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I have been a relatively close observer of the osteopathic medical profession for almost 20 years. In my doctoral dissertation at the University of Chicago, my subsequent book, and other writings,1-9 I have looked at the many struggles and challenges that the profession has had to face over the course of its entire history. These struggles have included defining the scope of osteopathic medicine; that is, what diagnostic and therapeutic tools DOs should include in their armamentarium, the length and breadth of the curriculum, and upgrading the quality of its undergraduate educational program through higher preprofessional requirements, full-time instructors, and better facilities and equipment. I have also documented how the profession was able to secure equal licensure privileges, and achieve greater status in the basic science and allopathic medical communities. It is quite a story, and I hope I have done justice to a profession which, despite numerous disadvantages and roadblocks, has overcome so much to achieve its present standing and relative success. However, the profession is currently facing significant problems. In my book, 1 published 12 years ago, I noted that osteopathic medicine had before it a number of basic issues that had gone unresolved and that how they would be addressed would be critical to the future of the profession. '!\vo of these

'Parallel and distinctive': The philosophic pathway for reform in osteopathic medical education