College of Osteopathic Medicine
Doctor of Osteopathic Medicine
PCOM, PCOM Georgia, and PCOM South Georgia
Introduction to Osteopathic Medicine
As a philosophy, science and art, osteopathic medicine is a total approach to health and disease. It recognizes that the neuromusculoskeletal system is of major importance to human life. The interrelationship between this and other body-systems is a basic part of osteopathic philosophy. An emphasis on primary care, health maintenance, prevention of disease and attention to the neuromusculoskeletal system is key to osteopathic medical education and practice. Universally accepted today, these attributes were considered unorthodox when Dr. Andrew Taylor Still (1828-1917) objected to the crude medications of his time and sought to enhance the body’s inherent healing through manipulation.
The osteopathic physician incorporates evaluation and treatment of the musculoskeletal system as a basis for an approach to health and disease, combining it with the diagnostic and therapeutic modalities used by general scientific approaches to the healing arts. Like their MD counterparts, DOs must be licensed in the states where they practice, and additional board certification in specialties further underscores their professional credentials. All 50 states and the District of Columbia provide for the unlimited practice of medicine and surgery by osteopathic physicians. Licensing boards are usually composed of senior members of the osteopathic profession. In some states, MDs and DOs participate in combined licensing boards.
THE OSTEOPATHIC PHILOSOPHY
This philosophy provides the osteopathic physician with a unique way of looking at health and disease. These premises include the following:
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The human body is a unit in which structure and function are reciprocally interdependent.
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The body, through a complex system, tends to be self-regulating and self-healing.
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The adequate function of body systems depends on the unimpeded flow of blood and nerve impulses.
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The musculoskeletal system is a major body system, and its importance exceeds that of mere framework and support.
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There are musculoskeletal components to disease that are not only manifestations of the disease, but also important contributing and maintaining factors.
The adoption of these basic premises led to the development of the osteopathic total-body concept. The patient is considered as part of their relationship to their psycho-, social, economic, and physical environment rather than as an isolated unit. Instead of emphasizing the momentary disease state, the osteopathic approach studies and treats the person’s well-being, lifestyle and behavior as a whole.
LEARNING OBJECTIVES
The program leading to the Doctor of Osteopathic Medicine degree is guided by the following goals for the purpose of providing a comprehensive and contemporary curriculum to educate health professionals to care for the whole person, advance the health of diverse communities and participate in the ever-changing environment. The curriculum seeks to:
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Integrate and appropriately sequence basic and clinical science material
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Present major themes in biomedicine
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Integrate early clinical experiences and case studies, and emphasize problem-solving to increase the application of knowledge-based issues to issues of patient care
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Utilize methods in information technology and informatics
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Participate in inter-professional education activities.
GRADUATION REQUIREMENTS
Each candidate for the degree of Doctor of Osteopathic Medicine must:
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Maintain established standards of personal and professional conduct
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Successfully fulfill all academic and clinical requirements
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Pass COMLEX Level 1, Level 2 CE (National Board of Osteopathic Medical Examiners).
All requirements must be completed within six years from the first date of matriculation.
Each graduate must be free of indebtedness to the College. Those students who have received financial aid are required to complete the exit interview on-line process at least one week prior to commencement. The College academic transcript will be given when all financial obligations to PCOM and the exit interview have been met
Note: It is the responsibility of the graduate to fulfill the requirements for practice for the state licensing board in the state in which he or she chooses to practice. These requirements vary widely and are regulated by the laws of each state. It is the responsibility of the graduate to get the information needed pertaining to state licensing and to fulfill these responsibilities.
