I'm interested in primary care also (IM or FP) -- which is why its DO all the way for me. The thing I had to consider at the end of the evening after the interviews were:
1. How will I stack up against other DO's and MD's?
2. I know that the COM-Mesa curriculum will make me a compassionate physician, but will it make me a COMPETENT SCIENTIST?
Dr. Wood talked about Evidence-Based Medical Education (EBME) in creating the curriculum but with no grads of COM-Mesa to talk to, it's hard to gauge how one will do in the real world. All of the new DO schools have a traditional curriculum. Without concrete answers during the Q&A session of interview day, I kept having this nagging feeling that I will probably be behind (compared to other medical doctors) when it comes to knowledge of the hard basic sciences.
Dr. Wood told a story during his presentation that when he was in med school, he was forced to learn about every single detail of the hand's anatomy. He continued to say "we won't do that here at COM-Mesa. It's not practical." Although I agreed with him wholeheartedly, it kinda gave me a red flag ---- wouldn't a good med student want to be taught every little detail, regardless of whether you'll ever use that information? Too much info is probably better than too little.
Hey everyone,
First of all congrats to all you pre-DO's on any interviews and acceptances you have. And for everyone else, hang in there! I'm currently an M1 at NSU and thought I'd chime in on this thread since i've been reading SDN (prolly a little too much) over the last few years and want to give you something to think about. All I know about this new school is from what I've read here and on their website, and the curriculum sounds interesting. So here's a few things to think about:
First and foremost the curriculum. Many schools are going toward a clinical-oriented model. LECOM-B for example is very very heavy in PBL (they only take a couple traditional classes like Anatomy). Other schools like NSU have a program where everyother week we go for a half-day to a primary care docs office and observe/shadow/do H&Ps and whatever else. I think its a good component. However, I think all future physicians should have a pretty solid pre-clinical science background. The poster I quoted said that at ATSU, they're not gonna teach you every little detail about the hand for example. I'm curious as to how much they are going to omit.
A major difference between MD/DO's and mid-level practicioners such as PA's and Nurse Practicioners is the depth of knowledge we learn. Midlevels learn when a patient presents with A, look for B and C. Order Test #1 and #2, and if the results come back in a certain way, prescribe ____. The depth of understanding they recieve is no where near close as to what physicians do. Physicians learn the biochemical pathways behind the processes, the physiology of it, the pathology, genetics involoved, down to the cellular level. This is the reason why I think you have to be critical about any MEDICAL school that says "we don't think its practical for you to learn all that stuff. we want you to jump into evaluation and treatment sooner." When you are in rotations or in residency you will get pimped... a lot. The questions you get pimped on by your superiors will often be some of this minute detail which they may say is not "practical". Some of the more elite IM residencies even have a 30 minute pimping session in resident interviews! You don't want to show up with a gun half-loaded.
Another thing, how extensive are any hospital rotations? How diverse is the pathology seen at these hospitals? Do they offer in-patient based internal medicine and surgical rotations? I've done work in plenty of work in both hospitals and health clinic settings and I can tell you that one cannot subsitute the hospital learning experience completely by health clinics. And at that... many hospital rotations provide a sub-par learning experience when compared to other certain hospitals. You are going to want spend at least a couple rotations in clinical sites that offer diverse pathology, procedures, and preferably tertiary care services.
I must say, if you want to practice in an underserved rural setting, the curriculum does sound good. However, I can tell you from all the medical students, residents, and practicing doctors I've come into contact with... they all say one thing in common. Keep an open mind your first couple years as what field you want to go into. A very good amount of time, what you THINK your heart is set on when you start med school will the opposite of what you find you want to do when graduating med school. So my point is, some of you only wanting to do primary care may change your mind when exposed to rads, anethesia, neurology, surgery, IM-subspecialites, etc. Unless you're 100% you will go into primary care, you may want to think about how the medical school you choose will prepare you to go into other fields of medicine.
Also, how will this new curriculum effect your preparation for the boards? Some DO schools have struggled with their board pass rates in the past. For example, I've been told by students there that LECOM-B isn't very happy with their pass rates for the first group of students to take them last year. They still need to tinker with their PBL-only curriculum.
Sorry for the lengthy post. I'm not ripping on ATSU by any means, I just wanted to give everyone a few things to think about. Every school paints a pretty picture for you when you interview. know that once you're in med school you'll gain perspective on things that you never thought about as a pre-med. Good luck!