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
Director of Medical Education, Program Director Osteopathic Family Medicine, NMM and NMM+1

Faculty

of Florida Hospital Medical Education

  • fpo1
    Timothy Spruill, Ed.D
    Associate Director for Behavioral Sciences, Research & Quality Initiatives
    Timothy Spruill, EdD Associate Director for Behavioral Sciences, Research & Quality Initiatives Associate Professor of Family Medicine & Psychiatry Timothy Spruill earned an M.A. (Counseling Psycology) from George Mason University in 1977. After four years teaching undergraduate psychology, he worked in a psychiatric hospital, while pursuing his EdD in counselor education and counseling psychology at Western Michigan University. Following three years as a rehabilitation psychologist, he became an associate professor in counseling psychology at Andrews University. In 1998, Timothy Spruill accepted his current position as behavioral medicine faculty at Florida Hospital. He joined the FH Medical Staff in 2001 as a consultant to the ED for suicidal patients, and has evaluated over 3,000 patients since. Current research activities involve characteristics of exemplary ER physicians and intimate partner violence screening in the ED. He oversees the behavioral science curriculum for the residency and actively sees patients for counseling at the Center for Family Care and the Emergency Department for acute mental health evaluations. His clinical expertise is in acute intervention psychology, cognitive behavioral therapy, biofeedback among other techniques. He leads research efforts for the residency and facilitates the Quality improvement and scholarly activity curriculum. In his free time, he enjoys football, spending time with his wife and children and reading.
  • fpo1
    Brian L. Browning, DO
    Director of Medical Education, Program Director Osteopathic Family Medicine, 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: Florida Hospital 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 Florida Hospital, 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
    Naz Gandikal, DO Assistant Director for Inpatient Services Assistant Professor of Family Medicine Undergraduate: Medical School: Kansas City University of Medicine & Biosciences Residency: Florida Hospital Osteopathic Family Medicine Residency Board Certification: American Osteopathic Board of Family Medicine Dr. Gandikal’s professional interest is in acute inpatient care. Her focus is on improved outcomes for hospitalized patients, improved communication between settings and academic hospital medicine. Her personal interests include travel, playing the cello, shopping and spending time with her family and friends.
  • fpo1
    Steven Gallas, DO
    Assistant Director for Clinical Operations, Medical Director Center for Family Care
    Steven Gallas, DO Assistant Director for Clinical Operations Assistant Professor of Family Medicine Undergraduate: University of South Alabama, BS, Biomedical Science Graduate: Tulane University, MS, Pharmacology Medical School: Nova Southeastern University Residency: Florida Hospital Osteopathic Family Medicine Residency Board Certification: American Osteopathic Board of Family Medicine Dr. Gallas joined the faculty after a successful few years in private practice and in urgent care. His professional interests are in office-based procedures, clinical performance improvement and administration. His personal interests are in sports, running and spending time with his wife and children.
  • fpo1
    Richard Margaitis, DO
    Faculty Osteopathic Family Medicine, NMM & Primary Care Sports Medicine
  • fpo1
    Eileen Conaway, DO
    Core Faculty Osteopathic Family Medicine, NMM and NMM+1
  • fpo1
    Kamini Geer, MD
    Associate Director of Medical Education, Associate Program Director Osteopathic Family Medicine and NMM
  • fpo1
    Arlene O'Donnell, DO
    Core Faculty Osteopathic Family Medicine, NMM and NMM+1
  • fpo1
    Shawn St. Marie, DO
    Faculty Hospitalist
  • 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
    Alyaz Somji, DO
    Faculty Hospitalist
  • fpo1
    Sonia Madrazo-Rico, MD
    Faculty Pediatrician
    Sonia Rico, MD Associate Director for Pediatrics Associate Professor of Family Medicine Dr. Rico teaches the pediatrics curriculum for the family medicine residency and attends at the Center for family care and the inpatient service. She has been with the program for 20 years. Her personal interests include dining, travel and spending time with her two boys.
    • fpo1
      Timothy Spruill, Ed.D
      Associate Director for Behavioral Sciences, Research & Quality Initiatives

      Timothy Spruill, EdD
      Associate Director for Behavioral Sciences, Research & Quality Initiatives
      Associate Professor of Family Medicine & Psychiatry

      Timothy Spruill earned an M.A. (Counseling Psycology) from George Mason University in 1977. After four years teaching undergraduate psychology, he worked in a psychiatric hospital, while pursuing his EdD in counselor education and counseling psychology at Western Michigan University. Following three years as a rehabilitation psychologist, he became an associate professor in counseling psychology at Andrews University. In 1998, Timothy Spruill accepted his current position as behavioral medicine faculty at Florida Hospital. He joined the FH Medical Staff in 2001 as a consultant to the ED for suicidal patients, and has evaluated over 3,000 patients since. Current research activities involve characteristics of exemplary ER physicians and intimate partner violence screening in the ED.

