Steele Karen M, Baker Helen H
West Virginia School of Osteopathic Medicine, 400 N Lee St, Lewisburg, WV 24901-1128, USA.
J Am Osteopath Assoc. 2009 Nov;109(11):579-90.
In 1992, the West Virginia School of Osteopathic Medicine (WVSOM) created a task force as part of an institution-wide initiative to integrate osteopathic principles and practice (OPP) across its entire curriculum. The goals of the initiative, which was implemented with the graduating class of 1997, were to create a clearly distinct osteopathic curriculum and preserve the use of osteopathic manipulative treatment (OMT) by WVSOM alumni.
To evaluate outcomes of the Osteopathic Principles and Practices Integration Project among WVSOM alumni.
A survey was mailed on a staggered timeline to WVSOM alumni who had graduated at least 5 years earlier. Data from the graduating classes of 1995 and 1996 (preintervention) were compared with data from the graduating classes of 1997 through 2002 (postintervention).
After excluding responses from alumni still in residencies, responses from 52 (41.9%) of 124 alumni in the preintervention group and 155 (40.9%) of 379 alumni in the postintervention group were analyzed. Comparisons of preintervention group to postintervention group, based on the chi(2) test, revealed significant improvement in the proportion of alumni who agreed that basic sciences faculty at WVSOM provided exposure to osteopathic philosophy (P=.020); that basic sciences faculty at WVSOM taught OMT (P=.019); and that alumni were exposed to osteopathic philosophy during rotations with DOs (P=.031). Approximately 53% of alumni in both groups reported daily OMT use in treating patients. Posthoc analysis using the McNemar test for correlated proportions revealed that the proportion of all alumni rating themselves as "prepared" in OMT and OPP at the end of the second year of the WVSOM curriculum was 92.7%, significantly higher than the 76.1% rating of preparation at graduation (P<.001).
Survey results indicate that WVSOM's Osteopathic Principles and Practices Integration Project has created a distinctly osteopathic curriculum and has helped alumni maintain use of OMT in clinical practice.
1992年，西弗吉尼亚整骨医学院（WVSOM）成立了一个特别工作组，作为一项全校性倡议的一部分，旨在将整骨疗法原则与实践（OPP）融入其整个课程体系。该倡议于1997届毕业生实施，目标是创建一个明显独特的整骨疗法课程，并保留WVSOM校友对整骨手法治疗（OMT）的使用。
评估WVSOM校友中整骨疗法原则与实践整合项目的成果。
在一个交错的时间线上，向至少在5年前毕业的WVSOM校友邮寄了一份调查问卷。将1995年和1996年毕业班（干预前）的数据与1997年至2002年毕业班（干预后）的数据进行比较。
在排除仍在住院医师培训阶段的校友的回复后，分析了干预前组124名校友中的52名（41.9%）和干预后组379名校友中的155名（40.9%）的回复。基于卡方检验，将干预前组与干预后组进行比较，结果显示，同意以下观点的校友比例有显著提高：WVSOM的基础科学教师传授了整骨疗法理念（P = 0.020）；WVSOM的基础科学教师教授了OMT（P = 0.019）；校友在与整骨医生轮转期间接触到了整骨疗法理念（P = 0.031）。两组中约53%的校友报告在治疗患者时每天使用OMT。使用McNemar检验对相关比例进行的事后分析显示，在WVSOM课程第二年结束时，将自己评为在OMT和OPP方面“有准备”的所有校友比例为92.7%，显著高于毕业时76.1%的准备程度评级（P < 0.001）。
调查结果表明，WVSOM的整骨疗法原则与实践整合项目创建了一个独特的整骨疗法课程，并帮助校友在临床实践中保持了对OMT的使用。
