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So you have a greater chance of being stuck into this "limbo" mode. Thanks!
So you have a greater chance of being stuck into this "limbo" mode. Thanks!
There are way more then a 100 AOA resendencies. As a DO you are at a small disadvantage at acgme resendencies but have a whole other group of resendencies to enter. With carribean you only have acgme and are at a huge disadvantage.
Podiatry is now moving to 3 year PGY residency. A large percentage of these programs are run under or in conjunction with orthopedic residency programs with a few example below
http://ortho.osu.edu/education/residencyprograms/pod_residency/
http://www.stritch.luc.edu/depts/ortho/education/podiatry/
http://www.massgeneral.org/education/residency.aspx?id=70
http://www.med.upenn.edu/podiatricresidency/faculty.shtml
Being in vascular, I work with a fair number of podiatrists. While their training may fall under the purview of orthopedics, it is not the same as doing medical school/residency. This is not a slight on podiatrists. It is simply different. When on service I consult a couple of our podiatrists at least once a week, ortho foot/ankle a lot less than that.
This is what I have seen personally, and at only one hospital and certainly may not reflect the field as a whole... But, the reasons for consult are completely and totally different. If I need someone to follow a patient long term, do wound care, debridements etc, I call podiatry. If I need a surgeon, I call ortho. If I am overloaded and don't have staff to do a major amp, I call ortho. It doesn't happen often, but on occasion...
The AOA match rate this year was 75% (2,179 of 2,907 applicants). This may reflect some of the gamesmanship that SoutherSurgeon mentioned above.
http://thedo.osteopathic.org/2015/02/aoa-match-pairs-medical-students-up-with-residency-programs/
https://www.natmatch.com/aoairp/ and click on "match statistics."
Not sure if I'm missing something here, but this is what is says in the press release for the 2014 NRMP
"The overall match rate to first-year positions was 75 percent, the highest since 2006. The match rate for U.S. seniors was 94.4 percent, 0.7 percentage points higher than last year.
Of the applicants who matched, 54 percent of U.S. seniors and almost 50 percent of all other applicants matched to their first choice for training."
How is this number so low?
And more more question; if SGU students supposedly finish their last 2 years in US with rotations, do they get some sort of a diploma or certificate after their first 2 years (I'm just wondering)
Of the applicants who matched, 54 percent of U.S. seniors and almost 50 percent of all other applicants matched to their first choice for training."
How is this number so low?
You don't get a degree till graduating.
It's competitive. Not everyone is going to get their first choice. Even the most competetive people since they're fighting against other top candidates for few spots at the best programs.
Not defending the Carribeans, but 54 percent and 50 percent is not that big of a difference between US grads and "others", which I assume includes the Caribbean.
I just thought the number would be higher for US students, I guess.
So is the fact that they did their first two years of med school at SGU but last 2 years in the US the reason why it's so hard to get into residency?
It just seems a little strange to me how those 2 years can change everything.
Two things that surprised me were:Only 54 percent of carribean students match at all. And 50 percent of carribean grads certainly don't there first choice residency.
No this isn't the reason its hard to get a residency. The reason its difficult for carribean grads to get a residency is that there is a limited number of spots and enough qualified US grads to fill them. So carribean grads applications don't see the light of the day. Plus they have substandard training.
Here are some numbers from Ross. Since you like numbers
FAST FACTS
Ross University School of Medicine
For-profit, foreign medical school in Dominica (also has sister veterinary school in St. Kitts)
Founded: 1978
Owner: DeVry Inc. (acquired in 2003 for $310 million)
Enrollment: about 3,500
Student profile: 56 percent male, most U.S. residents, average age 27 (two years older than U.S. medical students)
Tuition: More than $40,000 per year
Percent of revenue from federal student loans: 81 percent
Four-year graduation rate: 30.6 percent
Six-year graduation rate: 66 percent
Percent of graduates who secure residency training: 80 percent (2006-07)
Two things that surprised me were:
1. After 6 Years the grad rate was still only 66
2. How did that residency percentage get all the way to 80? They are probably counting those students who have been applying every year since they graduated years ago. Because we saw that only 55 percent of RU students found residency in 2014.
