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Here’s the thing though. ACGME has control on who and what gets to be called a residency and the medical specialty boards are controllef by physicians. So if most physicians deemed residency expansion inappropriate, they can stop the expansion.

Remember, graduating med school doesn’t make one a physician.
 
Im soon to be a DO student in the class of 2020. Now, I don't wanna sound negative but, if you really can't compete with the MD applicants and high performing DO applicants, I'm sorry but survival of the fittest? It's not enough to just get into medical school. If you simply can't perform and can't score higher than MDs on the USMLE, I really don't think you should be gunning for certain residency positions or can complain when you don't get them. I know being a DO is going to be like being a woman in engineering or in orthopedics... If you're not pushing yourself to the limit and outperforming the men (MDs), you won't be given a second look. The DO route offers people who weren't competitive in undergrad a way to become a physician, but being in medical school alone is not a free pass to 260k a year and saving lives. YOU. NEED. TO. FU**ING. WORK. GURRRLLL!

I am going to a DO school because I actually decided to go into medicine when I found out about DO and the philosophy it had. I'm also from a family of chiropractors so I had that going for me, but DO was more in line with what I had studied in undergrad and ultimately what I want to do. I ended up going back to school for pre-requisites and scored in the 90th percentile on the MCAT... and yes that means I did better than 90% of MD and DO applicants. I know I need to do that again in order to remain competitive given the nature of limited residency spots no matter if I was in an MD school or DO school. But I guess this is just my 2 cents and my Type A personality speaking.
 
Im soon to be a DO student in the class of 2020. Now, I don't wanna sound negative but, if you really can't compete with the MD applicants and high performing DO applicants, I'm sorry but survival of the fittest? It's not enough to just get into medical school. If you simply can't perform and can't score higher than MDs on the USMLE, I really don't think you should be gunning for certain residency positions or can complain when you don't get them. I know being a DO is going to be like being a woman in engineering or in orthopedics... If you're not pushing yourself to the limit and outperforming the men (MDs), you won't be given a second look. The DO route offers people who weren't competitive in undergrad a way to become a physician, but being in medical school alone is not a free pass to 260k a year and saving lives. YOU. NEED. TO. FU**ING. WORK. GURRRLLL!

I am going to a DO school because I actually decided to go into medicine when I found out about DO and the philosophy it had. I'm also from a family of chiropractors so I had that going for me, but DO was more in line with what I had studied in undergrad and ultimately what I want to do. I ended up going back to school for pre-requisites and scored in the 90th percentile on the MCAT... and yes that means I did better than 90% of MD and DO applicants. I know I need to do that again in order to remain competitive given the nature of limited residency spots no matter if I was in an MD school or DO school. But I guess this is just my 2 cents and my Type A personality speaking.

Should have gone to a MD school.
 
Should have gone to a MD school.
Op has issues with math.
3.2 GPA, I think my sGPA is a little higher. I haven't been 100% clear on how to actually calculate this as I have done my schooling 3.5 years undergrad and did an additional year of schooling to get pre-reqs done at a community college (Decided to do med school after), but I also have a 509 MCAT score.
a 509 is 79th percentile.
 
Im soon to be a DO student in the class of 2020. Now, I don't wanna sound negative but, if you really can't compete with the MD applicants and high performing DO applicants, I'm sorry but survival of the fittest? It's not enough to just get into medical school. If you simply can't perform and can't score higher than MDs on the USMLE, I really don't think you should be gunning for certain residency positions or can complain when you don't get them. I know being a DO is going to be like being a woman in engineering or in orthopedics... If you're not pushing yourself to the limit and outperforming the men (MDs), you won't be given a second look. The DO route offers people who weren't competitive in undergrad a way to become a physician, but being in medical school alone is not a free pass to 260k a year and saving lives. YOU. NEED. TO. FU**ING. WORK. GURRRLLL!

I am going to a DO school because I actually decided to go into medicine when I found out about DO and the philosophy it had. I'm also from a family of chiropractors so I had that going for me, but DO was more in line with what I had studied in undergrad and ultimately what I want to do. I ended up going back to school for pre-requisites and scored in the 90th percentile on the MCAT... and yes that means I did better than 90% of MD and DO applicants. I know I need to do that again in order to remain competitive given the nature of limited residency spots no matter if I was in an MD school or DO school. But I guess this is just my 2 cents and my Type A personality speaking.

None of this is an excuse for DO schools to continue expansion, and it's a lot easier to say before you have actually attended medical school and realize what you're really going to be up against. Even being a mediocre student still requires a ton of work, not to mention the associated cost, and lost years of income from being in school forever. If schools are going to accept students, and take hundreds of thousands of dollars in tuition money, they really should be held accountable for providing those who meet minimum competencies (passing classes and passing boards) an opportunity for employment when they graduate or the institution shouldn't exist. This is no longer a discussion about DO students being forced into primary care fields, it's about them being pushed out of medicine altogether.
 
Op has issues with math.

a 509 is 79th percentile.
Not to mention since the average admitted MCAT to DO is north of 60th percentile and MD is right at 508-510, I think the statement about being better than 90% of MD and DO applicants might be just a 'bit off.' Thats okay, OP will have 4 years to figure that mistake out. Maybe she can take over the family's chiropractoring office after her OMM residency?
 
