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OSUdoc08 said:M.D.'s cannot participate in osteopathic residencies. D.O.'s can participate in both osteopathic and allopathic residencies. If there is such a competitive specialty that doesn't appreciate the philosophy of osteopathic medicine (which is not likely at least in my part of the world, where D.O.'s are found in practically all residencies and at all hospitals), that specialty will be available as an osteopathic residency. Therefore, no specialty opportunity will be limitied.
You couldn't be more mistaken. What you fail to consider are the number of those osteopathic residencies for a given competitive field like opthalmology. There are not ample DO versions of these residencies in existence. This is a common misperception many first and second year osteopathic students make prior to the match. As an example, there are only two osteopathic plastic surgery fellowships in the entire country. For the large number of DO's completing a general surgery residency, their chances of specializing in plastics is quite limited particularly since allopathic counterparts are reluctant to take DO's. So regardless of the fact that only DO's can apply to their osteopathic versions of these competitive fields, there are so few of them that certain fields are in fact very limited to DO's. There are between 14-20 osteopathic dermatology positions open each year when compared to 240 allopathic dermatology spots. Even with the greater number of allopathic M.D. schools in existance, the odds still slightly favor M.D. applicants in landing a derm spot. It has nothing to do with allopathic programs not respecting the osteopathic philosophy and everything to do with competition. Those allopathic programs receive too many applications from great MD candidates that they feel it isn't fair to accept a DO particularly when osteopathic programs bar M.D. applicants. Sorry for the long explanation but I hoped that erased your confusion?
This is a very hot issue at the moment in regards to osteopathic education. Many DO's are very upset with the AOA for opening more schools and failing to create more programs particularly in these competitive fields. When our own best students fail to find opportunities in competitive fields, it is a major concern. Perhaps, some of us will do something about this issue when we graduate.