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Senior Member
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1. If i wanted to match into a field such as ROADS, why wouldn't I just try to match it in the DO world? They are the same money, same job, same work ethic. Why does the residency program really matter that much?? 2. Wouldn't it be easier to match a high speciality in the DO world compared to taking the USMLE and competing with so many other MDS and out of country students?? 3. If I wanted to do IM, is it true that my fellowships are limited by going into the DO world? Does the DO world not have fellowships itself? Honestly, I really don't understand what is the big deal in taking the USMLE, when we have been told all along that the DO world provides the same exact specalities. Granted with less spots they may be more harder to get into, but are probably still easier than applying to MD residencies with so many more applicants? If someone could provide me as much detail as possible, it would be great to finally get this cleared up! Thanks! |
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#2 |
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Banned
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Get out of here with this jive. There is no way on Earth you're a medical student.
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#3 | |
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Chronically ambitious
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Also, this becomes a major issue if you want to practice internationally. My native Canada is a good example. If I want to practice in the province of Ontario, I have to either a) complete an acgme residency and get BC, or b) match into a Canadian residency (NOT an easy thing to do, though it has been done) Quote:
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#5 |
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Chillaxin
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Just to throw in about ROAD specialties. There's a mantra on SDN which I'm sure is based in reality that the A in ROAD gets better training in an ACGME residency and you may find parts of the country which won't hire you.
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#6 |
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Half man, half bearpig
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Hypothetical situation: Imagine yourself finishing your final year of a DO diagnostic radiology residency, and you look out at the job market. What do you see? Difficulty in finding a good job is what you see. All your colleagues are encouraging you to do a year or two fellowship in order to increase your competitiveness in something like vascular or interventional radiology. Guess what? The only fellowships that exist are ACGME fellowships. With proposed GME changes, only people who went to ACGME residencies could go to ACGME fellowships, which means you couldn't. Well, you could, but you'd have to redo your rads residency at an MD program.
samples of fellowships: http://residency.wustl.edu/medadmin/...A?OpenDocument
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♫ You've got, that jaded feeling ♫ |
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#7 | |
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MD c/o 2016
Join Date: Oct 2010
Posts: 1,088
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*looks at calendar* *looks at responses to post*
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I ☤ New Orleans |
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#8 | |
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Senior Member
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"if you mind can conceive it, and your heart can believe it, then you can achieve it" |
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#9 | |
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1K Member
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Just because it's a DO residency doesn't mean its any easier to match into it. Read the osteopathic derm thread and you will see it takes a lot of effort (and even doing FP residency) and time to get into it. I was told by someone who went for DO ENT this year that there were only 20 spots available for at least 100 applicants and those places only took students who rotated there. The student had a backup specialty just in case. So in these instances it will be super hard no matter which match you choose.
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Army HPSP C/O 2013 Step 1 [X], Third Year [X], Step II PE [X], USMLE Step II CK [X], Step II CE [X], Fourth Year [X], Match [ ], Graduation [] |
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#10 | |
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witty phrase here
Join Date: Mar 2012
Posts: 39
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Is it really difficult to find a job as a DO radiologist?!
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#11 |
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Member
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I can tell you that on principle I diddn't take USMLE just Comlex and got interviews at most of the best east coast psych programs with no difficulty at all. DO programs have been around for quite some time and it's finally getting to the point where almost all the MDs say its pretty much the same darned thing. I haven't met a program director yet that diddn't understand my Comlex scores. If you are going for ROADS or maybe a competitive IM fellowship, go for it, but otherwise I'd say forget it. I personally wouldn't give a program the time of day if they hadn't had a D/O come through before or if they acted like they were doing me any kind of favor for taking me as a DO. Get good scores, get good letters, be involved, and get good grades in your classes and nothing else matters. With that said there are very few DO psych programs so I just went for an ACGME program that I liked and was close for my wife.
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#12 |
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2K Member
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The problem is the USMLE is a better test period. You can more easily prepare for the questions on the exam and if you study and study hard you know you are going to get returns on the actual exam. While the COMLEX is very much a crapshoot. The COMLEX is wildly unpredictable and has poorer questions. I don't think anyone can argue with this.
So for those students wanting a return on their hard work. I definately think taking the USMLE is a wise idea. If anything I think principle should dictate taking the better exam, but thats just me. |
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#13 | |
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Chillin, Maxin, Relaxin
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Plenty of students I know matched into OB/GYN, FP, IM, Psych, EM with just a comlex, sure... But ACGME Surgery, Anesthesiology, Rads, Selective IM programs, and certain (seemingly random) EM programs will want to see a USMLE. Keep your options open folks! Lots of people change their minds 3rd year and wish they would have taken a crack at the USMLE -- some peeps in my class have had to sacrifice their training options and settle. All because they didn't spend a day answering questions, whether it be due to "principles" (silly reason in my opinion), fear of doing poorly or laziness.