None of this is an excuse for DO schools to continue expansion, and it's a lot easier to say before you have actually attended medical school and realize what you're really going to be up against. Even being a mediocre student still requires a ton of work, not to mention the associated cost, and lost years of income from being in school forever. If schools are going to accept students, and take hundreds of thousands of dollars in tuition money, they really should be held accountable for providing those who meet minimum competencies (passing classes and passing boards) an opportunity for employment when they graduate or the institution shouldn't exist. This is no longer a discussion about DO students being forced into primary care fields, it's about them being pushed out of medicine altogether.

This is a really good point. And one I totally agree with. and luckily it's a known issue that I truly hope will get solved. The current political climate doesn't seem to want to focus on investing in health of our citizens, so clearly investing into the residency spots are just not there. Will AOA residencies still be favorable to DO applicants even after the merge?

Perhaps opening up new or expanding current DO hospital-affiliated residency programs can be something that's done with 3rd and 4th year tuition money. Instead of schools putting money into new schools.

I also want to know why some people are not getting matched. Are they being realistic with their goals? Don't some FM residency spots go unfilled each year? Are they getting proper counseling with creating ranking orders and interview skills and what not? Looking at programs that are not competitive and having back ups?
 
Not to mention since the average admitted MCAT to DO is north of 60th percentile and MD is right at 508-510, I think the statement about being better than 90% of MD and DO applicants might be just a 'bit off.' Thats okay, OP will have 4 years to figure that mistake out. Maybe she can take over the family's chiropractoring office after her OMM residency?

Hyperbolizing. I was going for dramatic effect to make my point. Didn't think people would be so nosy on the internet (lol i was wrong). But hey, there'd be nothing wrong with that... but nah, I'm gunning for EM / something sports related, so actually I do believe DO is the right path for me. And I refuse to view it as a disability and think I should have gone to an MD school, but I do know I have to work that much harder. I've met DOs of many many specialties (not a hyperbole this time, I've worked as a scribe in various offices and hospitals) so I know at the end of the day DOs will not be kicked out of medicine altogether and these amazing DOs are already paving the way for future DOs. Unfortunately we're just newer and don't have as many residency programs / as strong of affiliations as older schools, but I think this will get better and its not as doom and gloom as SDN makes it out to be.
 
Im soon to be a DO student in the class of 2020. Now, I don't wanna sound negative but, if you really can't compete with the MD applicants and high performing DO applicants, I'm sorry but survival of the fittest? It's not enough to just get into medical school. If you simply can't perform and can't score higher than MDs on the USMLE, I really don't think you should be gunning for certain residency positions or can complain when you don't get them. I know being a DO is going to be like being a woman in engineering or in orthopedics... If you're not pushing yourself to the limit and outperforming the men (MDs), you won't be given a second look. The DO route offers people who weren't competitive in undergrad a way to become a physician, but being in medical school alone is not a free pass to 260k a year and saving lives. YOU. NEED. TO. FU**ING. WORK. GURRRLLL!

I am going to a DO school because I actually decided to go into medicine when I found out about DO and the philosophy it had. I'm also from a family of chiropractors so I had that going for me, but DO was more in line with what I had studied in undergrad and ultimately what I want to do. I ended up going back to school for pre-requisites and scored in the 90th percentile on the MCAT... and yes that means I did better than 90% of MD and DO applicants. I know I need to do that again in order to remain competitive given the nature of limited residency spots no matter if I was in an MD school or DO school. But I guess this is just my 2 cents and my Type A personality speaking.
Do you mean class of 2022?

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This is a really good point. And one I totally agree with. and luckily it's a known issue that I truly hope will get solved. The current political climate doesn't seem to want to focus on investing in health of our citizens, so clearly investing into the residency spots are just not there. Will AOA residencies still be favorable to DO applicants even after the merge?

Perhaps opening up new or expanding current DO hospital-affiliated residency programs can be something that's done with 3rd and 4th year tuition money. Instead of schools putting money into new schools.

I also want to know why some people are not getting matched. Are they being realistic with their goals? Don't some FM residency spots go unfilled each year? Are they getting proper counseling with creating ranking orders and interview skills and what not? Looking at programs that are not competitive and having back ups?

I think the best solution is still bottlenecking at medical school by limiting the opening of new schools and maintaining high standards for admission. By expanding residencies you risk turning medicine into career like law where job prospects become poor for graduating residents. We need to remain protective of the profession. A big issue is the false hope students with low stats are given when they are admitted into these new DO (or Caribbean) schools who then struggle to remain competitive. Once you throw in all the IMG and FMG applicants they are left in the cold without residencies. Some of it is the student's fault for not being realistic about their work ethic/capabilities before going to med school, but some of it is the schools fault for being predatory and not looking out for their students. Caribbean schools have been notorious for doing this for years and DO schools could be headed in that direction as well. It's going to be really bad if DO schools don't start pushing for everyone to take USMLE. In the past, some of the DO appeal was that they offered their own exclusive residencies. Now, I don't see how they won't end up being lumped in with all the FMG and IMGs over time. This still remains to be seen but it's not looking good so far. You are correct that some (undesirable) FM/IM programs go unfilled, but the match is so individualized for each person that the idea of being forced into FM or IM can be a terrifying prospect for a middle of the road DO student who decides they hate those specialties during their 3rd or 4th year of medical school. I was cool with the idea when I started but changed my mind and went for something a little more competitive. This made applying for residency so much more stressful than it needed to be simply because I was a DO applicant. I'm not bitter about it. It all worked out and I liked my school and felt like they did their best to make me competitive. It sounds like you have decent stats heading into your first year with realistic expectations so I wouldn't stress too much about all this, but things need to start changing.
 
