Neuromusculoskeletal Medicine Plus One Program
Curriculum
Salary & Benefits
Contact Information & To Apply
Maine-Dartmouth Family Medicine Residency (MDFMR) offers a Plus One residency in Neuromusculoskeletal Medicine and Osteopathic Medicine to provide education and certification in the integration of advanced Osteopathic Manipulative Medicine into primary care. Significant demand from patients and residents prompted the creation of this fellowship. MDFMR has a history of integrating osteopathic principles and practices into patient care since 1996 and adding a Plus One Year is consistent with its mission to provide holistic primary care.
Our Plus One program trains residents to provide OMM in full spectrum patient centered primary care including inpatient and outpatient medicine, with a broad based knowledge in the community, family and socioeconomic aspects of medicine. Plus One residents are integral to the osteopathic teaching in the family medicine residency and UNECOM Core Training Center at MDFMR.
The curriculum offers training in a variety of settings.
Neuromusculoskeletal Medicine Residency Curriculum
General
The basic structure of a week in the life of an NMM+1 is
- 5 ½ day sessions outpatient continutity OMM clinic, at Maine-Dartmouth Collaborative Care Center, an experimental practice in an integrative patient centered medical home. MDCC practitioners include physicians double boarded in NMM & Family Medicine, an social worker training to be an LCSW, acupuncturist, and martial arts master.
- Daily inpatient rounds and OMM consults supervised by faculty with NOBNMM certification
- Bi-weekly “Neuromuscular Assessment Team” meetings. This will be a multidisciplinary team including NMM, social work and physical therapy. Acupunture adn martial arts also participate.
- Weekly educational sessions during which time Plus One residents will receive one on one didactic education and provide teaching for students and residents
- Weekly sessions precepting family medicine residents in continuity care including OMM
- Weekly sessions for scholarly activity and work on an individualized education plan
Continuity of Care Clinic
MDFMR has two continuity outpatient centers in family medicine, which also employ pediatrics, OB/Gyn, dermatology, psychology and social services. There is significant demand for OMM services by non-osteopathic providers. The Plus One Residents’ 150 patient continuity practice and consult service will be drawn largely from this population.
Hospital Care
MDFMR is closely affiliated with MaineGeneral Medical Center: two campuses of community hospitals of approximately 150 beds each plus the Alfond Cancer Center. There is a long history of osteopathic medicine at these sites and OMT is already a routine part of credentialing. Plus One residents will participate in a consult service supervised by NBONMM certified providers and assist in teaching osteopathic family medicine residents OMT in the inpatient setting.
Academic Training
MDFMR has an extensive didactic curriculum consisting of daily noon lectures, weekly afternoon long educational sessions and daily morning rounds. There are also weekly didactics for medical students containing lecture and patient-based OMT workshop components. Plus One residents will be expected to participate in these sessions both as learner and teacher. This will provide them with experience teaching at the resident and student level both in lecture and tutorial format. Plus One residents will also have workshop time of their own to review advanced OMT, documentation and teaching principles. They will also use this time for scholarly activity supervised by faculty including PhD educators. As part of the practice management curriculum, Plus One residents will be expected to participate in the bimonthly practice meetings that pertain to issues around the running of MDCC.
The Northeast Osteopathic Medical Education Network (NEOMEN), our OPTI also provides daylong educational sessions in OMM, which occur twice a year and include residencies from Maine and New Hampshire. Plus One Residents will be expected to participate in these sessions as educators.
OMM
Plus One residents will be expected to become competent in all techniques of OMM and their indications and contraindications as related to the adult, pediatric and geriatric population. There will be particular emphasis on OMM as it relates to the management of chronic disease and chronic pain in primary care. Plus One residents will also become facile as consultants in NMM. This will be achieved through participation in patient care, the Neuromusculoskeletal Assessment Team and time with physiatry, rheumatology, neurology and other specialties.
Behavioral Science
MDFMR employs a behavioral scientist who will participate in the Neuromusculoskeletal Assessment Team. There will also be reading assignments on psychology as it pertains to chronic disease management, patient participation in care, and the role of psychological trauma in pain. Plus One residents may also participate in the residency behavior curriculum as part of the noon lecture series.
Geriatrics
MDFMR is privileged to have a fellowship in geriatrics which attracts a large geriatric population to the practice of MDFMR. Plus One residents can participate as consultants in geriatric assessments. Maine is also a state with a high percentage of elderly in the general population so geriatric medicine is inherent in all aspects of medical care.
Internal Medicine & Surgery
Plus One residents will experience internal medicine and surgery as an integral part of their continuity and inpatient experiences. They may also get experience in OMM as it pertains to urgent and emergent care by participating on call.
Pediatrics
Plus One residents will gain experience in pediatrics primarily through providing OMM to newborns on the MDFMR service and as teaching osteopathic residents to perform structural exams & treatment as part of well childcare in the continuity clinic, and the OMM consult service. MDFMR is also participating in a grant to provide pediatric care to participants in an area homeless shelter. The model for this project is to provide multidisciplinary assessment and treatment, which may include osteopathic assessment and will provide an example of patient centered longitudinal care.
OB/Gyn
MDFMR has a busy obstetrical practice. Plus One residents will provide and teach OMM on family medicine residents’ continuity patients as well as referrals from area providers. MDFMR’s inpatient service includes obstetrical patients so there will be an easy venue for exposure to OMM in the immediate post partum period and potentially intra partum period as well.
Integrative Medicine
MDFMR has a long-standing history of incorporating broad thinking in the care of its patients and has faculty with expertise in herbal medicine, acupuncture and nutrition. The primary exposure to integrative medicine will be through the Maine-Dartmouth Collaborative Care Center and Neuromusculoskeletal Assessment Team. In addition, NMM +1’s may use elective time to work with area providers.
Resident Evaluation/Core Competency
Plus One residents will be evaluated through portfolios, which will be based on the seven core competencies put forward by the American Osteopathic Association, and tied to the goals and objectives provided by the American Association of Osteopathy.
Neuromusculoskeletal Medicine Faculty
NMM Plus One Residency Director:
Mark Sutherland D.O. Mark was appointed director of the Plus One Residency during the 2011-2012 academic year.
Academic Year 2011-2012
Salary (academic year) - $64,013
Educational Conferences - $850
Mileage Reimbursement - .45/mile
Relocation/Moving Expenses - $750
(when relocating for fellowship)
Payment in full for:
Medical Educational Permit
Membership to AAFP (fellow status)
Medical malpractice insurance
Time Away:
18 paid leave days plus 9 holidays
Ability to participate in:
Health Insurance - 3 plans to choose from
Medical / daycare reimbursement accounts
Neuromusculosketal Fellowship Contact Information & To Apply
For more information please contact:
Mark Sutherland, D.O.
Neuromusculoskeletal Residency Director
email: mark.sutherland@mainegeneral.org
Maine-Dartmouth Family Medicine Residency
15 East Chestnut Street
Augusta, Maine 04330
To apply, please submit a letter of intent, resume and three references to Dr. Sutherland.