Osteopathic Physicians & Surgeons v. California Medical Ass'n

Last updated

Osteopathic Physicians & Surgeons v. California Medical Association, 224 Cal. App. 2d 378 (Cal. App. 2d Dist. 1964) was a legal case between two medical associations in the state of California. The case was under review in California state courts from 1962-1964. After numerous appeals, the California Supreme Court ruling found the California Medical Association's refusal to grant osteopathic physicians licensure to practice medicine in the state of California to be unconstitutional.

Background

By the 1950s, osteopathic physicians (D.O.) were numerous in California compared to their Doctor of Medicine (M.D.) counterparts, since the medical school at University of California, Irvine was an osteopathic medical school. Nevertheless, osteopathic physicians began to feel victimized by the national image of osteopathic medicine, particularly by those MDs who viewed colleges of osteopathic medicine as teaching "cultist healing." [1]

Leaders of the California Medical Association (CMA) and the California Osteopathic Association (COA) met secretly behind closed doors in the late 1950s to discuss a potential merger between the two medical groups. By May 1961, a contract between CMA and COA was ready to be voted on by their respective House of Delegates. As part of the merger, which was approved in 1962, all graduates from the College of Osteopathic Physicians and Surgeons (COP&S) as well as DOs who held a valid license in the state would be awarded a Doctor of Medicine degree. Further, those DOs who accepted the MD degree could no longer identify themselves as osteopathic physicians. [1]

As part of the merger agreement, COP&S was renamed the California College of Medicine and accredited as an MD degree-granting institution. Additionally, an initiative, proposition 22, was placed on the state ballot during the November 1962 elections that would limit the osteopathic state licensing board from administering new licensing. It could still renew licenses of DOs until the number of practicing DOs diminished to less than 40, at which time it would be dissolved and the remaining DOs transferred to the jurisdiction of the state medical licensing board. [1]

Meanwhile, the California College of Medicine was adopted by the University of California Regents in 1964 and placed on their Irvine campus in 1968. Ex-DO faculty that received the MD degree in 1962 taught alongside congenital MD faculty for several decades henceforth. In 2007 the college's name was again changed to the University of California Irvine, School of Medicine.

The California Medical Association (CMA) issued MD degrees to all DOs in the state of California for a nominal fee. "By attending a short seminar and paying $65, a doctor of osteopathy (now Doctor of Osteopathic Medicine) (DO) could obtain an MD degree; 86 percent of the DOs in the state (out of a total of about 2000) chose to do so." [2] It also placed a ban on issuing physician licenses to DOs moving to California from other states. However, the decision proved to be controversial.

In 1974, after protest and lobbying by influential and prominent DOs, the California Supreme Court ruled in Osteopathic Physicians and Surgeons of California v. California Medical Association, that licensing of DOs in that state must be resumed. [3]

Today, the Medical Board of California, [4] which licenses M.D.s and International Medical School Graduates (M.B.B.S. / M.D.), and the Osteopathic Medical Board of California, [5] which licenses D.O.s whose degree was obtained from an American Osteopathic Association (AOA) approved Medical School, operate as separate Medical Licensing Institutions.

Related Research Articles

<span class="mw-page-title-main">Physician</span> Professional who practices medicine

A physician, medical practitioner, medical doctor, or simply doctor is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through the study, diagnosis, prognosis and treatment of disease, injury, and other physical and mental impairments. Physicians may focus their practice on certain disease categories, types of patients, and methods of treatment—known as specialities—or they may assume responsibility for the provision of continuing and comprehensive medical care to individuals, families, and communities—known as general practice. Medical practice properly requires both a detailed knowledge of the academic disciplines, such as anatomy and physiology, underlying diseases and their treatment—the science of medicine—and also a decent competence in its applied practice—the art or craft of medicine.

<span class="mw-page-title-main">Osteopathy</span> Alternative medicine emphasizing muscle and bone manipulation

Osteopathy is a pseudoscientific system of alternative medicine that emphasizes physical manipulation of the body's muscle tissue and bones. In most countries, practitioners of osteopathy are not medically trained and are referred to as osteopaths.

Osteopathic medicine is a branch of the medical profession in the United States that promotes the practice of science-based medicine, often referred to in this context as allopathic medicine, with a set of philosophy and principles set by its earlier form, osteopathy. Osteopathic physicians (DOs) are graduates of American osteopathic medical colleges and are licensed to practice the full scope of medicine and surgery in all 50 US states. The field is distinct from osteopathic practices offered in nations outside of the U.S., whose practitioners are generally not considered part of core medical staff nor of medicine itself, but rather are alternative medicine practitioners. The other major branch of medicine in the United States is referred to by practitioners of osteopathic medicine as allopathic medicine.