Last time I checked my 507 was 76th percentile and a 509 is 82nd percentile.

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Hyperbolizing. I was going for dramatic effect to make my point. Didn't think people would be so nosy on the internet (lol i was wrong). But hey, there'd be nothing wrong with that... but nah, I'm gunning for EM / something sports related, so actually I do believe DO is the right path for me. And I refuse to view it as a disability and think I should have gone to an MD school, but I do know I have to work that much harder. I've met DOs of many many specialties (not a hyperbole this time, I've worked as a scribe in various offices and hospitals) so I know at the end of the day DOs will not be kicked out of medicine altogether and these amazing DOs are already paving the way for future DOs. Unfortunately we're just newer and don't have as many residency programs / as strong of affiliations as older schools, but I think this will get better and its not as doom and gloom as SDN makes it out to be.
While you are certainly allowed to believe what you want, you have plenty of actual current DO 4ths years even in this thread telling you reality tho. Going DO over MD when you want to do something other than peds, community IM or FM is basically just making your life harder for no reason if its realistic for you to get into MD (although that ship has sailed for you this year, and I understand not wanting to delay).

I also appreciate your attitude at this point, but I suspect it will change as you come up against how hard it is for you to be 'better' than a MD counterpart coming from a DO school. I think it is highly likely you will wish you were doing just one set of boards in a couple years, especially as you know that you have a good chance at MD.
This is a really good point. And one I totally agree with. and luckily it's a known issue that I truly hope will get solved. The current political climate doesn't seem to want to focus on investing in health of our citizens, so clearly investing into the residency spots are just not there. Will AOA residencies still be favorable to DO applicants even after the merge?

Perhaps opening up new or expanding current DO hospital-affiliated residency programs can be something that's done with 3rd and 4th year tuition money. Instead of schools putting money into new schools.

I also want to know why some people are not getting matched. Are they being realistic with their goals? Don't some FM residency spots go unfilled each year? Are they getting proper counseling with creating ranking orders and interview skills and what not? Looking at programs that are not competitive and having back ups?
Some DO schools have policies which do not enable their students to succeed, for example having artificial early deadlines on board exams and minimal actual board dedicated time. In the interview they will claim 6 weeks of dedicated when there are really only 2 weeks that don't have classes running in them.

This leads to board failures, which is IMO the number one cause of people failing to match. Some students have bad expectations too and misapply, but its the 'red flags' that get people. Schools might have it more figured out by 2022, but at too many DO schools 'we have always done it that way' is sufficient reason to keep doing it that way despite poor outcomes.
 
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Hyperbolizing. I was going for dramatic effect to make my point. Didn't think people would be so nosy on the internet (lol i was wrong). But hey, there'd be nothing wrong with that... but nah, I'm gunning for EM / something sports related, so actually I do believe DO is the right path for me. And I refuse to view it as a disability and think I should have gone to an MD school, but I do know I have to work that much harder. I've met DOs of many many specialties (not a hyperbole this time, I've worked as a scribe in various offices and hospitals) so I know at the end of the day DOs will not be kicked out of medicine altogether and these amazing DOs are already paving the way for future DOs. Unfortunately we're just newer and don't have as many residency programs / as strong of affiliations as older schools, but I think this will get better and its not as doom and gloom as SDN makes it out to be.

The challenging part is us MD students are also working as hard as we can to be better than MDs (high %tile step, etc). Where you will fall when you work hard is uncertain when the majority are doing the same (unlike in many undergraduate schools), but hope it works out for you.
 
The ACGME match rate was the same this year as it was last year, which was a multi-year high mark.

How many of the people counted in the unmatched Talley were pulled from the ACGME match due to matching AOA. I honestly don’t know, but I bet it’s not 0%

What was the USMD match rate this year BTW, it’s usually in the lower 90’s if I recall correctly.

The doom and gloom is a bit melodramatic people; nothing seems to have changed this year; it certainly hasn’t gotten worse.
You could argue that the rate should be higher seeing as there were more DOs % wise entering the ACGME match.
 
You could argue that the rate should be higher seeing as there were more DOs % wise entering the ACGME match.

That’s not how rates work though.

If we’re talking DO match rate that is (matched DO’s/Total DO participants).

The rate you’re thinking about would be (matched DO’s/Total matched applicants) and isn’t as revealing as it might seem because the denominator is not under the control of the osteopathic education system.
 
Whichever way this goes, students will bare the brunt of this mess long before a resolution. The first thing that will happen is schools will become more like Caribbean schools (or law schools) where there are stricter cuts early (kicked out as an MS1 for failing a class etc) so that their final match rates still look up to par. DO and even MD schools are starting to do this. The bar for dismissing a student as “well they won’t match because they have red flags” will become increasingly lower, as it already has. Compare a “red flag” of the (hyper competitive and often arbitrary) benchmarks in the med school world of today vs 1998.

As long as midlevels have increasing legal freedom, I simply do not see residency expansion happening. The rate of NPs and PAs matriculating in the coming years is enormous. In the short term, more med students will be left with no options and massive debt, while SDN rationalizes that those students didn’t deserve to match.
 
That’s not how rates work though.

If we’re talking DO match rate that is (matched DO’s/Total DO participants).

