That's quite ambitious, and you haven't factored in that you can see less patients per hour if you're doing OMT on more of them. In my FM office, my preceptor, who was one of the most OMT-heavy did maybe 2 a day on a good day. You also forget that when insurance covers something, they don't cover it 100%, maybe 80%. That means that 20% of the cost goes to patients. I saw it first hand that a patient who didn't ask for OMT, didn't necessarily want it, but didn't really want to argue against it was quite angry when they got the bill for it, even though it was just a few bucks. I can't generalize this to every practice, and I speculate a bit, but the practice of doing extra OMT that would be of questionable efficacy for your patients because you can and because you want to supplement your income could lead to some tension.
I 100% agree on the location issue. In choosing my residency, location was THE most important thing. Aside from more desirable locations in general, the ACGME match offers a degree of choice that the AOA match can't. Also, and I can't speak towards the ACGME programs at all, but what I've encountered in the DO world here, there's the sorta-creepy feeling of nepotism/cronyism here, and that it's some club that you're either in or you're out. Based on some of the personalities, I think I might rather be out.
are you going for a fellowship after?
