It got me thinking about how millennial DOs (either med students/residents/new attendings) think about our field vs the "old guard" (in my opinion falling into the babyboomer generation).
Not only the generational differences are large, but the way our generation views medicine is large as well. For example, (1) many of DOs graduate with high student loan debts (more than MDs). I make this point first because of big implications it has on how residents and young attendings choose their jobs and what stress they feel (2) Training of milleneals is different due to duty hour rules creating nigh-float systems and essentially what old-timers call "shift work mentality" (I have encountered this opinion from older attendings).
(3) Opinion regarding this "intense need" to maintain an "osteopathic identity". Millenneals I think welcome the new merger going through. Yet the old-timers are writing articles of why this is a bad idea. Why try to hang on to our current resident system with its various problems? (4) Expansion of DO schools is another topic I think we diverge on. Particularly med students are worried about this yet osteopathic schools continue to pop-up like mushrooms. Explanation for expansion usually involves need for primary care and uniqueness of DOs. There is no mention of how questionable and crappy some of the clinical rotations are in DO schools. Or that opening more DO schools won't do much for primary care shortage. Or that IMG/sFMGs fill that need and DOs go on to specialize anyway. (5) Need to protect uniqueness of DOs. I feel we millennials do not wish to be identified as different from our MD counterparts. If OMT is so helpful, let MDs have access to this skill as well. How many of us had no OMT at all after ending 2nd year of med school, and none in residency for sure. More of us do OMT on co-residents than patients.
I struggle to understand current opinion of leadership in osteopathic organizations. Just merge the residencies, assure that DO students have quality education (particularly clinical rotations) as our MD counterparts have, stop the expansion of DO schools, stop continuing to point out how different DOs are, and let us go on with our lives already.
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view of millenneal DOs vs Babyboomers
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