Page 12 - Master Blueprint 2018 - 2019
P. 12

                                         PRACTICE, AND MANIPULATIVE TREATMENT

        REQUIRED ELEMENT 1.1                                found within the 10 body regions, which are the head,  • obtain medical, family, social, and cultural histories from or
        KNOWLEDGE OF OSTEOPATHIC PRINCIPLES,                cervical, thoracic, lumbar, sacral, pelvic, lower extremity,  about the patient pertinent to the presenting complaint,
        PRACTICE, AND OMT                                   upper extremity, rib, and abdominal/visceral regions.  with emphasis on assessing potential structure-function
                                                                                                              and mind-body-spirit relationship influences.
                                                           • describe the underlying mechanisms, signs, symptoms,
                                                            and physical findings associated with viscerosomatic,  • perform an appropriate osteopathic structural examination
        The osteopathic physician must demonstrate an
                                                            somatovisceral, viscerovisceral, and somatosomatic  before and reassessment after administration of OMT.
        understanding of osteopathic principles and practice,
        including knowledge of the basic science, mechanisms of                                              • diagnose somatic dysfunction within the 10 body regions
        action, and physical findings of somatic dysfunction and  • name and describe the diagnostic examination, initial  (head, cervical, thoracic, lumbar, sacral, pelvic, lower
        basic application of OMT.                           positioning, monitoring, motion barriers, activating forces,  extremity, upper extremity, rib, and abdominal/visceral),
                                                            therapeutic timing, repetition, and reassessments used in  prioritize a differential diagnosis, and develop an
        MEASURED OUTCOMES                                   indirect and direct technique types of OMT, including the  appropriate care plan.
        The osteopathic physician must:                     following: counterstrain; muscle energy; myofascial
                                                                                                             • perform effective indirect and direct technique types of
                                                            release; high velocity, low amplitude; soft tissue; lymphatic;
        • describe the concept of body unity and recognize its role  osteopathic cranial manipulative medicine; articulatory;  OMT and associated elements, including diagnostic
         in whole-person health care.                                                                         examination, initial positioning, monitoring, motion
                                                            balanced ligamentous tension; ligamentous articular strain;
                                                                                                              barriers, activating forces, therapeutic timing, repetition,
        • describe the concept of interrelatedness of structure and  facilitated positional release; Still; visceral; treatment of  and reassessment. The technique types of OMT include:
         function in the human body and how it guides physical  Chapman reflexes; and treatment of trigger points.
                                                                                                              counterstrain; muscle energy; myofascial release; high
         examination for patient presentations, including
                                                           • identify the indications and contraindications of different  velocity, low amplitude thrust; soft tissue; lymphatic;
         biomechanical, respiratory, circulatory, neurologic,
                                                            OMT techniques.                                   osteopathic cranial manipulative medicine; articulatory;
         biopsychosocial, and metabolic structure-function
                                                                                                              balanced ligamentous tension; ligamentous articular
         relationships and their effect on the body’s self-regulating  • compare and contrast the relative value, advantages, and
                                                                                                              strain; facilitated positional release; still; visceral; treatment
         and self-healing capabilities.                     disadvantages of different OMT techniques.
                                                                                                              of chapman reflexes; and treatment of trigger points.
        • describe the reciprocal effects of dysfunction within the
                                                                                                             • provide for the safety and dignity of the patient while
         musculoskeletal system and dysfunction within the
                                                                                                              diagnosing somatic dysfunction and administering OMT.
         vascular, lymphatic, neurologic, and organ systems.
                                                           REQUIRED ELEMENT 1.2
        • describe how the human body’s self-healing and self-  SKILLS IN OSTEOPATHIC PRINCIPLES, PRACTICE,  • communicate principles of and demonstrate use of
                                                                                                              appropriate therapeutic and rehabilitative exercises,
         regulatory mechanisms affect treatment options.   AND OMT
                                                                                                              activity modification, and supportive and adaptive devices
        • describe the scientific knowledge supporting the use of                                             in the management of neuromusculoskeletal dysfunction
         osteopathic principles, practice, and OMT, including the                                             and facilitation of health.
                                                           The osteopathic physician must be able to apply
         basic science of the mechanisms of OMT and of somatic
                                                           osteopathic principles, including the use of OMT, to an
         dysfunction, and the current evidence base for the clinical
                                                           appropriate patient care plan.
         application of OMT and the role of the osteopathic
         physician to facilitate health.
                                                           MEASURED OUTCOMES
        • name and define the types of physical examination  The osteopathic physician must:
         findings that are consistent with somatic dysfunction.
                                                           • incorporate osteopathic principles into problem solving in
        • name, define, and describe the types of somatic dysfunction  clinical settings.                                                             
        COMLEX-USA MASTER BLUEPRINT                                                                 DIMENSION 1     COMPETENCY DOMAIN 1        page 11
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