I knew that I wanted to be a doctor since early high school. Experience in a hospital and clinic setting, both personal and professional, have given me many reasons to pursue medicine. Through these viewpoints, I have gained an understanding of patient hardships like financial and travel issues, the grief associated with loss, and the trust that accompanies putting yourself or a loved one into the hands of physicians. These experiences have built empathy and compassion in me that is necessary in medicine.
I am writing you this brief letter because of my concern for the shortage of primary care physicians in the United States associated with the Affordable Care Act. The Association of American Medical Colleges has brought great attention to the fact that the United States could possibly be short 46,000 to 90,000 physicians by the year 2025. 2
A medical physician is trained in how to treat and diagnosis diseases of the joints and bones. His job is also to help upkeep the body’s health. They help patients come up with a plan that will help them get on a path that will benefit their well-being and teaches patients how to avoid injury or harm again. These physicians are the people that recommend patients to go to physical or occupational therapy. In order to become a medical physician in sports medicine, a student must complete a four-year undergrad program. After they have completed that they must go for a more specific degree. “…you must complete a Doctor osteopathic Medicine or a Doctor of Medicine degree. MD or DO degree programs generally involve four years of academic coursework in biology, biochemistry, anatomy, pathology, psychology, physiology, medical ethics and pharmacology” stated Academic Invest. These jobs are slightly more difficult to come by. This has become in order to get a job as a medical physician one would have to work in either their own practice or in a sports medicine clinic. Another job someone might get is working for an athletic team or company. These jobs are very hard to come by. An average salary per year for a sports physician is about
My personal physician is a rural osteopathic physician from KYCOM. . She is a rural osteopath and practices internal medicine. As a patient, she offers me a wonderful perspective to the field of osteopathic medicine. I have experience her, patient centered and whole body approach. I emphatically believe that a person is defined within their body, mind, spirit and that health and healing are interrelated by its function.
The Affordable Healthcare Act promotes preventative health care for Americans and in return increases the number of individuals taking improved measures of precaution when it comes to their health. The utilization of mid-level practitioners, such as nurse practitioners and physician assistants would progressively benefit the delivery of primary care. NPs and PAs are more cost effective, provide coverage for the increasing amount of new people requiring health coverage, and require less liability risk cost when compared to a physician’s rate. According to Shell (2013), “Partly driving this change is the Affordable Care Act (ACA) which will extend health care coverage to approximately 30 million more individuals, most of whom have not been
DOs practice the osteopathic medicine form. While they detect and treat the medical issue of a patient, they consider everything on the whole, including the patient’s body system, his nutrition and his environment. A DO gets his undergraduate degree from an osteopathic school in the US, and is American Osteopathic Associate Commission-certified in the Osteopathic College Accreditation (COCA).
Having the opportunity to listen to patients during their interactions with physicians while shadowing in primary care practices was most profound to my journey of pursuing a career in medicine. Often the diagnosis and treatment of medical conditions are regarded as most important in providing successful care to patients. However, from my experience shadowing, it became apparent that the act of listening to patients is just as essential to the practice of clinical medicine. While shadowing, I was amazed of how often and to the extent patients would disclose their thoughts, feelings, and fears to their physician. I began to understand that to be a physician is much more than treating the body itself, but caring for all of its components— physically,
As an orthopedic surgeon Goodman had worked with a lot of bones over the years. Once he procrastinated draining the infection from a woman’s knee because he was tired. This destroyed the joint in her knee. She later had to visit a different orthopedist who had to fuse her knee solid so she would stop feeling the pain of her bones rubbing together (Page 90, Paragraph 2). Gawande notes that every physician is capable of “dumb, cavalier decisions like Goodman’s.” What makes a good doctor go bad is how often he repeatedly makes the same mistakes. In two cases Goodman put the wrong size screw in his patients. In another he used pins to try and fix a hip that ultimately needed replacing. All of these patients complained of pain however Goodman insisted he did nothing wrong (Page 90, Paragraph 5). This neglect became a problem and lead to the suspension of his operating privileges (Page 98, Paragraph 1). Gawande reveals the frightening but honest data explaining that “burnouts” can be quite common in the medical field.
When we hear stories about how the doctor ambulated the wrong leg or left surgical tool around in the patient’s body, we indeed think, how could such a person be a doctor? Did he or she not reflect the mistake? In the chapter, “When Good Doctor Go Bad,” Dr. Gawande provide the story of a former orthopedic surgeon, Hank Goodman. Hank Goodman used to be highly respected and sought-after surgeon. However, after he had become increasingly busy working on ceaseless surgeries, his work become sloppy and careless. He made the unacceptable mistakes to his patients but he never really cares. The amount of money Dr. Goodman made became his measure of worth. As a result, he burned out. I feel that if I work for so many hours a week, performing never-ending surgeries and seeing patients, I probably will also burn out and feel stress.
General Approaches: ACOEM Practice Guidelines, 2nd Edition (2004), Chapter 3 supports an initial course of physical therapy with objective functional deficits and functional goals. Per ODG, physical therapy indications for lumbago, backache unspecified are 9 visits over 8 weeks. The patient has tried other conservative treatments and continues with low back pain and some radicular symptoms. The requesting provider indicated that this is a mechanical axial low back pain and the patient is not a surgical candidate at this time. The provider requested 8 sessions of PT, which are supported by the guidelines. Physical therapy of the lumbar spine could help to provide additional pain relief. Recommend
I believe that an osteopathic doctor is just as good if not better than a regular doctor. An osteopathic doctor focuses more on the patients. They focus on why the patients are hurting and they pay more attention to how they can fix it without using medicine or surgery. I think that paying attention to the patient means a lot and it can help the patient even more in the long
Research study on low back pain has shown that it is a common problem in general population. As seen in Western industrialized countries, back pain is one of the major health problems (R Ayiesah and D Ismail 2007).
From 1450 CE , to our current day, science has been critically shaping human lives. The development of science was good as well as bad in many different ways. If there are benefits like technology, medicine, discoveries, and luxury, there are also equal non benefits like race discrimination. Humans are born in a race, based on which our current world’s society is discriminating people. Beings are aware that there is a significant growth and benefit in medicine, but according to Dorothy Roberts, Internationally recognized scholar, public intellectual and social justice advocate, “ Race runs deeply through all of medical practice. It shapes physicians' diagnoses, measurements, treatments, prescriptions, even the very definition of
These Chiropractor may also have vast experience in treating kids and adults with a range of orthopaedic and neuromuscular conditions, like stroke, multiple sclerosis, amyotrophic lateral sclerosis, diabetic neuropathy, poliomyelitis, cerebral palsy, traumatic brain injury, spina bifida, muscular dystrophy, idiopathic scoliosis, arthritis, and
Clinical pharmacy is a health science discipline in which pharmacists provide patient care that optimizes medication therapy and promotes health, and disease prevention, according to American College of Clinical Pharmacy (ACCP). Patient-oriented care requires specialized knowledge, skill and experience to improve quality of life of patient.