Meyer C T, Price A
Michigan State University College of Osteopathic Medicine, East Lansing.
Acad Med. 1992 Dec;67(12):810-6. doi: 10.1097/00001888-199212000-00002.
During the last 30 years the osteopathic profession has undergone a remarkable transformation from osteopathy, characterized by manipulative therapy, to osteopathic medicine, characterized by full-service health care, and in the process it has won acceptance from the government, the military, and physicians. These changes in status have resulted in new problems for the profession, because D.O. graduates are turning increasingly toward M.D. programs for residency training, and osteopathic medicine's primary care orientation is being replaced by an emphasis on specialty training. The authors advocate that osteopathic medicine return to its original mission of primary care, abandon specialty training or restrict it to those who have completed primary care residencies, abolish its separate-but-equal posture, and establish lines of communication with allopathic medicine and the American Medical Association to facilitate the development of a rational national policy for primary care that considers the potential osteopathy has to offer in meeting the nation's primary care needs.
在过去30年里，整骨疗法行业经历了显著的转变，从以手法治疗为特征的整骨疗法转变为以全方位医疗保健为特征的整骨医学，在此过程中，它赢得了政府、军队和医生的认可。这些地位上的变化给该行业带来了新问题，因为整骨医学博士毕业生越来越多地转向医学博士项目进行住院医师培训，而且整骨医学对初级保健的导向正被对专科培训的重视所取代。作者主张整骨医学回归其初级保健的原始使命，放弃专科培训或将其限制在已完成初级保健住院医师培训的人员，摒弃其分立但平等的姿态，并与对抗疗法医学及美国医学协会建立沟通渠道，以促进制定一项合理的国家初级保健政策，该政策要考虑到整骨疗法在满足国家初级保健需求方面所具有的潜力。
