If your patient asks, "What's a DO," then you could always, I don't know, tell them... 🙂 Seriously though, when I was old enough to know that my family doc was a DO and not an MD, I asked him what a DO is and he said to me, "DO is an MD who learns more ways to make you well." Slightly oversimplified, but worked for me. After all, what's the difference? If you feel as though you're going to justify your degree to everybody who looks at your nametag, then don't go DO. If you can take pride in the fact that you graduated from DO school, a chance only 1 in 5 applicants gets, go DO. In the latter case, if someone asks you what a DO is, just tell them you're "an MD with extra training" if it makes you fell better. Who cares? The point is: you're the physician they're asking in the first place! (IMHO, of course.)
I also don't think it's true that nobody asks a doctor where they went to medical school. Many people now lookup physician credentials using the free Doctor Finder service at <a href="http://www.ama-assn.org," target="_blank">www.ama-assn.org,</a> which notes the medical school of every physician in the country. It's kind of ignorant to think that nobody's going to check up on your credentials, especially when someone's life is in your hands, and in the age of the Internet, no less!
Anyway, I think a huge factor here should be what kind of doctor you think you might want to be. Unless you're really interested in doing a residency in neurology, PM&R, psych, or a questionable program in IM, FP, or GS, don't be a FMG from a Carribean school.
Whereas DOs have their own residencies, and 50% of them do MD programs--in EVERY speciality, including neurosurg (UC Davis, for example) and ortho--FMGs, unless you're a really fantastic FMG or you stand out above all the rest for some reason, will always get the leftover spaces in the perenially unpopular specialties. While DOs are increasingly gaining acceptance in even the most tradition-rooted of allopathic institutions (there are DO residents at Harvard and Hopkins now), Carribean FMGs will always be Carribean FMGs. This is really unfair, in my opinion, because I'm sure many Carrib FMGs are as good if not better than their American counterparts. When I was a kid, one of my pediatricians was a Carribean grad and he was awesome. But that's just the way it goes.
Things might be different at SGU. Beats me. But SGU or not, there is still a very potent stigma against Carrib grads. And I've seen SGU's match list. While a select few grads got (IM?) spots at very prestigious hospitals, the rest did not.
One of my parents is a senior administrator at a large US medical school, and this is what he told me. If you're that desperate to have MD after your name, get MD after your name. But be near perfect on the USMLE-1 if you want to break out of the Carribean grad residency syndrome.
I hope it works out for you! 🙂