March 21, 2006

He’s actually a D.O. – Doctor of Osteopathy. I think this “error” was done on purpose, since Hero, D.O. doesn’t have the same ring for a Newsweek cover story. (via KidneyNotes)



Related posts:

  1. Doctor of osteopathy: Does the media know what they do?
  2. DO’s: The "fake Rolex" of the medical profession?
  3. Get that ring off
  4. Dunking dangers
  5. When insurers rate doctors
  6. Someone stole a kidney from Bodies … The Exhibition
  7. Cool physician’s lobby


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{ 82 comments }

1 Anonymous March 21, 2006 at 10:57 pm

Aren’t DOs also Doctors of Medicine? Do they have the same years of training as what MDs have?

I thought they could do everything an MD can do (even surgery) but they just pay more attention to the whole person rather than just treating a hurt arm (for example).

How is being a DO less prestigous than an MD?

2 Anonymous March 22, 2006 at 12:33 am

The only person here so far who has said DO is less prestigious is you (by the way, I’m an MD!)

3 Anonymous March 22, 2006 at 1:29 am

Excuse me…How does being a DO have “NOT THE SAME RING” than an MD?

4 Anonymous March 22, 2006 at 1:45 am

Off Topic, but I just seen that “Geek Nurse” is gone..Very sad!

5 Anonymous March 22, 2006 at 1:59 am

Does it really matter whether he’s a DO or an MD? What matters most is his heroic acts. People don’t care whoever you are when you save their lives. They see the person in YOU!

The tags after your name is irrelevant if you haven’t done any good to mankind.

6 Anonymous March 22, 2006 at 8:56 am

I don’t understand a single one of the comments above. The original post was merely pointing out that Newsweek’s cover had an error on it which might have been intentional, right?

At most it was a commentary on the public’s confusion over osteopathic medicine. It is not hard to imagine even some of Newsweek’s readers being confused by “Doctor, D.O.” nor is it difficult to imagine, unfortunatley, a respect given more by some to the MD degree than the DO.

The original post didn’t sound like it was condoning such, just pointing it out. Indeed, I’m sure I’m with many others in not seeing a difference in prestige between the two. That doesn’t mean that misconceptions about osteopathic medicine aren’t still widespread among the public.

But there wasn’t really a hint of disrepect in the original post, which makes the previous comments a little confusing.

7 Gasman March 22, 2006 at 9:06 am

The myth is perpetuated by anonymous 10:57.

D.O.s are Doctors of osteopathy, which is the only other significant school of western medicine to have survived the efficacy shakeout of the early 20th century. The other group is allopathy, which is more commonly known as the school of practice associated with schools granting the degree Doctor of Medicine also known as Medical Doctor, M.D.

Yes, now the curriculum is virtually identical. This is not surprizing because the organism they treat is the same; there is a natural convergence of the science and practice of medicine dictated by the natural biology involved.

Now the myth busting. D.O. do not as a group do anything more holistically than M.D.s It’s all marketing that they’ve managed to perpatuate. With a little fun with numbers (lies, damn lies, and statistics) they try to support this supposition by observing that a greater percentage of graduates are in primary care. This in itself means nothing. It is also true that physicians born in India are more likely to be in primary and rural practice than U.S. born physicians, but this describes nothing about the holism or their practice.

What the hell is holist medicine anyway. You have to define it first before you can determine whether someone does it more.

8 Dan R. March 22, 2006 at 9:39 am

DO’s are still required to have coursework in osteopathic manipulation (a “required” elective according to the USMLE), and in a few states have to complete an Osteopathic internship year.

That said, DO’s are MD’s for all practicle purposes. If it weren’t for political issues, the two whould have merged completely years ago.