You're right, I do like numbers.
So is the fact that they did their first two years of med school at SGU but last 2 years in the US the reason why it's so hard to get into residency?
It just seems a little strange to me how those 2 years can change everything.
Not defending the Carribeans, but 54 percent and 50 percent is not that big of a difference between US grads and "others", which I assume includes the Caribbean.
I just thought the number would be higher for US students, I guess.
The only middle ground to not having a residency is to apply to another transitional internship, which IMGs also do. Once they have enough years (usually 2-3), they can be employed by a hospital in certain states as a general practitioner (your licensed but not board certified, thus cannot set up shop by yourself). However, you can't count on this either because hospitals are wanting more and more doctors that are board certified (completing the residency and speciality boards as well). This pathway of practicing, without a residency, may also be closed in the near future.
You don't have to be board certified to practice as a physician. You can open your own clinic if you want and be unboarded. However, many insurance companies will only pay you a reduced rate or won't allow you on their plans at all if you aren't boarded in something.
My bet is that most MDs won't even enter the DO match, because the ones that have stats high enough to gun for derm aren't going to piss away their chances at an ACGME residency by applying for some middle of nowhere office-based DO derm practice. Once the match gets integrated, competitive DO programs will probably give a few spots to MDs though.The choice competitive specialties will get scooped up by allo grads coming up short for derm, ortho, plastics, etc initially. I don't think the allo people falling to soap after applying for noncompetitive things are going to displace better stat DOs though. In a few years, things will be more integrated.
We consistently complain at my school about how non-board focused my school is. The professors shrug off our concerns, tell us we're "supposed to be learning how to be good doctors, not how to do well on some test." On the one hand, it kind of sucks, but on the other hand, I'd rather have that focus than what the Carib students get. We are perceived extremely well on rotations, as that is what we're trained for from day 1.Keep in mind that the majority, if not all, of the Caribbean schools teach to the USMLE. They'll drill you with internal exams meant to simulate the Step 1 and based on your performance would they even allow you to take the real thing and advance to the next year.
They also give you a ridiculous amount of study time for Step 1. Students have told me they studied 4-6 months for it (dedicated study time), while my stateside friends study in about 1/4 that time. I'm never impressed with a Caribbean grad with good board scores. With that amount of time and practice, the least of my expectations is for them to break 240+.
Actually technically speaking that's not true. You can rank any program you want to. It's simply a matter of typing in the code in the NRMP website. I could have ranked dermatology at Harvard #1 on my rank list if I felt like it.
*This is just a minor technical point, since of course any program that didn't interview you is not going to rank you, so yes the rank list is a surrogate for the interviewed at list in the 99% of cases. There are I'm sure some random people out there who put together a rank list that includes programs they didn't interview at but I don't know what is going on in their heads
Ortho (and Derm...)will go wherever they might be able to match. They will just put them at the bottom of their rank order list.My bet is that most MDs won't even enter the DO match, because the ones that have stats high enough to gun for derm aren't going to piss away their chances at an ACGME residency by applying for some middle of nowhere office-based DO derm practice. Once the match gets integrated, competitive DO programs will probably give a few spots to MDs though.
A handful of good matches out of the thousands of students that get pumped out of the Caribbean each year isn't impressive in the slightest. It's akin to those convenience stores with the "We had a $10,000 winner!" lottery signs on their windows- plenty of people play, and a lot of people win small amounts, but someone winning big is rare. On the whole though, the majority people are losing money and wasting their time. This doesn't apply as much to the Big 4, but as time moves on, it's going to get worse, guaranteed.But my logic makes sense. I am almost certainly not going to go to Caribbean schools, but for the sake of argument:
* Thousands of med school graduates from countries like India, Pakistan, Egypt, etc. get into US residency programs. I am sure you will agree here that clinical rotations in these countries is hardly 'great' as the US-MD people insist their own rotations were/are. I would think that Caribbean rotations are better, and if you have been to a university (public) hospital in India (as i have) you will certainly agree with me.
