Family Medicine & Neuromusculoskeletal

THE RESIDENCY PROGRAM IN COMMUNITY OSTEOPATHIC MEDICINE
Combined Family Medicine and Neuromusculoskeletal Medicine

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OGME-1R

Research is one of the requirements of the Combined Family Medicine and Neuromusculoskeletal Medicine Residency at Southampton Hospital. Thus, during the first year of training residents will begin conducting a publishable research project. The research will be conducted under the supervision of an attending physician and will be submitted for publication in the beginning of the third year.

EMERGENCY MEDICINE (1 Rotation)
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.

FAMILY PRACTICE
On the Family Practice Service, residents 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.

Residents in Family Medicine spend one-half day per week developing a panel of patients whom they will continue to care for the entire training program. We assign interns a specific clinic session for the year, and they are responsible for keeping that session despite other rotation duties unless specifically excused by the Program Director. Here residents will learn how to become health care advocates, and bring to bear the best of evidence based medicine.

MEDICINE (6 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 (2 Rotations)
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.

PEDIATRICS (1 Rotation)
On the Pediatric Service, residents work under the supervision of a board certified Pediatrician. The Pediatric rotation provides experience in the basics of pediatric care. This rotation provides more of a “private practice” rather than an “institutional” experience. Residents will also rotate through the neo-natal ward, and have experience in adolescent medicine.

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: Orthopedics, Plastic Surgery, Urology and Vascular. All surgical rotations are done in house.




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.



VACATION
Twenty business days -- To be scheduled through the Program Director.

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OGME-2

During your second year of training, Residents are encouraged to participate in either the TIPS Program (Training in Policy Studies). The program runs over the course of a year, and residents are given the time necessary for full and active participation in the program.

AMBULATORY MEDICINE (2 Rotations)
During the second year of Ambulatory Medicine, residents will further hone their clinical skills and begin the process of learning how to run a successful medical enterprise. Under the guidance of our board certified Family physicians, residents will have full daily responsibilities in the out-patient setting, including Pediatrics, Adolescent, and Adult Medicine. Residents will spend this rotation refining their medical skills, and further explore the integration and application of osteopathic principles and practice in the out-patient setting.

CRITICAL CARE (1 Rotation)
On the Critical Care Service, residents will work side-by-side with a board certified attending. Our critical care rotation is entirely in house, and will provide the depth and breath of cases needed to become outstanding at critical care medicine.

PALLIATIVE CARE (1 Rotation)
On the Palliative Service, residents work as part of the Palliative Care team providing comfort care to patients who, due to illness or injury, require more than medical treatment. Residents will learn how to help patients navigate both the physical, as well as, psychological and spiritual aspects of their disease. Residents will be involved with family conferences and participate in Southampton Hospital’s Palliative Care Seminars.

EMERGENCY MEDICINE (1 Rotation)
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 the second year, residents will not only fully participate in patient care, but will also become educators for the first year residents and medical students on their ER rotation. During this rotation, residents will further hone their procedural skills to include central lines, injection techniques, intubations, chest tubes, IV’s, and suturing techniques.

FAMILY PRACTICE (4 clinic sessions)
On the Family Practice Service, residents 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.

Residents in Family Medicine spend 4 ½ days per week developing a panel of patients whom they will continue to care for throughout their training. During the second year, residents continue the study of best medical practices with further exploration of the biopsychosocial aspects of medical care.




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.

PEDIATRICS (1 Rotation)
On the Pediatric Service, residents work under the supervision of a board certified Pediatrician. The Pediatric rotation provides experience in the basics of pediatric care. This rotation provides more of a “private practice” rather than an “institutional” experience. Residents will also rotate through the neo-natal ward.

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.

NEUROMUSCLOSKELETAL MEDICINE (4 Rotations)
The evaluation and treatment of Neuromusculoskeletal diseases is a central part of training in Family Medicine/Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine. This section will include divisions of neurology, rheumatology, orthopedics, occupational medicine, radiology, anesthesiology, and rehabilitation medicine, to cover the diversity of diagnoses needed to meet this requirement. The osteopathic residents will learn to use their palpatory skills to identify clues for the differential diagnosis of Neuromusculoskeletal problems, and design osteopathic manipulative treatment plans and rehabilitation to improve the function of the Neuromusculoskeletal system.

The specialist in Family Medicine/Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine will by the nature of the specialty often be the primary care provider for the patient with diseases of the Neuromusculoskeletal system. They will therefore be trained in the overall evaluation and management of these patients, as well as how to appropriately refer patients for specialty consultation when indicated.

