Life + Career Osteopathic Research OMED Research Dissemination Track

OMED Research Dissemination Track

Research track

Research opportunities abound at OMED

The AOA Research Dissemination Track features cutting-edge speakers and an informative poster session/competition.

OMED 2019, held Oct. 25-28 in Baltimore, for the AOA Research Dissemination Track, featured:

  • Dynamic presentations from osteopathic researchers.
  • Research abstracts highlighting the latest findings from new and seasoned researchers. Approved research abstracts are posted in The Journal of the American Osteopathic Association.
  • An informative and enlightening student poster competition co-hosted by SOMA, the Student Osteopathic Medical Association. See poster winners from 2017-2019.

 


Demystifying Cranial (OCMM): A Biomechanical Approach

Sharon X. Gustowski, DO, American Academy of Osteopathy

Brief biography

Dr. Gustowski serves as the chair of the Department of Osteopathic Principles and Practices at Sam Houston State University Proposed College of Osteopathic Medicine, having joined the team in November 2018. She is a 2001 graduate of the University of North Texas Health Science Center, Texas College of Osteopathic Medicine (UNTHSC- TCOM) and the School of Public Health. She completed a traditional rotating internship at Bay Area Corpus Christi Medical Center and residency training at the UNTHSC-TCOM in Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine (NMM-OMM). She is board certified in NMM-OMM. She is a career medical educator and clinician, having been a founding faculty member at Touro University Nevada College of Osteopathic Medicine, faculty at UNTHSC-TCOM and founding Chair of OPP Integration at the University of the Incarnate Word School of Osteopathic Medicine. She is also active and participates in committees in state and national osteopathic organizations, including the American Osteopathic Association where she serves as vice-chair of the Bureau of Scientific Affairs and Public Health, the American Academy of Osteopathy where she serves as a Board of Governor, and the Texas Osteopathic Medical Association, where she is a Board of Trustee. She is a past president of the Nevada Osteopathic Medical Association.

As a medical educator, Dr. Gustowski shares her passion for osteopathic medicine and provides students with an organized, sensible, and obtainable curriculum designed to foster life-long learning and application of osteopathic principles and practices. Toward this end, she created a manual of osteopathic techniques designed for the novice student titled, Osteopathic Techniques: A Learner’s Guide (Thieme publishers). Her curriculum delivery strategies include active learning, reflection, and positive reinforcement. She is proud of every student, regardless of their use of OMT, but hopes that every student recognizes the musculoskeletal system as a vital organ.

 

 

Presentation summary

Osteopathic Cranial Manipulative Medicine (OCMM) has often challenged the osteopathic student and physician. This skill set can be a useful tool for clinicians to utilize when care for their patients.

Lecture participants learned the current evidence as well as found a more approachable model of OCMM as they were taught these skills through a biomechanical approach.

Learning objectives

During this session, participants:

  1. Identified clinical conditions in which an examination of somatic dysfunction of the cranium is indicated.
  2. Utilized a method for identifying TART criteria for somatic dysfunction in the cranium.
  3. Considered the inherent motion of the cranium from the perspective of physics to improve one’s ability to palpate this motion.
  4. Performed suboccipital inhibitory pressure and occipital condylar decompression techniques.

Medical Marijuana and CBD: Perceptions vs. Facts

Kristina M. Heimerl, PharmD, BCACP, American Academy of Osteopathy

Brief biography

Kristina Heimerl, PharmD, BCACP is a board-certified clinical pharmacist in the family and internal medicine clinics at UW Health in Madison, WI. She currently practices under collaborative practice agreements for hypertension, diabetes, hyperlipidemia, and anticoagulation and supports physicians and clinic staff in coordinating patient care and optimizing medication use. In her role, she also completes medication reviews with patients focused on de-prescribing medications and supplements, drug interactions, and reducing the overall cost of medications. She helped to develop the clinical pharmacist program that extends across 12 primary care clinics in the Madison area. Additionally, she serves as a preceptor for pharmacy students and residents and teaches seminars for medical residents.