Doctor of Medicine is a medical degree, the meaning of which varies between different jurisdictions. In the United States, and some other countries, the M.D. denotes a professional degree. This generally arose because many in 18th-century medical professions trained in Scotland, which used the M.D. degree nomenclature. In England, however, Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.) was used and eventually in the 19th century became the standard in Scotland too. Thus, in the United Kingdom, Ireland and other countries, the M.D. is a research doctorate, honorary doctorate or applied clinical degree restricted to those who already hold a professional degree (Bachelor's/Master's/Doctoral) in medicine. In those countries, the equivalent professional degree to the North American, and some others' usage of M.D. is still typically titled Bachelor of Medicine, Bachelor of Surgery.

<span class="mw-page-title-main">American Osteopathic Association</span> American professional association

The American Osteopathic Association (AOA) is the representative member organization for the more than 176,000 osteopathic medical doctors (D.O.s) and osteopathic medical students in the United States. The AOA is headquartered in Chicago, Illinois, and is involved in post-graduate training for osteopathic physicians. Beginning in 2015, it began accrediting post-graduate education as a committee within the Accreditation Council for Graduate Medical Education, creating a unified accreditation system for all DOs and MDs in the United States. The organization promotes public health, encourages academic scientific research, serves as the primary certifying body for D.O.s overseeing 18 certifying boards, and is the accrediting agency for osteopathic medical schools through its Commission on Osteopathic College Accreditation. As of October 2015, the AOA no longer owns the Healthcare Facilities Accreditation Program (HFAP), which accredited hospitals and other health care facilities.

<span class="mw-page-title-main">Medical education in the United States</span> Educational activities training physicians in the United States

Medical education in the United States includes educational activities involved in the education and training of physicians in the country, with the overall process going from entry-level training efforts through to the continuing education of qualified specialists in the context of American colleges and universities.

The University of California, Irvine School of Medicine is an LCME accredited medical school, co-located in Orange County's cities of Irvine on the University of California, Irvine campus and Orange at the UC Irvine Medical Center. Of the medical schools evaluated for its 2023 edition, U.S News & World Report ranked the school No. 51 (tie) in Best Medical Schools: Research and No. 61 (tie) in Best Medical Schools: Primary Care. The school was founded in 1896 by A.C. Moore and is the oldest continually operating medical school in the greater Los Angeles area.

Most physicians in the United States hold either the Doctor of Medicine degree (MD) or the Doctor of Osteopathic Medicine degree (DO). Institutions awarding the MD are accredited by the Liaison Committee on Medical Education (LCME). Institutions awarding the DO are accredited by the Commission on Osteopathic College Accreditation (COCA). The World Directory of Medical Schools lists both LCME accredited MD programs and COCA accredited DO programs as US medical schools. Foreign-trained osteopaths do not hold DO degrees and are not recognized as physicians in the United States or in other jurisdictions.

Board certification is the process by which a physician or other professional demonstrates a mastery of advanced knowledge and skills through written, oral, practical, or simulator-based testing.

The American Board of Physician Specialties (ABPS), the official certifying body for the American Association of Physician Specialists (AAPS) is a non-profit umbrella organization for sixteen medical specialty boards that certifies and re-certifies physicians in fourteen medical specialties in the United States and Canada. It is one of three certifying bodies in the United States in addition to the American Board of Medical Specialties, and American Osteopathic Association Bureau of Osteopathic Specialists. The ABPS oversees Doctor of Medicine (M.D.) and Doctor of Osteopathic Medicine (D.O.) certification in the United States. The ABPS assists its Member Boards in developing and implementing educational and professional standards to evaluate and certify physician specialists. It is recognized by the U.S. Department of Labor as well as the Centers for Medicare and Medicaid Services (CMS).

Doctor of Osteopathic Medicine is a medical degree conferred by the 38 osteopathic medical schools in the United States. DO and Doctor of Medicine (MD) degrees are equivalent: a DO graduate may become licensed as a physician or surgeon and thus have full medical and surgical practicing rights in all 50 US states. As of 2021, there were 168,701 osteopathic physicians and medical students in DO programs across the United States. Osteopathic medicine emerged historically from osteopathy, but has become a distinct profession.

The Federation of State Medical Boards (FSMB) of the United States is a national non-profit organization that represents the 71 state medical and osteopathic boards of the United States and its territories and co-sponsors the United States Medical Licensing Examination. Medical boards license physicians, investigate complaints, discipline those who violate the law, conduct physician evaluations, and facilitate the rehabilitation of physicians where appropriate. The FSMB's mission calls for "continual improvement in the quality, safety and integrity of health care through the development and promotion of high standards for physician licensure and practice."

