DAOM Program of Study

This 74-credit program is conveniently offered in two modular formats: a 1-year Residency Format; and a 2-year Executive Format. The total length and duration of either program format depends on the learner’s choices regarding the completion of all coursework, clinical training and their research project.

Executive Format

2-year with 14 week-long intensives spread over 24 months

Length: 24 months, plus completion of research project

Week-long intensive, on-campus learning experiences are coupled with extended periods of independent study. While the majority of the classroom and clinical instruction is delivered on the AOMA campus and affiliated clinical sites, the courses are divided between 14 residency weeks to allow working professionals to continue their practice while enrolled. However, the research project and externships may extend beyond the 2 years necessary for completion of the didactic training and be conducted locally or at another site, nationally or internationally.

Residency Format

1-year with coursework spread over 12 months

Length: 12 months, plus completion of research project

The Residency Format is designed as a full-time, on-campus learning immersive experience to students engaged in a year-long, intensive course of study. The majority of the classroom and clinical instruction is delivered on the AOMA campus and affiliated clinical sites, within the 1-year program. However, the research project and externships may extend beyond completion of the 1-year didactic training and be conducted locally or at another site, nationally or internationally.

DOCTORAL SPECIALTY OF PRACTICE CURRICULUM

SP 6010 Biomedical Mechanisms and Pathophysiology of Pain and Associated Psychosocial Phenomena

24/0/0/2

DAOM Co-req: SP6011

Term Offered: Spans Summer-Fall terms

This is an advanced course of in-depth study into the foundations of the anatomy, physiology, and embryology that govern and control the development and experience of pain and suffering in the human form. A thorough understanding of systems theory and developmental principles is important to explore the commonality in the development and experience of disease patterns. The embryologic germ layers and their generative capacity to form each organ system will be covered, including: neurologic, dermatologic, musculoskeletal, vascular and lymphatic, gynecologic, and visceral organs. Interwoven into this study, and crucial to clinical care, will be holistic theories of somaticized pain, stress as a modulator, and the psychosocial phenomena that precede, coincide with, and result from pain. Developmental principles will be discussed from both conventional biomedical and Chinese medicine models to foment integration of thought and theory.

SP 6011 Advanced Clinical Assessment in Integrative TCM Practice

36/24/0/3

DAOM Co-req: SP 6010

Term Offered: Spans Winter and Spring terms (Odd years)

This course builds on the master’s physical assessment and biomedical diagnostic courses by expanding on the interpretation of laboratory tests, imaging and physical exams that can be used in an integrative TCM practice setting. Clinical indications for these exams and assessments, including risks and benefits, will be identified in the context of common disorders from an integrative medical perspective. The principles and application of laboratory tests, diagnostic tests and exams will be explored, including diagnostic equipment, diagnostic imaging, functional physical assessments, the Mechanical Diagnosis and Therapy (McKenzie) approach, and assessment of pain and somatization. Learners will review written diagnostic reports with associated patient cases, distinguish between normal and abnormal findings, and incorporate findings into their objective and subjective assessment of the patient. This course will prepare learners to effectively communicate the findings of advanced clinical and diagnostic assessments with patients as well as other integrative healthcare providers, such as medical, osteopathic, chiropractic and naturopathic doctors, physician assistants, nurse practitioners, physical therapists and other licensed healthcare practitioners.

SP 6012 Principles of Nutritional Medicine

24/0/0/2

Co/Pre-req: SP6011

Term Offered: Fall terms

This is an advanced course of in-depth study into the principles of nutritional medicine. Building upon the Masters level competencies in medical biology, medical chemistry, psychology, physiology, pathophysiology, and nutrition and dietary courses, learners will explore the identification and treatment of nutritional imbalances. This course will train clinicians to properly utilize nutritional medicine in their clinical practice for prevention and treatment of illnesses as well as to identify pathology associated with nutritional imbalances. Advanced information on functions, deficiency, repletion and toxicity states of vitamins, minerals, and other nutrients will be covered. Learners will explore how nutritional medicine, dietary lifestyles, and environmental issues such as modern pollutants, including hybridization and genetically modified organisms (GMOs), influence the human ecopsychosocial environment and epigenetics. 

SP 6013 Nutrition and Functional Medicine

24/0/0/2

Pre-req: SP6011, SP6012

Term Offered: Winter terms

This is an advanced course of in-depth study in patient care utilizing the principles of functional nutrition. This course will explore advanced functional assessment and treatment strategies for various disorders and symptoms of disease including acute and chronic pain conditions, the psychosocial phenomena associated with pain, and other common chronic conditions such as regional and systemic inflammation and autoimmunity, cardio-cerebrovascular disorders, metabolic and dysregulation of hormones and neurotransmitters, and gastro-intestinal disorders and cancer. Advanced clinical approaches for the assessment and treatment of patients with various disorders will be discussed and specific supplement protocols as well as food plans for targeted nutrition will be reviewed.

