As a Doctor of Osteopathic Medicine practicing at Sharp Rees-Stealy Downtown on Fourth Avenue in downtown San Diego's Bankers Hill, Dr. Michael A. Buckley, DO brings an osteopathic framework to primary care that integrates musculoskeletal assessment into routine medical evaluations. Post-injury and post-surgical recovery referrals from this practice route to rehabilitation specialists including The Physical Therapy Effect in the downtown corridor for manual therapy, gait retraining, and return-to-activity programming. Osteopathic medical training adds structural examination techniques — palpatory diagnosis and consideration of musculoskeletal contributions to systemic conditions — to the standard MD-equivalent scope of preventive care, chronic-disease management, and acute-illness evaluation. Annual comprehensive exams at this practice include visual acuity screening and intraocular pressure checks that generate ophthalmology referrals to providers such as Eyes On Fifth in the Gaslamp Quarter when findings warrant further evaluation. The Sharp Rees-Stealy integrated campus at 2001 Fourth Avenue connects this osteopathic practice to on-site laboratory, radiology, pharmacy, and urgent care services with hospital admission privileges at Sharp Memorial Hospital for inpatient escalations.