I'm interested in hearing from those of you not doing the AOA internship. It's looking as though it may not be in the cards for me either as it would tack on an addition year to complete my postgraduate training. This extra year means further loan interest accrual and defering becoming an attending which also means one more year living on resident's salary. I am curious as to if there are any options regarding special dispensation to still get licensed in the 5 AOA internship requiring states without having done an internship. Furthermore, in the last issue of JAOA an article discussed how there is a shortfall AOA internship slots relative to number of graduates of DO schools. The numbers were something like 1800 spots vs. 2500 graduates. However all 1800 slots do not fill since many DO grads jump right into ACGME Residencies. My point is how can the 5 internship-requiring states continue to do this when theoretically there are not enough spots for all DO graduates to enter an AOA internship? Essentially they are denying licensure on the basis of not doing an internship when this option is not available to all seekers? Guess I wouldn't be an anal med student if I didn't write such a long topic intro.