SP 6020 TCM Classics and Advanced TCM Theory on Pain and Associated Psychosocial Phenomena

36/0/0/3

Co/Pre-req: SP6010, SP6011

Term Offered: Spans Summer-Fall terms (Odd years)

This advanced foundation in TCM history, theory and classics will explore in-depth acupuncture and herbal theories and strategies,including etiology, pathology, diagnosis, and differentiation, from classics such as the Huang Di Neijing (Yellow Emperor’s Internal Classics), the Shang Han Lun (Treatise on Cold Induced Diseases), Jin Gui Yao Lue (Golden Chamber), and Zhen Jiu Da Cheng (The Great Compendium of Acupuncture and Moxibustion), and other ancient classics, as well as additional advancements cultivated throughout the centuries on pain and associated psychosocial phenomena. 

SP 6021 Advanced TCM and Modern Treatment Techniques

36/24/0/3

Co/Pre-req: SP6011

Term Offered: Spans Winter and Spring terms

This advanced inquiry into and practice of techniques for the treatment of pain and related psychosocial phenomena will build on master’s competencies in acupuncture, moxibustion, electro- therapies, cupping, Neijing techniques, bleeding, topical applications, TCM herbal applications, physical agents, Asian body work, mind-body therapies and exercises, and diet. Students will practice using and applying various physical medicine agents and manual therapies as treatment interventions, and may include but not limited to, thermal agents, colors, light, and laser therapy, sound such as tuning forks and ultrasound, frequency specific microcurrent, ion pumping cords, electrophoresis, point injections, kinesio taping, McKenzie methods, cranial sacral therapy, visceral manipulation, biofeedback, meditation, and relaxation. 

SP 7010 Pain from Musculoskeletal Disorders and Associated Psychosocial Phenomena

36/0/0/3

Pre-req: SP6010, SP6011

Term Offered: Spans Winter and Spring terms

This course will take an advanced in-depth exploration of pain from acute injuries and trauma, as well as from chronic musculoskeletal and auto-immune disorders, and effective treatment strategies. In addition, the psychosocial impact of chronic pain disorders and disabilities on patients and their families and com- mon coping mechanisms will be explored. The primary focus will be on injury to joints, bones, tendons, ligaments, muscles and myofascial tissues. A secondary focus will include acute injuries to integumentary, neurologic, and vascular systems, and to the viscera. Care and management of pain and mental and emotional health, the mechanisms of various treatment therapies, effective collaborations, and the emerging theories and knowledge about TCM treatments from scientific research will be critically evaluated.

SP7011 Pain from Neurologic, Dermatologic and Sensory Organs and Psychosocial Disorders

36/0/0/3

Co/Pre-req: SP6010, SP6011

Term Offered: Spans Summer and Fall terms (Even years)

This course is an advanced in-depth exploration of pain that results from neurologic, sensory and integumentary disorders and associated psychosocial phenomena. Disorders covered will include dermatomyositis, herpes zoster, glaucoma, iridocyclitis, sinusitis, otitis, laryngitis, pharyngitis, tonsillitis, toothache, and herpetic stomatitis, headache and migraine, trigeminal neuralgia, peripheral neuropathy, carpal tunnel syndrome, stroke, shoulder hand syndrome and sciatica. Care and management of pain and mental disorders, the mechanisms of various treatment therapies (including body acupuncture, scalp acupuncture, auricular acupuncture, skin acupuncture, three-edge needle acupuncture, electric acupuncture, moxibustion), and the emerging theories and knowledge about TCM treatments from scientific research will be critically evaluated.

SP 7012 Eco-Psycho-Social Pain

36/0/0/3

Co/Pre-req: SP6010, SP6011

Term Offered: Spans Summer and Fall terms (Odd years)

This course takes on an advanced in-depth exploration of somatoform disorders, psychosomatic disorders, and somaticized pain that result from psychosocial disorders, and effective treatment strategies. Care and management of pain and mental and emo- tional health, the mechanisms of various treatment therapies, effective collaborations, and the emerging theories and knowledge about TCM treatments from scientific research will be critically evaluated. This course explores the continua of pain disorders that scale between psyche and soma, internal and external and the impact of shock on the various biological systems whether that shock is physical, psychosocial or ecological. 

