AAO at OMED

Hosted by the American Osteopathic Association (AOA), OMED is an annual medical conference bringing together thousands of osteopathic physicians, medical students and other health professionals from across the country. OMED offers learning and networking opportunities to suit every schedule, lifestyle and specialty. 

OMED 2024 is now open for housing & registration on the AOA OMED site.

President: William Stager DO, MPH, MS, FAAFP, FAAMA, FAAO, FACOFP dist.
Program Chair: Amy Joy Selwach, DO, MBA

Program at a glance

Program title: Osteopathy: Motion and Stillness

The American Academy of Osteopathy (AAO) will showcase distinguished faculty discussing the concepts of motion and stillness in osteopathic medicine. This will include special emphasis on the subjects of lymphatics, gait issues, hypermobility, tremor, spasticity, concussion, and OMT on the sidelines. This engaging program will provide attendees with comprehensive and state-of-the-art information about how physicians can diagnose and treat these and other conditions in a comprehensive manner including utilization of a wide variety of OMT approaches.

Friday, Sept. 20                  AAO Didactic room

9:30-10:30 a.m.                    Nicole Pitts, DO                                                Concussion Management in Sports Medicine: The Latest Updates

        Learning Objectives:

  1. Recognize the role of prevention in Concussion
  2. Describe the updates to the Child SCAT6/SCOAT6 and SCAT6/SCOAT6
  3. Implement active management to return children/adolescents to return to school and sport
  4. Understand the rehabilitative approach to persistent post-concussive symptoms

10:30–12:00 p.m.                Saundra Holseth, DO                                                OMT for the Sidelines Provider

A review of in play injuries that can occur, anatomy and mechanics associated with the injuries. Will review special tests to diagnose injury and what OMT techniques can be used to get the participant back in play.

        Learning Objectives:

  1. Discuss common injuries to the joints and soft tissues of the upper and lower extremity and associated anatomy, along with special tests to diagnose.
  2. Discuss Asthma and SOB in play and associated anatomy of the thorax.
  3. Discuss lumbar and innominate injuries, special tests and associated anatomy.
  4. Discuss Osteopathic manipulative treatments for the above injuries, and when appropriate to use.
  5. Demonstrate OMT with tricks to perform on the sidelines.
  6. At the end of the presentation viewers should have the skills to diagnose and evaluate common sport injuries and when to use OMT and what is an appropriate option to perform.

12:00–12:30 p.m.                Amy Selwach, DO, MBA                                                Osteopathic Considerations in Hypermobility

        Learning Objectives:

  1. Be familiar with different types of hypermobility syndromes
  2. Know when and how to appropriately screen for hypermobility syndromes
  3. Identify and utilize safe osteopathic manipulative treatment (OMT) techniques in the treatment of hypermobility syndromes
  4. Identify relative and absolute contraindications to various OMT techniques in the setting of hypermobility
  5. Utilize a multidisciplinary approach to manage hypermobility syndromes

1:30-2:30 p.m.                      Capt. Jackie He Martin, DO                                                Common Tremor Types, Descriptions, Pathophysiology, and Treatment

        Learning Objectives:

  1. Establish basic understanding of common tremor types and treatments

2:30–3:15 p.m.                     Amy Selwach, DO, MBA                                                Osteopathic Considerations in Tremor

This lab is designed to complement Captain Jackie He Martin, DO's lecture on Common Tremor Types, Descriptions, Pathophysiology, and Treatment. Learners will hear briefly about recent osteopathic research, as well as current neuroimaging updates regarding changes found in various types of tremor diagnoses. A rational approach to OMT techniques will be presented with these facts in mind, with a special focus on the cerebellum. This course is appropriate for novice to advanced learners, as a variety of techniques tailored to various skill sets and levels of experience will be demonstrated.

