From the Director

Thank you for considering the Osteopathic NMM Plus One Program at
Maine-Dartmouth Family Medicine Residency!

page-left_Mark_our-programs_NMM-plus-oneThe Osteopathic NMM Plus One Program at MDFMR is designed to provide advanced education in osteopathic principles and practice as well as the application of osteopathic manipulative medicine for treatment of acute and chronic conditions. This is taught in the context of a patient-centered multidisciplinary team-based model of care which includes our family medicine– and osteopathic neuromusculoskeletal medicine–boarded faculty, behavioral health care, integrative medicine, and functional medicine. Our graduates leave with a foundation particularly strong in the treatment of acute and chronic pain, and with skill and comfort in practicing hospital-based consultative care. The program emphasizes kinesthetic learning using a “hands-on-hands” mentoring process and ample clinical practice opportunities to develop proficiency with techniques.

Maine-Dartmouth Family Medicine Residency is a core family medicine residency with fellowships in geriatric medicine and sports medicine as well as the Plus One program in neuromusculoskeletal medicine/osteopathic manipulative medicine (NMM/OMM). These unopposed programs are embedded within a relatively large regional health care system and offer the advantage of shared resources and learning opportunities. Strengths of our program include diversity of educational and clinical opportunities; access to the Arizona Center’s integrative medicine curriculum; dedicated faculty with expertise in OMM, integrative medicine, functional medicine, and acupuncture; and flexibility. The region is also a beautiful place to live and work.

Diverse opportunities

Our program offers excellent inpatient and outpatient clinical experiences. Our NMM hospital-based consultative service covers pediatrics, obstetrics, medicine, and surgery. The Maine-Dartmouth Collaborative Care Center (MDCCC), our core outpatient experience, is housed in a comprehensive new regional outpatient center and accepts community-based referrals for treatment of acute and chronic pain and other neuromusculoskeletal conditions appropriate for osteopathic manipulative treatment. Plus Ones have access to all the family medicine conferences including a weekly hospital Grand Rounds; all of the organization’s sites are connected by video-teleconferencing equipment for ease of conference attendance. Our robust learning opportunities include monthly didactics and gross anatomy review with Dr. Frank Willard, biannual day-long educational sessions through our OPTI, one to one didactics, and opportunities to teach and precept osteopathic residents and medical students.

Integrative medicine

Our Plus Ones have access to the Arizona Center for Integrative Medicine’s innovative web-based Integrative Medicine in Residency program. Exposure to herbal medicine and ongoing collaboration with functional medicine and behavioral health/pain psychology colleagues are unique features of our program.

Expert faculty

NEW left_KMpurpleOur faculty of family medicine–and NMM/OMM–boarded physicians is augmented by family medicine colleagues at Maine-Dartmouth who practice osteopathic manipulative medicine and integrative medicine. Plus Ones collaborate with our MDCCC-based pain psychologist as well as our functional medicine-trained nurse practitioner who is also experienced in family and integrative medicine. Our talented sports medicine and geriatric medicine colleagues are other excellent resources.


We recognize that trainees enter our program with different skills and goals, necessitating some adjustment of education in order to optimize the educational experience. We also recognize that adults learn best by doing, so our Plus Ones assume an active role in clinical care and progressive responsibility. Elective opportunities are individually tailored to address areas for additional learning.

Beautiful place to live and practice medicine

Finally, Maine is an amazing place to live and work. Our program is nestled within the lakes and hills region of central Maine which offers many opportunities for the outdoor enthusiast. Despite its more rural location, Portland is less than an hour away and Boston is a less than three hour drive south.

We invite you to learn more about MDFMR’s Osteopathic NMM Plus One Program. Please feel free to contact us with questions or to arrange a visit.


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Kiran Mangalam, DO, C-NMM/OMM
Program Director