Hi All,
There were some well thought Q&A on this thread. I haven’t posted in at least a year. I’m a 4th year (Class of 2018) and will offer my experience and perspective. A couple quick notes: the post from gasman2014 pg. 6 is well said. I am also +1 on most of what Worldchanger36 and Cajun medic have said in this thread. This post is going to be long, so I will add headings and try to highlight point I feel were important to me. I will be as unbiased as I can. Read what you want, and I hope it helps you on your journey whether it includes Carey or not.
Getting in:
Take all the interviews you can until you get an acceptance (or 2), then you can afford to be choosey. I fully agree with gasman’s post. IMO
I would NOT forego an acceptance ANYWHERE to do an MBS or the like. There is no point in adding a year of school, debt etc. to maybe have a shot at a place you may or may not like better. This process is a grind; take the bird in hand.
Getting into Carey:
If you get an interview you have a great chance to be accepted – I agree with the 80%+ chance posted earlier in the thread unless you completely blow the interview which is very unlikely because the interviews were super laid back.
It does not matter when in the season you have the interview IMO, they stop interviewing when the class is full. If you interview in March or even later there is still a spot. They may be more selective as the open seats are filling but take the interview, be yourself and you will be fine. If you are waitlisted, hang in there, you still have a shot. In my first year they added people from the list until the second day of classes.
Worldchanger36 has done a nice job answering the interview specifics in this thread.
Carey vs other DO schools vs MD vs Caribbean (classic SDN debate):
Honestly this is a tough call for me.
In truth I hated the first two preclinical years at Carey, there are plenty of specifics as to why by other students in this thread. It seems like a lifetime ago, and I cringe every time someone brings up the subject. After two years of rotations / residency interviews meeting other DO, MD, and IMG grads, no one has told me their first two years of med school were fantastic. Many if not most of the things that infuriate students at Carey exist at the other DO schools as well.
Side note: Some specific DO schools were mentioned in this thread, among those people were comparing, I had interviews @ Marian, LECOMB, LECOM – seton hill and a few others. The students @ LECOMB were completely miserable to the point they couldn’t put on their happy faces like the other schools do with the interviewees. I you are invited, definitely look @ Marian. They had tons of funding and a great facility, they were my number 2 choice.
I chose Carey because of the students. Honestly, if I did not have the friends I made at Carey, med school would have been a lot harder. It is certainly not the only or maybe even the best reason to choose a school, but ultimately that was my reason. I doubt any school would have had a better group of students willing to help each other. There are gunners at every school, but I think we have fewer than most.
My MD friends at various schools in general may have had less frustration in the preclinical years and
without question have a better environment to succeed on the boards. That statement is not speculative, I have seen course materials and syllabi from friends, and it is better. I believe it is because the MD programs have had more time to ferret out things that do not benefit the students and typically are set in a long established academic environment, whereas DO schools are almost universally newer and still figuring out what works. Also, keep in mind we spend 20%+ of our time on OMT material which never appears on USMLE, theoretically giving them less material to study in the same time frame.
The
MD students generally have less hands-on experience in years 3-4 because there are multiple layers of students, interns, residents, fellows, etc. above them getting in on procedures and patient care.
In that regard Carey has served me very well. I have what I consider a lot of firsthand experience compared to other 4th year med students I have met on the interview trail with patient care, procedures and interactions with attendings who genuinely wanted to teach. This does vary from hub site and preceptor, but IMO if you show initiative, read ahead and are respectful and confident you will see and do a lot on rotations at Carey and likely other DO schools.
I believe the relationships a student can make with a preceptor at Carey is one of the better selling points of the school. My LORs to ERAS were outstanding, and even better my preceptors discussed them with me prior to submission. Without question, they opened doors for me to residency interviews I may have not had if I only worked with residents and had cookie cutter fill in the blank LORs.
The IMG grads I have met have a rough go all around. They are basically on their own and self-study for the first two years and then struggle to get rotations in the U.S. Remember that you goal is to be a doctor and not a med student. I met an IMG MD at one of my interviews who was in her third application cycle and working as a nurse to pay loans until she found a residency. Access to good preceptors is extremely important along with a chance at an AI (acting internship) to get the attention of a specific program. The students in the Caribbean are encouraged to apply to 150-250 programs to try and get a residency spot. Again, not speculation but information offered by a Ross grad during an interview dinner.
I would only consider this option as a very last resort even below adding time for an MBS. The IMGs I know lumped U.S. grads together, MD and DO when they compared their experience to ours.
Residency and beyond: the real reason you chose a med school
I would refer to the posts of gasman and the like who are in or have completed residency, but I will include the information I have gleaned at this point in the process.
ACGME or AOA?
IMO 100% ACGME. With the “merger” there is way too much up in the air for me to feel comfortable at an AOA residency, but again IMO and may not be shared by all. This is a problem that will not exist beginning for the classes of 2020.
How has attending Carey helped or hurt my interviews?
I have interviewed both AOA and ACGME. I would classify it as neutral or may have hurt me a little at my AOA interviews. Certainly not enough to stop them from offering me an interview. I did, however, receive the comment by an interviewer “I see you went to Carey, I have heard some things about it, but I won’t get into that now”. Then we proceeded to have a great interview and conversation as if the comment wasn’t made. Adding context, this was at a program who now has a former Carey prof as faculty. That is the only time it came up in any interview.
ACGME- kept me from getting one interview I wanted because they required
ALL DOs to do a 1 year TRI (traditional rotating internship) year to enter the program. This is NOT a common practice and in fact was the only MD vs DO issue I have ever had.
Aside from that attending Carey was never an issue or a help. I think the ACGME residencies lump all DO schools into the same general category and don’t know enough about them to stratify schools.
I would add I experienced ZERO outward bias to MD over DO in any interview or rotation.
In the end, I had interviews at nearly all my top choice programs. Aside from preceptor letters, Carey did not help open any doors. With exception of one or two places, I don’t think it hurt me either. We will see how match goes…
Remember that when you get to this point it is a job. Refer to the program director survey on the ACGME website to see what is important in obtaining a residency.
Among ALL specialties factors and importance for ranking applicants post interview # 1-4 have nothing to do with scores/ class rank (link below). I am by no means diminishing the importance of board scores. They are very important, and extremely important for a highly competitive specialty. But, keep in mind PD (program directors), faculty and residents want to know if they can work with you for long hours under high stress for 3-5 years straight. Being a decent and modest student/ person and having genuine interest in the field will serve you well in your journey.
http://www.nrmp.org/wp-content/uploads/2016/09/NRMP-2016-Program-Director-Survey.pdf
Best of luck.