        Learning Objectives

  1. Utilize rational and evidence-based osteopathic approaches in the multidisciplinary approach to Parkinson disease
  2. Utilize rational and evidence-based osteopathic approaches in the multidisciplinary approach to dystonic tremor
  3. Utilize rational and evidence-based osteopathic approaches in the multidisciplinary approach to essential tremor

3:30-5:30 p.m.                      Jennifer Broadwater Kingery, DO                                                Functional/Still-Laughlin Technique and How to Apply it to the Sacrum
The purpose of this workshop is to introduce the fundamental of Functional/Still-Laughlin Technique and then take the principles and learn how to apply them to treating the sacrum.  A background understanding of the Mitchell model of the sacral axes will be reviewed as it is necessary to setting up the patient to perform the technique.  Demonstration and hands on practice of treatment will help participants successfully achieve competence in using Functional /Still-Laughlin technique on the sacrum.

Learning Objectives

  1. History of Functional/Still-Laughlin Technique
  2. Blending palpation
  3. Mitchell model of sacral axes and mechanics
  4. Functional/ Still-Laughlin Technique and How to Apply it to the Sacrum
  5. Demonstration of treatment of common sacral dysfunctions using Functional/Still-Laughlin
  6. Lab to practice treating the sacrum with Functional/Still-Laughlin technique

Saturday, Sept. 21           AAO Didactic room

Joint Session with the American Osteopathic College of Physical Medicine and Rehabilitation (AOCPM&R), American Osteopathic Academy of Sports Medicine (AOASM) and the American Academy of Osteopathy (AAO)

8:00-9:00 a.m.                      Blaise Langan, DO                                                OMT in SCI: Going Beyond the Basics

Pain in the setting of spinal cord injury is notoriously difficult to control for a myriad of reasons. Patients with spinal cord injuries often have medical comorbidities or drug tolerances that make treatment of their pain with medication alone impossible. The article below demonstrates the effectiveness of OMT in the setting of SCI when these medications are unavailable. However, the use of OMT should instead be seen as a first line treatment to pain. In addition, it is my conviction that it should also be first line to treat a vast array of issues specific to patients with spinal cord injuries, including neurogenic bowel and bladder, orthostasis, pressure injuries, respiratory complaints, and more. These conditions are commonplace in the rehab setting and are therefore pivotal for the osteopathic rehab physician to understand. https://pubmed.ncbi.nlm.nih.gov/21135862/

        Learning Objectives

  1. Identify the most likely issues to arise in a clinical setting for a patient who has a spinal cord injury
  2. Utilize osteopathic principles specifically tailored to patients with spinal cord injuries to improve patient care
  3. Demonstrate osteopathic manipulative treatment techniques that best address the concerns of a patient with a spinal cord injury

Joint Session with the American Osteopathic College of Physical Medicine and Rehabilitation (AOCPM&R), American Osteopathic Academy of Sports Medicine (AOASM) and the American Academy of Osteopathy (AAO)

9:15-10:30 a.m.                    J'Aimee Lippert, DO                                                Spasticity and Gait Considerations in OMM

Patients experiencing spasticity encounter multiple barriers to healthy function, most fundamentally the impairment of ambulation as a gross motor activity. While the etiology of spasticity requires a broad differential diagnosis, it is imperative that optimization of functional gait is a primary consideration in the plan of care. Through this lecture/workshop experience, participants will explore approaches to the care of pediatric and adult patients with spasticity affecting gait, applying both previously learned and newly acquired knowledge to create a care plan incorporating osteopathic structural examination, osteopathic manipulative medicine, and osteopathic manipulative treatment in the multidisciplinary approach to these challenging clinical scenarios.

        Learning Objectives

  1. Review the anatomy and physiology of both the normal gait cycle and how spasticity leads to alterations in gait; this will include musculoskeletal and neurological implications
  2. Apply understanding of the five models of osteopathic patient care to pediatric and adult patients with spasticity
  3. Creatively apply osteopathic manipulative medicine and osteopathic manipulative treatment to the care of these patients with attention to commonly encountered somatic dysfunction affecting gait
  4.  Contribute to the multidisciplinary team approach to best serve these patients and optimize their function and expression of health.

