The Journal of the American Osteopathic Association
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J Am Osteopath Assoc · Aug 2012
The Phoenix Physician: defining a pathway toward leadership in patient-centered care.
Health care delivery has evolved in reaction to scientific and technological discoveries, emergent patient needs, and market forces. A current focus on patient-centered care has pointed to the need for the reallocation of resources to improve access to and delivery of efficient, cost-effective, quality care. ⋯ The American College of Osteopathic Internists has developed the Phoenix Physician, a training program that will prepare primary care residents and practicing physicians for the changes in health care delivery and provide them with skills such as understanding the contributions of all team members (including an empowered and educated patient), evaluating and treating patients, and applying performance metrics and information technology to measure and improve patient care and satisfaction. Through the program, physicians will also develop personal leadership and communication skills.
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J Am Osteopath Assoc · Aug 2012
Validation of a triage algorithm for psychiatric screening (TAPS) for patients with psychiatric chief complaints.
The process of medical clearance screening for patients with psychiatric chief complaints has not been standardized. ⋯ The TAPS form is potentially an effective tool in screening for the absence of acute medical illness.
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Psoas syndrome is an easily missed diagnosis. However, it is important to consider this condition as part of the differential diagnosis for patients presenting with low back pain--particularly for osteopathic physicians, because patients may view these practitioners as experts in musculoskeletal conditions. ⋯ After the correct diagnosis was made, he was treated by an osteopathic physician using osteopathic manipulative treatment, in conjunction with at-home stretches between office treatments. At his 1-month follow-up appointment, he demonstrated continued improvement of symptoms and a desire for further osteopathic manipulative treatment.
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J Am Osteopath Assoc · Aug 2012
Randomized Controlled TrialPreventative osteopathic manipulative treatment and the elderly nursing home resident: a pilot study.
Elderly nursing home residents are generally in poor health. Many residents report pain on a daily basis, few are independent in their activities of daily living, and most take a large number of medications. ⋯ Twice monthly OMT and LT protocols reduced the number of hospitalizations and decreased medication usage in elderly nursing home residents.