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OMM Workshops

2018-2019 OMM Workshop Schedule

August 24, 2018: OMM Workshop 1:Family Medicine I

Acute Neck Pain

Learning Obje​ctives:

  • Recognize the structure-function approach to differential diagnosis of acute neck pain and identify potential neck pain generators.
  • Identify approaches that integrate the entire postural mechanism within the biomechanical model considered for a patient complaining of acute neck pain.
  • Identify approaches that integrate the respiratory/circulatory model in the evaluation and treatment of acute neck pain.
  • Describe the manifestations of the neurological model in the evaluation and treatment of facilitation resulting from acute neck pain.
  • Recognize the metabolic and physiologic alterations that occur with acute neck pain using the metabolic energy model.
  • Identify approaches that integrate the psychological, behavioral, and social responses to acute neck pain and somatic dysfunction using the behavioral model.
  • Discuss the indications for referral to a spine or pain specialist for further evaluation and management of acute neck pain.
  • Recognize and identify an appropriate use of OMT in acute neck pain.

Acute Low Back Pain

Learning Objectives:

  • Summarize the AOA recommended parameters for frequency of the application of OMM for patients with acute low back pain.
  • Define acute, subacute and chronic low back pain.
  • Discuss the indications for obtaining radiological evaluation in patients with low back pain based on the American College of Physicians and the American Pain Society.
  • Differentiate between mechanical and non-mechanical etiologies of acute low back pain, and how their diagnostic evaluation may differ.
  • In patients presenting with low back pain symptoms, differentiate possible mechanical etiologies including psoas, piriformis, and sacroiliac joint pain.
  • Summarize the various considerations for treatment of acute low back pain, specifically related to biomechanical, respiratory-circulation, metabolic-energy, neurologic, and behavioral models.
  • Identify self-care recommendations that may be provided to a patient with low back pain.
  • Discuss the function of the anterior and posterior muscles of the lumbar spine, including the different layers of the posterior musculature (ie superficial, intermediate and deep layers). 
  • Recognize and identify an appropriate use of OMT in low back pain.

September 21, 2018: OMM Workshop 2: Primary Care: Rural and Medically Underserved Populations 

Upper Gastrointestinal Disorders

Learning Objectives:

  • Recognize the pathophysiology of a viscerosomatic reflex of the GI tract.
  • Understand the role of viscerosomatic reflexes in typical GI pain patterns.
  • Understand the sympathetic innervation to the GI tract and its role in GI pathophysiology.
  • Understand the parasympathetic innervation to the GI tract and its role in GI pathophysiology.
  • Identify lymphatic dysfunctions associated with upper GI pathophysiology.
  • Discern the use of lymphatic manipulative techniques in the treatment of upper GI dysfunctions.
  • Identify the diagnostic and therapeutic use of Chapman’s Reflex Points for upper GI pathophysiology.
  • Recognize the appropriate use of OMT in improving sympathetic and parasympathetic         innervation to the upper GI tract. 

Headaches

Learning Objectives:

  • Provide the clinical definitions of tension vs migraine vs cluster headaches and describe their pathophysiology.
  • Provide a differential diagnosis of headaches, and utilize clues in the patient’s history to narrow your differential.
  • Identify each component of the “five model” Osteopathic approach to patient care when using osteopathic manipulative medicine in the treatment of headaches.
  • Identify which osteopathic techniques fit each category of the five models when treating headaches.
  • Identify OMM treatment approaches to the care of patients with tension headaches, sinus headaches and migraines.
  • List the contraindications to using osteopathic manipulative medicine when treating the cervical spine. 