* These schools are very corrupt as anyone familiar with them will attest.
* So how do these graduates get into US residencies? Through USMLE scores.
I think much of the negativity here is overstated. I have seen Caribbean graduates do fellowships at Baylor, Mt Sinai and Cleveland Clinic and I hardly know anyone in medicine.
It's more an issue of the time difference between the DO match and the MD match. A lot of the DO derm residencies are criminally bad. An MD that has a good chance of matching MD derm would be foolish to forego the MD match just to secure a DO derm spot (which would deprive them of the ability to participate in the NRMP match and have a shot at MD derm positions). Less competitive MD applicants might apply, but they'll be competing with top-tier DOs that have likely rotated throughout he program (basically all DO derm programs require an audition rotation for consideration), so I'm betting that until the match is unified, the majority of these spots will keep going to DOs.Ortho (and Derm...)will go wherever they might be able to match.
It is my understanding that the merger will eliminate the need to choose one application system over another due to timing.It's more an issue of the time difference between the DO match and the MD match. A lot of the DO derm residencies are criminally bad. An MD that has a good chance of matching MD derm would be foolish to forego the MD match just to secure a DO derm spot (which would deprive them of the ability to participate in the NRMP match and have a shot at MD derm positions). Less competitive MD applicants might apply, but they'll be competing with top-tier DOs that have likely rotated throughout he program (basically all DO derm programs require an audition rotation for consideration), so I'm betting that until the match is unified, the majority of these spots will keep going to DOs.
Ortho might see a few decent MD applicants early on, as DO ortho spots are fairly decent.
Gas and rads can't even fill with DO applicants because they are considered subpar enough that a lot of groups won't hire AOA trained anesthesiologists and radiologists (this is more true on the rads side than the anesthesia side).
I could definitely see some encroachment by MDs on urology before a merger though. Like all competitive DO specialties though, that MD app is going right in the trash 9 out of 10 times if they haven't done an audition at the site though.
From what I gather, they aren't changing the match for at least 5 years. Because the match occurs through the NRMP and not the ACGME, any changes to the match will have to be dealt with separately from the merger. DO students generally want a merged match, but our leadership is dragging their feet because they know that a merged match will likely hurt their lower-tier programs, since we'll be able to rank ACGME programs higher for the first time in ever.It is my understanding that the merger will eliminate the need to choose one application system over another due to timing.
I see.From what I gather, they aren't changing the match for at least 5 years. Because the match occurs through the NRMP and not the ACGME, any changes to the match will have to be dealt with separately from the merger. DO students generally want a merged match, but our leadership is dragging their feet because they know that a merged match will likely hurt their lower-tier programs, since we'll be able to rank ACGME programs higher for the first time in ever.
My bet is that most MDs won't even enter the DO match, because the ones that have stats high enough to gun for derm aren't going to piss away their chances at an ACGME residency by applying for some middle of nowhere office-based DO derm practice. Once the match gets integrated, competitive DO programs will probably give a few spots to MDs though.
Somehow I keep getting the message from medical students or residents on the forum that setting up shop is not possible. I guess I might have misinterpreted what they meant. Thank you for the clarification.
From what I gather, they aren't changing the match for at least 5 years. Because the match occurs through the NRMP and not the ACGME, any changes to the match will have to be dealt with separately from the merger. DO students generally want a merged match, but our leadership is dragging their feet because they know that a merged match will likely hurt their lower-tier programs, since we'll be able to rank ACGME programs higher for the first time in ever.
