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- Jan 15, 2007
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Just some random stuff here....
1) Why do so few DOs use OMM? (some may argue that more than the stats indicate use OMM due to insurance issues etc...but, if OMM is the one of the defining differences between MDs and DOs, I'd think that more would use OMM) I thought of some reasons
* Perhaps most DO students/grads really wanted to goto MD schools and settled on DO schools just to become physicians. After all, a physician is a physician regardless of the letters after one's name. So, the DO students never really had strong interest in OMM anyway....hmm..can this be it?
* Perhaps, OMM really doesn't work in more cases than say pharmacological methods to deal with medical issues. So, students learn it but since it doesn't really work as well unless you are very good at it they end up not using it....could this be one of the reasons?
* Perhaps, it works well if done correctly. But, it's just not taught in ways that encourages/shows the beauty of OMM. I've heard from an OMM specialist that the students don't really see how it works during the 1st 2 yrs when they learn it and rarely get to see it in action (at least not a lot) even in the 3rd and 4th yr unless you do an OMM rotation.
* Perhaps the outcome from OMM txs are not as apparent as say the effects you get from taking meds....could this be the reason why not many use OMM?
I get the feeling the real reason (along with insurance reimbursement issues) is a some combination of some or all of the above.
2) I know why I initially applied to DO schools and the reason was a logical one. But, when I asked myself why someone who's just finishing up a 4 yr college degree without a lot of medical background be interested in a DO degree despite the well known discrimination against DOs by some MDs, I couldn't understand their interest in a DO degree. I know some buy into the "holistic" approach the DO schools advertise. But, I'd think that those people are the minorities of the DO applicants. I'm sure many applicants have had good experiences with DOs and became interested in the degree. But, what is interesting is that for some reason, most of the (note that I said MOST, not ALL) DO applicants have stats significantly lower than typical MD matriculants.
What I really think is that since most with lower stats know they have low chance of an MD admission, they settle for a DO degree. Again, there are, I'm sure who even chose a DO school over an MD school. But, I bet you those are a small/tiny exceptions. I bet that 75% of DO applicants, if given a MD acceptance, they'd forego with the DO acceptance and go the MD route. You may argue with me on this. But, it is strange that most people gung ho about DO school are the ones with low stats who likely couldn't get into an MD school (again not ALL, I'm sure. I'm sure some of you have stats good enough for MD schools and preferred DO over MD).
But, it is unfortunate that there is a "stigma" against DOs that may make some DO applicants feel they'd prefer an MD degree since the didactic is pretty much the same.....it's just the matter of the letters at the end of the name....and.......
3) The clinical years during the 3rd and 4th yr in DO school. From what I hear, many allo residencies are a bit wary of DO students because the consistency in the quality of education during the rotation years is much more varied than the MD school 3rd and 4th year rotations. So perhaps, places like PCOM and CCOM have good rep due to solid rotation sites and controlled quality of rotation experience compared to some others. I've heard that this aspect of DO education is thought by the MD world as being significantly inferior to the MD counterpart. This isn't my opinion. This was the opinion of an MD residency director.
4) Except for 1 MD I spoke to, I'd say all others didn't have the best opinions about the DO degree. Knowing this I wondered if I became a DO, how I'd feel working with MDs.
I bring these pts up because I really feel that it's unfortunate the MD and DO thing is the way it is. It's unwarranted. A good physician is a good physician no matter what the degree. But, in our world, there are pecking orders, prejudices and other issues. I mean, even in the MD world there are pecking orders.....family med physicians are looked down upon by way the orthopods......physical medicine docs are looked down upon by the neuro surgeons etc...... I've been told about this by numerous MDs. It's too bad. But, what I can control is getting a good education, working hard and servicing my patients the best way I can.
I too have chosen the MD route. Easier obtaining residencies (don't need to feel like I need to take 2 licensing exams!), less discrimination and the perception by the residency directors that my schools' clinical rotation experiences were likely superior to the DO counterparts are the reason I chose to go MD over DO. I wished there weren't such issues because I really wanted to stay in Socal where my DO acceptance was.
