actually i don't think that this true. yes, in the past, the AMA did take this stance and there was the CA merger debacle...but as the old guard changes, i find that not all younger physicians (the future AMA leaders) think this way and don't consider there to be a big difference b/t the 2 professions. yes, there will always be monopolistic territorialism but i think the perception of how MDs view DOs has changed a lot since the 1970s. also even though FMGs are considered MD for all extensive purposes, many of them get an equivalent degree but its not called MD in their country (i'm thinking of india and i think also china where the degree is actually MBBS). they're considered MD b/c obviously if u had to choose b/t our American MD and DO, MD is easier to give them as an equivalent title
This is not about what you think or feel or find... The facts are that the AMA has tried to fight DOs for the past 100+ years and the only time they started playing nice was when we secured licensure in all 50 states in the 80s at which point they had no choice.
Giving up our autonomy is asking for trouble! AMA would like nothing more than to get rid of DOs (for a good reason which is more revenue/control by AMA). Next time you wanted to know what the "future AMA leaders" think of DOs go check out the allo forums and report back!
i think that you make some assumptions here w/o evidence. having just gone through the interview process as a DO awaiting the MD match, i don't agree with your statement entirely. yes, AMGs are preferred over FMGs and this is becoming even more so with more AMGs graduating and not having a proportional increase in ACGME spots available so the FMGs will feel the crunch first then DOs/carib AMGs. but in some places that i rotated at, if the institution/dept had a lot of FMG/caribbean attendings, i saw more of them getting accepted than DOs (at this place, it was 40% MD, 40% caribbean AMG or FMG, 20% DO and many of my schoolmates rotate at this MD institution that is close to our school)
1) Let's get our vocab. right: Caribbean grads by any definition are NOT AMGs. According to SDN even DOs aren't AMGs (which is BS but I can't change the world singlehandedly [also it says a lot about the "future AMA leaders"]). The US citizens who attend foreign schools (e.g. Carib schools) are IMGs and that is to be distinguished from FMGs who are foreign nationals attending foreign schools.
2) The NRMP match rates speak for themselves. If your n=1 differs from the NRMP that doesn't change the overall picture. Also DOs are 20% of the US medical students out of which only about 1/2 participate in the NRMP match. Therefore, DOs will be considered over-represented in any ACGME program where more than 10% of their US graduated residents are DOs.
3) It doesn't matter how many carib grads are in a program. What matters is what percentage of their graduating class matches, which is about 50% (btw, that is after kicking out/not graduating 50% of their matriculating class). As apposed to DO schools which have a match rate of 87-89% (AOA + ACGME) with attrition rates less than 10%.
there are some programs that just want the best candidates regardless of MD/DO/FMG and think of them all as equivalent and don't have different board score requirements for each group (washu comes to mind b/c this is what most of their attendings said to me on interview day). and there are some acgme programs that don't really accept DOs or require 2-3 USMLES to apply (only a handful out of the ones i applied to but i did get rejected from not having the prereq usmle scores in by then and was told this was the reason and this from lower tier schools when i got interviews at top/high tier programs). but you are right that for the majority of programs, FMGs need higher board scores than they allow for AMG candidates.
Most programs don't have different board score requirements for MD vs DO. If they do they don't take DOs. But ALL programs have different board score requirements for FMGs/IMGs, especially for FMGs. IMGs because of their perceived educational quality (or lack thereof) and FMGs because they study for the USMLE usually after they graduate by taking 1-2
year(s) off or doing "research" while dedicating most of their time to studying for the boards. Therefore, it wouldn't be fair to US MD/DO if they considered their scores equivalent to ours, when we only get 1-2
month(s).
Any program that tells you otherwise, is either BSing you or is a community program in the middle of nowhere and doesn't get any AMGs so they don't have to worry about it.
To repeat my self: "AMGs with 85/85 USMLE scores are almost always preferred over FMGs with 99/99 on the USMLE by the PDs. Furthermore, a Harvard grad with a 85/85 is perceived better than some random state university grad with a 85/85. Do I agree with that? No; Is it a fact? Yes!"
and non-physicians can take USMLE. i know my professor at a DO school who is a PHD took it. not for anything related to her career but i think she said she was taking it to give feedback on the test. i can't remember if she said that she would give feedback to nbme or to some other organization but she did get permission from nbme to take it for that reason. so there is probably a small group of non-physicians who take usmle for various reasons. not sure about the NP thing that docespana talked about but i wouldn't be surprised.
The argument wasn't about who can take the USMLE but about whether or not NBME could restrict a group of people (e.g. DOs) from taking it if we abolished COMLEX and therefore, effectively preventing us from getting licensed. The conclusion to that was YES they could!
So, who currently is allowed to take the test is irrelevant as it could be changed any day!