First Year | ||
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Term 1 | Hours | |
Fall | ||
DO 100 | Cellular and Biochemical Foundations of Medicine | 6 |
DO 101 | Infection and Immunity | 6 |
DO 114A | Medical Humanities and Wellness I | 0.5 |
DO 139A | Osteopathic Principles and Practice I | 2 |
DO 140A | Primary Care Skills I | 1 |
DO 144A | Clinical Reasoning in Basic Science IA | 1 |
INDP 100A | Inter Professional Education | 0.5 |
DO 106 | Foundations of Research | 1 |
Hours | 18 | |
Term 2 | ||
Winter | ||
DO 104 | Foundations of Cardiovascular and Pulmonary Medicine | 3.5 |
DO 105 | Foundations of Renal, Endocrine, and Gastrointestinal Medicine | 3.5 |
DO 112 | Foundations of Physiology and the Musculoskeletal System | 4 |
DO 114B | Medical Humanities and Wellness II | 0.5 |
DO 139B | Osteopathic Principles and Practice II | 1.5 |
DO 140B | Primary Care Skills II | 1 |
DO 144B | Clinical Reasoning in Basic Science IB | 1 |
INDP 100B | Inter Professional Education | 0.5 |
Hours | 15.5 | |
Term 3 | ||
Spring | ||
DO 107 | Foundations of Reproductive and Genitourinary Medicine | 2 |
DO 108 | Head, Eyes, Ears, Nose, and Throat and Neuroscience | 4 |
DO 109 | Introduction to Human Disease and Therapeutics | 5.5 |
DO 114C | Medical Humanities and Wellness III | 0.5 |
DO 139C | Osteopathic Principles and Practice III | 1.5 |
DO 140C | Primary Care Skills III | 1 |
DO 144C | Clinical Reasoning in Basic Science IC | 1 |
INDP 100C | Inter Professional Education | 0.5 |
Total Hours 49.5 | ||
Hours | 16 | |
Total Hours | 49.5 |
Code | Title | Hours |
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Second Year Courses | ||
DO 146A | Comprehensive Basic Science Review and Synthesis IA | 1.5 |
DO 146B | Comprehensive Basic Science Review and Synthesis IB | 1.5 |
DO 146C | Comprehensive Basic Science Review and Synthesis IC | 1.5 |
DO 215 | Clinical Approach to Psychiatry | 2.5 |
DO 218 | Clinical Approach to Gastroenterology | 3.5 |
DO 226 | Clinical Approach to Hematology and Oncology | 2 |
DO 228 | Clinical Approach to Cardiovascular and Renal Medicine | 5.5 |
DO 229 | Clinical Approach to Pulmonary Medicine | 3.5 |
DO 230 | Clinical Approach to Neuroscience and Neurology | 5 |
DO 239A | Osteopathic Principles and Practice IV | 1.5 |
DO 239B | Osteopathic Principles and Practice V | 1 |
DO 239C | Osteopathic Principles and Practice VI | 1.5 |
DO 240A | Primary Care Skills IV | 1 |
DO 240B | Primary Care Skills V | 1 |
DO 240C | Primary Care Skills VI | 1.5 |
DO 246 | Medical Ethics | 1 |
DO 248 | Clinical Approach to Endocrinology and Disorders of Metabolism | 3 |
DO 250 | Clinical Approach to Reproductive Genitourinary and Obstetrical Medicine | 5.5 |
DO 259 | Clinical Approach to Musculoskeletal Medicine and Dermatology | 3 |
DO 261 | Preventive Medicine and Public Health | 1 |
INDP 200A | Inter Professional Education | 0.5 |
INDP 200B | Inter Professional Education | 0.5 |
INDP 200C | Inter Professional Education | 0.5 |
Total Credits: 98.5 |
Code | Title | Hours |
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Third Year (12 Months): Georgia Campuses | ||
M3 Required Rotations | ||
DO 310G | Family Medicine Rotation | 17 |
DO 312G | OMM Family Medicine | 17 |
DO 313G | General Internal Medicine Rotation | 17 |
DO 314G | IM Cardiology Rotation | 17 |
or DO 314AG | IM Ambulatory | |
DO 315G | Obstetrics and Gynecology Rotation | 17 |
DO 316G | Pediatric Rotation | 17 |
DO 317G | Psychiatry Rotation | 17 |
DO 319G | General Surgery Rotation | 17 |
DO 320G | Surgery Subspecialty Rotation | 17 |
DO 321G | Internal Medicine Subspecialty Rotation | 17 |
Elective Rotations | ||
Maximum M3 Year Elective Credits | 34 | |
Minimum Required M3 Total Credits: 187 |
Code | Title | Hours |
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Third Year (12 Months): Philadelphia Campus | ||
M3 Required Rotations | ||
DO 310 | Family Medicine Rotation | 17 |
DO 312 | OMM Family Medicine | 8.5 |
or DO 312A | OMM Family Medicine Selective | |
DO 313 | General Internal Medicine Rotation | 17 |
DO 314 | Internal Medicine Cardiology Rotation | 17 |
DO 315 | Obstetrics and Gynecology Rotation | 17 |
DO 316 | Pediatric Rotation | 17 |
DO 317 | Psychiatry Rotation | 17 |
DO 319 | General Surgery Rotation | 17 |
DO 320 | Surgery Subspecialty Rotation | 17 |
DO 321 | Internal Medicine Subspecialty Rotation | 17 |
DO 322 | Advanced Clinical Skills Radiology Rotation (Philadelphia Only) | 8.5 |
Elective Rotations | ||
Maximum M3 Year Elective Credits | 34 | |
Minimum Required M3 Credits = 187 | ||
Fourth Year (12 Months): All Campuses | ||
DO 392 | Clerkship Elective ((8)) | 136 |
DO 412 | Osteopathic Primary Care Sub Internship | 17 |
DO 410 | Critical Complex Care Inpatient Clerkship | 17 |
DO 415 | Emergency Medicine Rotation | 17 |
Total M4 Credits = 187 |
Third and Fourth Year Clinical Clerkship Curriculum
Twenty-two 17 credit-equivalent clerkship rotations are required between the M3 and M4 years for a total of 374 credits.
