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The difference between a Doctor of Osteopathic Medicine and Doctor of Medicine is a slight one-Doctors of Osteopathic Medicine, in addition to the standard medical curriculum, receive 300-500 hours of instruction in a form of manual therapy known as osteopathic manipulative medicine (OMM). Often the internists do significantly more inpatient work. Formal education and training requirements for physicians are among the most demanding of any occupation—4 years of undergraduate school, 4 years of medical school, and 3 to 8 years of internship and residency, depending on the specialty selected.

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