VACATION
Twenty business days -- To be scheduled through the Program Director.

________________________________________
OGME-3

During the third year of training, residents are encouraged to participate in the TIPS Program (Training in Policy Studies) if they have not done so in their second year. The TIPS program runs over the course of a year, and residents are given the time necessary for full and active participation in the program.

AMBULATORY MEDICINE (3 Rotations)
On the Ambulatory Medicine Service, residents spend twenty weeks with daily responsibilities in the out-patient setting.

OUT ELECTIVE (1 Rotation)
Residents may choose a rotation away from Southampton Hospital with approval of the Program Director.

FAMILY PRACTICE (4 clinic sessions)
On the Family Practice Service, residents 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.

Residents in Family Medicine will spend 4 ½ days per week, following a panel of patients. It is during the third year that residents will prepare for life after residency. Thus during the third year, residents will be fully engaged in learning all aspects of running a Family Medicine enterprise. This includes billing, insurance participation, office leadership skills, and patient flow management. Residents will read several books in support of the new role they will be asked to perform upon graduation.

PEDIATRICS (2 Rotations)
On the Pediatric Service, residents work under the supervision of a board certified Pediatrician. The Pediatric rotation provides experience in the basics of pediatric care. This rotation provides more of a “private practice” rather than an “institutional” experience. Residents will also rotate through the neo-natal ward.

OUT SELECTIVE: GLOBAL HEALTH (1 Rotation)
As part of the medical educational experience at Southampton Hospital, residents will participate in a Global Health rotation. This rotation will not only add to the medical expertise of the resident, but will also involve academic research and development of medical leadership skills. Residents will spend one (1) month in Ghana, or another designated site, under the supervision of an attending physician providing medical care in both a rural and hospital-based setting.

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


NEUROMUSCLOSKELETAL MEDICINE (4 Rotations)
The evaluation and treatment of Neuromusculoskeletal diseases is a central part of training in Family Medicine/Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine. This section will include divisions of neurology, rheumatology, orthopedics, occupational medicine, radiology, anesthesiology, and rehabilitation medicine, to cover the diversity of diagnoses needed to meet this requirement. The osteopathic residents will learn to use their palpatory skills to identify clues for the differential diagnosis of Neuromusculoskeletal problems, and design osteopathic manipulative treatment plans and rehabilitation to improve the function of the Neuromusculoskeletal system.

The specialist in Family Medicine/Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine will by the nature of the specialty often be the primary care provider for the patient with diseases of the Neuromusculoskeletal system. They will therefore be trained in the overall evaluation and management of these patients, as well as how to appropriately refer patients for specialty consultation when indicated.

VACATION
Twenty business days -- To be scheduled through the Program Director.

________________________________________
OGME-4



AMBULATORY MEDICINE (3 Rotations)
On the Ambulatory Medicine Service, residents spend twenty weeks with daily responsibilities in the out-patient setting.

IN-ELECTIVE (2 Rotations)
Residents may choose a rotation away from Southampton Hospital with approval of the Program Director.

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.

FAMILY PRACTICE (4 clinic sessions)
On the Family Practice Service, residents 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.

Residents in Family Medicine will spend 4 ½ days per week, following a panel of patients. It is during the third year that residents will prepare for life after residency. Thus during the third year, residents will be fully engaged in learning all aspects of running a Family Medicine enterprise. This includes billing, insurance participation, office leadership skills, and patient flow management. Residents will read several books in support of the new role they will be asked to perform upon graduation.

SURGERY (2 Rotations)
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

NEUROMUSCLOSKELETAL MEDICINE (4 Rotations)
The evaluation and treatment of Neuromusculoskeletal diseases is a central part of training in Family Medicine/Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine. This section will include divisions of neurology, rheumatology, orthopedics, occupational medicine, radiology, anesthesiology, and rehabilitation medicine, to cover the diversity of diagnoses needed to meet this requirement. The osteopathic residents will learn to use their palpatory skills to identify clues for the differential diagnosis of Neuromusculoskeletal problems, and design osteopathic manipulative treatment plans and rehabilitation to improve the function of the Neuromusculoskeletal system.

The specialist in Family Medicine/Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine will by the nature of the specialty often be the primary care provider for the patient with diseases of the Neuromusculoskeletal system. They will therefore be trained in the overall evaluation and management of these patients, as well as how to appropriately refer patients for specialty consultation when indicated.

VACATION
Twenty business days -- To be scheduled through the Program Director.