9 Anonymous March 22, 2006 at 9:53 am

The D.O. school is an alternative pathway to becoming a physician for those who
were not accepted to M.D. school. In their curriculum, the D.O.’s are also taught spinal manipulation which is not in the M.D. curricullum. M.D.’s are more nerdy than D.O.’s. and for this reason it is more probable that a D.O. will risk his life to save his comrades in the battlefield because an M.D. brain thinks of all the possibilities,risks and benefits in the short term and long term, and will consider that his own survival is more important for the long term survival of the human race because his nerdy DNA has to be passed on to future generations. Warrior DNA’s are easier to propagate than nerdy DNA’s. – Anonymous M.D.

10 Anonymous March 22, 2006 at 10:40 am

DOs are more suited to family practice because they consider the whole person, rather than just a patient that is in their examination room. MDs are too narrow minded and sometimes focus on just minute areas or one problem at a time.

11 Anonymous March 22, 2006 at 10:44 am

I don’t think the original post was in any way suggesting D.O.’s are inferior to M.D.’s actually. He was pointing out that Newsweek made an error in assigning credentials. And the reason they may have intentionally done this is because of the lack of public awareness about D.O.’s (mainly realizing that they are in fact physicians and surgeons too). People either don’t know what it is at all, think that they’re optometrists (I’ve heard this one a lot- “isn’t that doctor of optometry?”) or think they’re some kind of mid-level (P.A., N.P.) or ancillary provider (D.C’s, etc).

I don’t fully agree with the idea that oseopathic schools are for people who can’t get into allopathic schools. Yes, the average GPA and MCATS of entering classes are typically lower on the whole but

a.) there are around a dozen or so osteopathic schools (11? 14?17? something like that) and allopathic schools number in the hundreds.

b.) a lot of children of oseopaths intentionally seek out the D.0. degree over the M.D., as do a few others who want the OM training or agree with some aspect of the osteopathic philosophy

c.) perhaps the most well-qualfied, ambitious applicants purposefully only consider allopathic schools because D.O.’s are less well known and therefore are often just perceived to have less prestige

Its a self-perpetuating cycle- until the brightest students go there, it won’t be more well-known or respected, but until it is more well-known and respected, the smartest students probably won’t want to go there.

Anonymous M.D.- given that you do not hold a D.O. degree it is probably safe to assume you have not gone through osteopathic training, so therefore I’m not sure what basis you really have to comment on the content of the curriculum, philosophies of the instructors, etc. D.O.’s do still remain significantly different in some respects- the most major of which have been mentioned (O.M. and osteopathic internships.

- anonymous med student (allopathic)/ daughter of a family practice D.O.

12 Anonymous March 22, 2006 at 10:54 am

Physcians aren’t the only ones with multiple degrees for essentially the exact same role. Dentitsts have DMD and DDS, veterinarians have DVM and VMD, psychologists have PhD or PsyD… I could go on. I’m sure each has a supposed philosophical difference behind it, but practically speaking they’re the same darn thing.

13 Anonymous March 22, 2006 at 10:55 am

that should be “dentists”, of course

14 Anonymous March 22, 2006 at 11:32 am

” given that you do not hold a D.O. degree it is probably safe to assume you have not gone through osteopathic training”
Brilliant deductive reasoning. Your Dad should be very proud.

“so therefore I’m not sure what basis you really have to comment on the content of the curriculum, philosophies of the instructors…”
I did not comment on it except that I mentioned that they are taught spine manipulation which is not really a commentary.
-Anonymous M.D.

15 Anonymous March 22, 2006 at 12:10 pm

You know what, your’re right Anonymous M.D.- that comment should have been directed to Gasman’s post (about not teaching or practicing holistic medicine), not your’s. My apologies.

anonymous med student (allopathic)/ daughter of a family practice D.O.

16 Anonymous March 22, 2006 at 12:52 pm

So Kevin, D.O. doesn’t have the same ring as Kevin, M.D. for a blog? Hmmmn…

17 Kevin March 22, 2006 at 1:07 pm

If I was a D.O., I would have no problem naming the blog Kevin, D.O.

