The crisis in osteopathic medicine

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Abstract
During the last 30 years the osteopathic profession has undergone a remarkable transformation from osteopathy , characterized by manipulative therapy , to osteopathic medicine , characterized by full-service health care , and in the process it has won acceptance from the government , the military , and physicians . These changes in status have resulted in new problems for the profession , because D . O . graduates are turning increasingly toward M . D . programs for residency training , and osteopathic medicine's primary care orientation is being replaced by an emphasis on specialty training . The authors advocate that osteopathic medicine return to its original mission of primary care , abandon specialty training or restrict it to those who have completed primary care residencies , abolish its separate-but-equal posture , and establish lines of communication with allopathic medicine and the American Medical Association to facilitate the development of a rational national policy for primary care that considers the potential osteopathy has to offer in meeting the nation's primary care needs .

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