M3 Required Rotations = 170 Credits
M4 Required Rotations = 51 Credits
Elective Rotations = 153 Credits
During M3 and M4 years, students will be involved in inter-professional education sessions with Physician Assistant, Clinical PsyD, Mental Health Counseling, and School PsyD students.
Each 17 credit rotation requires 240 contact hours
The Basic Sciences and Pre-Clinical Years
PCOM students begin preparation for the study and practice of osteopathic medicine from their first day as medical students. Thus, the principles and practice of osteopathic medicine are taught throughout the medical curriculum.
The first year of the curriculum focuses on the foundational basic sciences such as anatomy, physiology, biochemistry, genetics, cell biology, and immunology. Students are also provided with an introduction to general pathologic concepts, pharmacological intervention, and medical microbiology. The curriculum combines basic science and clinical course content in integrated systems-based courses in the second year.
PCOM also recognizes that medical practice is more than science. Coursework in ethics, medical humanities, and physician and community wellness help students develop the core competencies necessary for modern medical practice. All students attend small-group, active learning sessions during the first and second year to develop communication and diagnostic skills. These special instructional activities include patient observation, case conferences, and basic clinical skills workshops. In addition, an active standardized patient and robotic simulation program introduces students to patient care through examinations of patient actors in a simulated practice setting, augmented by clinical exercises on high-tech human patient simulator manikins.
Students at the Philadelphia campus will be assigned to clinical clerkships throughout Pennsylvania, New Jersey, Delaware, and Maryland. Students at PCOM Georgia and South Georgia are assigned to clinical clerkships throughout Georgia and the Southeast.
This unique training network comprises affiliated hospitals, numerous outpatient units, and scores of physicians’ offices. These clinical settings become teaching arms of the College; in effect, our partners are our campus. The program is designed to afford progressive student responsibility in all phases of patient care under the direction of experienced physicians and health care providers. This includes history taking, physical examinations, daily patient rounds, lectures, conferences, case presentations, and online blended learning for all core rotations.
Students rotate through services in Internal Medicine, Family Medicine, Osteopathic Manipulative Medicine, Surgery, Cardiology, OB/GYN, Pediatrics, Psychiatry, Emergency Medicine, Underserved Primary Care. On elective clerkships, students may choose to pursue special interests at other medical institutions anywhere across the nation.
DO/MBA PROGRAM (Philadelphia Campus)
In conjunction with Saint Joseph’s University, a master of business administration degree in health and medical services may be earned by DO program students who concurrently complete a five year course of study for the DO and MBA degrees. Created in 1989 as the nation’s first DO/MBA degree, the curriculum requires approximately 39-45 hours of MBA coursework. The MBA program is completed during a one-year leave from medical study, following the third year of medical school. This program responds to the increasing need for business acumen in medical practice. It also prepares physicians for a wide range of emerging careers in medical administration.
Students who are interested in business administration but do not wish to enroll in the full MBA program may complete a 5-course Graduate Business Certificate during the fourth year of medical school. The Saint Joseph’s University MBA is accredited by the Association to Advance Collegiate Schools of Business(AACSB). Approval for admissions into the dual degree DO/MBA or graduate Business Certificate Program must be received by PCOM’s Director of Dual Degree Programs & Biomedical Science Specialty Concentrations in the School of Health Sciences and SJU admissions team.