Thanks,
Kevin

18 Anonymous March 22, 2006 at 2:50 pm

“Brilliant deductive reasoning. Your Dad should be very proud.”

Glad to see mysogyny is alive and well for some people. For your information, my mother is a D.O. There was no reason for you to assume otherwise. My deadbeat dad is an auto mechanic somewhere.

19 Anonymous March 22, 2006 at 3:29 pm

Anon 250, your dad will still be proud of you. I’m sure your Mom is proud of you too.
-Anonymous M.D.

20 Anonymous March 22, 2006 at 4:56 pm

Anon 10:40 wrote: “DOs are more suited to family practice because they consider the whole person, rather than just a patient that is in their examination room. MDs are too narrow minded and sometimes focus on just minute areas or one problem at a time.”

I’ve had both a D.O. and a M.D. as my primary care doctors, both in different family practice groups. I didn’t see any differences – it was the same 10 min visits, quick exams, too quick to order tests, etc. If anything, the M.D. took more time to listen to me.

I wouldn’t make any generalizations one way or another.

21 Anonymous March 22, 2006 at 5:23 pm

But on the battlefield, I’ll have a D.O. anytime. He/she may not be able to save your life in the hospital, but he/she will risk his/her life for you.

22 Anonymous March 22, 2006 at 5:51 pm

I guess an example of the ignorant attitude which I *think* was the point of Kevin’s post can be found on the very Gawker site from which the link originated…

The very first commenter to the story said “great, so we send these kids into battle to get blown up by roadside bombs with crappy body armour and we can’t even give them real doctors”.

Unfortunately, it seems some of the same ridiculous claims are coming from some insecure MDs themselves. Where in the world does this idea that a DO wouldn’t be able to save your life in a hospital come from? I bet half the people around who think like this have actually been treated by DO’s in their life (in the ER, as a radiologist, whatever) and haven’t even realized it.

Bottom line: MDs and DOs take the same pre-med requisites, the same MCAT, four years of med school and enter the same residency programs. I don’t think MDs are superior, and I also don’t think that in practice DOs are any more “holistic” in their care.

ITA with whoever said the two would’ve merged years ago if not for politics.

23 Anonymous March 22, 2006 at 6:11 pm

My mom had a Dr. for years that she worshipped. There could be none as good as him. My mother had always thought osteopathic Drs. were almost the same as chiropractors.

One day I went to the Doc. with her and noticed the initials “DO” on the sign. She must not have ever paid any attention. When I told her she had been going to an osteopathic Dr. for years she couldn’t believe it. She then knew that there was really no difference in the way they treat patients from an MD. They are both medical Drs…

People show their ignorance when they think there is some big difference or that MDs are superior.

24 Anonymous March 22, 2006 at 7:46 pm

Okay, I’m a Harvard-trained MD, and let’s get the facts straight and end this debate:

1) DO’s are no more hollistic than MD’s. What does hollistic even mean?
2) “DO’s consider the entire person.” That’s bullshit. Yeah, if someone comes in with an acute problem, you focus on the acute problem. But MD’s don’t consider the whole person when they do system wide PE’s, CBC, CHEM-7, lipid panel, etc? Both types of docs consider the whole person.
3) Osteopathic schools have basically taken on an allopathic curiculum + their body manipulation stuff. They adopted an allopathic curiculum after the Flexner Report because they knew they wouldn’t survive if they didn’t (ie, homeopathy).
4) The body manipulation stuff they teach is complete bullshit and has been proven to be worthless. Check the literature. Most practicing DO’s never use it because it takes too much time or they know it’s bullshit.
5) The vast majority, not all, but most go to osteopathic schools because they couldn’t make allopathic programs. Sad but true, I remember hearing the old question, “DO school or MD carribean?” Sure, some people really want to be DO’s, the rest couldn’t make MD schools (which doesn’t necessarily make them bad doctors).
6) DO’s don’t get the respect MD’s get, right or wrong. That’s just the way it is. Sure, some people respect them both, or even DO>MD, but overall they just aren’t seen the same.
7) While almost any lay person know’s what an MD is, considerably less know what a DO is. And yes, there is a good chance that there trusted physician is a DO w/o them knowing it.

