Integrated Family Medicine/ Neuromusculoskeletal Medicine

Integrated Family Medicine/ Neuromusculoskeletal Medicine

About the Program

The FM/NMM Residency is an integrated four-year residency in family medicine and neuromusculoskeletal medicine. Residents are taught a comprehensive array of osteopathic approaches to plan and deliver patients appropriate treatments. Patients are managed in out and in patient settings. Weekly, half-day academic sessions are held. The goal of the FM/NMM is to produce family physicians who fully integrate the osteopathic approach in diagnosis and treatment of the whole patient. In addition, special emphasis will be placed on rheumatology, neurology, endocrinology, immunology, sports medicine, and orthopedics as they relate to the neuromuscloskeletal system of the patients.

Our philosophy mirrors that of A. T. Still's: To provide care for the whole person. To accomplish this, we train physicians to apply all current methods of medical care. In addition, we teach maximization of the body's inherent anatomic and physiologic capabilities to restore and maintain health.

We teach that spiritual, emotional and mental well being are just as important as physical health. Through application of this philosophy, residents develop as competent, confident, life-long learners, who can provide high quality comprehensive medical care for the whole person.

Founded in the osteopathic tradition, the program integrates the principles of continuity, whole person and family care and maintains a guided philosophy of caring for the mind-body-spirit with attention to ints inter-relation in health. Through continuity care at the Center for Family Care – the academic practice for the residency, the Family Medicine Residency Service at the East Orlando campus, home visits and continuity care at local Skilled Nursing Facilities, the program practices and teaches family medicine, striving to achieve the Family Medical Home model The program integrates behavioral health and osteopathic principles and practice in all aspects of patient care and education.