It hurting low tier programs (and thus their PD cronies) is not the official story. The AOA leadership still has plenty to do outside of the match and overseeing programs- that was actually one of the smaller functions they had, and the ones involved in it have basically all been granted positions in the ACGME as the osteopathic representation. They're dragging their feet with this for the same reason they always have though- they want osteopathic PDs to get the best applicants possible, and, given that most osteo residencies are in primary care, those residencies would suffer if they were competing on equal ground with ACGME residencies. It's the same reason there has never been a unified match, despite students clamoring for one for over fifteen years. It's in our best interest as students, but not in the best interest of the people with pull in the AOA (PDs, senior leadership, and the hard-core DOs that want to keep the profession as separate as possible).No, they aren't dragging their feet because it will "hurt lower tier programs," although they certainly might be saying this. They are dragging their feet because once everything is merged, there isn't much reason for the DO leadership's jobs to still exist. You don't get to still be king once you've given away your kingdom. In any hostile takeover setting, the management team of the acquired company is going to try to stall things, give themselves time to earn a few more paychecks, etc. They may even try to put a positive spin on it, that they are doing it for someone else, but don't fall for it. This could all happen in a year if everyone was pulling in the same direction. They aren't.
Two things that surprised me were:
1. After 6 Years the grad rate was still only 66
2. How did that residency percentage get all the way to 80? They are probably counting those students who have been applying every year since they graduated years ago. Because we saw that only 55 percent of RU students found residency in 2014.
You're right, I do like numbers.
I would love a unified match, so I keep up on the topic pretty closely. The last bulletin posted by the AOA leadership last month said it was being explored, and could be a possibility between 2017 and 2022, if I remember correctly. Given that I'm class of 2018, I'm hoping it's on the earlier side, but knowing how we've been screwed in the past, I'm being it will be somewhere in the middle.
Is this compared to other caribb schools? If so I believe it. However compared to other medical schools within the U.S.? That makes me laugh.On their website,"RUSM was #1 in residencies, with more graduates matching into US residencies than any other medical school" (in 2014)
Can someone show me some evidence that "fact" this is due to preliminary aka dead-end spots and that they didn't get their first (or even second) choice residency?
This can be VERY misleading
Is this compared to other caribb schools? If so I believe it. However compared to other medical schools within the U.S.? That makes me laugh.
Not necessarily. How big is the class at Ross? Even if only half were to match, that would still be more grads than the largest LCME school (Wayne State? IU/UIC depending if you count the multiple campuses as one school?)
Apparently they matched 800+ people this year.
http://www.rossu.edu/medical-school/2014residencyappointments.cfm
In the Science trade, we call it"lying".
Not sure how they inflate the numbers to 80% or 800+ matches a year, but it could include prelim spots or people who entered the match for a second time.
OK, Doc Turr, you've convinced me. It will be an excellent career choice for YOU to go to Ross or some other Carib school. Satisfied?
Apparently, one got into RadOnc, which is actually impressive. A few into PM&R, which shouldn't be easy from a Caribb school (assuming this isn't a prelim year.)
Numerator vs denominator.
Why do you keep doing this?
I just looked at this match list: http://www.rossu.edu/medical-school/2014residencyappointments.cfmAll I'm asking is for a source that shows that those residency spots that Ross claims to have are either preliminary spots or undesirable ones.
Where do you teach?I just looked at this match list: http://www.rossu.edu/medical-school/2014residencyappointments.cfm
Not one of my students even interviewed at any of these programs, much less matched into them.
Admittedly, I'm in CA so there may be regional differences, but my kids matched all over the country and to see no overlap at all??
It took you 7 pages to realize this?Where do you teach?
And I'm thinking they're a bunch of liars over at Ross, am I right?
And over the 300 or so posts in this thread you have been given multiple sources, multiple times. You've been given match lists, match statistics from the NRMP, multiple news articles, links to previous threads on this topic, as well as personal experience from people who've done it and anecdotes from people who've seen others do it (both positive and negative anecdotes).
Yet you keep coming back with the same questions over and over.
I haven't been given a source that says most of the spots are preliminary spots.And over the 300 or so posts in this thread you have been given multiple sources, multiple times. You've been given match lists, match statistics from the NRMP, multiple news articles, links to previous threads on this topic, as well as personal experience from people who've done it and anecdotes from people who've seen others do it (both positive and negative anecdotes).
Yet you keep coming back with the same questions over and over.
I haven't been given a source that says most of the spots are preliminary spots.
If I get that, don't worry, I'll be out of your life for good.
I haven't been given a source that says most of the spots are preliminary spots.
If I get that, don't worry, I'll be out of your life for good.