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On a path to certain destruction... |
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#14 | |
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#15 |
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Member
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I was also someone who refused to repeat MCAT even though my score was way below my practice test scores. I just diddn't see the need. As i said ROADS, IM fellowships and big name programs it's probably a good idea. I'm not arguing with that. I just think med students worry too much in general about scores, tests, grades. If you know you want a less competitve speciality USMLE is just not needed. There are so many good ACGME residencies out there that are totally accepting of DOs and COMLEX scores. You'll find out that patient's will have no idea where you went to college, med school or residency and you will make just as much money as those that went to big name expensive schools. In the end your contacts and business skills will help you the most if you are really concerned about money. If you want to push yourself for the top residencies, then by all means go for it, but make sure you enjoy what you are doing and don't burn yourself out in the process.
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#16 |
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Senior Member
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Your right on this, if your sure you know what you want to do. People do change their minds, and I know a few people in my class who only took the comlex and ended up changing their minds midway through 3rd year. Now they're restudying for Step I. More options are ALWAYS better than fewer.
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#17 | |
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Chillin, Maxin, Relaxin
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Some of the top achievers in my class are now having to study during rotations to take the exam so that they can be considered at programs who want a USMLE score. That royally sucks. Others just can't realistically do that and have to limit their applications to the DO match in their specialty of choice (Anesthesia) since their COMLEX is not astoundingly high, which is NOT ideal in a few specialties (i.e. Anesthesia!!). |
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#18 |
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Senior Member
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Sure, why try your best when you can be "good enough"?
Last edited by DO Anes; 04-12-2012 at 09:09 AM. Reason: . |
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#19 | |
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Junior Member
Join Date: Apr 2012
Posts: 21
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2. Yes, it is easier. Some programs are better than others and you obviously want to get trained well. That means applying to some ACGME programs as well. 3. Yes, it is better to do ACGME if you want to do a fellowship, but that doesn't mean an osteopathic program will prevent you from fellowships. |
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#20 | |
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Chillaxin
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Not to mention, it's "mandated" to do ACGME anes. |
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#21 |
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Senior Member
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#22 |
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Chillaxin
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#23 |
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1K Member
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Seriously doubt it. Like any doctor has trouble finding a job once they finish? I find it interesting that those spouting difficulty as a physician in the job market are pre-meds who think that the MD degree/residency is superior. No on cares what your initials are in the job market, just that you have no liabilities, have a clean license and are board certified. Period.
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University of Alaska-Fairbanks 1994 LECOM Class 2006 Osteopathic Family Practice Residency 2009 If you want to go somewhere and be somebody, you better wake up and pay attention.Sister Act II |
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#24 | |
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No, no. Doggie afuera.
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You are already studying for COMLEX 1, which is essentially the same material (although the USMLE is, as mentioned above, an exceedingly superior exam). The test will cost you what, $500?? That's pissing in the ocean compared to what you will owe in loans. Again assuming you are actually a student, you will have realized that the vast majority of medical students change their path during med school. What you want to do as a 2nd year when you take step 1 will almost certainly not be what you end up doing. You may think you want to do FP all the way, then during 3rd/4th year realize you really like GSurg. Having that USMLE score sure could help! More than a few of my former classmates only took COMLEX, then later decided they wanted to take USMLE as well only to find out that it's a bitch to study for a second time. Don't risk being in that situation, just take both at the same time and get them over with...
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Misser Darth, we no have no more Windex on Star Destroyer... EM PGY3 |
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#25 |
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Senior Member
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You only have a hard time finding a job as a doctor if you're location limited or only want to work in a highly sought after job (academic attending in a cushy place). Instead of believing panicked pre-meds/med students, I believe in numbers and economics: There is currently a shortage of doctors in almost every specialty.
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#26 |
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1K Member
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Radiologists are probably the least inhibited by their location. Most everything is digital anymore and a lot of rads actually work from home. That's why NightHawk works so well. American radiologists in Australia dictating films since our night time is their daytime. Most rural rads is outsourced and you never really know where the actual person is dictating from.
Last edited by cabinbuilder; 04-17-2012 at 04:50 PM. |
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#27 | |
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Senior Member
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#28 | |
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2K Member
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Then you just apply to DO programs and don't report your usmle score. You only have to report it if you apply to MD programs. |
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#29 | |
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Senior Member
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A lot of folks have a perspective on radiology that was true in like 2008 (500k a year starting, can work anywhere, partners bathing in rooms of cash). There's definitely an oversupply of radiologists in the current reimbursement environment. This happened to path too a while back and it's only gotten uglier. Telerads groups are kind of nasty as well and might take over the national market if the oversupply of radiologists continues.
