sadpcah.com

Choosing the right doctor is an important decision that can impact your health for years to come. Many people wonder whether they should see a Doctor of Osteopathic Medicine (DO) or a Medical Doctor (MD). Though both are fully qualified physicians, there are some differences in their training and approach to medicine that might influence your choice. Key Takeaways Both DOs and MDs are licensed doctors who can diagnose and treat illnesses. DOs often focus on holistic and preventive care, while MDs may lean more towards conventional treatments. The educational paths for DOs and MDs are similar but include different training methods. Both types of doctors can specialize in various fields of medicine. Choosing between a DO and an MD should depend on your personal healthcare needs and preferences. Understanding the Core Differences Between DO and MD When choosing between a DO and an MD, it’s important to understand the core differences between these two types of doctors. Both DOs and MDs are fully qualified physicians, but their training and approaches to medicine can vary. Educational Pathways Both DOs and MDs attend medical school, but DOs receive additional training in osteopathic manipulative treatment (OMT). This hands-on technique focuses on diagnosing, treating, and preventing illness by moving a patient’s muscles and joints. MDs, on the other hand, follow a more traditional medical curriculum. Philosophical Approaches to Medicine MDs generally focus on treating specific conditions with medication. They tend to take a more targeted approach to treatment. DOs, however, emphasize whole-body healing and often incorporate holistic care into their practice. They are trained to consider the patient’s lifestyle and environment when diagnosing and treating conditions. Licensing and Certification Both DOs and MDs must pass rigorous licensing exams to practice medicine. DOs take the Comprehensive Osteopathic Medical Licensing Examination (COMLEX), while MDs take the United States Medical Licensing Examination (USMLE). Both types of doctors can specialize in any field of medicine and must complete residency programs to gain practical experience. Understanding these differences can help you make an informed decision when choosing a healthcare provider. Evaluating Your Healthcare Needs When deciding between a DO and an MD, it’s important to evaluate your healthcare needs. Understanding your specific requirements can help you make an informed choice. Primary Care vs. Specialty Care Consider whether you need a primary care physician or a specialist. Primary care doctors handle general health issues, while specialists focus on specific areas like cardiology or dermatology. Both DOs and MDs can be found in either role, but their approaches might differ. Holistic vs. Conventional Treatments DOs often emphasize a holistic approach, looking at the whole person rather than just the symptoms. MDs typically focus on disease-specific treatments. Think about which approach aligns better with your personal health philosophy. Patient-Doctor Relationship A good patient-doctor relationship is crucial. Look for a doctor who listens to you, communicates well, and makes you feel comfortable. Whether you choose a DO or an MD, finding someone who meets these criteria is essential for effective healthcare. Remember, the best doctor for you is one who understands your needs and works with you to achieve your health goals. Training and Residency Programs Residency Matching Process After finishing 4 years of medical education, both MDs and DOs must complete an internship and a residency. A residency is on-the-job training under the supervision of more experienced doctors. MDs and DOs often train side by side in residencies and internships, despite going to different types of schools. Both MD and DO graduates use the Electronic Residency Application Service (ERAS) to apply to their chosen residency programs. Selected applicants are invited to interviews, where their candidacy will be assessed by the Program Director, faculty, and other residents. Specialization Opportunities Some MDs and DOs will also go on to do fellowships to learn more about a specialty. It used to be the case that MD students could only match to residencies accredited by the Accreditation Council for Graduate Medical Education (ACGME), whereas DO students could match to residencies accredited by ACGME or the AOA. However, those accreditation councils merged in July 2020, allowing both MD and DO students to train at any residency site. Clinical Training Differences Clinical education follows a distributive model in which students get to practice medicine in different health care settings. These include in-hospital experiences, as well as training in community hospitals and out-of-hospital ambulatory settings. Students in many DO programs are required to participate in community-based primary care rotations in rural or underserved areas. To get full