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NMM-OMM Residency Curriculum

Overview of the VCOM NMM-OMM Residency Curriculum

Our program’s goal is for the resident to have a complete, broad-based, musculoskeletal training experience. As such, our program tries to ensure that each resident has had a chance to spend at least one month in all musculoskeletal related rotations at some point in their post-graduate training. Therefore, we consider each of the rotations below a core rotation. However, for the plus-one NMMOMM (or ONMM2 year) candidates, the program director will meet with each candidate at the beginning of their training and consider their prior musculoskeletal related rotations before completing their final schedule of core electives to be sure that all requirements are satisfied. That is, incoming residents that have completed these rotations in the past will have the option to repeat these rotations or spend more time in OMM continuity clinic or with core faculty.

To meet our educational goals and objectives, the following typical rotation schedule for residents in the plus-one NMMOMM program (or ONMM2 year) will be followed. The curriculum includes both didactic and clinical components, delivered in primarily multiple longitudinal learning experiences as well as supplemental, concentrated, subspecialty residency rotations. The total experience will extend over a period of 52 weeks, 10 half-days per week

Year-at-a-Glance Schedule – Example

The year will be split into 13  4-week block rotations. The residents will spend the first 2 blocks in NMM/OMM outpatient continuity clinic and then start elective core rotations in the third block. Depending on the resident’s prior experience, they may have up to 8 required core electives, leaving open electives of the resident’s choice towards the end of the year.  The residents will also have an inpatient NMM/OMM continuity consult service along with separate sports medicine and radiology longitudinal outpatient continuity exposure.

Block 1

Block 2

Block 3

Block 4

Block 5

Block 6

ONMM
Outpatient Clinic

ONMM
Outpatient Clinic

Core
Elective

Core
Elective

Core
Elective

Core
Elective

Block 7

Block 8

Block 9

Block 10

Block 11

Block 12

Block 13

Core
Elective

Core
Elective

Core
Elective

Core
Elective

Open
Elective

Open
Elective

Open
Elective

Core Electives
1 – 4 week block on outpatient Orthopedic Surgery
1 – 4 week block on outpatient Neurosurgery
1 – 4 week block on outpatient Physical Medicine & Rehabilitation
1 – 4 week block on outpatient Neurology
1 – 4 week block on outpatient Rheumatology
1 – 4 week block on outpatient Pain Management
1 – 4 week block on outpatient Physical Therapy
1 – 4 week block on outpatient Regenerative Medicine

Week-at-a-Glance Schedule – Example

  • Daily, every other week – year long – inpatient hospital consult service continuity
  • 4 (four) - ½ days weekly – year long – OMM outpatient continuity clinic
  • 2 to 3 (two-three) – ½ days weekly (average) – monthly outpatient rotation elective
  • 1 (one) - ½ day weekly – year long - primary care sports medicine continuity
  • 1 (one) - ½ day weekly – year long – dedicated structured education
  • 1 to 2 (one-two) - ½ day weekly (average)– year long – OMM Lab table-trainer and/or instructor (1st & 2nd year students)

 

Mon

Tue

Wed

Thur

Fri

Sat

Sun

Pre-AM

6:30 – 8:00 am

Inpatient
Hospital Rounds
or
None

Inpatient
Hospital Rounds
or
None

Inpatient
Hospital Rounds
or
None

Inpatient
Hospital Rounds
or
None

Inpatient
Hospital Rounds
or
None

 

 

AM

ONMM
Outpatient Clinic
Dr. Harden

ONMM
Outpatient Clinic
Dr. Kozar

ONMM
Outpatient Clinic
Dr. Harden

ONMM
Outpatient Clinic
Dr. Kozar

Instructional
Lectures
&  Hands On
or
Research

 

 

Noon

 

Book Club

Journal Club

 

 

 

 

PM

Rotation Elective

ONMM LAB
or
Rotation Elective

Rotation Elective

ONMM LAB
or
Rotation Elective

Sports Med VT
Clinic
Dr. Kozar
or
Research Time

 

