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Osteopathic Recognition Eligibility Requirements

All applicants entering into a designated osteopathic resident position at Summa Akron City’s Family Medicine Residency Program must first meet the qualifications of the Summa Health Graduate Medical Education Eligibility and Selection of Residents and Fellows Policy.

Prior to entering into a designated osteopathic position, incoming residents must either:

Be a graduate of a Commission on Osteopathic College Accreditation (COCA)- accredited college of osteopathic medicine in the United States, who holds a DO degree


Complete the “Eligibility Requirements for Residents Who Did Not Graduate from a COCA Accredited College of Osteopathic Medicine,” as summarized below.

This includes:

1. Graduates of medical schools in the United States and Canada accredited by the Liaison Committee on Medical Education (LCME)

2. Graduates of medical schools outside of the United States and Canada who meet the qualifications summarized in the Summa Eligibility and Selection Policy section (

Eligibility Requirements for Residents Who Did Not Graduate from a COCA Accredited College of Osteopathic Medicine

A. Academic criteria

1. No more than 1 board exam failure on USMLE Step 1 or Step 2

2. No more than 1-course failure in medical school

*If an incoming resident had one board exam failure or one-course failure, entry into Osteopathic Recognition is at the discretion of the Director of Osteopathic Education after reviewing the resident’s medical school record. If there was more than one board failure or course failure in medical school, then the applicant is not able to enter into Osteopathic Recognition.

B. Completion of required readings, video reviews, and post-tests prior to entering into a designated osteopathic position:

1. Foundations of Osteopathic Medicine. 3rd ed./Published under the auspices of the American Osteopathic Association; Exec. Editor Anthony G Chila. Pub. Lippincott Williams & Wilkins; 201l.

Section 1, Chapter 2 Major Events in Osteopathic History, p. 23-35

2. AOA Code of Ethics and the AOA Interpretation of the Code of Ethics


3. Atlas of Osteopathic Techniques, 3rd Edition, Alexander S. Nicholas and Evan A. Nicholas (and complete post-tests)

Chapter 1 Principles of the Osteopathic Exam
Chapter 2 Osteopathic Static Musculoskeletal Exam
Chapter 3 Spinal Regional Range of Motion
Chapter 4 Osteopathic Layer-by-Layer Palpation
Chapter 6 Principles of Osteopathic Manipulative Techniques

4. Review the following OMM videos from A.T. Still OPTI website:

OMT Basics for the MD-complete video

OMT Intensive Review and Practical Prep

Welcome and Overview- from 18-minute interval to the end
Muscle Energy Treatment Part 1-complete video
Muscle Energy Treatment Part 2-complete video
Counter strain-from start through 38 minutes

C. Submission of a Letter of Intent to enter into Osteopathic Recognition (sent to the Director of Osteopathic Education)

D. For MD PGY1s, working one-on-one with osteopathic faculty once a month during protected educational/didactic time to further osteopathic education and OMT skills


Intern (PGY1) MDs who fulfill the above requirements by January of their PGY1 year may formally enter osteopathic recognition (OR) through the ACGME and will be designated as such at that time.



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