- Written by kcho1
The goal of the SBH ONMM Residency Program is to train well-rounded osteopathic physicians, to provide care to the community, and to develop leaders and teachers within the specialty of ONMM.
Residents spend an average of five half days per week in continuity clinics. Patients of all ages are seen for a variety of conditions. Resident responsibilities include initial evaluation and treatment of patients, documentation using electronic medical records, CPT coding, patient education, and referral to appropriate specialists. Direct supervision is provided by the three faculty members, each of whom offers a unique perspective and approach to patient care. Faculty members have no other clinical or administrative responsibilities when supervising clinic, and see every patient with the resident. While this level of direct guidance and supervision is provided by the faculty, residents are also given the autonomy to develop and implement their own treatment plan, with increasing responsibility given over time.
Consults are performed based on request from the primary care team. These patients are followed through their hospital course. Types of patients seen in hospital include:
- General medical
- Intensive care unit
- General surgical
- Neonatal intensive care unit Neonates
- Nursing home
The residents prepare the consult and evaluate the patient, after which the patient is presented to an attending, who reviews the case, discusses the osteopathic considerations and treatment plan, evaluates the patient, and performs the initial treatment with the resident.
Didactics are integrated as part of the daily schedule and include presentations in anatomy, physiology, and mechanics of the body, research studies related to osteopathy, osteopathic philosophy, and discussions covering a variety of osteopathic texts. Most presentations within the department are led by residents and supervised by faculty. There are also weekly resident- and faculty-led OMT labs. Program director, Hugh Ettlinger, DO, FAAO, provides a valuable perspective rich in osteopathic tradition as he presents teachings from his mentor, Anne Wales, DO, a student of William Sutherland, DO.
Research is incorporated into the curriculum, as each resident is required to complete a thesis at the end of his or her residency. Each resident will also prepare multiple patient case studies, which are presented and reviewed but other residents and attendings, with the goal of these write-ups to prepare the resident to understand and present important clinical findings from an osteopathic perspective to the medical community and community at large. There are also opportunities to participate in quality improvement projects relating to OMT.
Teaching is also emphasized in this program, with the goal of preparing the resident to become effective teachers in a variety of settings. Residents have the opportunity to table train first or second year medical students in the OMT lab at NYIT College of Osteopathic Medicine, important for those seeking academic careers or who want to spend time teaching in schools. Residents also prepare PowerPoint presentations and give lectures in the didactic portion of the program, which are reviewed by attendings to help them build this skill. They also work one-on-one with visiting medical students and residents, both in clinic and on the hospital floors, which prepares them for teaching students in a clinical practice. Residents receive one-on-one time with attendings with ample opportunity for hands-over-hands and collaborative treatment experiences.
Elective time is offered to residents as an opportunity to gain further training in other medical specialties such as neurology, radiology, rheumatology, and physical medicine and rehabilitation. It is also a chance to gain further experience in manual medicine by rotating with specialists across the country. As noted below, three two-week elective slots are allotted per year.
Other Learning Opportunities
Residents are required to attend the annual AAO Convocation and are provided opportunities to attend other conferences of their choosing. All residents will also have the opportunity to attend a 40-hour basic cranial course.
An Overview of the Schedule
Post-Graduate Year 1 (Internship)
1 month inpatient medicine
1 month intensive care unit
1 month surgery
1 month trauma surgery
1 month emergency medicine
1 month pediatrics
1 month outpatient family medicine
3 months osteopathic neuromusculoskeletal medicine
1 month vacation
Post-Graduate Year 2
3 two week electives
2 two week vacations
11 two week blocks on inpatient medical and surgical ONMM consult service
10 two week blocks in newborn nursery, postpartum unit, and inpatient pediatric service
Post-Graduate Year 3
3 two-week electives
2 two-week vacations
10 two-week blocks on inpatient medical and surgical consult service
11 two-week blocks in newborn nursery, postpartum unit, and inpatient pediatric service
*The above schedule will likely change as we transition into the ACGME system. Please check back for updates.