THE RESIDENCY PROGRAM IN COMMUNITY OSTEOPATHIC MEDICINE
Southampton Hospital has established a traditional osteopathic rotating intern training program for osteopathic physicians. The traditional osteopathic rotating intern training program is incorporated into a unique collaborative program entitled the ‘Residency Program in Community Osteopathic Medicine.’ The collaborative nature of the program is to emphasize osteopathic primary care including its cornerstone of disease prevention, osteopathic manipulative treatment and biopsychosocial modalities.
The Residency Program in Community Osteopathic Medicine (RP-COM) at Southampton Hospital trains osteopathic physicians for the community setting. Southampton Hospital serves a culturally and economically diverse patient population, which offers a great variety of pathology. The hospital is located on the South Fork of Long Island in a semi-rural community in the Village of Southampton, New York. It serves the Townships of Southampton, East Hampton, Shelter Island and parts of Riverhead and Brookhaven. Southampton Hospital is committed to providing the best possible educational experience for each resident.
The objective of this internship is to provide a comprehensive and longitudinal experience that will afford interns exposure to the various required disciplines. The program emphasizes inpatient and outpatient primary care medicine and the importance of the physician’s role not only as a healthcare provider but also as a patient advocate, educator, and as an agent of change.
An osteopathic approach to diagnosis and management is emphasized throughout the internship. Interns are taught to view the body in a holistic manner--that the body is a unit in which structure and function are mutually related. The dependence on the body’s self-regulatory and self-healing abilities on unimpeded flow of blood, lymphatic fluid, and nerve impulses are be demonstrated. Osteopathic manipulative treatment is promoted, supervised and evaluated in both outpatient and inpatient settings. Disease prevention is the cornerstone of osteopathic profession and is given major emphasis throughout the curriculum.
The Residency Program in Community Osteopathic Medicine (RP-COM) is integrative and collaborative in nature. Trainees share their experiences in an enrichment process to provide outstanding osteopathic medical education.
The program is designed so that physicians share knowledge in the fields of ambulatory and community medicine, educate each other, and share their personal and professional growth. The experience produces outstanding primary care physicians interested not only in treating illness but to carry a vision to prevent disease and educate the community in excellent health practices to maintain wellness. The program will be based on the biopsychosocial training components including:
1. In-hospital experience at Southampton Hospital
2. Ambulatory care experience at Westhampton Primary Care Center, Amagansett Primary Care, and/or Meeting House Lane Medical Associates, as well as a unique and modern hospital based urgent care facility in East Hampton
3. A broad curriculum covering often ignored areas such as individual, family and community health care; behavioral and social sciences; and medical ethics
4. Leadership training in allowing participants to be self-guiding and proactive in their career choices.
The Residency Program in Community Osteopathic Medicine places an emphasis on DIVERSITY, and accordingly advocates for diversity in its training program. Special attention integrating cross cultural experiences is paramount to the training program. Psychosocial emphasis is incorporated in daily rounds, didactic teachings and evening exchanges with allow enrichment to each member of the residency training program team.
Our program is designed to provide training that meets the needs of those graduates who intend to become osteopathic physicians. The exclusivity of the Residency Program in Community Osteopathic Medicine at Southampton Hospital ensures that our interns have full access and opportunity to learn both the art of medicine as well as develop and perfect their procedural skills.
At the beginning of the intern training program, there is a period devoted to formal orientation to the administrative and professional organization of the program, facilities available in the laboratories, nursing, social services, risk management, quality assessment, dietetics, record room, and pharmacy. Interns are advised regarding duties, professional ethics and conduct towards other members of the health care team.
Interns are required to devote their entire effort to the educational program. No additional employment of interns is allowed.
Osteopathic Core Competencies
The seven core competencies of the osteopathic profession are implemented through the training modules. Below are the seven core competencies with methods of implementation:
1) Osteopathic philosophy and osteopathic manipulative medicine
a) Inpatient and outpatient patient care
b) Didactic programs presented by board certified physicians by the American Osteopathic Association
c) Osteopathic Practice and Principles Rounds (weekly)
d) Osteopathic Manipulative Medicine Treatment Rounds (weekly)
2) Medical knowledge
a) Ambulatory medicine supervised by board certified internists and/or family physicians
b) Cardiology Rounds (monthly)
c) Geriatric Rounds (monthly)
d) Grand Rounds (weekly)
e) HIV Medicine (quarterly)
f) Inpatient internal medicine wards supervised by board certified internists
g) Journal Club (monthly)
h) MKSAP Style Questions (monthly)
i) Psychiatric Rounds (monthly)
j) Radiology Rounds (monthly)
3) Patient care
a) Inpatient internal medicine wards supervised by board certified internists
b) Ambulatory medicine supervised by board certified internists and/or family physicians
c) Biopsychosocial faculty is involved not only with the teaching of human behavior and mental health but also with the education development and continuous improvement of the residency program as well.
