DAOM Curriculum and Course Descriptions

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Program at a Glance [PDF]

Care and Management of Pain and Associated Psychosocial Phenomena

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

24/0/0/2        Co-req: SP6011, SP6020, SP6021

This course is designed to provide students with a clear understanding of the embryology and physiological basis of pain.  Coursework includes assessment of pain classifications in order of frequency, including but not limited to investigation of neural, musculoskeletal, rheumatic, oncologic, reproductive, vascular system, and visceral disease. Students will also learn about the foundations of the anatomy, physiology, and mechanisms of pain pathways and the etiology and pathology involved in acute and chronic pain in the context of theories of somaticized pain, stress as a modulator, and the psychosocial phenomena that antedate, coincide with, and result from pain. Students can expect to review current pain management therapies, including pharmaceuticals and agents of physical medicine.

 

SP 6011        Clinical Assessment in TCM Practice

36/0/0/3        Co-req: SP6010, SP6020, SP6021

This course provides a substantive overview of assessments used for diagnosis, treatment, and outcome analysis of pain and related psychosocial phenomena from the perspectives of both biomedical and complementary medicine.  Students will practice and evaluate advanced and alternative assessments via hands-on engagement with a variety of techniques, including but not limited to: pain and psychological questionnaires, muscle testing, range of motion measurements, neurological testing and diagnostics, advanced pulse diagnosis, posture diagnostics, and identifiers of somatization.  Students will also refine their ability to assess and employ diagnostic tests such as ultrasounds, x-rays, and MRIs. Evaluation of these assessments in relation to treatment plans includes but is not limited to critical overview of common interventions from other medical modalities, such as pharmacology, physical therapy, surgery, chiropractic manipulation, McKenzie techniques, and other applicable approaches.

 

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

24/0/0/2        Co-req: SP6010, SP6011, SP6021

Fundamental doctrines of TCM history and theory and their application to acupuncture and herbal treatment provide the foundation of this course. Close reading and careful study of the classics of Chinese medical literature, including 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), supplemented by other ancient texts and their subsequent glosses, will promote analytic and theoretical rigor in students’ understanding of etiology, pathology, diagnosis, and differentiation related to pain and associated psychosocial phenomena.

 

SP 6021        Advanced TCM Techniques for Treatment of Pain and Associated Psychosocial Phenomena

36/0/0/3        Co-req: SP6010, SP6011, SP6020,

This course offers an advanced inquiry into and practice of techniques pertaining to the treatment of pain and related psychosocial phenomena.  Hands-on tasks provide a thorough review and opportunity to refine treatment protocols related to acupuncture, moxibustion, advanced electro-therapies, cupping, and specific techniques culled from the Neijing and other classic medical texts.  Students will practice and employ manual and other approaches, such as topical applications, TCM herbal applications, physical agents, microsystem acupuncture, tuina, mind-body therapies and exercises, and dietary therapies. Further tasks, such as practice with point injections, laser therapy, bleeding therapy, xiao zhen dao, biofeedback, meditation, and relaxation will form part of this in-depth seminar dedicated to the treatment of pain within its social context.

 

SP 7010        Pain Resulting from Musculoskeletal Disorders and Associated Psychosocial Phenomena

36/0/0/3        Co-req: SP6010, SP6011, SP6020, SP6021

Pain can be the result of acute trauma, sports injuries, automobile or occupational accidents, surgery, or amputations; it can be due to chronic inflammatory conditions of the musculoskeletal system; or it can be caused by autoimmune disorders affecting the musculoskeletal system.  The psychosocial impact of pain and disability on patients and their families and resulting coping mechanisms can engender further pain and dysfunction.  In this course, students will study chronic disorders, including but not limited to osteo-arthritis, degenerative bone diseases, rheumatoid arthritis, scleroderma, and systemic lupus.  Its primary focus will be on injury to joints, bones, tendons, ligaments, muscles and myofascial tissues. A secondary focus will pertain to acute injuries to integumentary, neurologic, and vascular systems, and to the viscera. Students will also investigate and engage with topics related to the care and management of pain and mental and emotional health, the mechanisms of various treatment therapies, and effective collaborations between caregivers, and will critically evaluate current theories and knowledge of TCM treatments that are emerging from scientific research.

