little bit about medicine, they were doing all kinds of things that they thought were

curative and preventative—bloodletting, for example. Well, we know that's not really, really based in anything solid,

right? So, um, I always ask you guys, especially those in the audience who may have an interest in pursuing medicine

and osteopathic medicine, I want you to think about this as future physicians: the goal is to bring about wellness,

right? Prevent disease, um, wholeness. And so here's Andrew Taylor Still. He's trained as an MD, um, he lost all of his

children, and they were very young, to meningitis, and the doctors and the physicians, um, of the time couldn't save

his own children. He couldn't save his own children. So really think about that: here you are, trained as a physician, and

you're not able to save and protect and bring wellness to your children, and they died. And I really like his quote:

“The object of the physician is to find health; anyone can find disease.” So think about that. We all know when we're sick

or we see sickness, or we see disease, or we see illness, but as future physicians, and for those of you that have an

Interest in medicine: the goal is to bring about health, right? To find health, and that's a key thing I want you to

think about for osteopathic medicine. And so today, in the 21st century, there are four hallmarks of osteopathic medicine.

They set the tone; they set the foundation; they are the founding principles. So, number one, we recognize

that the body is a unit: body, mind, spirit. Number two, the body is capable of self-healing, self, you know, and and

health is part of that self-healing, health maintenance. So I always like to give the example: I cut

my finger; it bleeds; it heals—self-healing properties, right? Number three, structure and function are interrelated. Okay, so I was sharing with

some of you that I went to the Redwoods and I took a hike. If I had fallen, if I had broken my leg, my

function and structure would be totally different, right? Because the leg's broken, how am I walking? What's the function

and the structure interrelated? And lastly, osteopathically trained physicians believe that rational treatment is based upon this very basic

understanding of the whole—again, body, mind, spirit; it's the whole. So if one part of your body is injured or impacted, another

area is equally. So finding the underlying root cause, finding the whole, is what the goal is for osteopathically

trained physicians. I like visuals; I think they help tell the story. So, as you can see, it's all about osteopathic

manual treatment, osteopathic manipulative treatment. You may hear that—OMT. Um, you will also hear the jargon

OMM—osteopathic manipulative medicine. Okay, OMM, OMT. Okay. So truly, the training of future

osteopathic physicians in this nation, at our schools, um, are cutting-edge. We have cutting-edge programs; we have cutting-

Edge technology. I was just at our South Carolina campus, um, our Virginia College of Osteopathic Medicine, which has a

branch down in the Carolinas—state-of-the-art everything, top to bottom. I mean, it's incredible.

And so osteopathic medicine is a younger profession than our allopathic colleagues, and I would say that many of

the schools rise to the challenge of what is happening in healthcare. What, um, are the curriculum issues that are

taking place? How are those incorporated, bringing it now in the present, not because, oh, this is how

we've always done it. We have hundreds of years, and this is how we've always done it. Osteopathic medical schools really

rise to the challenge of keeping it current, really hitting that refresh button. Um, primary care—that's that's an

item I'll talk about a little bit later on. Primary care training is a hallmark of excellence in osteopathic medical

schools. If you look at the data, osteopathic schools produce the nation's primary care physicians. Um, this is a

strong foundation in which to move forward in your practice if you want to specialize, because primary care is a

spectrum—cradle to grave—and it really does look at treating the whole patient. Okay, in terms of the medical

education and the timeline, I think it's also important to be very transparent. So if you have a desire to

go into osteopathic medicine or you want to have an idea of the training and the education, it's more alike than it is

dissimilar from that of an MD. So four years at an undergraduate institution, four years at an osteopathic medical

school, three to seven years for your, um, your internship, your residency, and if you want to specialize as an osteopathic

Trained, um, physician. Yes, you can specialize an additional one to three years out. So here's the takeaway message.

For anyone who has an interest in health care or what it takes to become a physician in this country, whether it's

DO or it's MD, it is truly, truly a lifelong commitment to your education—at least 18 years out, okay? And

the other thing I always like to say to the audience is this: think about the last time you saw your

physician and tell me that you want to know that your physician is current, that he's up-to-date on whatever it is that

you go in to see him or her about. Because if you say you—you're not—and you want to go into medicine wrong,

you never want to go see a doctor that doesn't keep up right with what's trending, what's the latest, what's

happening in whatever particular area of medicine. I know I would never want to go to see a physician who's not current, and

there's so much information out there, um, that these folks need to stay current on. So, when we say it's a lifelong

commitment to education, to learning, it truly is. Because, again, none of us ever wants to go to a physician that closes

the book at the end of—was 11 to 18 years, right? You wouldn't fathom it.