      He oversees the behavioral science curriculum for the residency and actively sees patients for counseling at the Center for Family Care and the Emergency Department for acute mental health evaluations. His clinical expertise is in acute intervention psychology, cognitive behavioral therapy, biofeedback among other techniques. He leads research efforts for the residency and facilitates the Quality improvement and scholarly activity curriculum. In his free time, he enjoys football, spending time with his wife and children and reading.

    • fpo1
      Brian L. Browning, DO
      Director of Medical Education, Program Director Osteopathic Family Medicine, 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: Florida Hospital 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 Florida Hospital, 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

      Naz Gandikal, DO
      Assistant Director for Inpatient Services
      Assistant Professor of Family Medicine

      Undergraduate:
      Medical School: Kansas City University of Medicine & Biosciences
      Residency: Florida Hospital Osteopathic Family Medicine Residency
      Board Certification: American Osteopathic Board of Family Medicine

      Dr. Gandikal’s professional interest is in acute inpatient care. Her focus is on improved outcomes for hospitalized patients, improved communication between settings and academic hospital medicine. Her personal interests include travel, playing the cello, shopping and spending time with her family and friends.

    • fpo1
      Steven Gallas, DO
      Assistant Director for Clinical Operations, Medical Director Center for Family Care

      Steven Gallas, DO
      Assistant Director for Clinical Operations
      Assistant Professor of Family Medicine

      Undergraduate: University of South Alabama, BS, Biomedical Science
      Graduate: Tulane University, MS, Pharmacology
      Medical School: Nova Southeastern University
      Residency: Florida Hospital Osteopathic Family Medicine Residency
      Board Certification: American Osteopathic Board of Family Medicine

      Dr. Gallas joined the faculty after a successful few years in private practice and in urgent care. His professional interests are in office-based procedures, clinical performance improvement and administration. His personal interests are in sports, running and spending time with his wife and children.

    • fpo1
      Richard Margaitis, DO
      Faculty Osteopathic Family Medicine, NMM & Primary Care Sports Medicine
    • fpo1
      Eileen Conaway, DO
      Core Faculty Osteopathic Family Medicine, NMM and NMM+1
    • fpo1
      Kamini Geer, MD
      Associate Director of Medical Education, Associate Program Director Osteopathic Family Medicine and NMM
    • fpo1
      Arlene O'Donnell, DO
      Core Faculty Osteopathic Family Medicine, NMM and NMM+1
    • fpo1
      Shawn St. Marie, DO
      Faculty Hospitalist
    • 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
      Alyaz Somji, DO
      Faculty Hospitalist
    • fpo1
      Sonia Madrazo-Rico, MD
      Faculty Pediatrician

      Sonia Rico, MD
      Associate Director for Pediatrics
      Associate Professor of Family Medicine

      Dr. Rico teaches the pediatrics curriculum for the family medicine residency and attends at the Center for family care and the inpatient service. She has been with the program for 20 years. Her personal interests include dining, travel and spending time with her two boys.

Residents

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      Hyrum Brodniak, DO, VCOM
      PGY-4
    • fpo1
      Travis Gordon, DO, MSUCOM
      PGY-4
    • fpo1
      Randal Davis, DO, NSU-COM
      PGY-3
    • fpo1
      Bradley Jahnke, DO, AZCOM
      PGY-3
    • fpo1
      Samantha Cotler, DO
      PGY-2
    • fpo1
      Meaghan Crook, DO
      PGY-2
    • fpo1
      Leah Frank, DO
      PGY-1
    • fpo1
      Amy Selwach, DO
      PGY-1
    • fpo1
      Hyrum Brodniak, DO, VCOM
      PGY-4
    • fpo1
      Travis Gordon, DO, MSUCOM
      PGY-4
    • fpo1
      Randal Davis, DO, NSU-COM
      PGY-3
    • fpo1
      Bradley Jahnke, DO, AZCOM
      PGY-3
    • fpo1
      Samantha Cotler, DO
      PGY-2
    • fpo1
      Meaghan Crook, DO
      PGY-2
    • fpo1
      Leah Frank, DO
      PGY-1
    • fpo1
      Amy Selwach, DO
      PGY-1

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

Publications

Residency

Coming soon...

Faculty

Coming soon...

Presentations

Residency

Mantle Cell Lymphoma in a 97-Year-Old Hispanic Male Gonzalez MR, Thompson B. Mantle cell Lymphoma in a 97 year old Hispanic male. Accepted for Poster Presentation. 2010 Annual Scientific Meeting of the American Geriatrics Society. Orlando, FL. May 12 – 15, 2010.

Faculty

Coming soon...

Awards

Residency

Best Care Practices in the Geriatrics Continuum 2008 Gonzalez MR. Best Care Practices in the Geriatrics Continuum 2008. Florida Medical Directors Association (FMDA) Annual Conference. Orlando, Florida. October 23-26, 2008. FMDA Careers in Long Term Care Award: $2,000.

Faculty

Louisa Burns Research Award Honors dedication and commitment to the profession through research, education and public advocacy.

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.


Sample Resident Agreement


Eligibility & Selection Policy

Benefits

We’ll Take Care of You

Educational 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.

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