Dr. Heimerl received her Doctor of Pharmacy from the University of Wisconsin-Madison School of Pharmacy in 2014. She completed her PGY-1 and PGY-2 ambulatory care pharmacy residency training at UW Health with a focus in primary care. Her residency also provided exposure to managed care, transplant, nephrology, hepatology, infectious disease, geriatrics, medication safety, and community pharmacy.

Dr. Heimerl is an active member of the American College of Clinical Pharmacy (ACCP), American Society of Health-System Pharmacists (ASHP), Pharmacy Society of Wisconsin and Vizient. Her research interests include transitions of care and preventing medication-related readmissions, interdisciplinary education, and optimization of clinic workflows and electronic medical record build to reduce provider workload related to medication reconciliation and refills. She has presented at national pharmacy meetings for her transitions of care initiatives.

Presentation summary

There has been an increase in the development of cannabis and cannabidiol products due to ongoing state and federal legislation that has expanded hemp production and changed its classification as a controlled substance. Cannabis and cannabidiol products available over the counter are heavily marketed to patients.

This lecture reviewed the literature on the effectiveness of cannabidiol for various indications, as well as common drug interactions and adverse effects.

Learning objectives

During this session, participants:

  1. Summarized the prescription and commercial cannabis and cannabidiol products available.
  2. Analyzed literature on the effectiveness of cannabis and cannabidiol products for various indications.
  3. Discussed common drug interactions with cannabis and cannabidiol products.
  4. Described common adverse effects of cannabis and cannabidiol products.

OMT for the Patient with Concussion

Daniel A. Clearfield, DO, American Academy of Osteopathy

Brief biography

Doctor Clearfield is a Board-Certified physician in Primary Care Sports Medicine as well as Family Medicine & Osteopathic Manipulative Medicine (OMM). He is a second generation DO who attended UNTHSC where he earned his DO degree from TCOM as well as his MS degree in Clinical Research and Education in OMM from the Graduate School of Biomedical Sciences. He completed an Osteopathic Family Medicine Residency at Doctors Hospital in Columbus, Ohio, where he served as Chief Resident. He completed a Pre-Doctoral Fellowship in OMM at TCOM and a Primary Care Sports Medicine Fellowship with Overlook Hospital in Summit, New Jersey. In 2017 he was awarded Fellow of the American Osteopathic Academy of Sports Medicine (FAOASM).

Dr. Clearfield started the company Motion is Medicine Sports Medicine as a Primary Care Sports Medicine physician and Concussion specialist in 2019. He has experience in treating all varieties of athletic, overuse, and degenerative injuries in all ages of patients and athletes. He is an Adjunct Professor at UNTHSC-TCOM where he previously served as the Program Director for the UNTHSC-TCOM Primary Care Sports Medicine Fellowship.

Dr. Clearfield has experience working with all ages and levels of athletes including NCAA Divisions I, II & III, Olympian, NFL, NHL, USA Wrestling, USA Judo, USA Volleyball, US Amateur Boxing, MMA, and WWE. Additionally, he serves as an official team physician for USA Wrestling and USA Judo. Dr. Clearfield has been awarded numerous accolades in the field of Sports Medicine and has been recognized as a DFW Top Doctor in Sports Medicine consistently since 2013. He is a nationally and internationally recognized speaker in the field of sports medicine, and he has covered sporting events all over the world.

Dr. Clearfield has special interests in utilizing OMT in sports medicine, regenerative injection therapies, MSK-ultrasound, concussion management, and teaching/mentoring students, residents, and fellows. He enjoys spending time with his wife Sarina, kids Hannah, Campbell, and Lainey and his dog Kodey.

Presentation summary

This presentation referenced several different case scenarios of concussion injury, explained how the current evidence applies toward utilization of OMT and OPP to treat the concussed athlete, and had several break-out sessions for the audience participants to practice the OMT approaches discussed in the lecture.

Learning objectives

During this session, participants:

  1. Reviewed the most recent concussion symptom sub-domains and how this applies to a treatment approach.
  2. Gained understanding on the evolving research supporting OMT in the treatment/management of concussion injury.
  3. Discussed a pediatric and adult case of concussive head injury and how OMT may apply to their treatment plan.
  4. Identified structural dysfunction that could manifest after a concussion.
  5. Formulated an osteopathic treatment plan to address post-concussive symptoms and somatic dysfunction.

