Osteopathic medicine in the United States |
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Andrew Taylor Still (founder) |
Most physicians in the United States hold either the Doctor of Medicine degree (MD) or the Doctor of Osteopathic Medicine degree (DO).[1] Institutions awarding the MD are accredited by the Liaison Committee on Medical Education (LCME). Institutions awarding the DO are accredited by the Commission on Osteopathic College Accreditation (COCA). The World Directory of Medical Schools lists both LCME accredited MD programs and COCA accredited DO programs as US medical schools. Foreign-trained osteopaths do not hold DO degrees and are not recognized as physicians in the United States or in other jurisdictions.
The curriculum and coursework at MD- and DO-granting schools is virtually indistinguishable other than the addition of osteopathic manipulative medicine (OMM),[2] which is taught at DO-granting schools only. One OMM practice, cranial therapy, has received criticism regarding its efficacy and therapeutic value.[3][4][5][6][7]
Both MD and DO degree holders must complete Graduate Medical Education (GME) via residency and optional fellowship in any medical specialty of choice after medical school in order to practice medicine and surgery in the United States.[8] Since 2020, all DO and MD graduates complete GME training at a program approved by the Accreditation Council for Graduate Medical Education (ACGME). Before 2020, practicing physicians holding the DO could have completed GME training at a program approved by either the American Osteopathic Association (AOA) or ACGME. Historically AOA-approved GME programs either gained approval by the ACGME or were dissolved with the 2020 merger between the AOA and the ACGME.
Physicians who bear an MD or DO can be licensed to practice medicine and surgery in all states.
The history of the MD and DO degrees differ significantly.
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