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Osteopathic Medical Education A peer-reviewed osteopathic continuing medical education publication August 2020 Volume 120 Number 8 www.jaoa.org Osteopathic Medical Education EDITORIAL BRIEF REPORT 529 Report on 7 Years’ Experience Implementing 495 Research at University of 504 Eosinopenia and COVID-19 an Undergraduate New England College of Fahmina Tanni, DO; Eleonora Akker, Medical Curriculum for Osteopathic Medicine DO; Muhammad M. Zaman, MD; Osteopathic Medical Carol A. Brenner, PhD Nilka Figueroa, MD; Biju Tharian, Students Using PharmD; Kenneth H. Hupart, MD Entrustable Professional ORIGINAL CONTRIBUTION Activities MEDICAL EDUCATION Tristan S. Reynolds, DO; 497 Life vs Loans: Does Debt Christopher Frothingham, DO; Affect Career Satisfaction in 516 48-Hour Hospice Home Jane E. Carreiro, DO; Angela Osteopathic Graduates? Immersion Encourages Branda, DO; Mark D. Schuenke, Osteopathic Medical Jesse Richards, DO; Caleb J. PhD; Kerry L. Tucker, PhD; Students to Broaden Their Scheckel, DO; Alicia Anderson, Frank Daly, PhD; Frank H. Views on Dying and Death OMS III; Jessica R. Newman, DO; Willard, PhD Kenneth G. Poole Jr, MD, MBA Marilyn R. Gugliucci, MA, PhD; Divya L. Padmanabhan, OMS IV; SPECIAL COMMUNICATION 509 Learning Together: Emily B. Silberstein, OMS IV Interprofessional Education 540 Forty Years of University at the University of New 524 Making the Connection: of New England’s England Using Concept Mapping to Research and Scholarship David J. Mokler, PhD; Shelley Bring the Basic Sciences to and Its Impact in Maine, Cohen Konrad, PhD, LCSW; Kris the Diagnosis New England, and Beyond Hall, MFA; Kira Rodriguez, MHS; Douglas B. Spicer, PhD, MEdL; Jane E. Carreiro, DO Sue St. Pierre, DO; Victoria S. Kathryn H. Thompson, PhD, RDN; Thieme, DO; Jenifer Van Deusen, Sean M. Kilgallen, MB, BCh, BAO 490 FULL TABLE OF CONTENTS MEd An Offi cial Publication of the American Osteopathic Association JJAOA_991.inddAOA_991.indd 999191 220/07/200/07/20 110:280:28 AAMM A peer-reviewed osteopathic continuing medical education publication August 2020 Volume 120 Number 8 www.jaoa.org TABLE OF CONTENTS EDITORIAL MEDICAL EDUCATION 495 Research at University of New 509 Learning Together: Interprofessional England College of Osteopathic Education at the University of New Medicine England Carol A. Brenner, PhD David J. Mokler, PhD; Shelley Cohen Konrad, PhD, LCSW; Kris Hall, MFA; Kira Rodriguez, MHS; Sue St. Pierre, DO; Victoria S. Thieme, ORIGINAL CONTRIBUTION DO; Jenifer Van Deusen, MEd A team of students from various health 497 Life vs Loans: Does Debt Affect Career Satisfaction in Osteopathic profession programs worked on a simulated Graduates? case with trained actors to learn about the Jesse Richards, DO; Caleb J. Scheckel, DO; roles and responsibilities of their Alicia Anderson, OMS III; Jessica R. professions in Interprofessional Team Newman, DO; Kenneth G. Poole Jr, MD, MBA Immersion. Researchers aimed to characterize the extent to which level of educational debt affects satisfaction with osteopathic medical 516 48-Hour Hospice Home Immersion education, career choice, and financial Encourages Osteopathic Medical Students to Broaden Their Views on services. Dying and Death Marilyn R. Gugliucci, MA, PhD; Divya L. BRIEF REPORT Padmanabhan, OMS IV; Emily B. Silberstein, OMS IV 504 Eosinopenia and COVID-19 Two osteopathic medical students worked Fahmina Tanni, DO; Eleonora Akker, DO; with an interprofessional staff to provide Muhammad M. Zaman, MD; Nilka Figueroa, patient care, family support, and MD; Biju Tharian, PharmD; Kenneth H. Hupart, MD postmortem care at a hospice home in The eosinophil count, readily obtained from Maine. a routine complete blood cell count, may provide actionable clinical information to aid 524 Making the Connection: Using in the early recognition of COVID-19 in Concept Mapping to Bring the Basic patients and provide prognostic information. Sciences to the Diagnosis Douglas B. Spicer, PhD, MEdL; Kathryn H. Thompson, PhD, RDN; Sean M. Kilgallen, MB, BCh, BAO A weekly concept-mapping activity connects biomedical principles with clinical science, elicits cross-disciplinary discussion, illustrates content integration, and enhances faculty collaboration across disciplines. 490 The Journal of the American Osteopathic Association August 2020 | Vol 120 | No. 8 TABLE OF CONTENTS ▪ Serving as an international forum for the dissemination of scientific literature that incorporates an integrative, comprehensive, patient-centered approach to clinical care and improving health An Osteopathic Publication The JAOA mails the first of each month. 