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Traditionally, doctors of osteopathic medicine have pursued careers in family medicine. In recent years that has changed, with graduates now pursuing a wider range of medical and surgical specialties.

OMT is a hands-on technique that involves moving a person's muscles and joints to help diagnose, treat, and prevent certain common conditions, usually musculoskeletal. Patients can often leave the visit with symptom relief after having OMT performed.

While this was considered a major difference in the past, MD programs now actively embrace the approach, educating doctors to look beyond the symptoms and to integrate mind and body in a more holistic and thoughtful way.

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Osteopathic medicine is one of the fastest-growing healthcare professions in the country. DOs account for approximately 11% of doctors in the United States.

By Jennifer Whitlock, RN, MSN, FN Jennifer Whitlock, RN, MSN, FNP-C, is a board-certified family nurse practitioner. She has experience in primary care and hospital medicine.

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The main difference is that osteopathic doctors also receive extra training in osteopathic manipulative medicine (OMM), a hands-on method for diagnosing and treating patients. Osteopathic doctors have additional training to perform osteopathic manipulative therapy (OMT) during the visit.

Gevitz N. From “Doctor of Osteopathy” to “Doctor of Osteopathic Medicine”: A title change in the push for equality. J Am Osteopath Assoc. 2014;114(6):486–497. doi:10.7556/jaoa.2014.099

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By contrast, doctors with a DO designation practice osteopathic medicine, a medical discipline that emphasizes the treatment of illnesses through the manipulation and massage of the bones, joints, and muscles. While some people will describe it as "alternative medicine," a physician with a DO degree is held to the same standards as an MD.

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Osteopathic doctors (DOs) and medical doctors (MDs) both receive rigorous, traditional medical training. DO education strongly emphasizes the "whole person" approach, taking into consideration the environmental and spiritual factors that shape a person. DOs also receive extra training in a hands-on manipulation technique to help diagnose and treat certain ailments.

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Medical doctors (MDs) and osteopathic doctors (DOs) are two types of physicians who can practice in all medical specialties. Both use modern and scientifically proven medical treatments, including medication and other interventions, to treat illness.

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There is a lot of overlap in the training involved in becoming an osteopathic doctor and a medical doctor, but there are some differences as well.

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The philosophy behind osteopathic medicine is centered around a "whole person" approach to care, emphasizing wellness and prevention as opposed to just treating an illness.

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Doctors who have an MD degree practice allopathic medicine, a term coined during the early 19th century to differentiate homeopathy (which uses natural substances to stimulate the immune system) from science-based medicine.

Stark JE. A historical perspective on principles of osteopathy. International Journal of Osteopathic Medicine. 2013;16(1):3-10. doi:10.1016/j.ijosm.2012.10.001

DOs and MDs both often attain board certification through the American Osteopathic Association or the American Board of Medical Specialties (only for MDs). Board certification typically involves a combination of written, practical, and simulator-based tests. Boards also require continuous lifelong learning competencies.

Association of American Medical Colleges. Active physicians with a doctor of osteopathic medicine (DO) degree by specialty, 2015.

Osteopathic doctors are specially trained in osteopathic manipulative treatment (OMM). "Manipulation" in this case is a general term used to refer to several different techniques in which the DO uses their hands to apply pressure or force to the body. OMM is one way that DOs treat structural and functional issues in the bones, joints, tissues, and muscles of the body.

Both attend four years of medical school and complete their training in the same residency programs. Doctors who want to be board-certified in a specialty will take similar tests for certification, regardless of their designation as an MD or DO.

Ahmed AH, Schnatz PF, Adashi EY. Allopathic and osteopathic medicine unify GME accreditation: A historic convergence. Fam Med. 2019;49(5):374-7.

Physicians with DO degrees should not be confused with non-medical osteopaths, who have no medical background and are trained solely in body manipulation. They not only lack the skills to treat medical conditions, but they are also barred from using the DO designation in the United States.

Side by side, MD and DO degrees are virtually identical, allowing those carrying the distinction to practice the full scope of medicine in the United States and 64 other countries. The same does not apply to physicians who have attained their DO degrees abroad. These degrees are not recognized in the United States.