Joint Session with the American Osteopathic College of Physical Medicine and Rehabilitation (AOCPM&R), American Osteopathic Academy of Sports Medicine (AOASM) and the American Academy of Osteopathy (AAO)

10:45-11:15 a.m.                 Paul S. Jones DO, FAOCPMR-D                                                Human Locomotion: Normal Gait Cycle

Normal gait has been defined as a highly controlled, coordinated, repetitive series of limb movements whose function is to advance the body safely from place to place with a minimum expenditure of energy. Physicians need to understand the force of gravity and thinking about the ground pushing back on the body part creates a tendency to rotate around a particular axis to create flexion/extension, abduction/adduction. The force of gravity is anterior to the hip, meaning the trunk will have a tendency to fall forward or flex. 
https://www.sciencedirect.com/science/article/abs/pii/S096663620100128X

        Learning Objectives

  1. Identify the mechanics involved with gait
  2. Utilize normal gait values and forces acting on gait
  3. Demonstrate Rancho Los Amigo’s gait cycle and muscles used in the gait cycle 

Joint Session with the American Osteopathic College of Physical Medicine and Rehabilitation (AOCPM&R), American Osteopathic Academy of Sports Medicine (AOASM) and the American Academy of Osteopathy (AAO)

11:15-12:30 p.m.                 Paula Archer, DO                                                Rapid Diagnosis and Treatment of Pelvic and Sacral Somatic Dysfunctions in Gait

This Workshop aims to teach how to assess and treat pelvic and sacral dysfunctions that are only found with gait and could be causing patients to continue to have pain and or recreate dysfunctions that were previously treated. Treatment will focus on a rapid standing method that is easy to learn and apply in clinic. Students and seasoned physicians will benefit from this lecture/lab.

        Learning Objectives:

  1. Understand and apply the knowledge of the 3 axes of the sacrum to diagnosis and treatment of the sacrum and pelvis.
  2. Diagnose Sacral and Pelvic dysfunctions during gait.
  3. Understand how to apply functional techniques to gait dysfunctions.
  4. Apply standing breath-assisted techniques to treat the gait dysfunctions pelvis and sacrum.

1:30-2:30 p.m.                      Kendi L. Hensel, DO, PhD, FAAO                                                AAO Northup Lecture

This presentation will discuss the balance between data-driven research and clinical practice, and the influence of entrenched beliefs or dogma. We strive for objectivity, and struggle with the need to balance osteopathy's history and the lessons from our mentors with current evidence. Our long-standing beliefs can subtly shape the questions we ask, the methods we employ, and the interpretations we draw from data. This presentation will delve into how dogmatic thinking can affect research outcomes and the importance of balance between clinical experience and scientific findings. Data from a recent study will also be discussed.

        Learning Objectives

  1. Identify the influence of dogma in osteopathic research, including research design and data interpretation.
  2. Foster a culture where challenging established paradigms leads to more innovative and trustworthy research outcomes.
  3. Discuss results of a recent study on OMT's effects on cerebral blood flow.

2:45-3:45 p.m.                      Scott Leggoe, DO                                                FDM Basics

A basic introduction to the Fascial Distortion Model (FDM) with some easy-to-understand techniques that can be utilized in everyday practice for all sorts of pain complaints. These techniques are fast, effective, efficient and often can be done without the need for an OMT table.

       Learning objectives:

  1. Become more comfortable incorporating OMT into the standard office visit for many common complaints via the fascial distortion model (FDM)
  2. Learn new ways to become more efficient and effective at OMT in the standard practice setting
  3. Justify the practice of OMT on a routine basis via EBM benefits and updated coding/billing practices with benefits for both practitioner and patient

Sunday, Sept. 22               AAO Didactic room & Virtual

9:00–10:00 a.m.                   Esther Jung, DO, MS                                                Lymphatic and Anatomic Considerations in Breast Surgery

Breast cancer is one of the most common cancers affecting women in the United States. Its treatment and management require a multidisciplinary approach including medical oncology, radiology, nuclear medicine, radiation oncology, breast surgery, and plastic surgery. In the treatment of breast cancer, osteopathic manipulative treatment has not regularly been included as part of the standard of care. Understanding current techniques and surgical approaches in breast surgery, relevant surgical anatomy, and the potential future of breast cancer treatment may help guide successful osteopathic manipulative interventions in surgical patients.

