North Texas GME Research Forum 2024



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North Texas


Medical City Arlington


Family Medicine

Document Type


Publication Date



osteopathic manipulation, primary care


Family Medicine | Medicine and Health Sciences | Osteopathic Medicine and Osteopathy


INTRODUCTION: Osteopathic Manipulative Treatment (OMT) is a skillset used to help diagnose and treat patients with a wide range of musculoskeletal complaints and can also be used as adjunctive treatment modalities for other organ systems. The project is designed to increase OMT usage across 3 clinical sites in our residency program to improve the quality of care provided to our patients. OBJECTIVES: Integrate OMT review into longitudinal clinical education. Address the shortage of faculty members that can precept OMT across all three sites. METHODS: The metrics being tracked are various OMT CPT codes ranging from 98925 to 98929 at 3 clinic sites: North Richmond Hills (NRH), Grand Prairie (GP), and Denton. Only the total number of codes were used. 2 additional D.O faculty members joined during the data collection period. RESULTS: Prior to July 2022, the NRH and Denton sites were not open, and GP had 3 registered OMT encounters. 12 months post QI implementation demonstrated that OMT usage had increased across all three sites. Between July 1, 2022, and April 30, 2023, NRH registered 12 OMT encounters, GP registered 25, and Denton registered 1. CONCLUSION: Longitudinal education along with increased availability of faculty to precept OMT may have led to the significant increase in OMT encounters. Denton had the least opportunity for faculty to precept OMT. GP had the highest, and NRH had Wednesdays dedicated to OMT procedures, which the data appears to reflect. It is anticipated that with more faculty availability to precept OMT, encounter numbers would increase further. At this time, further data from Fall 2023 onwards is being collected and will be integrated into Phase 2 which will conclude the project.

Original Publisher

HCA Healthcare Graduate Medical Education

Osteopathic Manipulative Treatment (OMT) Utilization in the Primary Care Setting



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