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D.O. c/o 2016
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#30 | |
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1K Member
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2. I could care less about radiologists ability to get work as an FP, personally I don't buy it. 3. How would you know this as a 1st yr med student? 4. Were you a rad tech in your former life? 5. Not sure how you can say that a DO rad would have a worse time than an MD rad? You are just perpetuating that there is a difference of pay in the real world. There isn't. Hmm, not buying your "facts" here. Sorry. |
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#31 |
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Senior Member
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Why to do an ACGME residency:
1. perception that the MD training is better. Universities have much deeper pockets than traditional DO programs. Who has more financial availability UCLA or Pomona? 2. better "name brand medicine" recognition (nationally, a patient will recognize Mayo, but what is the DO equivalent?) 3. training is actually better. Yes, it can be! 4. residency not available through traditional DO residencies. (My case, no rad onc residencies offered in the DO community). Why take USMLE? You put yourself in the running for a highly selective MD residency. Without those scores you may be automatically excluded from an interview, as some programs don't know how to interpret COMLEX. My program likely wouldn't interview a DO or an FMG unless they had something to show that the could compete with the MD/PhDs that were applying. We had so many excellent candidates that we did not offer interviews to, that you have to have it to be in the running. |
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#32 | |
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Senior Member
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#33 |
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Senior Member
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Why do DO students want to match MD? Easy. The residency training programs are infinitely better.
End of discussion.
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Acute Care Nurse Practitioner Intensivist Chillin' like a villain |
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#34 |
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Senior Member
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What's your metric for determining "infinitely better" ? I'm not trying to be condescending; just curious why there's an assumption that all MD residencies are always better than any DO residency.
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#35 | |
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Chillin, Maxin, Relaxin
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[In General] More resources More research More pathology More variety More options More fellowships More locations Better reputability ... If an AOA program is a better fit for you, go for it. By your second year of medical school though, it's really hard to be certain about what options you will want to have. You are a pre-med..all of this will become clear in due time. I still have much to learn myself. |
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#36 |
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Senior Member
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I wanted to stay in a particular geographic region and the constant shouting about DOs practicing better medicine really chapped my hide....the AOA practically shoved me into an ACGME program. There aren't a whole lot of choices around here anyway.
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#37 |
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Senior Member
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#38 |
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Member
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#39 |
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Junior Member
Join Date: May 2011
Posts: 19
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Location, location, location.
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#40 |
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Senior Member
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#41 |
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Senior Member
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#42 |
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Senior Member
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#43 |
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Senior Member
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location
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#44 |
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Junior Member
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#45 | |
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OMS-III
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On one hand I've heard that some AOA residency directors may not take you seriously if you don't apply to both ACGME and AOA. On the other hand it may be viewed as not being committed to their program. It's up to you to figure how to 'play the game.' For all the pre-meds in on this conversation google "osteopathic opportunities search" to view current residency locations. Also check out http://www.aacom.org/data/Pages/default.aspx (Osteopathic GME Match 2009 Report). |
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#46 |
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Senior Member
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#47 |
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Junior Member
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certain fellowships require MD residency training. Medical genetics is one of them and I have an interest in that. There are probably others but that is why as a D.O. student I'm taking the USMLE.
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#48 |
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Junior Member
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You can also apply to dually accredited programs, with only the COMLEX. That is my plan ---but I am planning on family practice and being VERY much an older non-trad, who has worked in the medical field for 30 years, I think I'm pretty set on it! No need for me to do the USMLE -- one more test to try to fit in before moving and starting rotations the end of June --that's why I'm not doing it.
Kate |
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#49 | |
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Account on Hold
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Sure wish I had known that RN + about a years worth of team building classes equated to 2 years of borderline murderous basic science education, 2 years of rigorous clinical training, and 3-7 years of doctor+"training wheels"......... (if you actually are an attending I apologize, however if you are actually a DNP as described above you are literally the embodiment of all of the problems that arise in the mid-level threads we have around here) No degree, IMO, is "doctorate level" if you can get it online. Period |
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#50 | |
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Terrified Intern
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http://forums.studentdoctor.net/showthread.php?t=914669
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Specialty: Rays Advantages: Money (100K/annum) Disadvantages: Gomers, Dark offices, narcolepsy. Damaged gonads, 8 fingered progeny. Barium enemas and bowel runs. |
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