Der Osteopathische Arzt ist ein approbierter Arzt

In the following text male forms are used to represent all genders to ensure a better overview.

The Osteopathic Physician has a licensure as a physician with or without a medical specialization. In addition to the qualification as a physician an academic training of at least 700 hours was completed to obtain the certificate in Osteopathic Medicine developed by EROP (Link to EROP Diploma Osteopathic Medicine).

All EROP associations offer trainings that fulfill this standard and can apply for the issue of an EROP certificate for their members. After receiving the certificate, continued training in Osteopathic Medicine according to the criteria of the respective association is required and needs to be verified with the association.

All members of the in EROP registered associations (Link to the associations) fulfill the minimum requirements which were defined in the EROP certificate. The education according to these criteria ensures a secure and qualified diagnostic investigation and treatment.

After an evaluation of the physical condition of the patient, the Osteopathic Physician will decide whether osteopathic techniques can be applied. Thanks to a solid medical education, he can evaluate and take into consideration available X-ray, CT, MRT or lab results during the medical history. Additionally, he is able to recognize symptoms of a severe sickness. As a physician he will always also consider the medical fundamentals and will consult other specialized physicians if necessary. 

In many cases osteopathy is utilized supportively and collaterally. 

The goal of osteopathic treatments is, among others, the removal of functional disorders and the activation of the self-healing forces of the body to improve or restore health (Salutogenesis). To implement the treatment strategy, the individually best possible treatment techniques (Link to the techniques) in the necessary intensity for each case and the combinations of these techniques are applied in the frame of the osteopathic therapy. The length, frequency, and amount of treatments depend on the individual complaints and the response to the treatment. 

(Link to Osteopathy)

Medical Knowledge:
It is expected of Osteopathic Physicians that they are familiar with the generally accepted standards in medicine and can apply these. This also pertains to the respective specializations of medicine. They should keep themselves up to date in the newest developments in medicine and science and pursue life-long learning. They should also have an understanding for the osteopathic principles as well as the diagnostic and therapeutic concepts. 

It is also expected of Osteopathic Physicians that they are familiar with the accepted standards of the Osteopathic Manual Therapy (OMT) and can utilize them according to their professional specialization. They should embark upon a life-long learning and a development of their knowledge and skills in OMT. These principles should be applied discerningly and continuously in patient care.

3.2. Detailed requirements for the practice as an Osteopathic Physician are:

3.2.1. A comprehensive understanding of the principles and concepts of osteopathy with an insight into how these guide and influence a rational medical and osteopathic decision-making process. 

3.2.2. An understanding for how osteopathic principles have an impact and how they are applied in integrated patient care, as well as how such principles can be chosen and modified according to the needs of the patient. 

3.2.3. A critical judgement of the highly developed sense of palpation, which is necessary to examine and treat the patient. 

3.2.4. The ability to analyze local findings and to connect the results of the examination with the interlinked functions of all bodily systems. 

3.2.5. The ability to critically integrate medical and osteopathic concepts for the well-being of the patient. 

Osteopathic Physicians must exhibit interpersonal and communicative skills which allow them to establish a professional relationship with patients, their families, and other health professionals. 

Osteopathic Physicians must show the following:

4.1. The ability to reflect their own professional strengths and limits and to work on these through personality development that includes continual professional education. 

4.2. Skills in problem solving and thinking, so as to correctly interpret all patient data in regard to practice-orientated conclusions and decision-making processes. 

4.3. The ability to utilize suitable strategies for physical and psychological self-care during the interaction with patients, so as to retain personal health. 

Osteopathic Physicians must be able to demonstrate an effective treatment of patients. They apply medical care that draws from various different elements: medical and osteopathic knowledge and skills, empathy, the observation of behavioral patterns, as well as the integration of preventative medicine with general health care. 

Specifically, Osteopathic Physicians must be able to demonstrate the following: 

5.1. The ability to analyze which causal pathologies can disguise the current problem or the current complaints of the patient. 

5.2. Basic knowledge in human psychology and sociology, sufficient for the clinical decision-making process and patient management. 

5.3. Advanced knowledge of the palpatory characteristics of normal and dysfunctional tissue in various systems of the body.

5.4. A well-developed sense of palpation to effectively utilize for the diagnosis, the treatment and the monitoring of changes during and after the treatment. 

5.5. A wide and well thought-through variety of osteopathic techniques to improve dysfunctional tissue and restore the health of individual patients.

5.6. A clear and critical treatment plan for the whole patient with an understanding of integrative patient care. This requires a continuous patient management within the medical, osteopathic, psychological and social areas. 

5.7. Consultation and expertise in aspects of the preventative medical and osteopathic strategies to improve and preserve health. 

Osteopathic Physicians have to strive for a sense of partnership and trust with the patient. They support and defend the well-being of the patient, compliance with ethical principles, life-long learning, and a sensitivity for the diversity of individuals. Osteopathic Physicians should be aware of their own physical, mental and psychological health so as to effectively care for the patient. 

Osteopathic Physicians must be able to demonstrate the following:

6.1. An empathic approach to the patient which respects the private sphere and dignity of the patient, and which regards each patient as an individual. 

6.2. The ability to behave professionally towards the patient in incompatible situations. 

6.3. The ability to cope with clinical insecurities so that an effective patient management is possible, to ensure that the patient receives a treatment of high quality, and to ensure that the patient is informed about his current situation and treatment alternatives. 

6.4. The ability and self-knowledge that is necessary to overcome clinical challenges which are caused by unusual circumstances or environmental factors. 

6.5. Awareness of the importance of the high level of personal physical, mental, and psychological health that is required to reach clinical effectiveness and to guarantee the safety of the patient. 

6.6. Appreciation for the physician-patient secrets. This means that the physician only acts after informing the patient and ensuring his consent, and according to the international medical code of ethics.

Osteopathic Physicians have to be skilled in critically reviewing their methods of practice-orientated application. They have to integrate evidence-based medicine into patient care and show that they understand scientific methods. At the same time, they have to focus on the patient-centered perspective of osteopathy. 

Osteopathic Physicians must be able to demonstrate the following: 

7.1. The ability to critically assess scientific works and other results that concern the effectivity and application of osteopathic interventions, or also the therapeutic demands of other health professions. 

7.2. The ability to develop a “human-based medicine”, that takes both an “evidence-informed” as well as a patient-centered perspective on medicine into consideration. 

7.3. The ability to pay attention to information, data and bodily reactions and to integrate these through verbal and non-verbal techniques. 

7.4. The ability to create complete, legible, and reliable records regarding the patient examination, treatment, and progression of disease.

Osteopathic Physicians must understand the structure of the health care systems, must offer an effective and high-quality patient care within these systems, and must practice cost efficiency and sustainable medicine. 

Osteopathic Physicians must be able to demonstrate the following:

8.1. Recognition of one’s own professional competence and of the necessity to only treat patients within personal limits and within one’s own level of competence. 

8.2. Appreciation for the complementary approach of osteopathic medicine within the whole health care system and in combination with other complementary or alternative methods. 

8.3. The ability to practice osteopathic medicine safely, competently, and within the legal frame. 

8.4. The ability to critically assess the cost effeciency of medical and osteopathic diagnoses and treatments. 

8.5. The ability to cooperate with external individuals or organizations respectfully, including other health professionals and public health organizations, in the interest of the patient care and safety. 

8.6. The ability to advocate a sustainable health care, commitment for a healthy environment, and a sustainable practice of medicine.