The Meaning of the DO Abbreviation
When you see a physician with "DO" after their name, it signifies that they are a Doctor of Osteopathic Medicine. In the United States, there are two types of fully licensed physicians: Medical Doctors (MDs) and Doctors of Osteopathic Medicine (DOs). Both are qualified to diagnose and treat illnesses, prescribe medications, and perform surgery, but their educational paths and philosophical approaches have some unique differences.
Unlike an MD, who attends an allopathic medical school, a DO attends a college of osteopathic medicine. These programs are structured similarly, with both requiring a four-year medical school curriculum followed by internships, residencies, and potential fellowships. However, the core of osteopathic training is its holistic philosophy, focusing on the interconnectedness of all the body's systems.
Core Principles of Osteopathic Medicine
The practice of osteopathic medicine is based on several core principles that guide a DO's approach to patient care.
- The body is a unit: All body systems—musculoskeletal, nervous, circulatory—are interconnected. An issue in one system can affect the entire body, and a DO is trained to recognize this.
- The body is capable of self-regulation and healing: The human body has a natural ability to heal and regulate itself. A DO's role is to support and facilitate this innate process.
- Structure and function are interrelated: The structure of the body, particularly the musculoskeletal system, directly affects its overall function. By treating structural problems, a DO can help restore normal bodily function and health.
- Rational treatment is based on these principles: The holistic, patient-centered approach is integrated with the latest medical science and technology to provide comprehensive care.
This philosophy leads DOs to not only treat the symptoms of a disease but also to look for underlying causes by considering lifestyle, environment, and physical structure.
The Practice of Osteopathic Manipulative Treatment (OMT)
One of the most distinctive features of osteopathic medicine is Osteopathic Manipulative Treatment (OMT). All DOs receive extensive training in OMT, which is a set of hands-on techniques used to diagnose, treat, and prevent illness or injury. A DO uses their hands to move a patient's muscles and joints with gentle pressure and resistance, helping to alleviate pain, reduce stiffness, and restore proper body movement.
OMT is often used to treat conditions related to the musculoskeletal system, but it can also be used as a complementary therapy for a wide range of other health issues, such as headaches, sinus infections, and asthma.
DO vs. MD: Comparing Approaches and Training
While DOs and MDs have equivalent legal rights and responsibilities in all 50 states, there are some key differences rooted in their core philosophies. The table below highlights some of the main contrasts and similarities.
Feature | MD (Doctor of Medicine) | DO (Doctor of Osteopathic Medicine) |
---|---|---|
Core Philosophy | Primarily allopathic, focusing on disease-specific diagnosis and treatment. | Emphasizes a holistic, whole-person approach and preventive care. |
Manual Medicine Training | Not part of standard curriculum. | Includes approximately 200 extra hours of training in Osteopathic Manipulative Treatment (OMT). |
Licensing Exam | United States Medical Licensing Examination (USMLE). | Comprehensive Osteopathic Medical Licensing Examination (COMLEX). |
Residency & Specialization | Graduates can enter residency programs in all specialties. | Graduates can enter residency programs in all specialties, often favoring primary care. |
Scope of Practice | Fully licensed to practice medicine, prescribe drugs, and perform surgery. | Fully licensed to practice medicine, prescribe drugs, and perform surgery, same as an MD. |
It is important to note that many MDs also practice a holistic or preventive approach to care, just as not all DOs regularly use OMT in their practice. The choice between an MD and a DO is often a matter of philosophical alignment and the specific expertise of the individual physician.
How to Choose the Right Physician for You
When deciding between an MD and a DO, consider what matters most for your healthcare. Both are highly competent medical professionals who undergo rigorous training. The decision should ultimately depend on which approach you feel most comfortable with.
Here are some factors to consider:
- Medical Philosophy: If you are drawn to a hands-on, holistic approach that considers the interconnectedness of your body's systems, a DO might be a good fit.
- Primary Care vs. Specialist: While both can specialize, DOs tend to enter primary care fields at a higher rate. If you're seeking a specialist, you may find both MDs and DOs in your desired field.
- Comfort and Trust: The most important factor is finding a knowledgeable, compassionate doctor you can communicate with effectively and trust.
- OMT: If you are interested in non-invasive, medication-free options for pain management, a DO trained in OMT could provide an additional tool for treatment.
Conclusion
To answer the question, what does the abbreviation 'do' for a doctor mean, it signifies a Doctor of Osteopathic Medicine. DOs are fully licensed physicians who, like MDs, provide comprehensive medical care, but they do so through a unique, whole-person philosophical lens. This approach includes specialized training in manual techniques known as Osteopathic Manipulative Treatment (OMT), which can be used to diagnose and treat a wide range of conditions. For a patient, the choice between a DO and an MD comes down to personal preference for their healthcare philosophy and approach.
American Osteopathic Association: What is a DO?
Examples of Conditions Treated with OMT
Osteopathic Manipulative Treatment can be used to address a variety of health issues, often in conjunction with other treatments.
- Chronic and acute back pain
- Neck and shoulder pain
- Headaches and migraines
- Carpal tunnel syndrome
- Sinus problems
- Menstrual pain
- Sports injuries
- Asthma
- Certain pediatric issues like colic and earaches
Ultimately, both DOs and MDs are committed to providing the highest quality of care for their patients, and the distinction is often subtle from the patient's perspective.