Osteopathic physicians have historically entered primary care fields at a higher rate than their MD counterparts. Some osteopathic organizations make claims to a greater emphasis on the importance of primary care within osteopathic medicine. However, the proportion of osteopathic students choosing primary care fields, like that of their MD peers, is declining. Currently, only one in five osteopathic medical students enters a family medicine residency (the largest primary care field). In 2004, only 32% of osteopathic seniors planned careers in any primary care field; this percentage was down from a peak in 1996 of more than 50%.
Another criticism has been the relative lack of research at osteopathic schools in contrast to allopathic schools. Norman Gevitz argues this was because, historically, osteopathic schools emphasized training "general practitioners for underserved areas" over training specialists and researchers. The schools emphasized applying knowledge over creating knowledge.
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