ENIGMA: Global Collaborative Neuroimaging of Brain Trauma

David A. Baron, DO, American College of Osteopathic Neurologists and Psychiatrists

Brief biography

David Baron, MSEd, DO, DLFAPA, DFACN, FRSM, is Professor and Vice President of Clinical and Academic and Global Affairs at Western University of Health Sciences, Pomona, California. Dr. Baron is a Distinguished Fellow of the ACONP, GAP, ACP, APA(Life), and International Fellow of the Royal Society of Medicine. Dr. Baron became Senior Vice President and Provost of the University effective July 1, 2019. Dr. Baron served as the 2018 Fulbright Distinguished Chair in Brain Science at the University of Calgary (Youth Concussion). He is the Director of the Sports Concussion Education and Research Committee of the International Society of Sports Psychiatrists, World Psychiatry Association. Dr. Baron was Chair of the Section of Psychiatric Aspects of Sports Concussion for the Nov. 2018, Consensus Conference at International Olympic Committee Headquarters. He served as Deputy Clinical Director, National Institute of Mental Health and Professor/Department Chair of Psychiatry at FAES, Temple University, and Interim Chair University of Southern California (USC).  He graduated from Philadelphia College of Osteopathic Medicine, completed his psychiatry residency, graduate training and fellowship in Consultation-Liaison Psychiatry at USC. He is board-certified in Psychiatry, Neuropsychiatry and Brain Injury Medicine.

Presentation summary

The ENIGMA Consortium is an international effort by leaders worldwide. The Network brings together researchers in imaging genomics, neurology, and psychiatry, to understand brain structure and function, based on MRI, DTI, fMRI, genetic data, and many patient populations.

The best return on our research investments will come from combining our data to achieve the large samples necessary to detect the modest gene effect sizes that we now know are the rule rather the exception for complex traits.

Learning objectives

During this session, participants:

  1. Gained an understanding of the role of neuroimaging in sports concussion.
  2. Received an ENIGMA overview and understood subgroup updates lessons.

OMT in Obstetrics

Magnolia J. Larson, DO, American Academy of Osteopathy

Brief biography

Dr. Magnolia J. Larson has worked as an Assistant Professor with the Department of Family Medicine, Verona Clinic since 2013 and the Pediatric Fitness Clinic since 2016.

Dr. Larson practices full-spectrum family medicine and community health, including obstetrical care and prenatal ultrasound, inpatient hospital medicine to adults and pediatrics and provider weight management related care in her family medicine clinic and Pediatric Fitness clinic. She also supervises and facilitates resident physicians in my role as a faculty physician and part of the core Osteopathic Physician Faculty.

Dr. Larson is a physician leader for the UW Health Verona Clinic’s 2020 Fitness and Lifestyle Challenge, an annual six month program for obese adults with monthly group visits including fitness, nutrition education and lifestyle goal setting utilizing incentives from local community partners.

Dr. Larson is also a physician leader for the Prairie Kitchen Cooking Club, a healthy cooking club for seniors that meets monthly at their local Verona Food Pantry, in addition to being a physician leader for the Chop Chop Cooking Club, an ongoing cooking and nutrition class for children and their families.

Presentation summary

Because more than 2/3 of pregnant women may experience low back pain and 20% of women experience pelvic pain in pregnancy that may commonly progress through pregnancy, providers should feel skilled in addressing and treating these concerns.

This type of pain can affect daily activities and function, and may also reduce the ability to work, contribute to sleep problems and reduce the quality of life in pregnancy. Developing comfort with OMT skills in prenatal care may improve physician-patient relationships and improve patient function.

Learning objectives

During this session, participants:

  1. Discussed physiological changes of pregnancy.
  2. Reviewed evidence related to pregnancy and the use of osteopathic manipulation techniques, including safety and modification of OMT in prenatal and postpartum care.
  3. Reviewed common presentations and chief complaints of prenatal issues with treatment recommendations considered safe and effective in pregnancy.
  4. Introduced and reviewed common OMT techniques used for prenatal patients that can be utilized in office visits, physical therapy, or with home exercises.
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