What is a D.O.?

   There are two types of physicians: the M.D., a Doctor of Medicine, and the D.O., a Doctor of Osteopathic Medicine.
   M.D.s are also known as allopathic physicians. While both M.D.s and D.O.s may use all accepted methods of treatment, including drugs and surgery, D.O.s place special emphasis on the body’s musculoskeletal system, preventive medicine, and holistic patient care.
   About a third of M.D.s, and more than half of D.O.s, are primary care physicians. The primary care physician practices general and family medicine, general internal medicine, or general pediatrics, and usually is the first health professional patients consult.
   D.O.s are more likely to be primary care providers, although they can be found in all specialties, and most D.O.s go into practice in medically-underserved areas like Grayson and other rural counties.
   Common specialties for D.O.s include emergency medicine, anesthesiology, obstetrics and gynecology, psychiatry, and surgery.
   Six D.O.s are on the Medical Staff at Twin Lakes Regional Medical Center-- OB/GYNs Dr. Gary Yochim, Dr. Wendy Lee and Dr. Mark Lee, Orthopedic Surgeon, Dr. Casey Starsiak, Emergency Medicine physician, Dr. Jasbir Dhillon,  and Internal Medicine physician, Dr. Tony Lee.
   It takes many years of education and training to become an M.D. or a D.O. -- 4 years of undergraduate school, 4 years of medical school, and 3 to 8 years of internship and residency, depending on the specialty selected.
   There are 144 medical schools in the United States-- 125 teach allopathic medicine and award a Doctor of Medicine (M.D.) degree; and 19 teach osteopathic medicine and award the Doctor of Osteopathic Medicine (D.O.) degree.
   The 19th, and newest, school of osteopathic medicine in the country is located in eastern Kentucky. The Pikeville College School of Osteopathic Medicine offers a four-year program that results in the degree of Doctor of Osteopathic Medicine (D.O.).
   Following medical school, M.D.s enter a "residency" which is graduate medical education in a specialty that takes the form of paid on-the-job training, usually in a hospital. Most D.O.s serve a 12-month rotating internship after graduation before entering a residency which may last 2 to 6 years.
   D.O.s are complete physicians. That means they are fully trained and licensed to prescribe medication and to perform surgery. D.O.s and allopathic physicians (M.D.s) are the only two types of complete physicians in the United States.
   Like M.D.s, D.O.s are licensed to practice the full scope of medicine in all 50 states. All physicians (both D.O.s and M.D.s) must pass a state medical board examination in order to obtain a license and enter practice. Each state board sets its own requirements for the physician to practice in that state.
   Osteopathic medicine is emerging as one of the fastest growing healthcare professions in the country. Currently, D.O.s represent 6% of the total U.S. physician population and 8% of all military physicians, and 15% of physicians in small towns and rural areas
   Each year, more than 100 million patient visits are made to D.O.s.
   Osteopathic medicine was founded in the late 1800s in Kirksville, Missouri by Andrew Taylor Still, M.D., who felt that the medical practices of the day often caused more harm than good.
   After losing members of his immediate family to meningitis, Dr. Still focused on developing a system of medical care that would promote the body’s innate ability to heal itself. He called his system of medicine "osteopathy," now known as osteopathic medicine. Dr. Still is quoted as saying: "To find health should be the object of the doctor. Anyone can find disease."
   D.O.s are trained to look at the whole person. This "holistic" approach means they are trained to see each person as more than just a collection of body parts that may become injured or diseased. Thus, D.O.’s work in partnership with their patients. They consider the impact that lifestyle and community have on the health of each individual, and they work to erase barriers to good health.
   Because of this whole-person approach to medicine, approximately 60 percent of all D.O.s choose to practice in the primary care disciplines of family practice, general internal medicine and pediatrics. Approximately 40 percent of all D.O.s go on to specialize in a wide range of practice areas. If the medical specialty exists, you will find D.O.s there.
   Growth in the number of D.O.s nationwide is exceeding projections. Between 1989 and 1994, D.O. growth outpaced M.D. growth by almost two times. By the year 2020, it is projected that over 80,000 osteopathic physicians will be in practice in the U.S.

Information for this two-part article was gathered from the following sources: the American Osteopathic Association, the American Medical Association, and the U.S. Department of Labor.

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