NBOME

CORRE Blueprint

The CORRE examination is a computer-based assessment divided into three dimensions.

Each examination is administered in a standardized and time-measured environment, and measures understanding of osteopathic concepts, philosophy, diagnosis and treatment for physicians entering ACGME residency programs with osteopathic recognition.

 

Osteopathic Concepts and Philosophy

Osteopathic Concepts and Philosophy
The foundation that defines the distinctive osteopathic approach to health care based on the unity of mind, body, and spirit and the interrelatedness of structure and function. 40%
1.2 Understand and describe vascular and lymphatic organization and drainage
1.3 Have a basic knowledge of osteopathic history
1.4 Describe the osteopathic philosophy and tenets
1.5 Understand and describe applied anatomy and physiology
1.6 Define the concepts of facilitation and viscerosomatic, somatovisceral, viscerovisceral, and somatosomatic reflexes
1.7 Understand the concepts of Chapman reflexes
1.8 Obtain medical, family, social, and cultural histories from or about the patient pertinent to the presenting complaint, with emphasis on assessing potential structure-function and mind-body-spirit relationship influences
1.9 Describe the concept of interrelatedness of structure and function in the human body and how it guides physical examination for patient presentations, including biomechanical, respiratory-circulatory, neurologic, biopsychosocial, and metabolic structure-function relationships and their effect on the body's self-regulating and self-healing capabilities
1.10 Describe the underlying mechanisms, signs, symptoms, and physical findings that are associated with viscerosomatic, somatovisceral, viscerovisceral, and somatosomatic reflexes
1.11 Understand the application of osteopathic principles and practice in health and disease with particular emphasis on optimizing homeostasis and maximizing the patient's comfort and health, to resolve complaints and concerns with which patients commonly present

Osteopathic Diagnosis


Osteopathic Diagnosis
The examination of a patient with emphasis on the neuromusculoskeletal system, including the diagnosis of somatic dysfunction and its role in visceral disease processes. 40%
2.1 Locate and identify Chapman reflexes (diagnostic only)
2.2 Properly palpate landmarks as well as skin, fascia, muscle, and bone to identify somatic dysfunction
2.3 Have a knowledge of cranial anatomy to identify basic strain pattern dysfunctions
2.4 Understand somatic dysfunction diagnostic principles, including barrier concept
2.5 Properly evaluate posture, gait, and motor function
2.6 Use biomechanics of spinal movement and extremities in the diagnosis of somatic dysfunction
2.7 Name and define the types of physical examination findings that are consistent with somatic dysfunction
2.8 Perform an appropriate osteopathic structural examination before and reassessment after administration of OMT
2.9 Name, define, and diagnose the types of somatic dysfunction found within the 10 body regions (head, cervical, thoracic, lumbar, sacral, pelvic, lower extremity, upper extremity, rib, and abdominal/visceral regions)
2.10 Develop and prioritize a differential diagnosis and use it to develop an appropriate care plan
2.11 Identify viscerosomatic relationships and the role of the musculoskeletal system in the patient presentation by performing an osteopathic structural examination
2.12 Document diagnostic information to allow for appropriate coding for evaluation, management services, and OMT

Osteopathic Treatment Methods


Osteopathic Treatment Methods
The therapeutic application of manual techniques designed to improve disorders of physiologic function and homeostasis resulting from somatic dysfunction. 20%
3.1 Describe the basic principles of manipulation, including indications, contraindications, and integration with standard medical care
3.2 Understand when to use OMM in all patient populations, especially pediatric, adult, obstetrical, geriatric, postoperative, and hospitalized patients for treating systemic illnesses involving all body systems, especially cardiovascular, upper and lower respiratory, gastrointestinal, genitourinary, neurologic, and musculoskeletal
3.3 Understand when to use OMM for treating patients for all common clinical problems and syndromes related to all anatomic regions, especially cranium, cervical spine, thoracic spine, lumbar spine, sacrum, innominates, rib cage, sternum and thoracic contents, upper extremities, lower extremities, and abdomen as well as abdominal and pelvic contents
3.4 Describe the scientific knowledge supporting the use of osteopathic principles, practice, and OMT, including the basic science of the mechanisms of OMT and somatic dysfunction, the current evidence base for the clinical application of OMT, and the role of the osteopathic physician to facilitate health
3.5 Name and describe the diagnostic examination, initial positioning, monitoring, motion barriers, activating forces, therapeutic timing, repetition, and reassessments used in indirect and direct technique types of OMT, including counterstrain, muscle energy, myofascial release, HVLA, soft tissue, lymphatic, osteopathic cranial manipulative medicine, articulatory, BLT, LAS, FPR, Still, visceral, treatment of Chapman reflexes, and treatment of trigger points
3.6 Communicate principles of and demonstrate use of appropriate therapeutic and rehabilitative exercises, activity modification, and supportive and adaptive devices in the management of neuromusculoskeletal dysfunction and facilitation of health
3.7 Compare and contrast the relative value, advantages, and disadvantages of different OMT techniques
3.8 Provide for the safety of the patient and demonstrate respect of heterogeneous and diverse populations, including but not limited to diversity in ethnicity, culture, gender identity and/or sexual orientation, and religious beliefs who may express symptoms of their somatic and/or visceral dysfunctions in unique or unconventional ways while administering OMT
3.9 Integrate scientific knowledge supporting the use of osteopathic principles, practice, and OMT into the clinical evaluation and management of the patient
3.10 Determine the limits of his/her knowledge and clinical skills and seek an appropriate referral in regard to the use of OMT or the application of osteopathic principles and practice

 

Reference Materials

Resources

 

 

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