 

SP 7011        Pain Resulting from Neurologic and Psychosocial Disorders

24/0/0/2        Co-req: SP6010, SP6011, SP6020, SP6021

This course is designed to give the student a clear understanding of the mechanisms of pain that results from neurologic disorders and of the consequential associated psychosocial phenomena engendered therein.  Coursework includes the study and application of effective treatment strategies for cluster headache and migraine, trigeminal neuralgia, neuralgia in cervical spondylosis, carpal tunnel syndrome, stroke, shoulder-hand syndrome, sciatica, phantom limb pain, and reflex sympathetic dystrophy syndrome.  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, and moxibustion), the establishment of effective collaborations (for point injection and other practices not within the scope of TCM practice in many states), and critical evaluation of current theories and knowledge of TCM treatments that are emerging from scientific research will constitute a core foundation of this course.

 

SP 7012       Eco-Psycho-Social Pain

36/0/0/3        Co-req: SP6010, SP6011, SP6020, SP6021

This course explores the continua of pain disorders that scale from psyche to soma, or from internal to external and vice-versa, and it provides students with the opportunity to evaluate the impact of shock on the various biological systems.  Be it physical, psychosocial, or ecological, an in-depth investigation of the notion of shock as it is expressed via somatoform disorders, psychosomatic disorders, and somaticized pain due to psychosocial disorder, in addition to treatment strategies for these conditions, comprises the central focus of this course.  Students can expect to learn about and develop strategies for care and management of pain, promotion of mental and emotional health, mechanisms of various treatment therapies, ways to promulgate effective collaborations, and to demonstrate critical analytical skills in response to current theories and knowledge of TCM treatments that are emerging from scientific research.

 

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

24/0/0/2        Prereq: SP6010, SP6011, SP6020, SP6021

The focus of this course is on pain and psychosocial disorders resulting from oncologic disorders, strategies for the evaluation of effective treatment protocols for these disease states, and the application of palliative care when needed.  This course will look at pain due to malignant neoplastic growth and resulting from biomedical treatment therapies such as surgery, radiation, and pharmaceutical agents.  It further offers the opportunity for students to assess the psychosocial impact of cancer diagnoses and treatments on patients and their families.  Avenues for appropriate care and management of pain and mental and emotional health, especially in end-of-life, the mechanisms of various treatment therapies, development of effective collaborations, and critical evaluation of current theories and knowledge of TCM treatments that are emerging from scientific research form the core components of this course.

 

SP 7014        Gynecologic and Pelvic Pain and Associated Psychosocial Phenomena  

24/0/0/2        Prereq: SP6010, SP6011, SP6020, SP6021

The most recent knowledge of pain that results from gynecological and other pelvic disorders and their effective treatment strategies is presented and discussed in this course.  Topics include but are not limited to endometriosis, ovarian cysts, vulvovaginitis, pelvic inflammatory disease, fibroids, cystitis, gastroenteritis, and other pelvic disorders that cause pain.  Students can expect to learn about the psychosocial impact of acute and chronic gynecological pain.  In alignment with other courses in this series, students will review these topics within the framework provided by assessment and practice of: the care and management of pain, support strategies for mental and emotional health, the mechanisms of various treatment therapies, effective collaborations, and critical evaluation of current theories and knowledge of TCM treatments that are emerging from scientific research.

 

SP 7015        Pain of the Viscera and Associated Psychosocial Phenomena

12/0/0/1        Prereq: SP6010, SP6011, SP6020, SP6021

This course provides a thorough review of pain that is caused by disorders of viscera in the chest and abdomen and a rigorous evaluation of effective treatment strategies of these disease states. Focus on disorders causing pain from gastrointestinal, pulmonary, cardiac, hepatic, pancreatic, splenic and renal systems comprise the core of this course in addition to investigation of the psychosocial impact of acute and chronic visceral pain on patients and their families. Within this context, students will evaluate and practice the care and management of pain and mental and emotional health, review the mechanisms of various treatment therapies, and engage in rigorous critical evaluation of current theories and knowledge of TCM treatments that are emerging from scientific research.

