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FROM OUR READERS: Osteopathic physician's letter dodged the big issues

To the editor:

In his Wednesday letter to the editor, Mitchell Forman, D.O., didn't answer the question posed by the unbiased, extremely relevant March 29 column by Jane Ann Morrison: Why doesn't Nevada join 37 other states in creating a single licensing board for physicians?


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  • Ms. Morrison's questions to Larry Tarno, D.O., made it very clear that the Nevada Board of Osteopathic Medicine has virtually no oversight; Dr. Tarno runs a one man show to oversee approximately 500 D.O.'s; he has no staff, no funds, and a fuzzy record of accountability. I challenge Dr. Forman to a public debate on the issue.

    Dr. Forman mentions himself and two other physicians as being well-trained and equal to any M.D. in their designated field of medicine. By his own statements, he and the other two had allopathic (M.D.) postgraduate residencies. All D.O.'s don't take allopathic residencies, and not all M.D. residencies will take those of D.O.'s; for example, neurosurgical residencies.

    While the first two years at Touro University Nevada's School of Osteopathic Medicine may look like the University of Nevada School of Medicine's curricula, I would challenge his medical students to take the first part of the national board exams (which M.D. students are required to take by most allopathic schools -- osteopathic students don't need to take national or state board exams in Nevada). Dr. Forman knows darn well that the second two years (usually referred to as clinical teaching years) are very thin for D.O. students.

    Let me repeat a quote from a very astute educator: "The quality of individual graduates depends on how bright they are, how hard they work and what training they get after graduation. Those who diligently apply themselves can emerge as competent." I applaud those D.O.'s who opt for allopathic (M.D.) postgraduate specialty training.

    We have some very well-trained D.O.s in the Las Vegas Valley, and I'm sure they would have no problem functioning under a single board. It's time all those wishing to be licensed as a medical physician in the state of Nevada answer to a single set of rules and regulations.

    Incidentally, one independent D.O. anesthesiologist has admitted to unsafe practices involving the multiple use of single-dose vials amid the recent hepatitis revelations. What is Dr. Tarno (as the Nevada Board of Osteopathic Medicine's judge and jury) doing about that?

    Leonard Kreisler, M.D.

    LAS VEGAS

    THE WRITER IS FORMER CHIEF OF STAFF OF UNIVERSITY MEDICAL CENTER.

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    Jason wrote on February 27, 2009 10:26 AM: What a moron. Seriously, people need to get the word out on angry old geezers like this and encourage them to retire.


    Wow2 wrote on June 27, 2008 09:18 PM: First of all, many of the students in the inagural class have matched at quality programs (for residency programs). This list includes but is not limited to: Johns Hopkins, USC, The Cleveland Clinic, UCLA, UCSF, University of Utah, Texas Tech, Michigan State, and so on. Also, ironically, many of the Touro students have also matched at UMC. With all this stated, it seems that the vast majority of programs don't have the same misconceptions Dr. Kreisler does.

    Its also irresponible and deceitful to say that Osteopathic students don't have a licensing board. There is one, and its called the NBOME (the NBME counterpart). We have the same number of tests and the same schedule to take them as our Allopathic counterparts.

    It seems to me some of the older physicians loyal to UNR in the area should accept that there is another medical school besides their alma mater in Nevada.


    Taher wrote on May 21, 2008 08:09 PM: sorry I meant Dr. Kreisler not Morrison.


    Taher Katouzian wrote on May 21, 2008 08:03 PM: I am one of the 4th year osteopathic medical students at Touro Nevada. We take our own board exam which is similar to USMLE with additional questions on osteopathic principles. I graduated at the bottom half of my class and passed step one USMLE with a good score. This simply make Dr Morrisons comments regarding challenging us rediculous. we are just as good or better than UNRs med students and it wont take long for people to realize


    ram prakash wrote on May 03, 2008 06:04 AM: iam a training physiotherapist in India
    i wish to learn osteopathic techniquessuch as manipulation and mobilitation
    is there any online course regarding this
    then please help me


    Donnie wrote on April 22, 2008 06:05 PM: Perhaps Dr. Kreisler should get his facts straight first. Let me quote this article, "...osteopathic students don't need to take national or state board exams in Nevada". That is completely incorrect. Perhaps he should research a little before making a statement such as this. To become a D.O. you are REQUIRED to pass a national board exam, it's called the COMLEX. In general, it is the same type of test that a M.D. takes to get a medical license.

    Perhaps Dr. Kreisler should stop being so bitter, and just accept that there is a new medical school in Nevada. Our students are every bit as capable as yours. I personally can sit down across from any of your students and match or outperform them in any clinical setting.


    nevada taxpayer wrote on April 18, 2008 03:43 PM: The state of Nevada spends $500,000 in Nevada taxpayer dollars for each graduating physician from UNR, who may or may not even end up doing residency or practicing in the state. Touro graduates 3x as many physicians, and has invested millions in the state, not including all the PA, nurse, OTs, and other healthcare providers being trained at Touro.

    Privatizing UNR would be a good start to improving healthcare training and saving Nevada citizens tax dollars.


    nice try wrote on April 18, 2008 03:31 PM: Hey "wow", or should I say, Dr. Kreisler? There you go spouting off nonsense before actually doing research on the matter. Take a look at Touro NV's inaugural matchlist and you'll have all the data that you need to conclude that they are indeed getting a quality education. The incompetent Touro student argument is a weak one, since you can say the same thing about every medical school. There are weak links at every one of them...yes, even the school that you graduated from.


    wow wrote on April 18, 2008 01:43 PM: As I read through all of the posted comments, I can't help but notice that it is posted by mostly (if not all) DO students. Of course, they will attack Dr. Kreisler as he highlights the insufficiency of their medical training. There are many established osteopathic medical schools in this country who produced quality graduates but I believe Touro is NOT one of them. There is absolutely no data collected thus far that their students are getting a quality education. I have worked with Touro students and I am always amazed at how incompetent they are. Of course there are a few of their students who excel and do well in their rotations and achieve high test scores but what about the vast majority of them that don't. Of course they can interview and rotate through competitive programs but how many of them get the residency spot? Not many, I would say.


    Nate wrote on April 17, 2008 07:29 PM: Dr. Kreisler seems a little behind the times. Osteopathic medicine has shared some insightful battles with their Allopathic counterpart in the past 150 years shaping medicine into what it is today, but today they are merging into a rather homogeneous and nearly indistinguishable form of doctor.
    Osteopathic residencies are up to date, capable and high quality programs, and any program (or state) that won't accept DOs as equals can be, and have been prosecuted for discrimination. MD's and DO's are virtually identical. DO physicians also have their own version of (nearly identical) Licensing exams that they have to pass just to be accepted to residencies, and then usually to graduate, from either (MD or DO) program. If Dr. Kreisler has an argument about a specific aspect of state licensure, he should kindly consider sticking to the particulars of the issue, and not snobbishly insult DO physicians. Ignorance and bigotry are a lousy platform in any contest.


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