The rate you’re thinking about would be (matched DO’s/Total matched applicants) and isn’t as revealing as it might seem because the denominator is not under the control of the osteopathic education system.

Since a bunch of programs transitioned from the AOA and participated in that ACGME match this year, shouldn’t the ACGME match rate for DOs have gone up pretty substantially this year? Like you said, it stayed the same with around 80% matching. So if that number never changes, even when the next wave of programs get ACGME accreditation, then that 80ish percent will be the actual match rate for osteopathic applicants.
 
Since a bunch of programs transitioned from the AOA and participated in that ACGME match this year, shouldn’t the ACGME match rate for DOs have gone up pretty substantially this year? Like you said, it stayed the same with around 80% matching. So if that number never changes, even when the next wave of programs get ACGME accreditation, then that 80ish percent will be the actual match rate for osteopathic applicants.

No, because like I and others who have interviewed and matched this last cycle. Many former AOA programs are not showing any preference for DOs at all. Many are interviewing MDs at the same rate if not more than DOs
 
No, because like I and others who have interviewed and matched this last cycle. Many former AOA programs are not showing any preference for DOs at all. Many are interviewing MDs at the same rate if not more than DOs

I noticed the same thing this year. I was just pointing out that contrary to what the OP said about the sky not falling, the match rate staying the same is a bad sign for DOs.

It’s also pretty crazy to think that despite the Osteopathic profession justifying it’s existence by their “unique training”, even their own GME programs don’t seem to buy into the idea and are perfectly willing to replace everyone with MDs.
 
Some DO schools have policies which do not enable their students to succeed, for example having artificial early deadlines on board exams and minimal actual board dedicated time. In the interview they will claim 6 weeks of dedicated when there are really only 2 weeks that don't have classes running in them.

This leads to board failures, which is IMO the number one cause of people failing to match. Some students have bad expectations too and misapply, but its the 'red flags' that get people. Schools might have it more figured out by 2022, but at too many DO schools 'we have always done it that way' is sufficient reason to keep doing it that way despite poor outcomes.

You bring up a good point about time crunches and the misallocation of preclinical time. As we all know, it's rare that things are removed from the curriculum, but every year a few things get added. A new lecture here, a few hours of medicolegal stuff here, etc. Invariably, this leads to less time for students to focus on board preparation, which leads to poor board performance.

At my school, we had > 10 hours dedicated to medical jurisprudence, including a 2-hour mock deposition jammed right into the middle of one of our big systems courses. Schools take a patch-work approach to curriculum revision rather than looking at curriculum ad hoc and rebuilding from the ground up. As has been mentioned, the pool of basic science information is only growing, and trying to cram all of that into two years (plus ethics, medicolegal, interdisciplinary blabla, and wellness lectures) is a recipe for disaster.
 
No, because like I and others who have interviewed and matched this last cycle. Many former AOA programs are not showing any preference for DOs at all. Many are interviewing MDs at the same rate if not more than DOs
This is very program dependent. The program directors affiliated with my school are all DOs and stated that they have no intentions of taking MDs over qualified DOs. Ortho PD state they have an OMM requirement as a way of saying "thanks, but no thanks" to MD applicants (his words). Also a lot of AOA programs that had ACGME cred participated in BOTH matches and took their DOs in the AOA match and MDs in the ACGME match. So the match rates are not reflective of that aspect even though the DO matched into an ACGME accred program just in the AOA match.
 
Im soon to be a DO student in the class of 2020. Now, I don't wanna sound negative but, if you really can't compete with the MD applicants and high performing DO applicants, I'm sorry but survival of the fittest? It's not enough to just get into medical school. If you simply can't perform and can't score higher than MDs on the USMLE, I really don't think you should be gunning for certain residency positions or can complain when you don't get them. I know being a DO is going to be like being a woman in engineering or in orthopedics... If you're not pushing yourself to the limit and outperforming the men (MDs), you won't be given a second look. The DO route offers people who weren't competitive in undergrad a way to become a physician, but being in medical school alone is not a free pass to 260k a year and saving lives. YOU. NEED. TO. FU**ING. WORK. GURRRLLL!

I am going to a DO school because I actually decided to go into medicine when I found out about DO and the philosophy it had. I'm also from a family of chiropractors so I had that going for me, but DO was more in line with what I had studied in undergrad and ultimately what I want to do. I ended up going back to school for pre-requisites and scored in the 90th percentile on the MCAT... and yes that means I did better than 90% of MD and DO applicants. I know I need to do that again in order to remain competitive given the nature of limited residency spots no matter if I was in an MD school or DO school. But I guess this is just my 2 cents and my Type A personality speaking.
Well, NP/PA are saving lives 🙄
 
I noticed the same thing this year. I was just pointing out that contrary to what the OP said about the sky not falling, the match rate staying the same is a bad sign for DOs.

It’s also pretty crazy to think that despite the Osteopathic profession justifying it’s existence by their “unique training”, even their own GME programs don’t seem to buy into the idea and are perfectly willing to replace everyone with MDs.
Many have sound the alarm when news about the merger was floating around... But some weird reason(s), the above average DO students thought it would be a good thing. I think people tend to be selfish. Therefore, they forgot the other 75% of their classmen who won't be able to compete with MD students.
 
