A.T. Still University- Kirksville College of Osteopathic Medicine Program

Program Identity & Fit

This is a community-based, osteopathically-rooted internal medicine residency at a 93-bed rural teaching hospital in Kirksville, Missouri, the birthplace of osteopathic medicine, operating in affiliation with A.T. Still University through the Still OPTI. The program emphasizes broad-based management of acute and chronic disease across inpatient and outpatient settings, with resident continuity clinics linked to hospital admissions, procedural training (intubation, bronchoscopy, thoracentesis, paracentesis, POCUS, ultrasound-guided central lines), and integration of osteopathic manipulative treatment into hospitalized and clinic patient care. Didactics center on board review, journal club, case presentations, and simulation, with residents also holding teaching responsibilities for medical students and interns. The stated goal of preparing residents to practice across both rural and urban settings, combined with an explicit institutional focus on healthcare accessibility and community engagement, signals a generalist, community-practice orientation rather than a subspecialty pipeline.