Our mission is to train physicians that embody the Philosophy of Osteopathy as taught by A.T. Still, and through it produce rapid and permanent results in the clinical setting. Our program trains teachers and leaders, marking its success by the lives changed by the ongoing work of its graduates. We offer three programs through the Osteopathic Neuromusculoskeletal Medicine Fellowship program, each of which are ACGME certified.

Program Directors

Michael Waddington, DO

Residency Director

Director's Welcome

Osteopathic medical training at ECHN is unique in many ways.  We promote a culture of curiosity driven learning, continuous self-improvement, and contribution back to the local community and the Osteopathic community as a whole. 

We feel that to achieve our mission, first we must cultivate often overlooked fundamental skills for Osteopathic mastery.  We first focus on the development of extraordinary palpatory skills- including calibration for detecting normal vs abnormal anatomy, and screening skills.  We then work to integrate these skills with basic science and clinical knowledge of anatomy and pathophysiology. We seek immediate and permanent results that change lives.

We enjoy integration into the local medical community, with referrals to our office coming from a variety of specialists.  We encourage our trainees to be proactive in educating physicians and patients in the community about Osteopathy, including performing community lectures and speaking with physician groups.  

We are enthusiastic about the future of Osteopathy, and very excited to play a role in guiding the future leaders of our profession. 


Dr. Michael Waddington

Program Pathways

Osteopathic Residency for Medical Students and interns

The ONMM Residency is for those wanting to specialize in the application of Osteopathic Medicine.  The specialty was formerly known as NMM-OMM (Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine).   While all DOs receive a couple hundred hours of training in the diagnosis and treatment of disease using Osteopathic Manipulative Medicine, and some pursue more, ONMM specialty training results in thousands of hours of hands on education closely supervised by another specialist.  

Our graduates are well prepared to change the lives of their patients as specialists in private practice, in multispecialty groups, as osteopathic faculty, or in medical leadership.  We take up to 2 applicants per year through ERAS

If you are a 4th year medical student looking to specialize in ONMM, you will apply to our program in ERAS.  Our ONMM program (PGY2 and 3) is linked to our ECHN Transitional year program (PGY1), so it is possible to match to our site into both of these programs for all 3 years of your training.  If you are selected for interview you will speak to our ONMM director and faculty and our TY director.  

If you are a current intern and looking for a PGY2 position to specialize in ONMM- we are currently growing our program and have been approved to take up to one applicant in this position for next year.  You must apply through ERAS for this position. 

If you are finishing residency and want to be also board certified in ONMM, please see our ONMM3 pathway below. 

Prerequisites for ONMM2 pathway

All applicants must have a medical degree.  DOs and MDs are both accepted with appropriate prerequisite Osteopathic training and references. A required PGY1 year before enrolling which may take many forms, such as:

  • A linked TRANSITIONAL YEAR AT ECHN via the NRMP match (Apply to both simultaneously through ERAS)
  • A Transitional Year at another program with Osteopathic Recognition
  • Any ACGME residency PGY1 year with Osteopathic Recognition or Osteopathic continuity clinic
  • Any AOA residency PGY1 year
  • An ACGME PGY1 year in the context of substantial prior Osteopathic knowledge (undergraduate Osteopathic teaching fellowship, Osteopathic electives etc.)


ONMM3 Pathway

Osteopathic “Plus one” Fellowship- for Residents completing their primary residency

Our Osteopathic Neuromusculoskeletal Medicine Plus-one program (ONMM3) is designed to take someone finishing residency with advanced proficiency in OMM and Osteopathic practice and bring them to specialty level with a single additional year of training.  In their application, they may demonstrate their advanced Osteopathic training by being on track to complete an ACGME program with Osteopathic Recognition, or with a letter of reference from a physician with advanced osteopathic training that can speak to their proficiency level and independence.  

At the completion of our program, our residents will be eligible for primary board certification in Osteopathic NMM.  This is a doorway to an Osteopathic NMM specialty practice or to be academic osteopathic faculty either at the medical student or resident levels.  Many with this training also proceed to sports medicine careers, pain management careers, and some decide to specialize in using it with inpatient or pediatric populations.  In preparation for this year we recommend an OMM continuity experience and/or yearly elective rotations in OMM as well as attendance at the annual American Academy of Osteopathy conference. 

We will take up to 2 applicants per year into our ONMM3 program.  Interviews start in November and we will take both outside the match with rolling admissions.  In addition to advanced Osteopathic skills, preference is given to residents with advanced aptitudes in leadership, business, teaching or research and an audition rotation with our program helps greatly.  We customize the residency experience heavily for the goals of the resident, and we will continue to offer them guidance in developing their strengths through our program.  

Prerequisites for ONMM3 pathway

All applicants must have a medical degree.  DOs and MDs are both accepted with appropriate prerequisite Osteopathic training and references.

A required primary residency must be completed before enrolling (if you are applying to our ONMM program without another primary residency, see the ONMM2 program above. The primary residency training for the ONMM3 pathway may take many forms, such as:



  • Weekly didactics
  • 4 months of Outpatient ONMM Clinic Intensive
  • 2 months of Inpatient Osteopathic Medicine
  • 1 month of Selective 1 
    • Neurosurgery
    • Orthopedic Surgery
    • Occupational Medicine
    • Podiatry
    • Sports Med
  • 1 month of Selective 2 
    • Neurology
    • PM&R
    • Rheumatology
  • 1 month of Selective 3
    • Radiology
    • Musculoskeletal Radiology
    • Pain Management
  • 3 months of Electives


(Equivalent to PGY3 year of the ONMM Residency)

  • 4 months of Outpatient ONMM clinic intensive
  • 2 months of Inpatient Osteopathic Medicine
  • 2 months of Selective 1
    • Neurosurgery
    • Orthopedic Surgery
    • Occupational Medicine
    • Podiatry
    • Sports Med 
  • 2 months of Selective 2 
    • Neurology
    • PM&R
    • Rheumatology
  • 1 month of Selective 3
    • Radiology
    • Musculoskeletal Radiology
    • Pain Management
  • 1 month of Electives

Program and Hospital Benefits

ECHN’s Residency and Internship programs offer a robust benefit package.

Program Benefits

  • Educational stipend
  • Laptop
  • Membership to applicable professional societies
  • Participation in GME and hospital committees
  • Recruitment events
  • Research opportunities
  • PGY 2 ONMM Resident Salary: $56,000
  • PGY 3 ONMM Resident Salary: $58,000
  • ONMM Fellow Salary: $64,000

Hospital Benefits

  • Cafeteria meal discount
  • Free parking
  • Health, life and short-term disability insurance
  • Maternity leave
  • Medical malpractice insurance
  • Paid leave days
  • Retirement plan through Principal

Core Faculty

Tricia Hall, DO

Assistant Director
ONMM Certified
Family Medicine

Community Faculty

Would you like to know more?