 

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

12/0/0/1        Prereq: SP6010, SP6011, SP6020, SP6021

This course is designed to give the student a clear understanding of the pain that result from disorders of vascular and lymphatic systems and a comprehensive overview of effective treatment strategies for these disease states.  Disorders covered include but are not limited to peripheral artery disease, aneurysm, renal artery disease, and vascular headaches.  Students can expect to contextualize their study of vascular and lymphatic pain within the framework of precepts related to the care and management of pain and mental and emotional health, the mechanisms of various treatment therapies, methods for promoting effective collaborations, and capacity for critical evaluation of current theories and knowledge of TCM treatments that are emerging from scientific research.

 

SP 7017        Pain Resulting from Dermatologic and Sensory Organ Disorders and Associated Psychosocial Phenomena

12/0/0/1        Prereq: SP6010, SP6011, SP6020, SP6021

This course reviews pain that results from disorders of the sensory organs and integumentary system and provides students with the opportunity to evaluate and practice advanced treatment strategies. Examples of diseases that will be introduced include: dermatomyositis, herpes zoster, glaucoma, iridocyclitis, sinusitis, otitis, laryngitis, pharyngitis, tonsillitis, toothache, and herpetic stomatitis.  In alignment with the goals of this series of courses, students will focus on the care and management of pain and mental and emotional health; the mechanisms of various treatment therapies; methods to promote effective collaborations; and critical evaluation of current theories and knowledge of TCM treatments that are emerging from scientific research.

 

SP 6031        Case Management in Specialty Practice

24/0/0/2        Prereq: SP6010, SP6011, SP6020, SP6021

This course is designed to deepen student knowledge of concepts pertaining to case management in the context of either general or specialty practice. Its focus is on the unique needs of patients and their cultural and individual beliefs regarding not only their condition but also their health, illness, and treatment. Course content will include case management processes, the development of patient-centered plans of care, recordkeeping, ethical practice, and inquiry skills in the clinical practice arena. In addition, course structure emphasizes the use of collaborative relationships within the healthcare community to achieve the best possible patient outcomes.

 

SP 6035        Specialty Practice Management

24/0/0/2        Prereq: SP6010, SP6011, SP6020, SP6021

This course is designed to build upon general practice management skills by focusing on those specific to the management of a practice centered on a clinical specialty. Course content includes electronic medical recordkeeping, strategies for creating economic and professional success, and ethical concepts related to practice management processes and practices. In order to successfully complete this course, students will be required to establish professional collaborations within other healthcare fields pertaining to their specialty to create externship opportunities (MD, DO, DC, PT, PhD, hospitals, university research departments, etc.). 

Advanced Clinic Practice in Specialty

SPI 8010      Internship

0/0/408/17    Coreq: SP6010, SP6011, SP6020, SP6021

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.  This course consists of 17 credit hours (408 clock hours) of on-site practice at AOMA clinics and other locations provided by collaborative partnerships.   Its focus is on the practical application of advanced clinical skills to the problems and needs of patients experiencing pain and associated psychosocial disorders.  It requires and supports the acquisition of knowledge and skill in relation to collaboration, consultation, and scholarly inquiry with the goal of developing and refining doctoral-level expertise in pain and psychosocial care.

 

SPE 8030     Externship

0/0/252/7      Prereq: SP6031, SP6035

The clinical externship presents students with the opportunity to develop and refine a practice that focuses on a clinical specialty in pain and related psychosocial phenomena.  During the first half of the doctoral program, students will select and modify their planned clinical trajectories, which include an approved externship.  In the second half of the doctoral program and after completing the specialty practice management and case management courses, each student will present his or her 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.

