Osteopathic Recognition Requirements

All osteopathic physicians and any allopathic physicians, who choose to participate in the Osteopathic recognition program in the Internal Medicine residency, will be expected to uphold the four Tenets of Osteopathic Medicine as listed below:

Tenets of Osteopathic Medicine

The Tenets of Osteopathic Medicine express the underlying philosophy of osteopathic medicine and were approved by the AOA House of Delegates as policy.

  1. The body is a unit; the person is a unit of body, mind, and spirit.
  2. The body is capable of self-regulation, self-healing, and health maintenance.
  3. Structure and function are reciprocally interrelated.
  4. Rational treatment is based upon an understanding of the basic principles of body unity, self-regulation, and the interrelationship of structure and function.


As part of the Osteopathic Recognition Program, you will be expected to develop competency in the all the milestones consistent with the general training of an internal medicine intern and resident. Additionally, you will be expected to fulfill the following requirements:

  • Attend monthly Osteopathic Case Conference annually in conjunction with Mercy Catholic Medical Center.
  • Review OMT videos which will be sent to you by email weekly. Pick at least one patient every six months whom you are seeing on any one of your inpatient services, formulate an osteopathic treatment plan and do OMT with appropriate documentation on that patient under the supervision of one of the Osteopathic faculty members: Dr. Skalak (TCU), Dr. Lerman (ICU), Dr. Skenderi (Cardiology) and Dr. Chan (TCU).
  • Participate in OMM inpatient consult service with Dr. Chan.
  • Initiate a QI or OMM project based on osteopathic tenets and principles and practices that will be part of your scholarly activity requirement and include some aspect of osteopathic principles and practice in your morning report.


  • You will be evaluated on your diagnosis, appropriate utilization of OMT and your performance of OMT every six months on a simulation patient. 
  • You will also be evaluated on your diagnosis, appropriate utilization of OMT and your performance of OMT when you treat a patient on the floor with one of the osteopathic faculty.