END OF THREAD

25 Anonymous March 22, 2006 at 8:06 pm

How do you know the manipulation stuff they do is just BS? You are an MD so where is your experience to make such a claim about a practice you don’t participate in?

26 Anonymous March 22, 2006 at 8:07 pm

I’m a Harvard trained MD (real one)
I have worked with many DOs and some of them are even my supervisor attendings. They’re anything but inferior, if anything, superior. I’m embarrassed to see a fellow Harvard grad to be so ignorant, which makes me wonder if he/she even graduated from high school.

27 Anonymous March 22, 2006 at 8:14 pm

No need to bash DO’s. You think just because a doc has an MD automatically makes him superior? Do you realize there are plenty of allopathic schools that have lower stats than osteopathic schools? I’m thinking you, Harvard med school graduate, probably think all the physicians are inferior since you graduated from such a SUPERIOR school. Actually, you probably think the nurses and PAs and all the other health professionals are all inferior to you. I’d really hate to be working with you.

28 Anonymous March 22, 2006 at 8:19 pm

I am a state-school trained MD; I once regretted that I didn’t train at the Brigham but after I read the previous posts I now realize that you guys are as dumb as me!

29 Gasman March 22, 2006 at 8:38 pm

All the schoolyard name calling and bickering aside.

It is still interesting that the newsmagazine (presumably) deliberately chose to change the credentials of the doctor. If asked, this doc certainly made clear his credentials. If the newsmagazine failed to fact check their headline then it reeks of sloppy jounalism. Either way, the journalist screwed up.

Even though colleagues in my group carry identical clinical credentials and previleges, we cannot freely interchange the letters (MD or DO) on any identification we use during the practice of medicine as a matter of state law.

30 Anonymous March 22, 2006 at 8:46 pm

This is Harvard MD, 7:46…

So you guys didn’t actually read what I wrote. I did not make any judgements about the capabilities of osteopathic physicians, just that they are not given the same respect as an MD and many lay people don’t know what a DO is. I’m not using words like all or none, but for the most part what I’ve said is true. Notice I also used words like “right or wrong.”

As for body manipulation stuff… a recent study in the British Medical Journal showed it to be ineffective. And yeah, that is also my opinion, feel free to have yours. But look, I am saying that osteopaths are real physicians. Don’t be so suspicious and guarded… and BTW.. I went to state college, so I’m not some stuck up ivy brat, and I do have DO’s as friends. But the truth is the truth, they’re not as respected (on average).

Okay?

31 Anonymous March 22, 2006 at 9:06 pm

I am state med school grad; you are right. The bottom line is nobody would go to DO school if they could get into an allopathic school. The schools cost the same (cheaper if you go to a state med school!); I don’t buy that anyone would choose DO over MD; there may be 1 or 2 fools, but the rest are allopathic rejects.

BTW, I also would never pay $40K a year to go to Harvard med over $4k to go to UCLA med or $10K a year to go to FU State med; I hope you did your residency at Harvard and didn’t go to school there otherwise you’re as big a fool as these DO fools….

32 Anonymous March 22, 2006 at 9:11 pm

You are the fool. Get a life.

33 Anonymous March 22, 2006 at 9:20 pm

Harvard-MD again (yawn)…

Stop bad mouthing osteopaths… they do help alot of people, which is the reason to become a doctor. I would say that the majority, not all, goto DO schools because they could not gain acceptance to an allopathic program. Some want to become a DO for their own reasons, which may be valid in their eyes.

It’s amazing to see how sensitive doctors, MD’s and DO’s alike, are regarding this subject. MD’s need to admit that DO’s can be fine physicians, DO’s should honestly accept that as of 2006 they do not command the same level of respect (salary yes!).

