LETTERS:

 Report of Case: Relapse of Condyloma Acuminatum and Mistrust of Physicians in Homeless Patient

Timothy P. Plackett and Marilyn Scott
J Am Osteopath Assoc 2005 105: 492-493. [Full Text] [PDF]  

 Doctors' Dilemma: Prescription Pain Medications

Todd Fredricks
J Am Osteopath Assoc 2005 105: 493-495. [Full Text] [PDF]  

 Dynamic Duo: Maine-Dartmouth Family Practice Residency Program and University of New England College of Osteopathic Medicine

Charles Perakis
J Am Osteopath Assoc 2005 105: 495-496. [Full Text] [PDF]  

 Osteopathic Manipulative Treatment Out of a Horse and Buggy

Robert M. Tessien
J Am Osteopath Assoc 2005 105: 496-497. [Full Text] [PDF]  

EDITORIALS:

 The Coming Influenza Pandemic: Lessons From the Past for the Future

Michael M. Patterson
J Am Osteopath Assoc 2005 105: 498-500. [Full Text] [PDF]  

The author outlines current preparedness measures in the United States and overseas for containing and responding to the spread of influenza strain A, the avian influenza virus H5N1. Also noted are similarities between H5N1 and H1N1, the avian influenza virus responsible for the 1917-1918 influenza epidemic that killed 40 million people worldwide in approximately 6 months. The author concludes with a discussion of the particular successes of the osteopathic medical profession during the 1917-1918 crisis and indicates that current levels of preparedness among osteopathic physicians could be higher than those in the larger medical community-if the lessons of our osteopathic heritage are heeded and disseminated widely.

MEDICAL EDUCATION:

Community-Based Osteopathic Manipulative Medicine Student Clinic: Changes in Curriculum and Student Confidence Levels

Karen M. Steele, Helen H. Baker, George F. Boxwell, and Sarah Steele-Killeen
J Am Osteopath Assoc 2005 105: 503-513. [Abstract] [Full Text] [PDF]  

As part of an institution-wide Osteopathic Principles and Practices Integration Project, with the ultimate goal of affecting the practice patterns of future osteopathic physicians, the West Virginia School of Osteopathic Medicine (WVSOM) in Lewisburg instituted a free, community-based medical clinic in spring 1995. Osteopathic medical students at WVSOM are provided with 26 hours of supervised experience in osteopathic palpatory diagnosis and osteopathic manipulative treatment. The immediate educational goal of this curricular change was to increase the confidence of WVSOM students in their technical abilities when using osteopathic manipulative medicine to diagnose and treat community patients, thereby increasing the likelihood that they would continue practicing osteopathic manipulative medicine during their residency training and eventually in clinical practice. Based on a variety of results from student-completed surveys, the authors conclude that the osteopathic manipulative medicine student clinic at WVSOM has met its initial goal of increasing student confidence in the application of these skills. Longitudinal studies are currently underway.

SPECIAL COMMUNICATIONS:

 Impact of Concierge Care on Healthcare and Clinical Practice

Anthony J. Linz, Paul F. Haas, L. Fleming Fallon, Jr, and Richard J. Metz
J Am Osteopath Assoc 2005 105: 515-520. [Full Text] [PDF]  

The authors outline the development of a form of nontraditional high-end, or luxury, healthcare known as concierge care--also often called boutique medicine or retainer practice. Physicians choosing to work within this new patient care model have provoked important medical, ethical, and legal questions in the medical community. Although some regulatory changes have taken place on the state and federal levels to address concerns about this trend, the authors argue for some of the perhaps lesser-known benefits of this model of care.

CASE REPORTS:

Report of Case: Partial Ureteral Obstruction Masked by Diuretics During Intraoperative Cystoscopy

Joseph M. Novi and Beth H. K. Mulvihill
J Am Osteopath Assoc 2005 105: 521-522. [Abstract] [Full Text] [PDF]  

The authors present the case of a 65-year-old woman who underwent vaginal hysterectomy and bilateral salpingo-oophorectomy, enterocele repair, sacrospinous ligament fixation, perineorrhaphy, and cystoscopy. In this case, the efflux of indigo carminestained urine from both ureteral orifices was not conclusive evidence of the absence of ureteral insult during intraoperative cystoscopy. While noting that there is currently little supportive evidence to guide decision making during intraoperative cystoscopy when both intravenous dye and diuretics are used, the authors discourage the use of diuretics during this procedure, recommending a careful interpretation of results from intraoperative cystoscopy when spillage of dye is observed from both ureteral orifices.

AOA COMMUNICATION (REPRINT):

 Like AOA Custom Publications, JAOA Now Offers Uniform Life Span for Quizzes

Carolyn Schierhorn
J Am Osteopath Assoc 2005 105: 527. [Full Text] [PDF]  

Editor's note: This article was first published in the August 2005 issues of The DO magazine and JAOA and will be republished periodically, as space allows, as a public service announcement to AOA members.

CME QUIZ:

 CME CERTIFICATION OF HOME STUDY FORM

J Am Osteopath Assoc 2005 105: 528. [PDF]  

 Answers to August 2005 JAOA CME Quiz

J Am Osteopath Assoc 2005 105: 528. [PDF]  

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