Although I agree with you, a 600 is a good score, the problem lies with the fact that a lot/most ACGME residencies either don't care about the comlex or they don't really know what our scores mean, or a mix of both. I've said this before, but about 50% of DOs take COMLEX only, so you still have plenty of options, but I also know that both EM and anesthesia really like DO students having both step 1 and step 2. Especially with how EM is currently, I would not chance it without step scores. There might be some leeway for anesthesia since it's much less competitive.So im limited to the aoa residencies in specialties & primary care Aoa/acgme with comlex only?
Lol i feel like my score is meaningless...
Only going to correct the bolded with regards to FM, even the "big names" in FM are interviewing and taking DOs with COMLEX only. Its only very specific programs with very specific cultures (that sure are mostly in the "top tier" of programs) that really require USMLE in FM. I will also say that its most not just some university FM programs that will take people with a high COMLEX only score.If you were scoring that well on the comlex/practice tests why would you not have taken the USMLE also? Is yours one of those schools that discourages you from taking it?
TO MY KNOWLEDGE, a solid comlex like that opens doors at pretty much all AOA programs (although derm/ENT/ortho etc might be a stretch), and a big handful of ACGME (someone please correct me if I'm wrong):
Most FM/Peds (including some university programs, but big names aren't happening)
Lots of Community IM
A good handful of (mostly community) Psych, Anesthesia, and EM
Maybe a small handful of community OB/Gyn (though OB is a really tricky one)
If im limited to comm IM/FM/psych, I want to be in a major city or near a major city and im open to do anything but Peds or OBThe question is what do you want to match into and where? You're not the first DO to match ACGME without a USMLE, but you have put yourself at a disadvantage
Yes. Nobody cares about COMLEX in anaesthesia, few care in EM and most IM programs that take COMLEX are undesirable. Take step 1 dudeI got comlex 1 score of 602.
I have no idea what i wanna do yet
Is just comlex good enough for IM, EM, or anesthesia?
Do i need step 1?
Thank you ahead of time
I think plenty of people match into EM with just comlex. It's probably becoming more difficult as EM grows more competitively, but I don't think it's a closed door yet. As for Gas, I honestly think COMLEX probably is good enough for a lot since it's generally uncompetitive.Yes. Nobody cares about COMLEX in anaesthesia, few care in EM and most IM programs that take COMLEX are undesirable. Take step 1 dude
People match anesthesia just fine without a step 1. It is also not a rare occurrence for EM either. EM will be more of a challenge, but they care a lot about Step 2 so OP could do that and probably be ok. I think you underestimate how many people actually do ok without Step 1 in ACGME.Yes. Nobody cares about COMLEX in anaesthesia, few care in EM and most IM programs that take COMLEX are undesirable. Take step 1 dude
I'm in EM and my GF is in gas. You aren't gonna get that many bites in either field without a USMLE score. Don't mistake DO friendly for Comlex friendly.People match anesthesia just fine without a step 1. It is also not a rare occurrence for EM either. EM will be more of a challenge, but they care a lot about Step 2 so OP could do that and probably be ok. I think you underestimate how many people actually do ok without Step 1 in ACGME.
I think people are painting to you a grimmer picture than reality. It's the SDN tradition. Matching IM community next to a major city is entirely possible. Matching FM in a major city is very easy; I know someone with 400s that got interviewed at plenty of ACGME FM, including programs affiliated with UC campuses. Psych is becoming more competitive, but outside of NY/CA you will find more luck.If im limited to comm IM/FM/psych, I want to be in a major city or near a major city and im open to do anything but Peds or OB
If EM/Anesthesia/GS are possible, im willing to go wherever.
I never said no bites but check the threads last year for gas and EM. There are COMLEX only applicants that matched but it's still much more difficult. In EM there are a lot of programs that require Step 1 scores for away rotations as a MS4, never mind for interview/ranking purposes.Not what residents have told me but ok
I do agree with this sentiment 100%. Maybe I misread the thread but I've assumed OP was past the window of taking Step 1 and would have to prepare for it while on rotations.I never said no bites but check the threads last year for gas and EM. There are COMLEX only applicants that matched but it's still much more difficult. In EM there are a lot of programs that require Step 1 scores for away rotations as a MS4, never mind for interview/ranking purposes.
Especially for fields like EM and Gas that are otherwise very DO friendly so long as they can make an apples-to-apples comparison, it would be stupid to be tossed out of the running simply because you chose not to spend an extra 600$. Take step 1 people.
You're not gonna have an issue matching most FM or community IM, and there are more than a few university programs that will give you interviews, especially in the midwest. But you're not gonna have your pick of IM residencies or fellowships without a USMLE score.If i stick with comlex only, & apply to FM & IM community programs only.
Will i have a >90% chance of matching to a dual accreddited?
I'd take it at the end of 3rd year if I were you. It's a lot with Level 2 looming as well but that's your best bet.i am. Im on the fence right now about it.
I wonder if its possible to prep for it
Yup, we have one dude on this forum somewhere with a 650+ Comlex and a 215 Step 1. There's a reason why ACGME PDs don't really seriously consider the COMLEX when their programs have an abundant of MD applicants with a Step 1 score. If you want to compete against MD applicants for a certain residency spot, a legitimate competitive Step 1 will somewhat equalize the playing field in the eyes of PDs, making it easier for a PD to compare you against another MD applicant by a standardized metric. It's really just common sense.I'd take it at the end of 3rd year if I were you. It's a lot with Level 2 looming as well but that's your best bet.
Do NOT assume that a good showing on COMLEX = good USMLE. There are plenty of stories about DO students acing COMLEX and bombing USMLE. Take a few NBME practice tests, they're a available online. See how you do. A bad USMLE can undo all the good your COMLEX does. As is, there's plenty of programs in all 3 of the specialties you mentioned that will consider you competitive. Are you geographically restricted? Otherwise, don't make your life harder. Lots of places won't even look at you without a USMLE but you'll match if all your ducks are in a row.