01 Mar Defining the Future Scope of Manual Osteopathy in the U.S.
What I decide here on this frozen lake may shape the future of manual osteopathy in the United States for decades, so I want to proceed carefully. I have already consulted many of my top students and am now seeking broader guidance on creating a scope of practice for Doctors of Osteopathic Manual Practice (DrOMP) in the U.S.
As you know, certain National University of Medical Sciences alumni now have the right to use the title “Dr” through a federal exemption pathway. The American Association of Osteopathic Manual Practitioners has been tasked with developing the official scope of practice, and as its founder, I want to ensure we choose what is best for the profession.
My main concern is whether to include regulated acts such as HVLA techniques, lab testing, diagnostic imaging, and modalities like ultrasound and laser. While legally possible, these could create major conflict and opposition.
I am considering whether it is wiser to start with a simple, safe scope focused on unregulated manual care, similar to Canada, or adopt a broader scope like in the UK, France, and Australia, knowing it may lead to disputes.
Personally, I believe in a niche approach. I feel the profession should focus primarily on musculoskeletal conditions and functional impairments so the public clearly understands our role.
I welcome your thoughts. Your input may help shape the future direction of manual osteopathy in the United States.
Dr. Shawn Pourgol, MBA, DC, DO, DN, PhD
Osteopath, Naprapath, Chiropractor & Founder of:
National Academy of Osteopathy (Canada, USA)
National University of Medical Sciences (USA, Spain, Panama)
Osteopathy Chronic Pain Clinics of Canada (380 clinics in 34 countries)
Florida Naprapathic Association
World Osteopathy Day