Inquiry Curriculum

INQ 5011     Paradigms of Inquiry

24/0/0/2       

This course interrogates the notion of paradigms of inquiry as it pertains to scientific investigation and publication.  In so doing, it inculcates critical and analytical skills that will serve the student not only in his or her role as practitioner but also in that of scholarly researcher. Both quantitative and qualitative inquiry provides a unifying focus for this course, as does a comprehensive review of the language of critical theory and its expression.  The use of the word paradigm to describe an approach to defining scientific reality, for instance, has become a trope in the field since Kuhn published “The Structure of Scientific Revolutions” in 1962.  Guba and Lincoln notably identified concepts of positivism, post-positivism, and constructivism (1994) in this same context.  In this course, students will develop intellectual range and learn how to express conceptual innovation in professional and theoretical terms.  As students develop their inquiry questions for their capstone project, the literature review section of their proposal is evaluated within the precepts of this course.

 

INQ 5012     Quantitative and Qualitative Assessment

24/0/0/2        Co-req: SP5011

This course focuses upon theories and essential statistical methods pertinent to quantitative and qualitative research design. Its tasks are guided by positivist and post-positivist ideologies and require an understanding of the cognitive and political implications of each form of inquiry.   In this course, students will identify the appropriate statistical methods for their individual research questions. (For those who are focusing upon qualitative research, this will be additional to their proposal.) This course will be used to develop the hypothesis and specific aims of the research question and to construct the methods section of the individual research proposal, using the appropriate quantitative, qualitative, and mixed methods.

 

INQ 5013     Methods of Inquiry and Research Design

24/0/0/2        Prereq: SP5011; Co-req SP5012

Students synthesize the knowledge and skills acquired in the previous two courses and construct a proposal for the doctoral research project in this section. Qualitative, quantitative, or mixed methods may be used as appropriate to the inquiry.  This course offers students an opportunity to rigorously evaluate the strengths and weaknesses of each method in the context of the developing research proposal.  The student’s 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

60/0/0/5        Prereq: SP5011, SP5012, SP5013, faculty approval

After completing the INQ 5013 course, and after obtaining doctoral study committee and IRB approval of the research proposal, students conduct the proposed research project, working alone or in teams, and are overseen by assigned faculty research advisors under the rubric of this course. 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.

Professionalism and Leadership Curriculum

PLD 7810     Professionalism, Ethics, and Leadership 1

6/0/0/3    

One leads from the self but the self is a socially constructed entity. This course approaches leadership from the viewpoint of radical constructivism – e.g., that we create our realities.  But who are “we” and how are we constructed?  In this course and its follow-up, Professionalism, Ethics, and Leadership 2, professionalism and ethics are synthesized into a framework for understanding leadership from the viewpoints of self, other, and the collective. These three features are located in terms of the past, the present, and the future. And what of the distinctions between management and leadership, and of power dynamics and culture? This is the first section in a two-part series that is designed to develop the practitioner in his or her role in society, in that which is shared with the patient, and in the context of him or herself. The common thread throughout both sections will include broadening concepts of leadership in the context of the role of health care professional as leader. Content will include assessment of the roles and functions of the health care professional as leader, the development of strategies for identifying and assuming the leadership role at various professional levels, familiarity with key organizations in AOM and health care, and the application of ethical principles to AOM and health care leadership.

 

PLD 7811     Professionalism, Ethics, and Leadership 2

36/0/0/3        Prereq: PLD 7810

This course is the second section in a two-part series that is designed to develop the practitioner within his or her role in society, in partnership with the patient, and in relationship with the self. In so doing, it builds upon the content of the first section (Professionalism, Ethics and Leadership 1).  This course will provide a firm foundation for understanding the relationship between self and other in the context of culture and change. This section focuses on strategic planning and negotiation as an art intrinsic to the process of transformational leadership.  Students will employ cultural competency, scholarly acumen, and educated assessment as a tool for transformation at the individual and collective personal and national levels.

 

PLD 6810     Teaching and Learning

36/0/0/3

The purpose of this course is to provide a foundation for the teacher-role expectations inherent in advanced practitioners. It focuses on pedagogy in the health professions and includes instruction in curriculum design, essential elements of instructional objectives, teaching methods and assessment techniques related to objectives, and instruction for groups of varying sizes and backgrounds. Specific skills include creating objectives, designing teaching sessions and incorporating active learner-based teaching techniques, delivering a presentation, developing learner and course assessments, supervising and teaching in clinical settings, incorporating technological tools, and providing patient-centered education to patients.