Download Program Manual

Brian L. Browning, DO
Program Director NMM and NMM+1

Faculty

of Florida Hospital Medical Education

  • fpo1
    Kamini Geer, MD
    Program Director Osteopathic Family Medicine
    Program Director, Family Medicine Education • Albany Medical College • Beth Israel Residency in Urban Family Health • Montefiore Women’s Health Fellowship • Mailman School of Public Health at Columbia University Areas of Interest • Underserved health care • Women’s health Residency Activities • CFC GYN Clinic • CFC OB clinic • Community Medicine Clinic at East
  • fpo1
    Arlene O'Donnell, DO
    Core Faculty Osteopathic Family Medicine, NMM and NMM+1
    Core Faculty Education • Edward Via Virginia College of Osteopathic Medicine • Florida Hospital East Orlando Integrated Family Medicine and Neuromusculoskeletal Residency Areas of Interest • Osteopathic manipulative treatment for infants, children, prenatal and postpartum patients • EHR functionality and improvement • Visceral OMT techniques • Injections w/wo ultrasound guidance Residency Activities • OMT clinic for pediatric, prenatal and postpartum patients • OMT hospital
  • fpo1
    Shawn St. Marie, DO
    Faculty Hospitalist
    Education • University of New England College of Osteopathic Medicine • Internal Medicine Residency. Berkshire Medical Center, MA • Neuromuscular Medicine/ Osteopathic Medicine Residency. Advent Health East Orlando, FL Areas of interest • Critical care, Cardiology, Infectious Disease, Nephrology, Gastroenterology • Osteopathic Manipulative Medicine, Neuromuscular Medicine • Hospital Medicine Education and Simulation • Ethics and Humanitarianism in Medicine Residency Activities • Simulation Education
  • fpo1
    Alyaz Somji, DO
    Faculty Hospitalist
    Education • Nova Southeastern University College Of Medicine • Internal Medicine Residency at Palmetto General Hospital Areas of Interest • Functional medicine and lifestyle coaching • CHF/COPD readmission committee • Safety alliance physician champion Residency Activities • Ethics committee chair • Unit medical director
  • fpo1
    Edward Jackson, MD
    Medical Director
    Medical Director, Center for Family Care Education • Sidney Kimmel Medical College at Thomas Jefferson University • Saginaw Cooperative Hospital Areas of Interest • Skin diseases and skin surgery • Hospice and End of Life care • Geriatrics (CAQ) Residency Activities • Skin procedures instruction • ALSO instructor
  • fpo1
    Pallavi Deliwala, MD
    Associate Director for Pediatrics
    Pallavi Deliwala, MD Associate Director for Pediatrics Associate Professor of Family Medicine Dr. Deliwala has been with the program for 15 years and oversees the pediatrics curriculum for the residency. She attends at the Center for Family Care as well as the hospital. She is a world-traveler and has been to almost every continent!
  • fpo1
    Sonia Madrazo-Rico, MD
    Director of Pediatrics
    Director of Pediatrics Education • University de Monterrey, Mexico • Albany Medical Center Pediatric Residency Program Areas of Interest • Pediatric Primary Care Residency Activities • Oversight of CFC Pediatric Clinic • Residency Pediatric Curricula and lectures
  • fpo1
    Timothy Spruill, Ed.D
    Associate Director for Behavioral Sciences, Research & Quality Initiatives
    Behavioral Science Education: Western Michigan University Areas of Interest • Integration of Behavioral Health in Primary Care settings • Motivational Interviewing • Suicide risk assessment and evidence-based treatments Residency Activities • Directing/supervising counseling interns • Longitudinal Behavioral Medicine rotation for residents. • Resiliency Group for residency classes
  • fpo1
    Brian L. Browning, DO
    Program Director NMM and NMM+1
    Brian Browning, DO Director for Neuromusculoskeletal Medicine Programs Associate Director for Osteopathic Manual Medicine Curriculum Assistant Professor of Family Medicine & Osteopathic Manual Medicine Undergraduate: University of Central Florida, BS, Biology Medical School: Nova Southeastern University Residency: AdventHealth Orlando Family Medicine/NMM Integrated Program Board Certification: American Osteopathic Board of Family Medicine & American Osteopathic Board of Neuromusculoskeletal Medicine Dr. Browning is “home-grown.” After completing his clinical rotations at AdventHealth Orlando, he stayed on for residency training and then as faculty. Dr. Browning’s professional interests include inpatient and outpatient OMM, prolotherapy, platelet-rich plasma therapy, ultrasound-guided joint injections, OMM and Sports Medicine. His personal interests include volleyball, sports and spending time with his family. He lives in Orlando with his wife and two sons.
  • fpo1
    Naz Gandikal, DO
    Assistant Director of Inpatient Services
    Education • Kansas City University of Medicine and Biosciences: Kansas City, MO • Family Medicine Residency Advent Health East: Orlando, Fl Areas of Interest • Physician leadership and development • Patient experience • Patient Safety and Quality • Hospital Administration • Academic Hospital Medicine, Autoimmune diseases, Endocrinology and Critical Care Residency Activities • Assistant Director for Inpatient Services • Unit Medical Director • Assistant Chief of Staff
  • fpo1
    Richard Margaitis, DO
    Faculty Osteopathic Family Medicine, NMM & Primary Care Sports Medicine
    Education • New York Institute of Technology College of Osteopathic Medicine • Florida Hospital East Orlando Integrated Family Medicine Residency and Neuromusculoskeletal Residency • East Carolina University and Brody School of Medicine Sports Medicine Fellowship Areas of Interest • Primary Care Sports Medicine Residency Activities • Orlando Solar Bears team physician • High School Football game coverage • School Sports Physicals
  • fpo1
    Eileen Conaway, DO
    Core Faculty Osteopathic Family Medicine, NMM and NMM+1
    Core Faculty Education • Edward Via Virginia College of Osteopathic Medicine • Florida Hospital East Orlando Integrated Family Medicine and Neuromusculoskeletal Residency Areas of Interest • Osteopathic manipulative treatment for infants, children, prenatal and postpartum patients • EHR functionality and improvement • Visceral OMT techniques • Injections w/wo ultrasound guidance Residency Activities • OMT clinic for pediatric, prenatal and postpartum patients • OMT hospital
    • fpo1
      Kamini Geer, MD
      Program Director Osteopathic Family Medicine

