Just wanted to start an up-to-date thread for osteopathic students interested in Anesthesia (esp. for 3rd years), so we could get some feedback, assistance, ect...
Some questions...
1. Step 2 USMLE- should we take it, or will Step 2 COMLEX suffice?
2. Any programs out there that are "DO friendly"?
3. Any programs that are NOT "DO friendly"?
4. How many programs should we apply to? Do we need to cast a wider net since we are DO's?
5. What I need to know to do well (okay, extremely well) on my rotation/subI?
6. What months should I do my "interview" rotations?
Thanks in advance to anyone willing to give advice. It is much appreciated!
I am a CA-2 resident in an Osteopathic anesthesiology residency this year. Let me do my best to answer your questions.
1. Just COMLEX vs. USMLE + COMLEX is a tough decision. Despite the fact that there is a percentile assigned to COMLEX scores, there are some allopathic program directors who feel like they can't compare the percentiles between the two exams equitably. As for which programs those correspond to, I don't remember...but don't hesitate to call and ask them how they feel about it. I was in a quandary because I didn't take my USMLE step 1 and couldn't afford the time or money to do both to catch up with that by the time I applied. That said, I didn't want to consider programs that would not look at my board scores (which were well above average) in the same light as comparable USMLE scores. Any perceived slight when I talked to the program's office/director by phone got that program tossed in my application junk heap.
2 and 3. Because I was applying to both Osteopathic and Allopathic programs, I didn't apply to as many MD programs as many people do. I've heard that many of the programs in the Northeastern part of the U.S. aren't all that great with D.O.'s but that's purely hearsay. I found that none of the Chicago-area residencies (Rush, Loyola, Northwestern) offered to interview me or even sent me an acknowledgment of my application. There were some "prestigious" ones who did offer an interview, such as Johns Hopkins and the Cleveland Clinic, so that gave me some solace. I know that Ohio State, Penn State, Indiana, Kentucky, Maryland, Case Western do take D.O.'s in their programs on a regular basis.
4. How "wide a net" you need to cast depends on both the confidence you have in your credentials and the likely size of the applicant pool in general. I knew that I had an "in" with a D.O. program, so I took the "bird in the hand" option and cast a smaller net out there. The applicant pool now (judging by how many apps we get) has only gotten bigger, so I would say apply to many programs...but never apply to any where you wouldn't want to go in the first place. Until the 2 match days are synchronized (which I hope happens soon), there's always a chance that matching in the D.O. match will yank you from the M.D. match. That's the risk you take with that.
5. On your electives, take the standard advice. Show up early and stay late. Never turn down a chance to do ANYTHING, even something as mundane as pushing a patient back to the O.R. or PACU. Be assertive, but not pushy, with the attendings and staff. Show that you have a well-developed work ethic and that you can get along with
everyone. Your intubation skills will all be for naught if people at your electives hate your guts. Don't be afraid to ask for feedback halfway through and scout out people for recommendations if you think that you may not apply there. Always, ALWAYS send a thank you note to the PD and remind them of your interest in their program, if applicable.
6. Interview rotations are best done during "interview season," or from August through November. I would suggest avoiding July elective rotations. There's a ton of new residents and interns, and you can get lost in the shuffle there at the bottom of the food chain.
Just show that you'll be a dependable, reliable resident who has some good base knowledge, is eager to learn, and are willing to work hard and you'll likely portray yourself in the best possible light. Good luck and feel free to ask any other questions if you feel the urge.
- Ket