The California Medical Association (CMA) is a professional organization based in California that advocates on behalf of nearly 50,000 physicians in legislative, legal, regulatory, economic, and social issues. The organization was founded in 1856 and is a member of the American Medical Association.

Osteopathic medicine in Canada is similar to conventional medicine in Canada, with the addition of osteopathic manipulation to diagnose and treat patients. Osteopathic physicians hold equal practice rights to non-osteopathic physicians (MDs) in Canada. North American osteopathic medicine requires an osteopathic physician to be trained and receive the Doctor of Osteopathic Medicine degree granted by a College of Osteopathic Medicine accredited by the American Osteopathic Association.

The Canadian Osteopathic Association (COA) is a professional association of osteopathic physicians in Canada. The COA has partnered with Michigan State University College of Osteopathic Medicine to increase the number of osteopathic physicians practising in Canada.

The Texas Medical Board (TMB) is the state agency mandated to regulate the practice of medicine by Doctors of Medicine (MDs) and Doctors of Osteopathic Medicine (DOs) in Texas. The Board consists of 12 physician members and seven public members appointed for a six-year term by the Governor and confirmed by the Senate. The full Board is required to meet at least four times a year but customarily convenes five times a year. Typical Board business includes interviewing licensure candidates, considering disciplinary matters and adopting substantive and procedural rules. Additionally, Board committees address a variety of important issues.

<span class="mw-page-title-main">College of Osteopathic Medicine of the Pacific</span> Medical school in Pomona, California, U.S.

The College of Osteopathic Medicine of the Pacific (COMP) is a private, non-profit medical school for osteopathic medicine located in downtown Pomona, in the U.S. state of California. The college opened in 1977 as the only osteopathic medical school west of the Rocky Mountains. COMP was the founding program of Western University of Health Sciences (WesternU), which now has 8 colleges in addition to COMP, each offering professional degrees in various fields of healthcare. COMP has a single 4-year program, conferring the Doctor of Osteopathic Medicine (D.O.) degree. Graduates are eligible to practice medicine in all 50 states and more than 85 countries.

<span class="mw-page-title-main">Harry Lehrer</span> American physician

Harry Lehrer was an American licensed pharmacist, physician, and real estate speculator who owned the Bumiller Building in Los Angeles.

<span class="mw-page-title-main">Physicians in Canada</span> Canadian physician

Physicians and surgeons play an important role in the provision of health care in Canada. They are responsible for the promotion, maintenance, and restoration of health through the study, diagnosis, prognosis, and treatment of disease, injury, and other physical and mental impairments. As Canadian medical schools solely offer the Doctor of Medicine (M.D.) or Doctor of Medicine and Master of Surgery degrees, these represent the degrees held by the vast majority of physicians and surgeons in Canada, though some have a Doctor of Osteopathic Medicine (D.O.) from the United States or Bachelor of Medicine, Bachelor of Surgery from Europe.

California Health Sciences University (CHSU) is a private, for-profit university located in Clovis, in the U.S. state of California. Founded in 2012, the school operates three academic programs, two of which offer doctoral degrees (in pharmacy and osteopathic medicine), and the third offers a masters degree in science. Graduates of the College of Pharmacy (COP) will receive the Doctor of Pharmacy (Pharm D) degree, graduates of the College of Osteopathic Medicine (COM) will receive the Doctor of Osteopathic Medicine (DO) degree, and graduates of the College of Biosciences and Health Professions (CBHP) will receive the Masters of Science in Biomedical Sciences (MSBS) degree. The College of Osteopathic Medicine is fully pre-accredited by the American Osteopathic Association's (AOA) Commission on Osteopathic College Accreditation (COCA). The college is accredited by the Western Association of Schools and Colleges (WASC) Senior College and University Commission and has approval to operate from the Bureau of Private Postsecondary Education (BPPE).

References

  1. 1 2 3 Gevitz, Norman (2004). The DOs: Osteopathic Medicine in America. The Johns Hopkins University Press. ISBN   978-0801878343.
  2. Howell J. D. (November 1999). "The Paradox of Osteopathy". N Engl J Med. 341 (19): 1465–8. doi:10.1056/NEJM199911043411910. PMID   10547412.
  3. Crum, Jean F (January 1975). "The saga of osteopathy in California". The Western Journal of Medicine. 122 (1): 87–90. PMC   1130289 . PMID   1089010.
  4. "Welcome to the Medical Board of California". Mbc.ca.gov. Retrieved May 28, 2012.
  5. "Welcome To Our Web Site - Osteopathic Medical Board of California". Ombc.ca.gov. Retrieved May 28, 2012.