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Many have sound the alarm when news about the merger was floating around... But some weird reason(s), the above average DO students taught it would be a good thing. I think people tend to be selfish. Therefore, they forgot the other 75% of their classmen who won't be able to compete with MD students.
It is a good thing... tell me why for a competitive specialty, applicants should have to choose between entering the earlier but safer DO match, or really gunning for their number one spot in the MD match. The answer for everyone in this situation is that if there was one match, people could apply to their reach program AND their backup community program without having to play the odds of an outdated match system. There’s plenty of family med spots to go around. So much of the whole med school problem is complaining about what you’ve been given instead of embracing it. Without a unified match, former DO residency graduates would have been unable to match into ACGME fellowships in the future. This is a huge deal. It sucks to be those of us in this transition period, but it is highly necessary and, quite frankly, with the crying everyone does on here about the need for one unified board exam and less omm, should be a relief seeing as how this is the first step in that union as well.
 
It is a good thing... tell me why for a competitive specialty, applicants should have to choose between entering the earlier but safer DO match, or really gunning for their number one spot in the MD match. The answer for everyone in this situation is that if there was one match, people could apply to their reach program AND their backup community program without having to play the odds of an outdated match system. There’s plenty of family med spots to go around. So much of the whole med school problem is complaining about what you’ve been given instead of embracing it. Without a unified match, former DO residency graduates would have been unable to match into ACGME fellowships in the future. This is a huge deal. It sucks to be those of us in this transition period, but it is highly necessary and, quite frankly, with the crying everyone does on here about the need for one unified board exam and less omm, should be a relief seeing as how this is the first step in that union as well.

Except DOs used to have protected Ortho and derm spots where you can potentially match by being buddy buddy with the program and have an ok comlex. Now you have to compete with highly qualified MDs.
 
It is a good thing... tell me why for a competitive specialty, applicants should have to choose between entering the earlier but safer DO match, or really gunning for their number one spot in the MD match. The answer for everyone in this situation is that if there was one match, people could apply to their reach program AND their backup community program without having to play the odds of an outdated match system. There’s plenty of family med spots to go around. So much of the whole med school problem is complaining about what you’ve been given instead of embracing it. Without a unified match, former DO residency graduates would have been unable to match into ACGME fellowships in the future. This is a huge deal. It sucks to be those of us in this transition period, but it is highly necessary and, quite frankly, with the crying everyone does on here about the need for one unified board exam and less omm, should be a relief seeing as how this is the first step in that union as well.

Because the latter is pretty risky as a DO, and with both matches, reasonable decisions can be made whether or not to skip the AOA match depending on how many programs were ranked in each match. If someone is applying for Ortho with 10 AOA ranks and 2 ACGME ranks, no reasonable applicant is going to skip out on the AOA match. Sure, it sucks having to choose between two matches if things are evenly split, but it's still a lot less crappy having that backup option than going into the ACGME match knowing you probably aren't going to match. I'm in overall agreement that unifying GME is a good thing, but it's definitely going to result in less DOs entering competitive specialties. You seem to be underestimating how realistic it is for DOs to match competitive specialties in the ACGME match. Only 5 DO's matched ortho this year.
 
Because the latter is pretty risky as a DO, and with both matches, reasonable decisions can be made whether or not to skip the AOA match depending on how many programs were ranked in each match. If someone is applying for Ortho with 10 AOA ranks and 2 ACGME ranks, no reasonable applicant is going to skip out on the AOA match. Sure, it sucks having to choose between two matches if things are evenly split, but it's still a lot less crappy having that backup option than going into the ACGME match knowing you probably aren't going to match. I'm in overall agreement that unifying GME is a good thing, but it's definitely going to result in less DOs entering competitive specialties. You seem to be underestimating how realistic it is for DOs to match competitive specialties in the ACGME match. Only 5 DO's matched ortho this year.
Have you been through the match? I had 6-8 interviews in each match this year and it was hell trying to decide which match to enter. In the end, I played it safe like most DOs do. But I would have been much better off being able to apply to 12-16 contiguous programs rather than 8 in each, since the programs in the MD match are usually much better quality for the specialty I am going into. I got good vibes from the AOA program I matched into, and I think they stand up to ACGME programs pretty well, but I still would have appreciated the ability to apply to all those programs in one match.
 
Have you been through the match? I had 6-8 interviews in each match this year and it was hell trying to decide which match to enter. In the end, I played it safe like most DOs do. But I would have been much better off being able to apply to 12-16 contiguous programs rather than 8 in each, since the programs in the MD match are usually much better quality for the specialty I am going into. I got good vibes from the AOA program I matched into, and I think they stand up to ACGME programs pretty well, but I still would have appreciated the ability to apply to all those programs in one match.
But it would have probably been harder for you if those AOA programs were ACGME already because you would be competing with MDs and FMG/IMGs.

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Have you been through the match? I had 6-8 interviews in each match this year and it was hell trying to decide which match to enter. In the end, I played it safe like most DOs do. But I would have been much better off being able to apply to 12-16 contiguous programs rather than 8 in each, since the programs in the MD match are usually much better quality for the specialty I am going into. I got good vibes from the AOA program I matched into, and I think they stand up to ACGME programs pretty well, but I still would have appreciated the ability to apply to all those programs in one match.

Yeah I went through it this year but only ranked the 1 program I liked in the AOA match, didn't match, and got my first choice in the NRMP. I totally get where you are coming from, and realize the choice is tough when it's split like that, but at least you get to practice in the specialty you wanted. You also have to consider that you had a ton of programs to rank overall, and you just said yourself that you are happy with the program you are going to. What if you were an applicant for a highly competitive field with only 6 ranks total in the NRMP? You don't think that would have been scary?