SP 7013 Pain from Oncologic Disorders, Associated Psychosocial Phenomena and Palliative Care

24/0/0/2

Pre-req: SP6010, SP 6011

Term Offered: Spans Winter and Spring terms (Odd years)

This course will take an in-depth exploration of pain and psychosocial disorders resulting from oncologic disorders, effective treatment strategies, and palliative care. This course will look at pain from malignant neoplastic growth and from biomedical treatment therapies such as surgery, radiation, and pharmaceutical agents, as well as the psychosocial impact of cancer diagnoses and the treatments on patients and their families. Care and management of pain and mental and emotional health, the mechanisms of various treatment therapies, effective collaborations, and the emerging theories and knowledge about TCM treatments from scientific research will be critically evaluated.

SP 7014 Gynecologic and Pelvic Pain and Associated Psychosocial Phenomena

24/0/0/2

Pre-req: SP6010, SP6011

Term Offered: Spring term (Odd years)

This course will make an advanced inquiry into pain that results from gynecological and other pelvic disorders, and effective treatment strategies. Endometriosis, ovarian cysts, vulvovaginitis, pelvic inflammatory disease, fibroids, cystitis, gastroenteritis, and other pelvic disorders causing pain will be reviewed in detail, as well as the psychosocial impact of acute and chronic pain. Care and management of pain and mental and emotional health, the mechanisms of various treatment therapies, effective collaborations, and the emerging theories and knowledge about TCM treatments from scientific research will be critically evaluated.

SP 7016 Pain from Vascular and Lymphatic and Visceral Disorders and Associated Psychosocial Phenomena

24/0/0/2

Pre-req: SP6010, SP6011

Term Offered: Winter term (Odd years)

Pain that results from disorders of vascular and lymphatic systems and disorders of viscera in the chest and abdomen will be explored in-depth along with effective treatment strategies. Disorders covered will include peripheral artery disease, aneurysm, renal artery disease, vascular headaches, and disorders causing pain from gastrointestinal-pulmonary, cardiac, hepatic, pancreatic, splenic and renal systems will be covered, as well as the psychosocial impact of acute and chronic visceral, vascular and lymphatic pain. Care and management of pain and mental and emotional health, the mechanisms of various treatment therapies, effective collaborations, and the emerging theories and knowledge about TCM treatments from scientific research will be critically evaluated.

SP 6031 Case Management in Integrative Practice

24/0/0/2

Co/Pre-req: SP6011

Term Offered: Fall term

This course is designed to deepen concepts of case management from general practice to specialty practice. Focusing on the unique needs of patients and their cultural and individual beliefs regarding their condition as well as about health, illness, and treatment, course content will include case management processes, patient-centered plans of care, recordkeeping, ethical practice, and inquiry skills in the clinical practice arena. In addition, emphasis will be placed on use of collaborative relationships within the health care community to achieve the best possible patient outcomes, clinical skills relevant to the problems and needs of patients experiencing pain and associated psychosocial disorders and further development of knowledge and skill in relation to collaboration, consultation, and scholarly inquiry to support expertise in pain and psychosocial care. Clinical practice begins in the second week of residence in the doctoral program and continues throughout the course of studies to provide direct, immediate application of theory and techniques.

SP 6035 Integrative Practice Management

24/0/0/2

Pre-req: SP6031

Term Offered: Winter term

This course is designed to build upon general practice management skills by focusing on those specific to the management of a practice in a clinical specialty. Course content includes electronic medical recordkeeping, strategies for creating economic and professional success, and ethical concepts related to practice management pro- cesses and practices. Students will be required to establish professional collaborations within other health care fields pertaining to the specialty to create externship opportunities (MD, DO, DC, PT, PhD, hospitals, university research departments, etc.). 

DOCTORAL ADVANCED CLINIC PRACTICE

SPI 8010 Internship

0/0/408/17 DAOM

0/0/432/18 DAcOM

This course consists of 17 credit hours (408 clock hours) for DAOM students and 18 credit hours (432 clock hours) for DAcOM students of on-site practice at AOMA clinics and collaborative partnerships. The course focuses on the practical application of advanced clinical skills to the problems and needs of patients experiencing pain and associated psychosocial disorders and further development of knowledge and skill in relation to collaboration, consultation, and scholarly inquiry to support expertise in pain and psychosocial care. Clinical practice begins in the second week of residence in the doctoral program and continues throughout the course of studies to provide direct, immediate application of theory and techniques.

