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New & Noteworthy The philosophic and scientific basis of osteopathic medicine was established by Andrew Taylor Still in the late 19th century. In 1922, the first profession-wide attempt at codifying the osteopathic philosophy into simple phrases or precepts was made by Louisa Burns, DO, as the dean of the A.T. Still Research Institute, along with representatives from each of the osteopathic medical schools.1 Their ideas were summarized and updated in 1953, in a statement developed at the Kirksville College of Osteopathy and Surgery.2 The Kirksville group offered a “tentative formulation” of a teaching guide for faculty, hospital staff, and student body. Their interpretation of the osteopathic concept described what are now four well-known tenets: (1) the body is a unit; (2) the body possesses self-regulatory mechanisms; (3) structure and function are reciprocally interrelated; and (4) rational therapy is based on an understanding of body unity, self-regulatory mechanisms, and the interrelationship of structure and function. The following statement is a proposed set of tenets and principles for patient care which is offered as a starting point for discussion and comment within the osteopathic profession. These ideas were developed by a multidisciplinary ad hoc committee broadly representative of family practice, manipulative medicine, internal medicine, and the basic sciences. The statement shares two characteristics with previous guidelines, or defined sets of values. First, if the tenets are accurate and true, they will stand the test of time; it is rare for guidelines to carry sufficient authority that they endure because of the status of the authors. Second, well-stated guidelines invite individual interpretation and expression of understanding that reflect the relevance of these materials to the scientific investigation and the clinical practice of osteopathic medicine.

Proposed tenets of osteopathic medicine and principles for patient care