DO/MPH Program (Philadelphia Campus)
Students may choose to enroll in a DO/MPH program in affiliation with Jefferson School of Population Health, which provides a 36-credit program that includes core public health disciplines in behavioral and social sciences, biostatistics, epidemiology, environmental health services and health policy. The Jefferson DO/MPH program is a five year program. The MPH is completed during a one-year leave from medical study following the third year of medical school. Approval for admissions into the dual degree DO/MPH program must be reviewed by PCOM’s Director of Dual Degree Programs & Biomedical Science Specialty Concentrations in the School of Health Sciences and Thomas Jefferson University admissions team.
Students may also enter a special joint degree program in affiliation with Temple University, leading to a master of public health degree. The DO/MPH program is a five year program. The MPH program is completed during a one year leave from medical study following the third year of medical school. Approval for admissions into the dual degree DO/MPH program at Temple University must be reviewed by PCOM’s Director of Dual Degree Programs & Biomedical Science Specialty Concentrations in the School of Health Sciences and Temple University admissions team.
DO/MS in Forensic Medicine (Philadelphia and PCOM Georgia)
Students who have successfully completed their first year of medical study at PCOM may enter a special dual degree program provided by PCOM’s Department of Pathology and Forensic Medicine. Students complete forensic medicine graduate work through Philadelphia campus weekend courses and online instruction during an extended sophomore medical year; the DO and MS program is five years in length. The program provides a core foundation in the theory, principles, ethics, professional practice and legal aspects of forensic medicine. Students acquire skills in the technical aspects of death scene investigation, identifying, preserving and protecting custody of forensic evidence, differentiating accidental and intentional injuries in both living and dead persons, and determining potential forensic value of written and photographic records. The program also provides skills in the interpretation of research in forensics and skills in utilizing information technology to access information in the forensic sciences.
Graduate Medical Education - Philadelphia Campus
Graduate medical education is the crucial step of professional development between medical school and autonomous clinical practice. It is in this vital phase of the continuum of osteopathic medical education that residents learn to provide optimal patient care under the supervision of faculty members. PCOM offers residency and fellowship programs to further the osteopathic medical education of physicians.
Admission to Postgraduate Training
Enrollment in the residency and fellowship programs at PCOM is highly competitive in order for the most qualified applicants to receive the highest-quality training. All programs, except for the Transitional Year program, participate in either the National Resident Matching Program (NRMP) or the San Francisco Match (SF Match).
The minimum requirements for admission to the residency and fellowship programs can be viewed here: https://www.pcom.edu/academics/graduate-medical-education/policies/eligibility-and-selection.html
Residency and Fellowship Programs
The residency and fellowship programs of PCOM are held to a high standard of clinical excellence, with a commitment to teaching and active encouragement of resident research. The College currently offers ACGME accredited training in eleven residency and fellowship programs, including Osteopathic Neuromusculoskeletal Medicine.
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Dermatology - Marcus Goodman, DO, Program Director. Approved Positions: 6
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General Surgery – Lindsey Perea, DO, Program Director. Approved Positions: 30
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Geriatric Medicine Fellowship – Nicol Joseph, DO, Program Director. Approved Positions: 6
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Hospice and Palliative Medicine Fellowship – Michael Srulevich, DO, Program Director. Approved Positions: 4
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Internal Medicine – Daniel Parenti, DO, Program Director. Approved Positions: 36
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Ophthalmology – Kenneth Heist, DO, Program Director. Approved Positions: 6
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Orthopaedic Surgery – John McPhilemy, DO, Program Director. Approved Positions: 20
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Osteopathic Neuromusculoskeletal Medicine (ONMM) - Lauren Noto-Bell, DO, Program Director. Approved Positions: 4
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Otolaryngology-Head and Neck Surgery – John McGrath, DO, Program Director. Approved Positions: 15
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Plastic Surgery Fellowship – Benjamin Lam, DO, Program Director. Approved Positions: 6
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Transitional Year - Erik Polan, DO, Program Director. Approved Positions: 11
DO Graduate Statistics
PCOM annually reports statistics related to the Comlex Level 3 board exam results and the number of students who applied to and obtained placement in a graduate medical education program accredited by the Accreditation Council for Graduate Medical Education (ACGME) or the military. These statistics may be found on the PCOM website: https://www.pcom.edu/program-statistics/doctor-of-osteopathic-medicine.html