information on each program’s curriculum, be sure to check their webpages. Considering the Pros and Cons of Each Advantages of Choosing a DO Choosing a Doctor of Osteopathic Medicine (DO) can offer several benefits. DOs are trained to take a holistic approach to medicine, which means they consider the whole person, not just the symptoms. This can be especially beneficial for patients looking for more personalized care. Additionally, DOs receive extra training in the musculoskeletal system, which can be advantageous for diagnosing and treating conditions related to muscles and bones. Advantages of Choosing an MD Medical Doctors (MDs) are often seen as the more traditional choice in the medical field. They are trained in allopathic medicine, which focuses on diagnosing and treating diseases primarily through medication and surgery. MDs often have more opportunities for specialization and may have access to a broader range of residency programs. This can be a significant advantage for patients needing specialized care. Potential Drawbacks There are some drawbacks to consider for both DOs and MDs. For DOs, the holistic approach may not always be necessary or preferred by all patients. Additionally, some people may have misconceptions about the quality of care provided by DOs. On the other hand, MDs may sometimes focus more on treating symptoms rather than the underlying causes of a condition. It’s essential to weigh these factors based on your individual healthcare needs. When choosing between a DO and an MD, it’s crucial to consider what aligns best with your personal health

When we refer to primary care physicians, we usually refer to physicians who either trained in Family Medicine or Internal Medicine. But what is the difference? Education and Training Pre-Medical Education I personally am board certified in Family Medicine, which means that I completed 4 years of college (Bachelor’s in Biology and Associate’s degree in Chemistry), followed by another 4 years of medical school. Medical School During medical school, a failing grade is considered anything less than a C. We also have to complete national standardized testing called STEP exams, of which there are three. During the 3rd and 4th years of medical school, we rotate through various primary care and specialty services for a month at a time, where we also audition for residency positions. We then apply to these residency positions and hope to be accepted to one (there are medical students who graduate and never actually get into a residency due to residency position shortages or STEP scores). Residency Training Family Medicine Residency I matched into Family Medicine residency, which is a 3-year residency at NYU Lutheran in Brooklyn, NY. Residency working hours are now limited to 80 hours per week averaged over 4 weeks, and we cannot work more than 24 hours straight without a break. Comparison with Internal Medicine Residency Family Medicine and Internal Medicine are both three-year residencies but have some key differences. Family Medicine also includes rotations in OBGYN, and we have a minimum number of babies that we actually have to deliver (I delivered over 20). We also have training in pediatrics and taking care of children in the hospital. Similar to Internal Medicine, we also do month-long rotations with hospitalists, cardiology, surgery, endocrinology, nephrology, podiatry, pulmonology, rheumatology, and others. Ongoing Assessments Throughout residency, we are regularly tested with knowledge assessments. As we near the end of our residency, usually in the spring, we then take our board exams. These are standardized across the country, and if/when you pass, you can then call yourself a board-certified physician. I am currently board certified with the allopathic (MD) and Osteopathic (DO) branches. Practicing Family Medicine What I really enjoy about Family Medicine is the diversity in the conditions I see on a day-to-day basis. My first patient might have diabetes, my next might have a concern about new heart palpitations or high blood pressure, and then I might have to drain and inject steroids into a knee. Special Interests One of my favorite conditions to treat is diabetes, especially with the newer medications such as Mounjaro (trizepatide) or Ozempic (semaglutide). I have been able to actually take patients off of daily insulin because of how well these new medications work and the associated weight loss. Continuing Medical Education Medicine is always changing, and we also have to do continuing medical education (CME), which is required and comes out to approximately 50 CME credits per year. We can earn these credits mainly through journals and virtual/in-person events (lectures typically accrue roughly 1 CME per hour).   I truly enjoy what I do and love spending time with my patients. Especially now that I have a Direct Primary Care (DPC) clinic in San Antonio, I can give patients the attention they deserve. Dr. Manuel Vogt