I interviewed at TCOM and recently shadowed a DO. Only difference in the education is that you learn OMM. As far as being a doctor, there is no difference. The DO shadowed didn't regularly use OMM or any other of the "Philosophies" of Osteopahtic Medicine, and the truth is, most DO's don't either. Osteopathic is just another way to become a doctor if you don't get into Allopathic, plus you learn to be a chiropractor on the side if you're into that kind of stuff. I, personally, don't believe in it. Any technique which isn't backed up by clinical trials and supported my modern science, isn't worth much. All I did was look at the main AOA site, and see that they had nothing but testimonials, no solid science. There are some good Osteopathic schools and if you want to be a family doctor I suggest you look into them. Much better than a Carribean education if you can handle the D.O. insignia for the rest of your life.