Osteopathic Medicine – Getting Started!

Osteopathic physicians or D.O.s are very similar to allopathic physicians or M.D.s. They are both licensed to practice in every field of medicine, from the operating room to academia. Their training programs are also similar right down to the job opportunities available. However, they start to differ in the other areas; most noticeable is their numbers. Osteopathic doctors only comprise 6 percent of practicing physicians as of 2008. This large difference in numbers means that a lot of people, even other premeds, are not well acquainted with the osteopathic tradition.

Osteopathic medicine is an alternative to allopathic medicine that differs in philosophy and purpose. Osteopathic medical schools give additional medical training in regards to muscular-skeletal manipulation, and have a unique “whole person” perspective on diagnosis, practice, and consultation.

In theory, osteopathy is more proactive than reactive, which means it promotes health and wellness instead of treat the symptoms of a disease. This makes D.O.s or Osteopathic physicians more suited to health care and health tourism than their allopathic counterparts, since osteopathic medical schools tend to focus more on general care, preventative medicine and the social and psychological aspects of treatment.

Premeds who are aiming to become well rounded, all-purpose physicians rather than medical specialists should consider osteopathic medical schools than their allopathic counterparts. It is also ideal for students who prefer noninvasive treatments and an individualized approach to medicine.

Many premeds also consider osteopathy because they believe that they will have fewer competitors and less-competitive admission standards than specialized medicine. The part about having fewer competitors is true, in the sense that osteopathic medical schools always have fewer applicants than allopathic medical schools. The other part, however, is less grounded in reality.

In reality, osteopathic schools require a high level of achievement from their prospective students and their admission standards are highly selective. As of 2007, the average MCAT and GPA scores for osteopathic students are 3.4 and 25 respectively, as compared to allopathic schools, who boast of 3.45 and 30. The main difference, however, is that osteopathic medical school tends to value character and personal qualities over academic achievements. This makes osteopathy ideal for a student who has below average grades but has a strong determination to become a doctor.

Osteopathy is also ideal for older individuals who have tried other career paths before deciding to pursue medicine. As a direct proof of this, majority of osteopathic students across the US is made up of older, non-traditional students. Many of these students are already established professionals in other fields, but have decided to enter health care due to various personal reasons.

Osteopathic physicians are usually trained in the United States and Canada, however, they have unlimited practice rights in over fifty countries worldwide. Their international activities are monitored and overseen by the CIOMEA or Council on International Osteopathic Medical Education and Affairs.

The recent boom on the health care and health tourism industry means that the opportunities for osteopathic physicians are growing even faster than before. Currently, Osteopathic physicians are among the fastest improving and growing group of health care professionals.

Pain Medicine Purchasing Prescription Pain Medicine at PainMedicine.me

Any drug used to relieve pain is referred to medically as analgesic, but in plain, simple English they are known as pain medicine. Analgesic drugs act in various ways on the peripheral and central nervous systems; they include paracetamol (para-acetylaminophenol, also known in the US as acetaminophen), the non-steroidal anti-inflammatory drugs (NSAIDs) such as the salicylates, and opioid drugs such as morphine and opium. They are distinct from anesthetics, which reversibly eliminate sensation.

Now to safeguard the consumer against possible drug abuse, as some pain medicine may be addictive, federal law requires that pharmacies do not dole out some of these to just about anybody at any given time. Hence, these pain medicine served as a regulation in the distribution and usage of the drugs.

There are lots of pain medicine which require a prescription. As such, if you wish to get them, you need that piece of paper from the doctor so you can have the pain medicine. The widely known pain medicines are

?Ultram is prescribed either as regular tablet or an extended-release tablet. Ultram is an orally administered, centrally acting, synthetic analgesic drug that is used to reduce pain.

?Ultracet is a combination of acetaminophen and tramadol. It is often prescribed for post-surgical pain or after dental treatment.

?Butalbital/APAP/Caffeine is a barbiturate sedative mixed with a non-aspirin pain medication (acetaminophen) and caffeine.

?Fioricet are pain medicine that are being used more and more often for patients who are struggling with constant tension headaches and migraines.

