Osteopathic Neuromusculoskeletal Medicine Residency Program

ONMM residents participate in structured didactic time including OMT, injections, sports/msk medicine, A.T. Still reading, journal club and board review.

In-region rotations

Local rotations may include orthopedic surgery, radiology, sports medicine, rheumatology, dermatology, emergency medicine, family medicine, general surgery, geriatrics, hospice and palliative care, internal medicine, and/or pediatrics.

Out rotations

Out rotations may include neurological surgery, occupational medicine, obstetrics and gynecology, neurology, physical medicine and rehabilitation, pain management, integrative medicine, and/or addiction medicine, as well as other electives.

Intern (PGY-1) call

During their first year, interns in the ONMM residency will be responsible for a range of essential duties, including:

• In-hospital overnight shifts and occasionally weekend day shifts
  • Varies based on intern class size
  • Typically assigned four to six shifts per month
• Intern on-call - Intern is always supervised by a senior resident in-house, and an attending is always on-call by phone
• Interns field pages from hospital nursing staff and handle overnight hospital admissions

Senior resident (PGY-2 and above) Call

Senior residents in the ONMM residency will take on increased responsibilities and play a vital role in patient care.

• Senior residents in the ONMM program do not take traditional hospital call. They do participate in ONMM inpatient consult call and are responsible for providing high-quality, specialty specific care
  • There are four dedicated inpatient OMM rotations (two each year)
• Responsibility for seeing patients during the workday with the on-service attending physician
  • Occasional weekends while on other in-region rotations
• Responsibility to coordinate seeing hospital consult patients daily with the on-service attending physician
• The amount varies with the number of senior residents available, including those during dedicated ONMM inpatient months
• The hospital consult service runs year-round and is always staffed by both a senior resident and supervising attending physician

Participants in the program will gain hands-on experience during rotations at the following locations:

• Northeast Regional Medical Center (primary)
• Bluetail Medical Group (secondary)

Continuity Clinic

The ATSU Osteopathic Manipulative Medicine Clinic, located on the fourth floor of the ATSU Gutensohn Clinic, is a dedicated ONMM specialty clinic.

The program provides a variety of educational resources to support the development and success of our residency participants:

• Drabing Human Patient Simulation (HPS) Center Lab
• Daraban Ultrasound Lab
• Blumenthal Osteopathic Skills Lab
• Joint injection models
• A.T. Still Memorial Library
  • Access to computer lab
  • Access to print and digital resources, including, but not limited to, UpToDate and DynaMed Plus
  • 3D printing models
• ATSU staff statisticians
  • Residents may use ATSU staff to assist with processing and organizing research data for their scholarly activity
• Academic technologies
  • Research poster design and poster printing
• Museum of Osteopathic Medicine
  • Osteopathic profession’s museum, accredited by the American Alliance of Museums

A.T. Still University’s Osteopathic Manipulative Medicine (OMM) Clinic offices are located on the fourth floor of the University’s Gutensohn Clinic and across the street from Northeast Regional Medical Center (NRMC). The Clinic’s proximity to NRMC provides physicians the flexibility to move quickly between their office and the hospital for patient care, physician meetings, and meals at the cafeteria.

A part of A.T. Still University, the Clinic also provides access to university faculty who are available to consult on procedures and give insight into patient diagnosis and treatment. Other convenient resources include A.T. Still Memorial Library, the Museum of Osteopathic Medicine, Blumenthal Osteopathic Skills Lab, the Drabing Human Patient Simulation Center, Daraban Ultrasound Lab, and an abundance of quiet and common study spaces.

ATSU’s Kirksville College of Osteopathic Medicine (ATSU-KCOM), the founding college of osteopathic medicine, is also home to first- and second-year medical students from around the country who have selected the University to complete their Doctor of Osteopathic Medicine degree. Often, osteopathic medical students may rotate or shadow with residents, giving residents an opportunity to be mentors and educators while learning themselves.

The following outlines the typical clinic expectations and appointment durations for each year of the ONMM residency:

• Each first-year resident has one half-day of clinic per week
• Each senior resident has five half-days of clinic per week while on OMM rotations. On non-OMM rotations, they have three half-days per week
• Clinic visit times:
  • PGY-1 and PGY-2 have 60-minute appointments for both new and established patients
  • PGY-3 may switch to 60-minute appointments for new patients and 40 minutes for established patients

To learn more about ATSU’s OMM clinic, visit atsu.edu/gutensohn-clinic.

Northeast Regional Medical Center (NRMC) is a community healthcare provider. The hospital is a 93-bed facility with a Level III Trauma Center, Level III STEMI Center, Joint Commission Acute Stroke Ready certification, and ACC-Certified Chest Pain Center.

NRMC believes in the power of people to create great care. With more than 500 healthcare professionals, NRMC is a teaching hospital associated with ATSU-KCOM, the founding college of osteopathic medicine. NRMC and its staff work hard every day to be a place of healing, caring, and connection for patients and families in the community NRMC calls home.

Key features and resources at NRMC include:

• NRMC hospital EMR: Medhost
• A Community Health Systems hospital
• 93-bed hospital
• 11-bay Emergency Department
• 10-bed Critical Care Unit
• Level III Trauma Center
• ACC-Certified Chest Pain Center
• Level III STEMI Center

To learn more about NRMC, visit nermc.com or the NRMC fact sheet.

The Drabing Human Patient Simulation (HPS) Lab is located on ATSU’s Missouri campus within the Interprofessional Education Building, and it is a valued, technologically advanced learning resource for medical students, faculty, hospital physicians, and emergency services personnel in the community at large.

Residents have access to the Lab, which serves as a platform for learning the treatment of critically ill patients. The Lab has both adult and pediatric manikins, as well as a maternal manikin that simulates birth. Residents in this setting are both learners and educators.

To maximize the preparedness of students and ATSU-KCOM Still OPTI residents to perform as skilled physicians, ATSU-KCOM utilizes eight Laerdal adult and two child simulators, one Gaumard mother-and-infant simulator, and two Simbionix colonoscopy, endoscopy, and bronchoscopy trainers. At every level of patient care, hands-on experience is the best teacher. The patient simulators are full-sized, computer-driven manikins that deliver experiences in true-to-life scenarios, which can swiftly change to meet the instructors’ goals. These ultra-sophisticated and highly versatile simulators have voice capability, can mimic chest rising and falling, produce heart and lung sounds, have pulses, and accurately mirror human responses to such procedures as CPR, intravenous medication, intubation, ventilation, and catheterization.

How is this possible? Through a painstaking marriage of “high touch” and “high tech,” these dramatically functional manikins exhibit clinical signals so lifelike that new medical students have been known to cry when they “die.” Add to this a profound array of intricately programmed systems—cardiovascular, pulmonary, genitourinary (male and female), neurological, and the ability to respond to pharmacological interventions—and you have an easily controlled teaching laboratory where students and residents can practice cases repeatedly until the highest-quality patient care becomes second nature.