Edit: Like the previous poster said, you are assuming you would have had 16-18 ranks in the unified match, and I'm saying I don't think that's a realistic assumption. Especially if the field you applied to was really competitive.
 
Since a bunch of programs transitioned from the AOA and participated in that ACGME match this year, shouldn’t the ACGME match rate for DOs have gone up pretty substantially this year? Like you said, it stayed the same with around 80% matching. So if that number never changes, even when the next wave of programs get ACGME accreditation, then that 80ish percent will be the actual match rate for osteopathic applicants.

Actually, not really, because AOA match rates of DO seniors and ACGME match rates of DO seniors are both pretty close to the overall match rate of DO seniors (87-88%), so more AOA programs transitioning shouldn't really affect the DO match rate. I would have hoped it would continue going up, but it has to level off sometime I guess.

For those waiting for the match rate thread that I normally make, I'm sorry, I haven't had a chance to do the analysis yet, but when I'm not working 80 hr weeks I will. This year's match rate will not be as clear as others, since they did not specify in the report the number of people that attained positions in the SOAP/scramble. In the past they had, so we were able to get a better idea of the true match rate, but this year the range will be wider.
 
Hey Hallowmann, when you get time would you be able to post your 2018 version? I believe the numbers (for both NRMP and NMS) are published now, just as a heads up.

Think I can speak for others when I say we appreciate your posts/time!

Had some time on a slow call night: DO Match Rate 2018
 
FYI... major changes in NY are coming next year.

Northwell Health, NY's largest private employer, is now stating that beginning next year, ALL applicants must have taken USMLE.
The merger's impact is really going to take a toll on all applicants but particularly, family medicine programs, since: many DO family programs at Northwell (formerly North Shore-LIJ) used to obviously only participate in the DO match and accept COMLEX. Last year, a family med program in Long Island started to only rank applicants in the MD match and forgo the DO match completely. And starting next year, they will require the USMLE in order to match into their program. This seems strange, since, the program was formerly AOA only w/ NYCOM; then became ACGME accredited but still happily accepted DO students only--and still continues to have a DO program director. But the USMLE mandate beginning next year comes from the higher-ups at Northwell Health system, not the program itself. Thus, a traditional DO family medicine program, now ACGME, even with a DO program director, is now requiring USMLE, which is crazy considering COMLEX is required for graduation, but now may make NYCOM reconsider their board exam policy and implement a USMLE requirement for the first time. Believe what you want about the benefits of the merger, but the next question then becomes: what is the point of COMLEX if you can't even land a residency in a program that was started by a DO school, took DO graduates, etc. The scary part about all of this, is that in the near future, this USMLE mandate from Northwell may trigger all dually-accredited programs in NY to require USMLE, ultimately making the COMLEX obsolete, which is unfair to all the students who have no idea this is happening because their schools are telling them "you don't need the USMLE to graduate or match into residency." The competitiveness for matching into a family med program in NY just got tougher, significantly so.
 
FYI... major changes in NY are coming next year.

Northwell Health, NY's largest private employer, is now stating that beginning next year, ALL applicants must have taken USMLE.
The merger's impact is really going to take a toll on all applicants but particularly, family medicine programs, since: many DO family programs at Northwell (formerly North Shore-LIJ) used to obviously only participate in the DO match and accept COMLEX. Last year, a family med program in Long Island started to only rank applicants in the MD match and forgo the DO match completely. And starting next year, they will require the USMLE in order to match into their program. This seems strange, since, the program was formerly AOA only w/ NYCOM; then became ACGME accredited but still happily accepted DO students only--and still continues to have a DO program director. But the USMLE mandate beginning next year comes from the higher-ups at Northwell Health system, not the program itself. Thus, a traditional DO family medicine program, now ACGME, even with a DO program director, is now requiring USMLE, which is crazy considering COMLEX is required for graduation, but now may make NYCOM reconsider their board exam policy and implement a USMLE requirement for the first time. Believe what you want about the benefits of the merger, but the next question then becomes: what is the point of COMLEX if you can't even land a residency in a program that was started by a DO school, took DO graduates, etc. The scary part about all of this, is that in the near future, this USMLE mandate from Northwell may trigger all dually-accredited programs in NY to require USMLE, ultimately making the COMLEX obsolete, which is unfair to all the students who have no idea this is happening because their schools are telling them "you don't need the USMLE to graduate or match into residency." The competitiveness for matching into a family med program in NY just got tougher, significantly so.
What part/ steps do they require? See this matters quite a bit because many DO students take Step 1 but fewer take step 2 and almost none take the CS or step 3. So if they are requiring both step 1 and 2 CK and the CS they are basically making it an MD only club.
 
FYI... major changes in NY are coming next year.