?Tramadol 50 mg is a generally known and widely used synthetic medicine for the treatment of moderate to severe pain.

These prescription pain medicine are the big guns in the field of alleviating pain. Again, the catch here is that they all need a prescription.

If, for some circumstancial or personal reasons, you really could not get a prescription for the said prescription pain killers, you can turn to the internet for help. Yes, that is right – the internet.

The online avenue is full of online pharmacies that will help you in getting a prescription pain pain medicine. Most of these sites, before letting you complete an order of the above painkillers or any analgesic requiring a prescription, would ask you to fill out a questionnaire with all your medical history and this would then be reviewed by a doctor on the other end.

After all that convenient process, all you just need to do is sit back and wait for your pain medicine to be delivered to your home. It is safe and legal, because you still have the prescription, and the prescription pain killers are as effective as the ones in drugstores but are definitely more friendly to your budget.

For more information about pain medicine, please visit the website at www.painmedicine.com

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The Emergency Medicine Jobs Outlook

The question is as clear as it is unsettling: Are there enough emergency physicians in the United States to fill all the emergency medicine jobs available? Will there be enough qualified physicians in the future? The answer will affect everything from emergency room patient care to the geographic distribution of emergency room jobs around the country.

On a related issue the demand side there is no debate: utilization of emergency room services keeps growing steadily. According to the General Accounting Office, emergency room visits have been growing 3% per year for the last several years and show no sign of abating. Driving this demand is the growing number of Americans who are uninsured and who consequently have had no preventive check-ups which might have red-flagged diseases before they became acute and compelled an emergency room visit.

Demographic trends in the US will exacerbate the situation: the US population is growing 2-3% per year which will organically lead to more emergency room visits. The population is also aging which will lead to more patients coming to the emergency room presenting symptoms of respiratory, cardiac and neurological disorders.

Other population trends, such as increasing substance abuse, violence and obesity, just to name a few, will also increase emergency department utilization.

Managed care programs HMOs, PPOs, etc. were once heralded as the answer to crowded emergency rooms, but this has not been borne out by the facts.

On the supply side, approximately 1,400 new board-certified physicians arrive at hospitals and clinics every year to fill emergency medicine jobs. This output is increasing by about 3-4% per year but is not enough to meet demand. One study predicts that the supply of emergency physicians will increase gradually to meet demand in 20 to 30 years. However, many experts disagree with this sanguine outlook and predict moderate to severe shortages in the years ahead.

One reason is that not all emergency medicine jobs are found in the emergency room. For example, some emergency medicine physicians will choose jobs in hospital healthcare administration, governmental healthcare administration or medical research. Others will opt to work in non-clinical specialties such as toxicology or sports medicine. Still others will work in clinical emergency medicine jobs at hospitals but less than full-time. All of these career tracks will not help fill full-time emergency medicine job shifts at US hospitals.

Perhaps some of the excess emergency room demand will be met by ER physicians who are not certified by the American Board of Emergency Medicine (ABEM). While the exact number of non-board-certified physicians working in emergency departments today is unknown, one study a few years ago estimated that the percentage could be as high as 50%. However, as the supply of ABEM-certified emergency physicians grows, and as hospitals increasingly require ABEM certification as a condition of employment, the supply of these “non-specialists” will decline .

However, many of these physicians have had long careers in emergency medicine and they will continue to work in the emergency rooms of the future if only for the fact that they will be needed to serve the demand, particularly in rural, low-volume and other less-than-desirable work environments.

Another factor affecting the emergency medicine job workforce is the growing role of non-physician ER providers, such as nurse practitioners (NPs) and physician assistants (PAs). It is widely believed that one NP or PA can increase the efficiency of one primary care physician by approximately 50%. However, it is unclear if this is also true in emergency medicine. What is undisputable is that these mid-level providers can handle a significant portion of emergency department encounters at salaries which are substantially lower than emergency medicine physicians.

And their numbers continue to grow by as much as 50% over the last few years as they are turned out at a rate almost three times the output of US medical schools. The hope is that these mid-level practitioners will fill many of the emergency medicine jobs at hospitals and clinics in the future, taking some of the pressure off emergency room physicians.