Residency, Internship, Fellowship...??

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ChuteBox

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Hey guys I'm new to the forum and Pre-osteopathic. I'm sure this is common sense to most, but I only have an idea of what each is. A few questions:

What is the difference between a residency, internship, and fellowship? I know a residency is when after you graduate from med school u work in a hospital in a chosen specialty...but what are the other two?

Second, does the manipulation taught in osteopathic medical school include something similar to chiropractal adjustments of the spine? i.e. Cracking of the spine, neck etc. ? I'm really interested in combining alternative medicine and manipulation with traditional medicine.

Thanks

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ChuteBox said:
What is the difference between a residency, internship, and fellowship? I know a residency is when after you graduate from med school u work in a hospital in a chosen specialty...but what are the other two?

Internship is your first year of residency. Some specialties roll this into the residency (e.g. internal medicine). Residency is additional training in your area of specialty. Fellowship usually follows residency for additional training beyond that found in residency.

These are huge generalizations. You may want to get the book "Getting into a Residency" By Iserson to get more information about getting into residency, and the different specialties that are available.

Wook
 
ChuteBox said:
What is the difference between a residency, internship, and fellowship? I know a residency is when after you graduate from med school u work in a hospital in a chosen specialty...but what are the other two?

Internship = 1st Post-Graduate Year (PGY) after medical school; sometimes combined with residency (no internship year); required for certain specialties (anesthesia, radiology); required for DO's in 5 states

Residency = Post-graduate program following internship or medical school in chosen specialty (family medicine, internal medicine, general surgery, anesthesia, radiology, etc. etc.), usually 3-4 years but longer for certain specialties

Fellowship = Sub-specialization following residency, 1-3 years depending on subspecialty; examples of Internal Medicine fellowships: cardiology, gastroenterology, pulmonology, etc.; examples of General Surgery fellowships: cardiothoracic surgery, trauma surgery, minimally invasive surgery

ChuteBox said:
Second, does the manipulation taught in osteopathic medical school include something similar to chiropractal adjustments of the spine? i.e. Cracking of the spine, neck etc. ? I'm really interested in combining alternative medicine and manipulation with traditional medicine.

Yes but we call them osteopathic manipulative treatments, and the "cracking" technique is referred to as HVLA (High-Velocity Low-Amplitude). 🙂
 
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Thank you both for the explanations, they were very helpful. Pegasus, can these adjustments of the spine be done to cure scoliosis in a pt?
 
ChuteBox said:
Thank you both for the explanations, they were very helpful. Pegasus, can these adjustments of the spine be done to cure scoliosis in a pt?

They can be done to treat a functional scoliosis, but not an anatomic scoliosis.
 
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