Professional identity in osteopathy: A scoping review of peer-reviewed primary osteopathic research

Phillips, Amanda R.

doi:10.1016/j.ijosm.2022.06.005

Cited by 11 publications

(4 citation statements)

References 107 publications

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“…This progressive shift towards enhancing humanization in medicine through patients’ empowerment—incorporating their subjective experience, valuing the patient–clinician relationship, and assigning new roles to the patient in clinical decision-making—has also developed over time in the manual therapy field, too. This shift has led osteopathic practitioners to question their professional identity [ 59 ]. Unlike physiotherapy, osteopathy and chiropractic were initially created as alternative forms of care to the established medical standards [ 3 ].…”

Section: Resultsmentioning

confidence: 99%

Epistemological Flexibility in Person-Centered Care: The Cynefin Framework for (Re)Integrating Indigenous Body Representations in Manual Therapy

Zegarra-Parodi,

D’Alessandro,

Baroni

et al. 2024

Healthcare

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Background: Chiropractic, osteopathy, and physiotherapy (COP) professionals regulated outside the United States traditionally incorporate hands-on procedures aligned with their historical principles to guide patient care. However, some authors in COP research advocate a pan-professional, evidence-informed, patient-centered approach to musculoskeletal care, emphasizing hands-off management of patients through education and exercise therapy. The extent to which non-Western sociocultural beliefs about body representations in health and disease, including Indigenous beliefs, could influence the patient–practitioner dyad and affect the interpretation of pillars of evidence-informed practice, such as patient-centered care and patient expectations, remains unknown. Methods: our perspective paper combines the best available evidence with expert insights and unique viewpoints to address gaps in the scientific literature and inform an interdisciplinary readership. Results: A COP pan-professional approach tends to marginalize approaches, such as prevention-oriented clinical scenarios traditionally advocated by osteopathic practitioners for patients with non-Western sociocultural health assumptions. The Cynefin framework was introduced as a decision-making tool to aid clinicians in managing complex clinical scenarios and promoting evidence-informed, patient-centered, and culturally sensitive care. Conclusion: Epistemological flexibility is historically rooted in osteopathic care, due to his Indigenous roots. It is imperative to reintroduce conceptual and operative clinical frameworks that better address contemporary health needs, promote inclusion and equality in healthcare, and enhance the quality of manual therapy services beyond COP’s Western-centered perspective.

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Section: Resultsmentioning

confidence: 99%

Epistemological Flexibility in Person-Centered Care: The Cynefin Framework for (Re)Integrating Indigenous Body Representations in Manual Therapy

Zegarra-Parodi,

D’Alessandro,

Baroni

et al. 2024

Healthcare

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“…Studies about osteopathic identity are progressing internationally. However, the various legal regulations and intraprofessional conflicts make it difficult to perceive a collective identity [ 5 ]. Especially in countries where osteopathy is not regulated by law, the data about osteopathic practitioners are considered to be weak.…”

Section: Introductionmentioning

confidence: 99%

Characteristics, Opportunities, and Challenges of Osteopathy Based on the Perceptions of Osteopaths in Austria: Qualitative Interview Study

Manschel,

Porthun,

Winkler

et al. 2024

JMIR Hum Factors

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Background There are no uniform regulations for the osteopathic profession in Europe. It is subject to country-specific regulations defining who shall be allowed to practice osteopathy and which qualification shall be required. In recent years, legal regulations have been established in several European countries for the profession of osteopathy; however, these are also still pending for Austria. Currently, physiotherapists and physicians with osteopathic training are practicing osteopathy in Austria. Objective This study aims to examine the characteristics, challenges, and opportunities of osteopaths in Austria. Methods Guideline-based interviews with osteopaths (N=10) were conducted. The different research questions were examined using a qualitative content analysis. Results The study provided a differentiated insight into the professional situation of osteopaths in Austria. The most important result was that all interviewees unanimously supported a legal regulation of their profession. However, owing to their different professional self-image—on the one hand, individuals working on a structural basis, and, on the other hand, individuals working on a cranial or biodynamic basis—they were able to imagine a uniform professional regulation only to a limited extent. Additional topics for the interviewed osteopaths in Austria were the quality assurance of training and the urgent need for scientific research. Furthermore, the study also dealt with the influence of the COVID-19 pandemic on daily practice and on education and training in osteopathy. Conclusions This study is a pioneering study with regard to systematic basic research on osteopathy in Austria. The obtained results and the newly acquired research questions not only have the potential to serve as a basis for further studies but also provide insight into the working and professional situation of osteopaths in Austria for universities, schools, professional associations, politics, and—last but not least—all interested parties. International Registered Report Identifier (IRRID) RR2-10.2196/15399

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“…The body is capable of self-regulation, self-healing, and health maintenance. 3. Structure and function are reciprocally interrelated.…”

Section: Introductionmentioning

confidence: 99%

“…2 Over recent decades the osteopathic profession has undergone a steady and in many ways dramatic shift in its identity and broader place within American medicine. 3,4 With more than a quarter of all medical students now training at osteopathic medical schools, 5 and DOs normalized into the larger fabric of American health care, the profession appears to stand on increasingly firm ground, with greater recognition and respect from allopathic physicians. 6 At the same time, a question confronts medicine regarding the distinctiveness of osteopathic physicians themselves.…”

Section: Introductionmentioning

confidence: 99%

A Thematic Analysis of Osteopathic Physicians’ Identities and Experiences in North American Professional Sports

Blacha¹,

A²,

Russell³

et al. 2022

OAJSM

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Objective This interview-based thematic analysis examines the evolving professional identities and practices of osteopathic physicians (DOs) in North American professional sports (baseball, basketball, football, hockey, and soccer) to understand the extent to which DOs employ osteopathic-specific skill sets in their work with player-patients. In addition, the study sought to understand the prevalence of professional bias, interprofessional dynamics between DOs and other health professionals, and other factors such as management. Methods This qualitative, interview-based study is grounded in twelve semi-structured interviews with 41% of DOs (all nonsurgical, primary care sports medicine trained) working with North American professional sports teams. Interviews were transcribed and coded to identify key themes and representative quotes. Results Findings suggest that DOs believe their training and philosophical orientation positions them well to make important contributions to serving the medical needs of professional sports teams. At the same time, DOs are careful about championing an osteopathically-specific approach to patient care, such as evoking osteopathic principles of care or techniques such as Osteopathic Manipulative Medicine. This is the case for several reasons, the most important of which is a strong drive toward collaboration and collegiality within professional sports medicine teams. Conclusion This study finds that in navigating the complexities of osteopathic identity, DOs working in professional sports are proud of their osteopathic orientation and report experiencing little discrimination, but also downplay what has historically distinguished their practice from that of other healthcare professionals. These findings have consequences for how scholars think about emerging professional identities in sports medicine, generally, as well as the fast-growing profession of osteopathic medicine specifically.

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Professional identity in osteopathy: A scoping review of peer-reviewed primary osteopathic research

Cited by 11 publications

References 107 publications

Epistemological Flexibility in Person-Centered Care: The Cynefin Framework for (Re)Integrating Indigenous Body Representations in Manual Therapy

Epistemological Flexibility in Person-Centered Care: The Cynefin Framework for (Re)Integrating Indigenous Body Representations in Manual Therapy

Characteristics, Opportunities, and Challenges of Osteopathy Based on the Perceptions of Osteopaths in Austria: Qualitative Interview Study

A Thematic Analysis of Osteopathic Physicians’ Identities and Experiences in North American Professional Sports

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