      Program Director, Family Medicine
      Education
      • Albany Medical College
      • Beth Israel Residency in Urban Family Health
      • Montefiore Women’s Health Fellowship
      • Mailman School of Public Health at Columbia University
      Areas of Interest
      • Underserved health care
      • Women’s health
      Residency Activities
      • CFC GYN Clinic
      • CFC OB clinic
      • Community Medicine Clinic at East

    • fpo1
      Arlene O'Donnell, DO
      Core Faculty Osteopathic Family Medicine, NMM and NMM+1

      Core Faculty
      Education
      • Edward Via Virginia College of Osteopathic Medicine
      • Florida Hospital East Orlando Integrated Family Medicine and Neuromusculoskeletal Residency
      Areas of Interest
      • Osteopathic manipulative treatment for infants, children, prenatal and postpartum patients
      • EHR functionality and improvement
      • Visceral OMT techniques
      • Injections w/wo ultrasound guidance
      Residency Activities
      • OMT clinic for pediatric, prenatal and postpartum patients
      • OMT hospital

    • fpo1
      Shawn St. Marie, DO
      Faculty Hospitalist

      Education
      • University of New England College of Osteopathic Medicine
      • Internal Medicine Residency. Berkshire Medical Center, MA
      • Neuromuscular Medicine/ Osteopathic Medicine Residency. Advent Health East Orlando, FL
      Areas of interest
      • Critical care, Cardiology, Infectious Disease, Nephrology, Gastroenterology
      • Osteopathic Manipulative Medicine, Neuromuscular Medicine
      • Hospital Medicine Education and Simulation
      • Ethics and Humanitarianism in Medicine
      Residency Activities
      • Simulation Education

    • fpo1
      Alyaz Somji, DO
      Faculty Hospitalist

      Education
      • Nova Southeastern University College Of Medicine
      • Internal Medicine Residency at Palmetto General Hospital
      Areas of Interest
      • Functional medicine and lifestyle coaching
      • CHF/COPD readmission committee
      • Safety alliance physician champion
      Residency Activities
      • Ethics committee chair
      • Unit medical director

    • fpo1
      Edward Jackson, MD
      Medical Director

      Medical Director, Center for Family Care
      Education
      • Sidney Kimmel Medical College at Thomas Jefferson University
      • Saginaw Cooperative Hospital
      Areas of Interest
      • Skin diseases and skin surgery
      • Hospice and End of Life care
      • Geriatrics (CAQ)
      Residency Activities
      • Skin procedures instruction
      • ALSO instructor

    • fpo1
      Pallavi Deliwala, MD
      Associate Director for Pediatrics

      Pallavi Deliwala, MD
      Associate Director for Pediatrics
      Associate Professor of Family Medicine

      Dr. Deliwala has been with the program for 15 years and oversees the pediatrics curriculum for the residency. She attends at the Center for Family Care as well as the hospital. She is a world-traveler and has been to almost every continent!

    • fpo1
      Sonia Madrazo-Rico, MD
      Director of Pediatrics

      Director of Pediatrics
      Education
      • University de Monterrey, Mexico
      • Albany Medical Center Pediatric Residency Program
      Areas of Interest
      • Pediatric Primary Care
      Residency Activities
      • Oversight of CFC Pediatric Clinic
      • Residency Pediatric Curricula and lectures

    • fpo1
      Timothy Spruill, Ed.D
      Associate Director for Behavioral Sciences, Research & Quality Initiatives

      Behavioral Science
      Education: Western Michigan University
      Areas of Interest
      • Integration of Behavioral Health in Primary Care settings
      • Motivational Interviewing
      • Suicide risk assessment and evidence-based treatments
      Residency Activities
      • Directing/supervising counseling interns
      • Longitudinal Behavioral Medicine rotation for residents.
      • Resiliency Group for residency classes

    • fpo1
      Brian L. Browning, DO
      Program Director NMM and NMM+1

      Brian Browning, DO
      Director for Neuromusculoskeletal Medicine Programs
      Associate Director for Osteopathic Manual Medicine Curriculum
      Assistant Professor of Family Medicine & Osteopathic Manual Medicine

