The Residency Program in Community Osteopathic Medicine
The Residency Program in Community Osteopathic Medicine
Internship
Southampton Hospital established a traditional osteopathic rotating intern training program for six (6) osteopathic physicians. The traditional osteopathic rotating intern training program will be 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 is being developed to train 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 will emphasize 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 will be emphasized throughout the internship. Interns will be 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 will be demonstrated. Osteopathic manipulative treatment will be promoted, supervised and evaluated in both outpatient and inpatient settings. Disease prevention is the cornerstone of osteopathic profession and shall be given major emphasis throughout the curriculum.
The Residency Program in Community Osteopathic Medicine (RP-COM) will be integrative and collaborative in nature. Three primary care fields will integrate knowledge and share their experiences in an enrichment process to provide outstanding osteopathic medical education.
The program will also incorporate osteopathic traditional interns into the collaborative training program.
- Osteopathic Traditional Internship – Six (6) osteopathic rotating interns per annum with the intention of two (2) fulfilling the requirement of Neuromusculoskeletal Medicine (NMM).
The concept of the program--integrating three primary care modules into one program--is being developed so physicians can share knowledge in the fields of ambulatory and community medicine, to educate each other, and to share their personal and professional growth. The experience intends to produce outstanding primary care physicians interested not only in treating illness, but carry a vision allocating resources 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:
- In-hospital experience at Southampton Hospital
- Ambulatory care experience at Westhampton Primary Care Center and/or Meeting House Lane Medical Associates, as well as a unique and modern hospital based urgent care facility in East Hampton
- A broad curriculum covering often ignored areas such as individual, family and community health care; behavioral and social sciences; and medical ethics
- Leadership training in allowing participants to be self-guiding and proactive in their career choices.
The Residency Program in Community Osteopathic Medicine hopes to place an emphasis on DIVERSITY, and accordingly advocates for diversity in its training program. Special attention integrating cross cultural experiences will be paramount to the training program. Psychosocial emphasis incorporated in daily rounds, didactic teachings and evening exchanges with allow enrichment to each member of the residency training program team.
The purpose of the Residency Program in Community Osteopathic Medicine is to provide the osteopathic physician with a properly organized training program that provides progressive primary responsibility for patient care in a family environment through continuity of didactic and clinical experiences. The training in the application of osteopathic principles and practice is an integral part of our program
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 will be a period devoted to formal orientation of the interns 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 will be 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 will be implemented through the training modules. Below are the seven core competencies with methods of implementation:
- Osteopathic philosophy and osteopathic manipulative medicine
- Inpatient and outpatient patient care
- Didactic programs presented by board certified physicians by the American Osteopathic Association
- Osteopathic Practice and Principles Rounds (weekly)
- Osteopathic Manipulative Medicine Treatment Rounds (weekly)
- Medical knowledge
- Ambulatory medicine supervised by board certified internists and/or family physicians
- Cardiology Rounds (monthly)
- Geriatric Rounds (monthly)
- Grand Rounds (weekly)
- HIV Medicine (quarterly)
- Inpatient internal medicine wards supervised by board certified internists
- Journal Club (monthly)
- MKSAP Style Questions (bi-weekly)
- Psychiatric Rounds (monthly)
- Radiology Rounds (monthly)
- Patient care
- Inpatient internal medicine wards supervised by board certified internists
- Ambulatory medicine supervised by board certified internists and/or family physicians
- 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.
- Biopsychosocial Rounds (monthly)
- DSM-IV TR Psychology Rounds (monthly)
- Public Health Rounds (monthly)
- Interpersonal and communication skills
- Direct observation of intern by the attending physician with patients in the inpatient and community setting
- Direct observation of intern by the attending physician with other professionals in the hospital and ambulatory setting
- Direct observation of the intern with the patient’s family
- Nursing evaluations of the intern on the medical floors
- Professionalism
- Direct observation of the interns with other professionals
- 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.
- Practice-based learning
- Interns will learn how to treat patients using the most up-to-date diagnostic and therapeutic modalities.
- Interns will be trained how to self-evaluate the medical literature and interpret findings of clinical studies using a systematic methodology.
- Interns will be trained in research methods, medical informatics, and the applications of technology as applied to medicine.
- Systems-based learning
- 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
- 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
- Interns will be required to demonstrate ability to work with hospital management and interdisciplinary teams to improve patient care
Curriculum
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 twenty (20) business days of vacation at the discretion of the Program Director. The rotations are divided as follows:
Emergency Medicine (2 Rotations)
On the Emergency Medicine Service, the intern will work under the supervision of board certified emergency medicine attendings. Time on Emergency Medicine service will be as follows:
- Four (4) weeks of hospital-based emergency medicine
- Four (4) weeks of community-based urgent care medicine
Family Practice (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 (5 Rotations)
On the Medicine Service, the intern will work side-by-side with the attending Internists. Time on Medicine Service is broken down as follows:
- Twelve (12) weeks of inpatient medicine
- Four (4) weeks of intensive care medicine
- Four (4) weeks of “night float”
Obstetrics & Gynecology (1 Rotation)
On the OB/GYN Service, interns work under the supervision of attending physicians. Labor and Delivery and inpatient OB/GYN services are all provided at Southampton Hospital.
Surgery (1 Rotation)
On the Surgical Service, interns work under the supervision of attending surgeons. This is an inpatient service broken down as follows:
- Four (4) weeks of general surgery/sub-specialty surgery
Elective (2 Rotations)
Vacation