There is an interesting article from the 1999 NEJM entited paradoxes and osteopathy or something or other discussing the subject. DO’s are basically allopaths who learn body manipulation techniques, which in that same issue were shown to be dubious in a randomized study.

And 9:06… I won’t even get into which allopathic school is best. Get a life….

Signing out…

34 Anonymous March 22, 2006 at 9:41 pm

Hey Anonymous : 7:46 PM
Now you make me wonder about MD’s with all of your bad mouthing!

35 Anonymous March 22, 2006 at 9:59 pm

“Harvard-trained MD” you are really sounding like an arrogant quack. I find it highly suspect that you are really a Harvard grad anyway, or even a physician at all, given that you can’t even spell the word “holistic”.

As for OMT, (or “body manipulation stuff” in your sophisticated lingo), you’re an idiot if you think one journal report proves your case. Much like chiropractic, the debate about efficacy has raged on, back and forth, for awhile. Obviously you are welcome to your opinion (which isn’t even worth much considering you aren’t OMT trained and have never practiced it) but do not present it as fact. Just a cursory scan of Google results shows articles in the November 1999 New England Journal of Medicine and 2003 Archives of Pediatric and Adolescent Medicine finding OMT helping everything from back and cervical pain to reducing the need for abx in recurrent pediatric OM.

Other than the rare pompous ass like yourself, I’ve never met a physcian who doesn’t accord equal respect for their osteopath colleagues. Perhaps it is only you seeing it this way.

36 Anonymous March 22, 2006 at 10:00 pm

harvahd md is only good if you are going into research or academics; if you are going to be a doc-in-a-box or er doc you might as well go to state or you’re wasting your time and MONEY!

Seacrest…out!

37 EKC March 22, 2006 at 10:13 pm

I agree. Patients and the general public may not respect them as much (largely because they don’t know much about them or don’t know what they are at all) but within the physician community I think MDs who have less respect for DOs are the extreme minority.

38 Anonymous March 22, 2006 at 10:25 pm

Uh, DOs don’t practice manipulation as much because insurance barely reimburses for it. With a lot of plans you can’t bill for an OV and OMT on the same day at all.

39 Anonymous March 22, 2006 at 10:30 pm

Woah… 9:59… are you actually reading what I’m saying:

Let’s recap:
1) I do respect DO’s as much as MD’s.
2) On average, lay people are not as aware of them, and they don’t command the same respect on average.
3) I don’t believe in OMT, what’s wrong with that? If this were a onc forum and we were debating chemo then I wouldn’t be a pompous ass, as you put it.

As for going to Harvard, well it takes the same 4-years as other programs, and my family is independently wealthy so cost was no a factor. So given the choice, why not? And yes, state schools are very good. Any american school is very good.

40 Anonymous March 23, 2006 at 12:44 am

You sound like every HMS I ever met. This definitely isn’t jealousy, but you guys are a special bunch. Intelligence and worldliness, but no medical common sense.

41 Samson Isberg March 23, 2006 at 1:22 am

I believe Sam Sheppard was an osteopath (you remember him? The real life model for dr Richard Kimble of “the Fugitive”

42 phil March 23, 2006 at 4:12 am

I have a couple of thoughts.
1)I am a senior, going to an American medical school this Fall. Everyone I know applying (I go to a large public university) to medical school considers allopathic schools a first choice, and osteopathic schools backup. Many didn’t even apply to any osteopathic schools. It seems most people in the profession agree that DOs get just as much respect from their colleagues. The question is, how much do they get from the general public? I agree that DOs get less.

2) This one has been brewing for a while…
Reading what some of the doctors on this forum have to say depresses me, and not just on this thread either. I’m not talking about your medical opinions, I’m talking about the incessant name-calling and arrogance toward patients, lawyers, and other doctors. Who are you going to convince while you’re insulting them? I suppose the same goes for everyone else too. Please just give it a rest.