      Undergraduate: University of Central Florida, BS, Biology
      Medical School: Nova Southeastern University
      Residency: AdventHealth Orlando Family Medicine/NMM Integrated Program
      Board Certification: American Osteopathic Board of Family Medicine & American Osteopathic Board of Neuromusculoskeletal Medicine

      Dr. Browning is “home-grown.” After completing his clinical rotations at AdventHealth Orlando, he stayed on for residency training and then as faculty.
      Dr. Browning’s professional interests include inpatient and outpatient OMM, prolotherapy, platelet-rich plasma therapy, ultrasound-guided joint injections, OMM and Sports Medicine. His personal interests include volleyball, sports and spending time with his family. He lives in Orlando with his wife and two sons.

    • fpo1
      Naz Gandikal, DO
      Assistant Director of Inpatient Services

      Education
      • Kansas City University of Medicine and Biosciences: Kansas City, MO
      • Family Medicine Residency Advent Health East: Orlando, Fl

      Areas of Interest
      • Physician leadership and development
      • Patient experience
      • Patient Safety and Quality
      • Hospital Administration
      • Academic Hospital Medicine, Autoimmune diseases, Endocrinology and Critical Care

      Residency Activities
      • Assistant Director for Inpatient Services
      • Unit Medical Director
      • Assistant Chief of Staff

    • fpo1
      Richard Margaitis, DO
      Faculty Osteopathic Family Medicine, NMM & Primary Care Sports Medicine

      Education
      • New York Institute of Technology College of Osteopathic Medicine
      • Florida Hospital East Orlando Integrated Family Medicine Residency and Neuromusculoskeletal Residency
      • East Carolina University and Brody School of Medicine Sports Medicine Fellowship
      Areas of Interest
      • Primary Care Sports Medicine
      Residency Activities
      • Orlando Solar Bears team physician
      • High School Football game coverage
      • School Sports Physicals

    • fpo1
      Eileen Conaway, DO
      Core Faculty Osteopathic Family Medicine, NMM and NMM+1

      Core Faculty
      Education
      • Edward Via Virginia College of Osteopathic Medicine
      • Florida Hospital East Orlando Integrated Family Medicine and Neuromusculoskeletal Residency
      Areas of Interest
      • Osteopathic manipulative treatment for infants, children, prenatal and postpartum patients
      • EHR functionality and improvement
      • Visceral OMT techniques
      • Injections w/wo ultrasound guidance
      Residency Activities
      • OMT clinic for pediatric, prenatal and postpartum patients
      • OMT hospital

Residents

    • fpo1
      Samantha Cotler, DO
      Chief Resident
      PGY-4
    • fpo1
      Meaghan Crook, DO
      PGY-4
    • fpo1
      Amy Selwach, DO
      PGY-5
    • fpo1
      Samantha Cotler, DO
      Chief Resident
      PGY-4
    • fpo1
      Meaghan Crook, DO
      PGY-4
    • fpo1
      Amy Selwach, DO
      PGY-5

Curriculum

Rotation Schedule
  • FMRS 2 Blocks
  • Pediatrics 2 Blocks
  • OMM 1 Block
  • Obstetrics 1 Block
  • Gynecology/NF 1 Block
  • General Surgery 1 Block
  • Orthopedics 1 Block
  • Pharmacy/Elective 1 Block
  • FMRS 2 Blocks
  • Pediatrics 1 Block
  • Sports Med/Elective 1 Block
  • Geri/AR-PM 1 Block
  • GYN/Elective 1 Block
  • Elective 1 Block
  • Derm/NF 1 Block
  • Surgery Selective 1 Block
  • NMM Ortho 1 Block
  • NMM OB 1 Block
  • NMM Peds 1 Block
  • FMRS 1 Block
  • Pediatrics 2 Blocks
  • Geriatrics 1 Block
  • Surgery Selective 1 Block
  • Emergency Medicine 1 Block
  • NF/Elective 1 Block
  • Elective 1 Block
  • AR 1 Block
  • NMM Neuro 1 Block
  • NMM Rheum 1 Block
  • NMM Radiology 1 Block
  • NMM Specialist 1 Block
  • FMRS 1 Block
  • Pediatrics 1 Block
  • Gynecology 1 Block
  • Psychiatry 1 Block
  • Surgery Selective 1 Block
  • Elective 3 Blocks
  • AR/Research 1 Block
  • NMM Peds 1 Block
  • NMM Specialist 1 Block
  • NMM Elective 1 Block
  • NMM Research 1 Block

The first year has one month of OMM and weekly didactics. Years two and three consist of four months of NMM and eight months of FM rotations. One half clinic day is devoted to seeing OMM patients.