SPE 8030 Externship

0/0/252/7

DAOM Pre-req: SP6031, SP6035

Students will identify their preferred externship sites and present their externship plan for approval. The plan must include a variety of locations, practitioners, and medical modalities in direct connection to the specialty that provides depth and breadth of exposure and collaboration within the community where the student currently practices. Practitioners who provide the learning experience for the candidates must be at a doctoral level or have a terminal degree within their field. Sites may include, but are not limited to, pain management clinics, community clinics, private practices, hospitals, rehabilitation centers, assisted living or nursing homes, and cancer hospitals. 

DOCTORAL INQUIRY CURRICULUM

INQ 5011 Paradigms of Inquiry

24/0/0/2

Term Offered: Spans Summer and Fall terms

This course is used to explore paradigms of inquiry such that the learner is informed of the assumptions underlying their focus. The use of the words paradigm or worldview to describe an approach to defining reality has become commonplace since Kuhn published “The Structure of Scientific Revolutions” in 1962. Guba and Lincoln (1994) identify positivism, postpositivism, critical theory and constructivism as the major paradigms that frame research. Questions relative to quantitative and qualitative inquiry are explored within this course. As learners develop their inquiry questions for their research project, they choose a faculty advisor and the literature review section and research abstract of their proposal are approved. 

INQ 5012 Quantitative and Qualitative Assessment

24/0/0/2

Pre-req: INQ5011

Term Offered: Winter term

This course focuses upon the theory and essential statistical methods pertinent to quantitative & qualitative research design. The work is focused from a positivist and post-positivist world view such that the learner understands the cognitive and political implications of each form of inquiry. Each learner will identify the appropriate statistical methods for the research question. For those who are focusing upon qualitative research, this will be additional to their proposal. This class will be used to develop the hypothesis and specific aims and construct the methods section of the proposal, using the appropriate quantitative, qualitative and mixed methods. 

INQ 5013 Methods of Inquiry and Research Design

24/0/0/2

Pre-req: INQ5011, INQ5012

Term Offered: Spring term

Learners weave the previous two courses together into a proposal for the research project. Qualitative, quantitative or mixed methods may be used as appropriate to the inquiry. Strengths and weaknesses of each method are considered in the context of the developing research proposal. The research proposal is completed in this course and the research proposal is submitted for doctoral study committee and institutional review board (IRB) approval. 

INQ 8080 Research Project

48/0/0/4

Co/Pre-req: INQ5011, INQ5012, INQ5013, faculty approval

Term Offered: Summer, Fall, Winter and Spring terms

After completing the INQ 5013 course, and obtaining doctoral study committee and IRB approval of the research proposal, learners conduct the research project, working alone or in teams, while overseen by assigned faculty research advisors. Completed research projects must be submitted to the DAOM doctoral study committee for acceptance, presented in a poster session, and written for peer-review publication submission. 

DOCTORAL PROFESSIONALISM & LEADERSHIP CURRICULUM

PLD 7810 Professionalism, Ethics and Leadership 1

24/0/0/2
Term Offered: Spans Summer and Fall terms
One leads from the self. This course approaches leadership from the viewpoint of radical constructivism – that we create our realities. Pro- fessionalism and ethics are woven into a framework for understand- ing leadership from the viewpoints of self, other and the collective. These three features are explored in terms of the past, the present and the future. Distinctions between management and leadership are explored as well as power dynamics and culture. This is the first section in a two part series that is designed to develop the practitioner in their role with society, their patient and themselves. The common thread through both sections will include broadening concepts of leadership pertaining to the role of health care professional as leader. Content will include roles and functions of the health care profes- sional as leader, strategies for identifying and assuming the leadership role at various levels, key organizations in AOM and health care, and ethical principles applied to AOM and health care leadership. 

PLD 7811 Professionalism, Ethics and Leadership 2

24/0/0/2

Pre-req: PLD 7810

Term Offered: Spans Winter and Spring terms (Even years)

This course is the second section in a two-part series that is designed to develop practitioners in their role with society, their patients and themselves. It builds upon the content of the first section, Professionalism, Ethics and Leadership I. In this section, the competencies related to self and other in the context of culture and change are explored more deeply. Learners will employ assessment as a tool for transformation at the individual and collective levels. This section focuses on strategic planning and negotiation as an art of transformational leadership.

PLD 6810 Teaching and Learning

24/0/0/2

Term Offered: Spans Summer and Fall terms (Even years)

The purpose of this course is to provide the knowledge, skills and abilities pertinent to teaching and knowledge transmission. This course focuses upon teaching in the health professions and includes curriculum design, development of instructional objectives, teaching methods and assessment techniques. Additional skills include active learner-based teaching methods, presentation skills, supervising and teaching in clinical settings, educational technology, and patient education. 

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