         Learning Objectives:

  1. Identify anatomy essential to breast surgery
  2. Explore various types of breast cancer and their Management
  3. Describe current techniques in breast surgery
  4. Explore potential osteopathic considerations in breast surgery patients
  5. Discuss the future of breast surgery and the potential impacts of immunotherapy

10:00–11:00 a.m.                Amber Gruber, DO                                              Lab: Osteopathic Considerations in Breast Lymphatics

In this lab, we will address the fascial, neural, and lymphatic restrictions which should be considered in a mastectomy patient. We will introduce the concept of axillary webbing, or cording, and how that pertains to upper extremity restriction, with a review of specific OMT techniques to address this. It is a practical lab to give you a plan and approach in treating this vulnerable patient population. All skill levels and specialties are welcome to attend.

        Learning Objectives:                                                                                              

  1. Understand the anatomical derangement of fascial/nerve/lymphatics which occurs after mastectomy
  2. Utilize classic lymphatic osteopathic techniques in the multidisciplinary approach to breast cancer
  3. Palpate and treat at the level of superficial and deep lymphatics and how releasing fascia through the upper extremity can augment the recovery process

11:00-12:00 p.m.                 Amber Gruber, DO                                                What About the Foot? OMT After Trauma

This lecture will be to review the anatomy of the foot, and concepts of tensegrity, the posterior fascial plane and how trauma impacts gait, proprioception and disrupts the kinetic chain. We will review how distorted foot mechanics can contribute to other presentations like knee, hip and low back pain. We will introduce how to screen for the lower extremity dysfunction using the sequencing concepts of Area of Greatest Restriction (AGR).

        Learning Objectives:                                                                                                                               

  1. Reviewing the anatomy of the foot
  2. Review concepts of tensegrity, the posterior fascial plane, and how trauma can impact gait, proprioception, and disrupt the kinetic chain.
  3. Introduce how to screen for lower extremity dysfunction
  4. Understand how distorted foot mechanics can contribute to other presentations like knee, hip, and low back pain. Case – foot trauma

12:30-1:00 p.m.                   ZT Yang, DO (Virtual)                                                ABCs: AOBNMM Board Certified Physician Survey Research Update

This lecture will provide the research background, process, and updated findings of the AOBNMM Board Certified Physician survey.

        Learning Objectives

  1. Discuss the factors behind salary negotiation and determinants of salary
  2. Discuss difficulties in doing salary-based research
  3. Negotiate salary based on peer research

1:00-2:30 p.m.                      ZT Yang & Katrina C. Rakowsky, DO (Virtual)            When Growing is a Pain: OMM for Adolescent Sports and Overuse Injuries

Virtual Presentation: Osteopathic Care for Adolescents with Apophysitis: Osgood Schlatter's, Shin Splints, Iliac Apophysitis, ischial Apophysitis, Sever's, and Little Leaguer's Elbow. Presentation, Differential Diagnosis, Diagnostic exam findings and tests, Treatment plans with OMT, Retraining.

        Learning Objectives:

  1. Discuss typical presentations and differential diagnoses
  2. Discuss diagnostic findings and other tests
  3. Design a treatment plan including osteopathic considerations
  4. Perform OMT techniques to correct biomechanics

 

2:30-3:30 p.m.                      Amelia Bueche, DO (Virtual)                                                 From Burnout to Belonging

        Learning Objectives:

  1. Recognize and lessen the impact of imposter phenomenon
  2. Identify signs of and optimize capacity to mitigate burnout
  3.  Create and engage opportunities for belonging
  4. Integrate the above approaches for personal health and sustainability in the practice of medicine

Previous OMED Programs

Read more about the AAO's program at previous OMEDs:

OMED 2023 - Orlando, FL

OMED 2022 - Boston, MA

OMED 2021 - Virtual

OMED 2020 - Virtual

OMED 2019 - Baltimore, MD

OMED 2018 - San Diego, CA

OMED 2017 - Philadelphia, PA

OMED 2016 - Anaheim, CA

OMED 2015 - Orlando, FL

OMED 2014