2. Rice from each sample purchased was removed and 250 cubic centimeters placed in a plastic sample bag with its identifying collection number with identifying information recorded for each purchased sample of rice (Table 1).
Conclusion: Our study shows that for surgical versus non-surgical OMS, there were clear differences in perceived barriers to matching to their preferred specialty. Unsurprisingly, students interested in surgery weighted board examinations and research as more important than non-surgical specialties. While both groups found USMLE Step 1/COMLEX Level 1 scores to be important, the surgical group perceived USMLE Step 2/COMLEX Level 2 to be important for matching to their preferred residency specialty. Likewise, the surgical group perceived the ability to do research as well as the number of publications they author to be important when compared to the non-surgical group. Consistent with studies previously conducted on OMS in primary care fields as well as allopathic students in surgical fields, mentorship and clinical experience were perceived as important to both groups. This study had several limitations including that the survey was only administered to OMS at one school and its branch campus. Additionally, there were less surgical respondents then non-surgical respondents which is to be expected at an osteopathic medical school. Interestingly, there were more female than male surgical respondents despite the fact that there are more male versus female surgical residents, potentially contributing to a selection bias in our results. Despite these limitations, this study highlights how osteopathic medical schools can better serve the needs of OMS applying to surgical specialties by allowing OMS to potentially participate in research electives as well as the student body as a whole by establishing mentorship programs to improve OMS ability to match to the residency of their choice.
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Conclusion: There is a wide range of pressures used when performing an abdominal exam. The results acquired during this study confounds recommendations for teaching methods for those in the healthcare profession. This suggests a need for more specificity of pressures when performing an abdominal examination. Women, ONMM specialists, and non-US based-trained physicians tended to use lighter pressures, regardless of subject BMI. The limitations of this study include the narrow variation of BMI of the subjects, the limited number of subjects evaluated per physician participant, few participants in various specialties, such as those who are in pediatrics, surgery, and emergency medicine, and uncertainty as to whether the organ in question was truly palpated. Future studies could be conducted utilizing ultrasound technology to determine when the organ is being contacted by the physician. A larger-based study that includes more variety in physician specialty and more variability in subjects could alleviate these limitations.
Conclusion: These results begin to reveal several possible personal and cultural attitudes that may underly underutilization trends by Hispanic patients. First, Hispanic respondents indicated a greater fear of a TJA procedure than NHC counterparts. Also, Hispanic respondents indicated that the surgical experience of another would influence his/her decision to undergo surgery. Finally, our data suggest that some Hispanic individuals see enduring long-term pain as fate or destiny associated with their religious beliefs. This preliminary work may provide us some insight into the multifactorial contributions to Hispanic TJA underutilization. This is a critical first step towards developing strategies to mitigate underutilization and thus, reduce the number of patients that endure arthritic pain when a pain-reducing treatment is available. 2ff7e9595c
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