 

Evening

Inpatient
Hospital Rounds
or
None

ONMM
Outpatient Clinic
Dr. Kozar
or
Inpatient Hospital|
Rounds

Inpatient
Hospital Rounds
or
None

ONMM
Outpatient Clinic
Dr. Kozar
or
Inpatient Hospital
Rounds

Inpatient
Hospital Rounds
or
None

 

 

Instructional Educational Activities

(these are subject to change from year to year)

The OMM Department is committed to providing the complete spectrum of medical education for the resident doctor in training. Didactic and clinical education round out the residents’ training experience. Our in-house rotations, combined with up to date continuing medical education programs are designed to provide the physician in training maximum exposure to real world challenges in musculoskeletal medicine.

  • Weekly OMM book club & separate journal club
  • Monthly Meetings:
    • Sports medicine journal club
    • MSK Radiology rounds
    • Sports medicine didactic series (Thurs AMs)
  • Friday AM Instructional Education Block - Dedicated 4 hours weekly:
    • Weekly palpation exploration and palpation skill enhancement
    • Historical Osteopathic philosophy document review
    • Historical hands–on Osteopathic technique review
    • Hands-on Osteopathic technique review – to cover the basics of approach & technique of all osteopathic treatment techniques
    • Anatomy lab dissection with ultrasound correlation
    • Exercise physiology
    • Biomechanics & gait analysis
    • Motor control physiology and functional rehabilitation assessment
    • Exercise prescription from a functional & Osteopathic perspective
    • Basic nutrition
    • Regenerative medicine didactic & hands on training
    • Beginning to Intermediate diagnostic ultrasound evaluation – including extremity, spine, pelvis, and nerves
    • Pain Medication Pharmacology review
    • Training in lecturing, hands-on teaching and research design specific to NMM/OMM

Additional Required Educational Activities

  • 40 hr basic cranial course
  • Intermediate OMT courses held at VCOM or nearby COMs
  • Extremity Diagnostic Musculoskeletal Ultrasound course
  • Ultrasound Guided Injection Cadaver Course
  • Nutrition & Hormone evaluation & treatment course focused on the chronic pain patient
  • Attendance at annual AAO Convocation

Teaching and Research Experience

The plus-one NMM/OMM (ONMM2) residents will be responsible to:

  • Lead OMM book club and journal club on an alternating basis with attending physicians
  • Prepare and deliver at least 1 OMM lecture and lead 1 OMM lab for each the 1st and 2nd year students
  • Table train regularly at Tuesday & Thursday afternoon 1st & 2nd year student OMM labs
  • Hold OMM content and hands-on review prior to finals for each teaching block for the 1st & 2nd year students
  • Assist in the teaching of students & residents that rotate through ASOM
  • Table train at other guest OMM conferences throughout the year
  • Reading and Research. Many faculty have a number of longitudinal research projects that can be joined or the residents may come up with their own project if it will fit within the confines of the 1 year program.

Other Resident Duties

  • Complete quarterly progress reports and survey regarding their progress on rotations
  • Maintain a portfolio and written logs of ambulatory cases for all PGY-4 year experiences (ambulatory and hospital)
  • Use educational guidelines and other study guides provided during the residency
  • Take the annual in-service examination and attend AAO convocation
  • Present research where appropriate at local, regional, or national meetings

What is recognized as an acceptable scholarly activity?

The participation of each resident in scholarly activity is required prior to completion of the program. All resident planned scholarly activities must be discussed with the ONMM director prior to starting the project. This requirement can typically be met by any of the following:

a) an original paper on a neuromusculoskeletal medicine topic intended for publication
b) a scholarly project within the scope of neuromusculoskeletal medicine, such as a quality assurance or practice improvement project
c) institutional or regional research programs in which neuromusculoskeletal medicine preceptors or faculty members are actively involved
d) preparation and presentation of an neuromusculoskeletal medicine-related topic at a state, regional, or national meeting