Wouldn't fathom it. Everything that you need to become an osteopathic physician in this country, um, is the same in terms

of the requirements of what you would need to become an MD or an allopathic physician in this country. So: biology,

chemistry, math, physics, English, um… Now we're looking at biochemistry, molecular… uh… the MCAT exam. And if you're not too

familiar with the MCAT exam, it's the—that's the exam that tests so that you can go on and become—get into a medical

school, whether it's MD or DO, that exam is changing and it's going to start reflecting some of the humanity, some of

the social sciences, psychology, um, you know, some of those other types of soft skills, if you will, or softer um, areas. Um, and so medical

education is changing and it's pushing changes into the entering pipeline for future physicians in this country. Um,

your letters of recommendation, your volunteer experience, your clinical exposure—all of those things that you would need for an

MD institution and to go on to become an MD, you need the same exact things, same exact everything in your portfolio for

an osteopathic medical school in this country. So again, DOs truly do bring something extra, something special to medicine. What is that? It's basically

this specialized training that I referred to earlier as OMM, OMT. It's gained over 200 hours, about 200 hours

over the first two years of your education at an osteopathic medical school. Um, DOs truly are experts; their

hands become diagnostic tools when they're treating their patients. Has anyone here had an osteopathic physician treat them? A few of you? Wonderful. Okay.

So you kind of know what I'm speaking uh, about. They're going to be hands-on with you if they practice and use OMT. Um, they

are going to be hands-on with you, and that's really powerful. Think about the last time you went to a visit and did he or

she touch you? The power of touch is incredible; it's healing almost in and of itself. But DOs really do bring this extra training

into how they treat their patients, how they're looking at their patient, looking at those—the four tenets—looking through

the lens of the four tenets that I talked about earlier, and their hands become part of that. Um, if you have good

eye-hand coordination, if you were an athlete, um, if you were a kinesiology or exercise science major, this might be a really

Good fit, it might resonate with you, um, if it is something that you have a desire to go into, um, and a lot of DOs

actually will tell you that they were a student athlete, or you know, they were involved in something and a DO treated

them and it just inspired them. And this is something that they can offer and bring to their patients, um, and again,

like I said, I like the visual, so it's about understanding the whole interconnectivity of the human body. If I

had a shoulder injury, a DO isn't going to just look and treat my shoulder; he's going to recognize, or she's going to

recognize the head, the neck, the arm, hand, fingers, the back—it's all interconnected. And if they use their hands and they

manipulate my muscular structure, they might determine, oh, I have a rib that's, you know, out of alignment.

And if they put that rib back into alignment, it takes the pressure off the nerve that was projected to the shoulder.

And that's the beauty of Osteopathic Medicine. An MD is not trained like that; that's not in their training, so they'll

Osteopathic Medicine: Myths and Realities

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미국 정골의과대학협회(AACOM)의 채용 및 지원 서비스 담당 부책임자인 지나 모세(Gina Moses)를 소개합니다.

오스테오페틱 의학은 동종요법(MD) 의학에 해당하는 의료에 대한 철학적 접근법으로 설명됩니다.

1800년대에 앤드류 테일러 스틸이 설립한 이 회사는 웰빙과 질병 예방을 강조합니다.

오스테오페틱 의학의 목표는 건강을 증진하고 질병을 예방하며 온전함을 달성하는 것입니다.

오스테오페틱 의학의 네 가지 특징: 하나의 단위로서의 신체(몸, 마음, 정신), 신체의 자가 치유 능력, 구조와 기능의 상호 연관성, 전체에 대한 이해를 바탕으로 한 합리적 치료.

오스테오페틱 의과대학은 일차 진료 교육을 강조하는 최첨단 프로그램과 기술을 갖춘 것으로 알려져 있습니다.

오스테오페틱 학교는 미국의 일차 진료 의사를 상당수 배출한 것으로 유명합니다.

오스테오페틱 의사가 되기 위한 일정은 학부 4년, 의과대학 4년, 인턴/레지던트 3년에서 7년의 과정으로 내과 의사와 비슷합니다.

의사가 되려면 평생 교육에 전념하고 해당 분야의 최신 정보를 유지해야 한다는 점을 강조합니다.

오스테오페틱 의사가 되기 위한 요건은 생물학, 화학, 수학, 물리학, 영어의 필수 과목과 MCAT 시험 응시 등 의학 박사가 되기 위한 요건과 유사합니다.

애플리케이션 데이터, 트렌드 및 정골 의학의 미래

의대 1학년 학생의 25% 이상이 오스테오페틱 의과대학에 다니고 있으며, 그 수는 점점 더 늘어날 것으로 예상됩니다.

2014년 신청 주기에는 기록적인 신청 건수를 보였고, 2015년 주기에는 더욱 증가하여 정골 의학에 대한 관심이 증가하고 있음을 알 수 있습니다.

오스테오페틱 의학의 인기가 높아지는 것은 사회적 변화와 전인적 환자 치료에 대한 선호도가 높아졌기 때문입니다.

지원자 수와 입학자 수에 대한 데이터는 정골 의과대학 입학의 경쟁적 특성을 잘 보여줍니다.

캘리포니아는 의예과 학생 수가 가장 많은 주이며, 캘리포니아의 정원이 제한되어 있어 많은 학생들이 다른 주의 오스테오페틱 스쿨에 진학합니다.