529 Report on 7 Years’ Experience SPECIAL COMMUNICATION The Journal is published by the American Implementing an Osteopathic Association (AOA), 142 E Ontario, Chicago, IL 60611-2864. Undergraduate Medical 540 Forty Years of University of Periodicals postage paid at Chicago, Curriculum for Osteopathic New England’s Research and Illinois, and additional mailing offices. Medical Students Using Scholarship and Its Impact in Print edition: ISSN 0098-6151 Online edition: ISSN 1945-1997 Entrustable Professional Maine, New England, and Editorial Office: Activities Beyond JAOA, AOA, 142 E Ontario St, Chicago, Tristan S. Reynolds, DO; Christopher Jane E. Carreiro, DO IL 60611-2864; Frothingham, DO; Jane E. Carreiro, (888) 62-MYAOA, extension 8166; fax (312) 202-8466; DO; Angela Branda, DO; Mark D. [email protected] Schuenke, PhD; Kerry L. Tucker, CLINICAL IMAGES Advertising: [email protected] PhD; Frank Daly, PhD; Frank H. Willard, PhD 543 Undifferentiated Pleomorphic Nonmember Subscription Rates Effective Sarcoma January 1, 2020: Authors describe the development Individual print and online access: and implementation of an Matthew J. Ferry, OMS IV; Thomas domestic, $206; international, $309. Lewis, MD Single copy: domestic, $26; international, $41. educational framework that Individual online access only: $77. integrates anatomy, physical Institutions: Email [email protected] examination, history taking, and DEPARTMENTS Change of Address: Readers may submit address other clinical skills. changes to the AOA as follows: 492 Letters • Osteopathic physicians and 544 August 2020 JAOA Continuing medical students— Medical Education (CME) Quiz AOA Department of Client and Member Services: 545 Answers to the July 2020 (888) 62-MYAOA, press 1; JAOA CME Quiz [email protected] • All other Journal subscribers— 547 DO Jobs [email protected] 547 Advertising Index Postmaster: Send address changes to The Journal of the American Osteopathic Association, 142 E Ontario St, Chicago, IL 60611-2864. Address service requested. © 2020 American Osteopathic Association. This publication is protected under US and worldwide copyright law. All rights reserved. Reprint Permission: [email protected] Reproduction in whole or in part without prior written permission is strictly prohibited. Printed in the USA. All opinions expressed in the JAOA are those of the authors and not necessarily those of the editors, the AOA, or the institution with which the authors are affiliated, unless expressly stated. The JAOA is indexed by the National Library of Medicine. No part of the JAOA may be reprinted or reproduced in any form without written permission of the publisher. The Journal of the American Osteopathic Association August 2020 | Vol 120 | No. 8 491 LETTERS TO THE EDITOR As an adjunctive management approach, The Journal of the American Osteopathic Association OMT can enhance patients’ innate JO U R (JAOA) encourages osteopathic physicians, E N A immune response by delivering more H L T faculty members and students at colleges of o immune cells to the site of infection, f n o t osteopathic medicine, and others within the i h improving circulation, and correcting t e a i health care professions to submit comments A c m related structural restrictions that impair o related to articles published in the JAOA and s e s Est: 1901 r the optimal functioning of the autonomic i A c the mission of the osteopathic medical profession. a c i n h t O nervous system. Herein we elucidate the a s p t e o The JAOA’s editors are particularly interested in logic for using OMT as an adjunctive letters that discuss recently published original research. treatment approach for patients with a Letters must be submitted online at http://www.osteopathic.org/JAOAsubmit viral respiratory tract infection in general and not have been published elsewhere. All accepted letters to the editor and COVID-19 in particular. are subject to editing and abridgment. Osteopathic Response to with ventilator support until the patient Movement of Lymph the COVID-19 Pandemic recovers or dies. The medical costs of The lymphatic system, made up of the this pandemic are staggering and con- spleen, thymus, lymph nodes, tonsils, tinue to accumulate.3 The emotional and adenoids, and Peyer patches in the small To the Editor: physical toll on patients and medical per- intestines and lymph channels, is an This is a time to mobilize the osteopathic sonnel is unrelenting, and the cost to the essential part of the immune system. medical profession to help fight the cor- economy is almost unprecedented. Increasing the rate of flow of lymph onavirus disease 2019 (COVID-19) pan- As osteopathic physicians (ie, DOs), we through lymphatic channels facilitates demic. We have something extra to offer. can make a difference in the care of the movement of leukocytes and other In 2004, after the updated recommenda- patients with COVID-19, as was wit- immunogenic cells to the site of infec- tions for immunizations
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