So, per the match statistics, more DOs go unmatched each year (70% match rate vs 90+ for MDs) in the ACGME match. Within that, very very few DOs have EVER matched things like ACGME ortho, derm, or plastics. I added it up awhile ago. It is something like single digits per year, and only like 20 over the last 5 years. Proportionally speaking, grossly underrepresented as compared to MDs in terms of the # matching compared to the total size of the pool.
http://www.nrmp.org/data/resultsanddata2012.pdf
look at pg 11, # of DOs matched year over year in ACGME have increased from low of 70% to 75%, unmatched down from 30% to 25%
Again...you also have the DO match system
as MANY good students have chosen to go with high paying high specialty fields in the DO match and opted out of the ACGME match.
not being admitted into plastics, derm ...that does not show bias...there are MANY factors that play into that..."again saying that this is PUBLISH?!!" ...maybe you should submit an article to pubmed and see if they take it
age for example...many DOs are of a higher age bracket vs MDs and are not really interested in an internship that lasts 20000 yrs...
MAJORITY of my class is married and have children...i dont think they are into doing
- THERE is also a drop/stagnant residency positions while MD school affiliated with these residency hospitals increase, obv their goal is to provide spots for their own students
The MD match results have also remained stagnant at 94-95%
So, either there is a bias in terms of who gets interviewed or ranked, some statistical anomaly is happening in which DOs simply do not want to become orthopedists, dermatologists, or plastic surgeons, or (the most fun answer because of the rage faces that come out because of it)
DOs simply cannot score well enough on boards to be competitive except in very rare cases. Those are the only 3 possibilities that explain this. I personally think it is PD bias, but hey, you are welcome to think they are not as bright if that is what you want
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THAT is the #1 reason...inability to perform well--accepting subpar students--, inability to do the USMLE (and opting for the comlex)
This trend is most pronounced in the competitive fields but match rates are STILL lower even in things like IM, FM.... basically everything. The numbers get harder to tease out in things like FM and psych, or PM&R..... So the jury is still out.
http://www.nrmp.org/data/resultsanddata2012.pdf
pg 10 and 11 and 17
year over year increase
In all probability, even for the least competitive specialties, considering all programs in said specialty, even with better match rates it is unlikely that they offset the 70% overall in such a way that 'matchability" is equal to an MD of the same stats and CV. Basically this means that, there are more PDs who care less about it in the lower competitive fields, but you need to develop an understanding for how averages work in something like this. It doesnt mean each PD cares less, it means some still care very much, but fewer of them care. Think Russian roulette. If you go from a 6 shooter to a 600 shooter revolver, it isnt like you are 1/100th as dead if you pick the wrong one. Practically this translates into fewer interviews and lower ranking by PDs which may mean they all fill up with MDs before the algorithm seats you, and this part IS based on percent chance.
So, for the paper:
http://www.nrmp.org/data/programresultsbyspecialty2012.pdf
This is the survey put out across all specialties asking PDs to rank the factors that they consider when deciding to interview or rank.
If you look on page 3, graduation from US ALLOPATHIC school is listed 7th overall in terms of how many program directors cited it as influencing their decision. This is ranked higher than the deans letter, class rank, honors grades, and ranked equal to clerkship grades.
This is also ranked LOWER! vs USMLE SCORE #1, LETTERS of rec, statement, grades step 2, etc etc
Page 5 shows ALLOPATHIC graduation as being cited even higher than step1 for rankings (post interview).
-- was ranked equal with USMLE scores and leadership
There isnt a specialty out there that didnt rank this. As I said earlier, it is ranked higher in competitive fields and lower in lower fields, but still sits above many other things that most people cite here as important for nearly every field. Additionally, you need to think about what it means to assess an applicant for a position. Even if it were ranked last, it is still considered just by being ranked. This means you must, at least more of the time, outperform your MD graduate colleague in some way to be ranked above him in the match. The degree to which you must out perform him/her, or the % of programs where having equal performance will hurt you is reflected in that published
opinion paper
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