October 19, 2018: OMM Workshop 3: Geriatrics

Arthritic Disorders

Learning Objectives:

  • Discuss how Osteopathic principles contribute to the diagnosis and treatment of arthritic conditions
  • Briefly describe the goals of Osteopathic manipulative medicine (OMM) in the treatment of arthritis 
  • Identify OMM treatment approaches to the care of patients with rheumatoid arthritis,
  • Identify methods to incorporate holistic care in the management of a patient with arthritis
  • Describe the clinical and diagnostic features of Rheumatoid Arthritis
  • Discuss the role of the synovium in osteoarthritic and rheumatic conditions
  • Describe the facilitated segments model for pain and spinal cord levels involved in upper and lower extremity arthritic conditions
  • Discuss the rationale for lymphatic drainage of the periarticular areas involved in arthritis
  • Distinguish between pathophysiologic changes of OA and RA respectively

November 16, 2018: OMM Workshop 4: Internal Medicine I

Lower Respiratory Infections

Learning Objectives:

  • Identify the structural areas affected by sympathetic viscerosomatic reflex
  • Define “Work of Breathing” as it pertains to the pulmonary system
  • Recognize the Osteopathic “Models” of treatment
  • Identify the structural areas which may play a role in Vagal nerve facilitation
  • Identify the common rib dysfunctions found as a result of paroxysmal coughing
  • Describe the pulmonary effects of increased parasympathetic tone
  • Describe the pulmonary effects of increased acute sympathetic activation
  • Describe the pulmonary effects of increased chronic sympathetic activation
  • Identify the spinal segments most likely to become facilitated with lung dysfunction
  • Identify the anterior Chapman’s points for lung dysfunction
  • Recognize and identify an appropriate OMT treatment plan in lower respiratory infections.

December 14, 2018: OMM Workshop 5: Internal Medicine II

Cardiovascular Disease

Learning Objectives:

  • Outline the impact and effects of the autonomic nervous system on the function of the cardiovascular system and describe the levels for the parasympathetic and sympathetic contributions.   
  • Describe the important impact and effects of the lymphatic system on the function of the cardiovascular system.  
  • Relate somatic changes of the thoracic spine to effects in cardiovascular system.
  • Describe key OMM treatment approaches utilized in the care of patients with hypertension and specifically how treatments might affect sympathetic and parasympathetic tone as well as lymphatic return.
  • Describe key OMM treatment approaches utilized in the care of patients with congestive heart failure and specifically how treatments may affect sympathetic and parasympathetic tone as well as lymphatic return.  
  • Identify OMM treatment approaches to the care of patients with atherosclerosis, cardiac arrhythmias and myocardial infarction.  Relate specifically how treatments might affect sympathetic and parasympathetic tone as well as lymphatic return.
  • Identify wellness concepts such as diet, exercise, stress reduction and smoking cessation as components of a comprehensive treatment program for cardiovascular disease.   viii. Identify how the biomechanical, respiratory, neurological, metabolic and behavioral models describe contributions to the development of symptomatic disease and address treatments for each component

January 25, 2019: OMM Workshop 6: Obstetrics and Gynecology

Osteopathic Considerations in Normal Pregnancy Low Back Pain in Pregnancy Lower Extremity Swelling in Pregnancy

Learning Objectives:

  • Identify the 2 most common complaints of an obstetrical patient as the pregnancy progresses.
  • Identify the causes (differential diagnosis) for a pregnant patient with lower extremity edema.
  • Identify common osteopathic structural findings in pregnancy which occur to accommodate the shifting center of gravity.
  • Identify the fascial regions/diaphragms which can restrict lymphatic flow.
  • Identify structures / regions to that may be treated with OMT in order to balance the autonomic nervous system.
  • Identify common diagnoses/approaches to be considered in an obstetrical patient with low back pain.
  • Distinguish the 5 models used in osteopathic patient care for an obstetrical patient with lower extremity edema and low back pain. 
  • Identify an Osteopathic approach to the diagnosis and treatment of an obstetrical patient with somatic dysfunction of the lumber spine, sacrum, pelvis, and lower extremity. 

February 22, 2019: OMM Workshop 7: Pediatric Medicine

The Common Cold

Learning Objectives:

  • Discuss the benefits of using OMT treatment in a patient with a URI    
  • Recall the effects of the sympathetic and parasympathetic nervous system on congestion and nasal mucosa 
  • Identify specific areas of the body which may be treated with OMT to help in alleviating URI symptoms
  • Describe the effect the cranial rhythmic impulse has on sinus drainage and which bones are most directly involved.