i) Biopsychosocial Rounds (monthly)
ii) DSM-IV TR Psychology Rounds (monthly)
iii) Public Health Rounds (monthly)
4) Interpersonal and communication skills
a) Direct observation of intern by the attending physician with patients in the inpatient and community setting
b) Direct observation of intern by the attending physician with other professionals in the hospital and ambulatory setting
c) Direct observation of the intern with the patient’s family
d) Nursing evaluations of the intern on the medical floors
a) Direct observation of the interns with other professionals
b) Quarterly written evaluation of intern by Program Director or Director of Medical Education in ability of intern to demonstrate awareness and attention to issues of culture, religion, age, gender, sexual orientation and mental or physical disabilities.
6) Practice-based learning
a) Interns will learn how to treat patients using the most up-to-date diagnostic and therapeutic modalities.
b) Interns will be trained how to self-evaluate the medical literature and interpret findings of clinical studies using a systematic methodology.
c) Interns will be trained in research methods, medical informatics, and the applications of technology as applied to medicine.
7) Systems-based learning
a) Interns will be required to demonstrate awareness of interdependencies in the health care system that affects quality of care methods to provide cost-effective care
b) Interns will be required to demonstrate ability to advocate for quality patient care, and ability to work with hospital management and interdisciplinary teams to improve patient care
c) Interns will be required to demonstrate ability to work with hospital management and interdisciplinary teams to improve patient care
The traditional rotating internship proves experience in the basic fields of medicine as a broad basis for future training. It is comprised of thirteen four-week rotation periods. This allows for twelve rotations and four weeks of vacation.
At least six months of training rotations in any or all basic core disciplines. The basic core disciplines include general internal medicine, general surgery, family practice, obstetrics and gynecology, and emergency medicine. The rotations are divided as follows:
EMERGENCY MEDICINE (2 Rotations)
On the Emergency Medicine Service residents work under the supervision of board certified emergency medicine physicians. Our Emergency Medicine Service offers all aspects of emergency care with over 25,000 visits annually. During this rotation, residents will hone their procedural skills to include intubations, chest tubes, IV’s, and suturing techniques.
AMBULATORY MEDICINE (1 Rotation)
On the Family Practice Service, interns work under the supervision of attending family practitioners in a predominantly outpatient setting. The family practice clinic is located off the hospital campus in a community nearby. This setting provides more of a “private practice” rather than an “institutional” atmosphere.
MEDICINE (4 Rotations)
On the Medicine Service, residents will work side-by-side with a board certified attending Internists. Our medicine rotation is entirely in house, and will provide the depth and breath of cases needed to become outstanding at in-patient medicine.
OBSTETRICS & GYNECOLOGY (1 Rotation)
On the OB/GYN Service, residents work under the supervision of board certified attending Obstetricians and Gynecologists. Labor and Delivery and inpatient OB/GYN services are all provided at Southampton Hospital. Residents will also have the opportunity to participate in oncologic gynecology.
SURGERY (1 Rotation)
On the Surgical Service, residents work under the supervision of board certified surgeons. Residents will have the opportunity to participate in all aspects of surgical care. Residents will also rotate through the surgical sub-specialties to include: Anesthesia, Interventional Radiology, Orthopedics, Pain Management, Plastic Surgery, Urology, and Vascular. Residents will also gain experience in performing bronchoscopy, colonoscopy, otolaryngology, and sigmoidoscopy procedures.
NEUROMUSCULOSKELETAL MEDICINE (1 Rotation)
On the Musculoskeletal Service, residents work under the supervision of board certified orthopaedics, rheumatologists, and neuro-musculoskelatal physicians in the inpatient and outpatient setting. Residents will also be involved in rehabilitation services at Southampton Hospital and satellite sites.
GERIATIRCS (1 Rotation)
The Geriatrics rotation provides trainees with experience in the diagnosis and treatment of elderly patients. The trainee should recognize the special needs of the geriatric patient, as well as the anatomical and physiological changes that occur with aging.
OUT ELECTIVE (1 Rotation)
Residents may choose a rotation away from Southampton Hospital with approval of the Program Director.
Two two-week blocks – To be scheduled through the Program Director.