Northwell Health, NY's largest private employer, is now stating that beginning next year, ALL applicants must have taken USMLE.
The merger's impact is really going to take a toll on all applicants but particularly, family medicine programs, since: many DO family programs at Northwell (formerly North Shore-LIJ) used to obviously only participate in the DO match and accept COMLEX. Last year, a family med program in Long Island started to only rank applicants in the MD match and forgo the DO match completely. And starting next year, they will require the USMLE in order to match into their program. This seems strange, since, the program was formerly AOA only w/ NYCOM; then became ACGME accredited but still happily accepted DO students only--and still continues to have a DO program director. But the USMLE mandate beginning next year comes from the higher-ups at Northwell Health system, not the program itself. Thus, a traditional DO family medicine program, now ACGME, even with a DO program director, is now requiring USMLE, which is crazy considering COMLEX is required for graduation, but now may make NYCOM reconsider their board exam policy and implement a USMLE requirement for the first time. Believe what you want about the benefits of the merger, but the next question then becomes: what is the point of COMLEX if you can't even land a residency in a program that was started by a DO school, took DO graduates, etc. The scary part about all of this, is that in the near future, this USMLE mandate from Northwell may trigger all dually-accredited programs in NY to require USMLE, ultimately making the COMLEX obsolete, which is unfair to all the students who have no idea this is happening because their schools are telling them "you don't need the USMLE to graduate or match into residency." The competitiveness for matching into a family med program in NY just got tougher, significantly so.
Thank you for posting this information.

While certainly a rough transition and students at schools not yet supportive of taking the USMLE will suffer, it seems to me like there is probably a net positive in pressuring more DOs to take the USMLE. Maybe this is not a very informed perspective but my current take would be that the less "separate but equal" we have, the better.

...That's not to say that I don't wish I would get to participate in the AOA match because it had those wonderful protected specialty spots...
 
Thank you for posting this information.

While certainly a rough transition and students at schools not yet supportive of taking the USMLE will suffer, it seems to me like there is probably a net positive in pressuring more DOs to take the USMLE. Maybe this is not a very informed perspective but my current take would be that the less "separate but equal" we have, the better.

...That's not to say that I don't wish I would get to participate in the AOA match because it had those wonderful protected specialty spots...
Eventually it will be a positive, but right now its a negative. DO school currently does not prepare its students for USMLE for the majority of schools. Nor do they give them the resources/time to succeed in many cases. I agree it is better for you as an applicant to have a USMLE, but its bad for current DO students to have it become a requirement. Not everyone can meet that, and quite frankly, they shouldn't have to.
FYI... major changes in NY are coming next year.

Northwell Health, NY's largest private employer, is now stating that beginning next year, ALL applicants must have taken USMLE.
The merger's impact is really going to take a toll on all applicants but particularly, family medicine programs, since: many DO family programs at Northwell (formerly North Shore-LIJ) used to obviously only participate in the DO match and accept COMLEX. Last year, a family med program in Long Island started to only rank applicants in the MD match and forgo the DO match completely. And starting next year, they will require the USMLE in order to match into their program. This seems strange, since, the program was formerly AOA only w/ NYCOM; then became ACGME accredited but still happily accepted DO students only--and still continues to have a DO program director. But the USMLE mandate beginning next year comes from the higher-ups at Northwell Health system, not the program itself. Thus, a traditional DO family medicine program, now ACGME, even with a DO program director, is now requiring USMLE, which is crazy considering COMLEX is required for graduation, but now may make NYCOM reconsider their board exam policy and implement a USMLE requirement for the first time. Believe what you want about the benefits of the merger, but the next question then becomes: what is the point of COMLEX if you can't even land a residency in a program that was started by a DO school, took DO graduates, etc. The scary part about all of this, is that in the near future, this USMLE mandate from Northwell may trigger all dually-accredited programs in NY to require USMLE, ultimately making the COMLEX obsolete, which is unfair to all the students who have no idea this is happening because their schools are telling them "you don't need the USMLE to graduate or match into residency." The competitiveness for matching into a family med program in NY just got tougher, significantly so.
So much for the merger 'forcing everyone to accept COMLEX' looks like that is flying back in AOA's faces. TY for the update.
 
What part/ steps do they require? See this matters quite a bit because many DO students take Step 1 but fewer take step 2 and almost none take the CS or step 3. So if they are requiring both step 1 and 2 CK and the CS they are basically making it an MD only club.
Great question. Not sure. I would assume Step 1 and Step 2, since Step 3 is taken mostly in residency and thus similarly, COMLEX 3 is just a state licensure requirement.
 
FYI... major changes in NY are coming next year.

Northwell Health, NY's largest private employer, is now stating that beginning next year, ALL applicants must have taken USMLE.
The merger's impact is really going to take a toll on all applicants but particularly, family medicine programs, since: many DO family programs at Northwell (formerly North Shore-LIJ) used to obviously only participate in the DO match and accept COMLEX. Last year, a family med program in Long Island started to only rank applicants in the MD match and forgo the DO match completely. And starting next year, they will require the USMLE in order to match into their program. This seems strange, since, the program was formerly AOA only w/ NYCOM; then became ACGME accredited but still happily accepted DO students only--and still continues to have a DO program director. But the USMLE mandate beginning next year comes from the higher-ups at Northwell Health system, not the program itself. Thus, a traditional DO family medicine program, now ACGME, even with a DO program director, is now requiring USMLE, which is crazy considering COMLEX is required for graduation, but now may make NYCOM reconsider their board exam policy and implement a USMLE requirement for the first time. Believe what you want about the benefits of the merger, but the next question then becomes: what is the point of COMLEX if you can't even land a residency in a program that was started by a DO school, took DO graduates, etc. The scary part about all of this, is that in the near future, this USMLE mandate from Northwell may trigger all dually-accredited programs in NY to require USMLE, ultimately making the COMLEX obsolete, which is unfair to all the students who have no idea this is happening because their schools are telling them "you don't need the USMLE to graduate or match into residency." The competitiveness for matching into a family med program in NY just got tougher, significantly so.