1) Why do so few DOs use OMM? (some may argue that more than the stats indicate use OMM due to insurance issues etc...but, if OMM is the one of the defining differences between MDs and DOs, I'd think that more would use OMM) I thought of some reasons
* Perhaps most DO students/grads really wanted to goto MD schools and settled on DO schools just to become physicians. After all, a physician is a physician regardless of the letters after one's name. So, the DO students never really had strong interest in OMM anyway....hmm..can this be it?
* Perhaps, OMM really doesn't work in more cases than say pharmacological methods to deal with medical issues. So, students learn it but since it doesn't really work as well unless you are very good at it they end up not using it....could this be one of the reasons?
* Perhaps, it works well if done correctly. But, it's just not taught in ways that encourages/shows the beauty of OMM. I've heard from an OMM specialist that the students don't really see how it works during the 1st 2 yrs when they learn it and rarely get to see it in action (at least not a lot) even in the 3rd and 4th yr unless you do an OMM rotation.
* Perhaps the outcome from OMM txs are not as apparent as say the effects you get from taking meds....could this be the reason why not many use OMM?
I get the feeling the real reason (along with insurance reimbursement issues) is a some combination of some or all of the above.
2) I know why I initially applied to DO schools and the reason was a logical one. But, when I asked myself why someone who's just finishing up a 4 yr college degree without a lot of medical background be interested in a DO degree despite the well known discrimination against DOs by some MDs, I couldn't understand their interest in a DO degree. I know some buy into the "holistic" approach the DO schools advertise. But, I'd think that those people are the minorities of the DO applicants. I'm sure many applicants have had good experiences with DOs and became interested in the degree. But, what is interesting is that for some reason, most of the (note that I said MOST, not ALL) DO applicants have stats significantly lower than typical MD matriculants.
What I really think is that since most with lower stats know they have low chance of an MD admission, they settle for a DO degree. Again, there are, I'm sure who even chose a DO school over an MD school. But, I bet you those are a small/tiny exceptions. I bet that 75% of DO applicants, if given a MD acceptance, they'd forego with the DO acceptance and go the MD route. You may argue with me on this. But, it is strange that most people gung ho about DO school are the ones with low stats who likely couldn't get into an MD school (again not ALL, I'm sure. I'm sure some of you have stats good enough for MD schools and preferred DO over MD).
But, it is unfortunate that there is a "stigma" against DOs that may make some DO applicants feel they'd prefer an MD degree since the didactic is pretty much the same.....it's just the matter of the letters at the end of the name....and.......
3) The clinical years during the 3rd and 4th yr in DO school. From what I hear, many allo residencies are a bit wary of DO students because the consistency in the quality of education during the rotation years is much more varied than the MD school 3rd and 4th year rotations. So perhaps, places like PCOM and CCOM have good rep due to solid rotation sites and controlled quality of rotation experience compared to some others. I've heard that this aspect of DO education is thought by the MD world as being significantly inferior to the MD counterpart. This isn't my opinion. This was the opinion of an MD residency director.
4) Except for 1 MD I spoke to, I'd say all others didn't have the best opinions about the DO degree. Knowing this I wondered if I became a DO, how I'd feel working with MDs.
I bring these pts up because I really feel that it's unfortunate the MD and DO thing is the way it is. It's unwarranted. A good physician is a good physician no matter what the degree. But, in our world, there are pecking orders, prejudices and other issues. I mean, even in the MD world there are pecking orders.....family med physicians are looked down upon by way the orthopods......physical medicine docs are looked down upon by the neuro surgeons etc...... I've been told about this by numerous MDs. It's too bad. But, what I can control is getting a good education, working hard and servicing my patients the best way I can.
I too have chosen the MD route. Easier obtaining residencies (don't need to feel like I need to take 2 licensing exams!), less discrimination and the perception by the residency directors that my schools' clinical rotation experiences were likely superior to the DO counterparts are the reason I chose to go MD over DO. I wished there weren't such issues because I really wanted to stay in Socal where my DO acceptance was.