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Athletes of all walks of life gathered in New York City鈥檚 five boroughs on November 5 to participate in the TCS New York City Marathon, where students and faculty from the聽College of Osteopathic Medicine聽(NYITCOM) were on hand to provide necessary medical care.

The 26.2-mile course winding from Staten Island to Manhattan is not an easy trek, and a plethora of medical personnel were on hand for the entirety of the day鈥檚 event. Inside the marathon鈥檚 many medical tents, stationed at each mile, were physicians specializing in sports medicine, emergency medicine, cardiology, and other areas; nurses; physical and occupational therapists; massage therapists; pharmacists; and EMTs. 

Volunteering alongside them were NYITCOM students, including those working under the guidance of NYITCOM Assistant Professor of Clinical Specialties Jennifer Maccagnano, D.O., and Associate Professor and Associate Dean of Academic Affairs William Blazey, D.O.

Students played various roles depending on the tent to which they were assigned. While some took runners鈥� medical histories and completed physical exams, others transported athletes from triage to the necessary medical tent for further care. Several also acted as scribes for the on-site physicians. 

Two NYITCOM students, Sarah Gerard and Tahany Moosa, provided care alongside Blazey in a tent at mile 26. Just two-tenths of a mile before the marathon鈥檚 end, they served as the last medical team runners would encounter before crossing the finish line. Their unique position along the course meant they treated runners who were 鈥渉itting the wall鈥� both physically and psychologically with ailments like electrolyte imbalances, dehydration, muscle cramps, and minor injuries.

In tent P5, located at the finish line, NYITCOM students assisted in treating an estimated 1,500 patients. In the tent鈥檚 resuscitation pod/critical care section, Maccagnano served as one of the physician captains, and fourth-year medical students Alex Sneddon and Timothy Li assisted patients suffering from serious complaints like syncope (fainting), shortness of breath, severe muscle cramps, and chest pain, including a patient with a myocardial infarction (heart attack). 

鈥淎s a future emergency medicine physician, volunteering at the marathon provided 鈥榮tress training鈥� that translates well to working in a busy emergency department,鈥� Sneddon says. 鈥淭his resource-limited environment mimicked working in a more remote emergency department, which is a unique experience not often found in our normal medical rotation sites.鈥�

Maccagnano says student involvement at the marathon was not only helpful but served as a one-of-a-kind learning experience for the future physicians.

鈥淚n the critical care section, we had a debrief that our students were a part of,鈥� she says. 鈥淚t was a great learning experience for them to be involved and hear from a large team about the positives and negatives of a resuscitation.鈥� 

Li is grateful to have practiced real-world applications of osteopathic manipulative medicine (OMM) techniques like muscle energy and myofascial release used by osteopathic physicians (D.O.s) to diagnose, treat, and prevent illness or injury. 

鈥淭his experience reinforced how useful and versatile OMM can be,鈥� he says. 鈥淎s someone who hopes to incorporate OMM into my own future practice as a physician, the marathon was an excellent opportunity to treat patients and hone my skills.鈥