NF: Night Float
AR: Administrative Resident
PM: Practice Management
Surgery Selective include: ENT, Ophthalmology, urology and other electives

Also, on Thursday afternoons there is didactics and lab for the NMM residents. The program is based upon Dr. Still's teachings of "knowing anatomy."

  • Procedures
  • Joint Injections
  • Trigger point injections
  • Prolotherapy and PRP
  • Musuloskeletal untrasound guided procedures
Clinic
  • Interns have a half day of clinic weekly
  • Residents have one full day of family medicine clinic and one half day of dedicated OMM clinic weekly
Call System
  • Interns rotate on a night float system, usually for 2 weeks at a time for 6-8 weeks of the year and have approximately 10 other nights of call during the year
  • 2nd year and 3rd year residents call have 2 weeks of night float in the first half of the year
  • 2nd year have call approximately 1 in 8
  • 3rd year have call approximately 1 in 16
  • 4th year residents have 8 calls for the year while they are assigned to the inpatient medicine and pediatric services
  • NMM residents are additionally assigned approximately 2-4 weekends throughout the year to cover the inpatient OMT consult service
Electronic Medical Record System

Outpatient documentation of patient care is done using an “Electronic Medical Record” or EMR called EPIC. EpicCare© is inherently flexible, accommodating specialty providers and facilities while ensuring that clinical information is stored in a seamless ambulatory care record.

Didactic Programs

FM/NMM residents attend Wednesday afternoon Family Medicine Didactics and Thursday afternoon NMM Didactics weekly. NMM didactics follow a systems-based approach and focuses on understanding anatomy and diagnosis and treatment of each body reason using the full range of osteopathic manipulative techniques. Two osteopathic philosophy texts are studied per year as well as other texts relating to NMM core curriculum on a rotational basis. Current articles are regularly discussed and critiqued in journal club during the didactic sessions.

Research

Eligibility

What You'll Need

  1. Doctor of Osteopathy (DO) degree from an AOA accredited College of Osteopathic Medicine
  2. Passed Part I and Part II of the Comprehensive Osteopathic Medical Licensing Examination (COMLEX)
  3. Personal Interview with the program
  4. Proof of US citizenship

The program participates in the AOA match through the National Matching Service (NMS). Applications will only be accepted through the match process.

Benefits

We’ll Take Care of You

CME Allowance 

OGME 1 -$250.00

OGME 2 -$800.00

OGME 3 - $1300.00

OGME 4 - $1750.00

Professional Fees:

Florida State Medical License and DEA license fees. The cost of certification classes such as ACLS, PALS, BLS, NRP are covered as necessary for meeting program requirements.

Physician Wellbeing

For more information on the many benefits offered across all programs, click here.

Application Process

Join Our Resident Team

No longer accepting Applications for the Integrated Family Medicine Program

No Longer Accepting Applications

Directions

  • From the airport:
    Head South on Semoran Blvd (State Road 436) Turn right onto Lake Underhill Rd
  • From the Tampa area:
    Take I-4 East to Orlando Take 408 East Exit (#82A) (Toll Road $1.25) Take Goldenrod Rd Exit (#16) Turn right onto Goldenrod Rd Turn left onto Lake Underhill Rd
  • From the Daytona area:
    Take I-4 West to Tampa Take 408 East Exit (#82A) (Toll Road $1.25) Take Goldenrod Rd Exit (#16) Turn right onto Goldenrod Rd Turn left onto Lake Underhill Rd

Celina Diaz

Residency Coordinator

407-303-8683407-303-8659 7975 Lake Underhill Road Suite 210 Orlando, FL 32822