AOA leadership really let its students down if this becomes the new trend.

Probably an unpopular opinion, but I'm starting to think that the AOA should've just cut its losses with the ACGME fellowships and refused the merger altogether.
 
AOA leadership really let its students down if this becomes the new trend.

Probably an unpopular opinion, but I'm starting to think that the AOA should've just cut its losses with the ACGME fellowships and refused the merger altogether.
You think by and large eliminating the possibility of DOs subspecializing would be worth DOs not having to take the USMLE? Am I missing some nuance to the trade-off here?
 
You think by and large eliminating the possibility of DOs subspecializing would be worth DOs not having to take the USMLE? Am I missing some nuance to the trade-off here?

The problem is that every DO student plans to take the USMLE, yet 1/3+ students end up backing out.

IF this required USMLE becomes a trend even in FM (I understand that it is just this one program for now), then I absolutely think that it was irresponsible for the AOA to enter this merger when DO schools still fail to prepare many of their students to take the USMLE. First of all, the possibility of DOs subspecializing would not be eliminated if the merger didn't happen. There would still be fellowship opportunities for DOs that completed an ACGME residency, as well as (admittedly more limited) AOA fellowships available for AOA residency grads. Second, being a med school graduate without a residency is a much more catastrophic predicament than being a residency graduate without a fellowship.
 
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I understand that you, as a pre-med, think that you are not only going to take the USMLE but absolutely nail it and become a super-specialist. The problem is that every pre-DO plans to take the USMLE, yet 1/3+ students back out.

IF this required USMLE becomes a trend even in FM (I understand that it is just this one program for now), then I absolutely think that it was irresponsible for the AOA to enter this merger when DO schools still fail to prepare many of their students to take the USMLE. First of all, the possibility of DOs subspecializing would not be eliminated if the merger didn't happen. There would still be fellowship opportunities for DOs that completed an ACGME residency, as well as (admittedly more limited) AOA fellowships available for AOA residency grads. Second, being a med school graduate without a residency is a much more catastrophic predicament than being a residency graduate without a fellowship.

As a MD student who almost attended a DO school, I thought the merger was ill-conceived even if many in SDN were for it.. Everyone thinks they will be a hot shot in med school since they were way above average in undergrad, but the reality is that you will be competing against the smartest students in the US. It's no secret that most (emphasis on most here) people go to DO school because they did not do too well in the MCAT, and med school is all about standardized exams like the MCAT. Therefore, you will be at a disadvantage albeit one can overcome that... You will be competing with MD students who are overall better at these exams and FMG who have an unfair advantage since they can spend months or even years studying for the USMLE.

I don't know whether DO school curriculum gear toward USMLE or not. But if the COMLEX is anything like the COMQUEST which was provided to us sans OMT section, I would say the COMLEX is a lot easier than the USMLE. Mediocre DO students who had Path/IM/FM/Neurology/Psych/PM&R wide open to them pre-merger are going to feel the brunt of the merger.
 
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I understand that you, as a pre-med, think that you are not only going to take the USMLE but absolutely nail it and become a super-specialist. The problem is that every pre-DO plans to take the USMLE, yet 1/3+ students back out.

IF this required USMLE becomes a trend even in FM (I understand that it is just this one program for now), then I absolutely think that it was irresponsible for the AOA to enter this merger when DO schools still fail to prepare many of their students to take the USMLE. First of all, the possibility of DOs subspecializing would not be eliminated if the merger didn't happen. There would still be fellowship opportunities for DOs that completed an ACGME residency, as well as (admittedly more limited) AOA fellowships available for AOA residency grads. Second, being a med school graduate without a residency is a much more catastrophic predicament than being a residency graduate without a fellowship.

I asked you questions instead of making statements because I was trying to clarify your opinion, not insult it. Your first bolded statement is unfounded and untrue.

Based on what you say, I was missing some nuance- I forgot that DOs in ACGME residencies could still pursue ACGME fellowships (oops), so there would still be the possibility of a reasonable pipeline. That line of reasoning makes sense. Having (probably) fewer DOs in fellowships would be better than (probably) fewer DOs placed into residencies.
 
I asked you questions instead of making statements because I was trying to clarify your opinion, not insult it. Your first bolded statement is unfounded and untrue.

Based on what you say, I was missing some nuance- I forgot that DOs in ACGME residencies could still pursue ACGME fellowships (oops), so there would still be the possibility of a reasonable pipeline. That line of reasoning makes sense. Having (probably) fewer DOs in fellowships would be better than (probably) fewer DOs placed into residencies.

I apologize for the unnecessary sass. It's easy for me to criticize pre-DOs whenever I sense that they have the same misconceptions that I had before I started med school (i.e. that AOA/COCA/NBOME/etc make informed decisions with the students' best interests at heart). My frustration is not meant to be aimed at you or any other pre-med, but at the DO leadership that rakes in tuition money from ill-advised students. You may not necessarily be one of those ill-advised matriculants, but many look at the historically 98%+ residency placement and feel a sense of optimism that may or may not be misplaced (it's still too early to tell).

I was a bit alarmed at the news about that NY program because COMLEX-only applicants matched ACGME primary care just fine even before the merger. Hopefully, this is just an isolated incident.
 
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