Asthma

Learning Objectives:

  • Discuss the benefits of using OMT in a patient with asthma.
  • Recognize the specific areas of the musculoskeletal system which, if dysfunctional, may contribute to or exacerbate respiration.
  • Identify OMM treatment approaches to the care of patients with acute and chronic asthma. 

Ear Pain

Learning Objectives:

  • Identify different etiologies of ear pain. 
  • Identify the recommended osteopathic treatments for acute otitis media
  • Describe the relationship between the cranial base and Eustachian tube. 
  • Identify the recommended osteopathic treatments for acute otitis media
  • Describe the relationship between the cranial base and Eustachian tube.

March 22, 2019: OMM Workshop 8: Psychiatry

Psychoneuroimmunology – Basic Mechanisms

Learning Objectives:

  • Describe the response of the HPA axis and sympathetic nervous system to stressors.
  • Identify the common medical illnesses that are associated with an increased prevalence rate of depression.
  • Name the areas of the immune system that are affected by stressors.
  • Identify the common medical conditions that can present with psychiatric manifestations.
  • Identify OMM treatment approaches to the care of patients with depression, anxiety, and/or other psychiatric diagnosis.

Psychoneuroimmunology – Stress Management

Learning Objectives:

  • Name the 4 most common behavioral consequences of stress.
  • Identify the signs/symptoms of depression, anxiety, substance abuse and insomnia.
  • Identify the available treatment options for depression/anxiety/substance abuse and insomnia.
  • Discuss the concept of socialization resulting from depression/anxiety/substance abuse and insomnia.
  • Describe how to interpret structural interview questions in relation to a particular psychiatric diagnosis.
  • Identify OMM treatment approaches to the care of patients with substance abuse, insomnia, and high stress environments. 

April 19, 2019: OMM Workshop 9: Surgery

Learning Objectives:

  • Identify ways osteopathic treatment may still benefit a patient in which OMT is not considered the primary treatment for the patient.
  • List the areas of sympathetic hyperactivity that may reflect a respiratory disease process. 
  • List the signs symptoms associated with hypersympathetic stimulation of the respiratory system.
  • List the signs symptoms associated with hyperparasympathetic stimulation of the respiratory system.
  • Describe the common osteopathic structural findings associated with atelectasis. 
  • Describe the common osteopathic structural findings associated with mechanical ventilation. 
  • Identify OMM treatment approaches to the care of patients with atelectasis and those on mechanical ventilation.

Post-op Ileus

Learning Objectives:

  • List the areas of sympathetic hyperactivity that may reflect a gastrointestinal disease process. 
  • List the signs symptoms associated with hypersympathetic stimulation of the lower GI system.
  • Describe the parasympathetic innervation to the colon.
  • Describe the structural and physiological association between the drainage of lymphatic fluid from the intestines and the thoracic diaphragm.
  • List the signs symptoms associated with parasympathetic hyperactivity of the lower GI system 
  • List the signs symptoms associated with parasympathetic hypoactivity of the lower GI system
  • Describe the suggested protocol for providing Osteopathic manipulative treatment for postoperative patients stages (I, II, III)
  • Describe supportive manipulation for patients with sympathetic dominant colon complaints
  • Describe supportive manipulation for patients with parasympathetic dominant colon                          

May 17, 2019: OMM Workshop 10: Billing, Coding and Technique Review

Reading Assignment: Readings will be supplemented specific to each OMM workshop at the time of the workshop.

Learning Objectives:

  • Identify appropriate documentation of somatic dysfunctions.
  • Identify appropriate documentation of osteopathic treatment modalities.
  • Recall the components an appropriate procedure note for an OMM treatment.
  • Recognize common errors in OMM procedure note documentation.
  • Identify appropriate CPT and E/M codes for Osteopathic treatment encounters.
  • Recall proper use of CPT modifiers as it applies to OMM billing.
  • Recall resources available for OMM coding and billing review and assistance.

Technique Review

  • Recall common Osteopathic Techniques used in an outpatient clinical setting.
  • Recall common Osteopathic Techniques used in an outpatient clinical setting.
  • List relative and absolute contraindication to those common techniques.
  • Give examples of appropriate Osteopathic treatment plans based on a variety of chief complaints.