43 Anonymous March 23, 2006 at 6:04 am

Nothing at all wrong with you not believing in OMT. If you will bother to read what I said, you’d see that. The problem is that in your initial post, you identified yourself as some kind of ultimate authority (”let’s get the facts straight and settle this”) and then proceeded to offer your opinion about OMT as some kind of established fact. And when called on it, you cited a single article in a medical journal as your “evidence” which is pretty weak. You are not an expert or authority on a practe in which you have not been trained and do not perform, and you can’t cite any conclusive body of research evidence, so yes your original comments were out of line. You could have very easily said “I don’t believe in it,” but instead you called it “crap” like that was what everyone should think.

44 Anonymous March 23, 2006 at 9:29 am

If you’re independently wealthy, why are you doing this? Why don’t you go and chill on a permanent vacation?

45 Anonymous March 23, 2006 at 9:30 am

phil,
you are young and naive. i was in your shoes once – with that carefree attitude. i bet you are entering medicine to save a few lives right??? but once you leave residency, you will realize how lawyers will be your enemies. you will dread the day when the first law suit comes to you in the certified letter. you will see how patients are so demanding, and despite your trying the best, they will still sue you. you will need a lot of growing up to do.

46 Anonymous March 23, 2006 at 9:49 am

” but once you leave residency, you will realize how lawyers will be your enemies.”

Leave residency? I was named/served during my internship. I do agree. Phil you don’t know how the system is yet (you will if you get in to med school). Once you walk a mile in our shoes You will have a much different opinion.
Good Luck

47 Anonymous March 23, 2006 at 10:50 am

One reason that a lot of patients don’t know that they are being treated by a D.O. is that some of
these D.O.’s try to hide these letters. Their white coats or their prescription pads will state “Dr. So and So” and omit the D.O..

48 Anonymous March 23, 2006 at 11:02 am
49 phil March 23, 2006 at 12:56 pm

I figured you guys would say that. And you’re right. I am naive. I have only the slightest idea about the crap that many of you have to go through. Life is unfair, and everyone has something to complain about. Somehow, I just don’t see doctors having it much worse than anyone else. Even if they do, that doesn’t change my point that anonymous name-calling and arrogance in a forum is pointless and irritating to those trying to get information. I’m all for statistics, argument, and interesting stories, but come on. Calling someone an idiot or fool doesn’t lend you a whole lot of credibility.

Anyhow, carry on w/ the interesting thread. Didn’t mean to send it off-track into another malpractice argument. A few months ago I was trying to prepare for an interview at a school where they had asked a few candidates “Why not DO?” Reading this would’ve helped.

50 Anonymous March 23, 2006 at 2:55 pm

So now we’re going to imply that DOs are sub-physician quacks. Whatever.

BTW, the quackwatch website (run by a lone MD, who I guess must think he is the be all and end all authority on osteopathic practice) is chock-full of letters from attorneys and “legal consultants” with “interests” in med-mal, praising this dude for providing so much valuable material for free. One LNC claims she used to spend hundreds of dollars on medico-legal journals and is just so tickled she can access this site for free. Wonderful…

Anyone who takes such extreme hard-line stances against any non-allopathic care (osteopaths, chiropractic, accupuncture, psycology, nutritionists, etc.) is suspect. I’ll be the first to admit that these areas have far more “quack” than traditional medicine, but would never be so arrogant as to assume that it is ALL 100% worthless.

As for not putting the credential DO- its funny, because I was thinking just the other day how many podiatrists (DPMs) seem to do just that too. Maybe they do it because they know the public probably doesn’t recognize them as doctors by just their initials alone. Healthcare is over-initialed anyway.

Way off topic, but have you noticed lately how every little counselor, hospital and lab employee or nurse has like eight letters after their names now? I guess everyone, down to the the eight-week Dawn Training Center grad who draws your blood at the blood bank, has got to have some fancy initals behind their name. Its PC I guess.

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