Rooted in Community: A Student Reflection on Choosing Osteopathic Medicine for Rural Care

June 2026 | Vol. 70, No. 2
By Stephan Spolski, WVSOM OMS-I

As an EMT in my rural community, my eyes have been opened to the lack of healthcare for marginalized people. Schuylkill County is mainly comprised of low- to middle-income workers, and access to care is limited by the paucity of providers. It has been a shocking revelation that many people living in my own community are unable to receive appropriate medical treatment. Growing up in Schuylkill County, I’ve seen firsthand how limited access to healthcare can affect entire families and neighborhoods. Through conversations with local healthcare professionals and my own experiences in patient care, I have grown acutely aware of the urgent need for physicians who are dedicated to serving rural and underserved populations. This realization strengthens my resolve to become a well-rounded, compassionate physician who can address a broad range of health needs to serve any community.

While shadowing a Doctor of Osteopathic Medicine, I witnessed how osteopathic principles are brought to life through hands-on evaluation, meaningful patient relationships, and a deep respect for the body's ability to heal. Observing osteopathic manipulative treatment highlighted an emphasis on understanding and treating the whole person—not just their symptoms. After “simple” skeletal and muscular alignments, patients with excruciating pain that impacted their daily function actually walked to their car feeling physical relief and emotional support.  Additionally, the holistic approach was not limited to manual adjustments: discussions about triggers for stress, the importance of nutrition, and the management of mental well-being were critical to each patient. This experience opened my eyes to the unique strengths of osteopathic medicine and affirmed that this approach is aligned with the kind of care I want to provide.

My role as an EMT further shapes my understanding of medicine as both a science and a human service. I’ve been called to homes where patients are not only sick but also burdened by fear and uncertainty for their future because of very real financial hardship, social isolation, or addiction. In those moments, I realized that compassion, clear communication, and a steady presence to establish trust are just as important as technical skills. These encounters as a first responder motivate me to pursue a career path that will maximize my comprehension of the human body and a thoughtful application of medicine in every sense of the word.

I believe osteopathic medicine is uniquely suited for my mission. Its focus on prevention, whole-person care, and community connection reflects the type of physician I hope to be. My work as an EMT, my academic journey, and my exposure to osteopathic practice have shaped me into a learner and caregiver who values empathy, resilience, and adaptability. As a future D.O., I am committed to providing accessible, high-quality care that strengthens individuals, supports families, and strengthens my connection to the community.