For the exiting 4th years...

[SLC]

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I have a question that I'd like to ask. Any advice that can be shared is much appreciated.

I'm a 2nd year about to take my board exams and move into the clinical years, and at the moment I'm pretty certain I want to match into Internal Medicine at this point in the game. I'm very interested in things like Nephro, GI, Pulm, and Cards based on the didactics and my clinical experiences so far.

I thought this would be a good time to ask for advice from those who just matched to IM; what can I do between now and residency app season to make myself as competitive as possible for an IM residency that would be a good springboard into a fellowship afterward.

Should I be looking for research? Focusing on filling my schedule with teaching hospitals? Both?

Obviously I know doing well on the boards will be job #1 and I'm confident I can do that. (And I'm taking both COMLEX and USMLE), but beyond board are their any subtle pieces of advice to share?

Thanks in advance!

 

[cliquesh]

I didn't apply IM, but USMLE scores are what's most important...like by far. Read first aid a few times and then do as many practice questions as possible. Practice questions are key. I know I'm not telling you anything you don't know.

 

[bleeker10]

Echo the above posters comments. Keep an open mind in third year, see if there's anything else you like. There's nothing wrong with wanting a certain specialty going into clinicals. But you never know what may interest or disinterest you. Also even if you want IM, try to learn things on every rotation. Even if it's how to do a good exam or talking to patients.

Prep during third year by doing UW questions and studying every rotation. This will help for shelfs and step 2 studying.

 

[sylvanthus]

Board scores are going to be the biggest thing. Granted, I focused mainly on EM stuff, so it is hard for me to comment on pure IM programs.

 

[Dmr6186]

Board scores are going to be the biggest thing. Granted, I focused mainly on EM stuff, so it is hard for me to comment on pure IM programs.

Do you mind elaborating on that, please? My interest now is EM.

 

[sylvanthus]

Do you mind elaborating on that, please? My interest now is EM.

For EM, board scores are semi-important, but I think they pale in comparison to your audition rotations and SLORs. So for EM, obviously try and do well on the boards, but you should try everything in your power to rock you away rotations and get good SLORs. If you have time and the inclination you can do extracurriculars in EM leadership positions through EMRA, AAEM, ACOEP or whatever. I was very involved with EMRA and I think that helped somewhat.

I put my effort into mainly EM and then got an additional LOR for IM when I applied EM/IM. I did little for IM itself besides join ACP and going to an ACP conference. This may have hurt me somewhat, but I still got interviews at 7/11 EM/IM programs I applied for.

 

[group_theory]

I have a question that I'd like to ask. Any advice that can be shared is much appreciated.

I'm a 2nd year about to take my board exams and move into the clinical years, and at the moment I'm pretty certain I want to match into Internal Medicine at this point in the game. I'm very interested in things like Nephro, GI, Pulm, and Cards based on the didactics and my clinical experiences so far.

I thought this would be a good time to ask for advice from those who just matched to IM; what can I do between now and residency app season to make myself as competitive as possible for an IM residency that would be a good springboard into a fellowship afterward.

Should I be looking for research? Focusing on filling my schedule with teaching hospitals? Both?

Obviously I know doing well on the boards will be job #1 and I'm confident I can do that. (And I'm taking both COMLEX and USMLE), but beyond board are their any subtle pieces of advice to share?

Thanks in advance!

If fellowship is your goal, aim for an acgme university program ... The highest tier that you can get.

Sure, there are residents from community hospital programs throughout the country who match into fellowships, but from hearing from my friends who were in university affiliated community hospital programs, they had to fight an uphill battle. They had fewer interview invites than my classmates at university programs. This is due to a few factors ... Academic prestige, research opportunities, "big name" LOR from faculty members who are well known in the academic circle, etc.

Now there are exceptions, such as programs who are technically "community hospital" but with very strong academic affiliation and records of having their residents match into fellowships. And there are a few community hospitals with their own in house fellowship programs that will take one of their own from residency.


I would avoid AOA IM residencies. Most are not in large tertiary centers. There are some AOA IM programs who are based in small hospitals (where some larger ACGME IM programs will have more residents than the total number of beds in these smaller hospitals). And there are fewer AOA fellowships in cards, Pulm, GI, renal, etc than the acgme programs. And while it is possible to do an AOA residency and Acgme fellowship (you won't be board eligible for ABIM boards, will have to take AOBIM boards), most PDs will not know that it is possible.

And with the purposed merger ... It won't make a difference. If you graduate from a no name 100 bed middle of nowhere hospital IM program (that used to be AOA but now ACGME thanks to the merger), you will still be at a huge disadvantage compare to candidates from university programs (with research, publications, regional/national conference presentations, LORs from leaders in the field, etc)

 

[sylvanthus]

Group-Theory,

I think you are somewhere on the east coast. Where would you place NSLIJ? Mid tier?

 

[Dmr6186]

For EM, board scores are semi-important, but I think they pale in comparison to your audition rotations and SLORs. So for EM, obviously try and do well on the boards, but you should try everything in your power to rock you away rotations and get good SLORs. If you have time and the inclination you can do extracurriculars in EM leadership positions through EMRA, AAEM, ACOEP or whatever. I was very involved with EMRA and I think that helped somewhat.

I put my effort into mainly EM and then got an additional LOR for IM when I applied EM/IM. I did little for IM itself besides join ACP and going to an ACP conference. This may have hurt me somewhat, but I still got interviews at 7/11 EM/IM programs I applied for.

Solid. Thank you and congrats.

 

[DocEspana]

My advice? Shower and brush your teeth. Idk how much it effects acgme IM chances.... but as an exciting 4th year all I am noticing is the 3rd year grooming habits are slipping. Seems like as good a time as ever to remind people cleanliness is next to godliness (and fellowship).

 

[dntke1518]

For EM, board scores are semi-important, but I think they pale in comparison to your audition rotations and SLORs. So for EM, obviously try and do well on the boards, but you should try everything in your power to rock you away rotations and get good SLORs.

Is this true for both ACGME and AOA residencies? Just curious as I am interested in EM as well.

 

[dozitgetchahi]

Board scores are probably the most important factor, with research definitely being a big plus also. Crush boards and try to at least participate in some case studies, if possible.

 

[SLC]

My advice? Shower and brush your teeth. Idk how much it effects acgme IM chances.... but as an exciting 4th year all I am noticing is the 3rd year grooming habits are slipping. Seems like as good a time as ever to remind people cleanliness is next to godliness (and fellowship).

Thanks everyone for the advice! Sounds like I'm probably on the right track then.

What is everyone's opinion on rotation sites? I'm in a bit of a unique situation because I have a lot of connections and can probably swing most of my 4th year in a nearby Allopathic School's hospital. I can also probably get the remaining at a very large and well regarded community teaching hospital. But this will require me moving to a different state outside of my school's footprint and going it pretty much alone. My school is OK with that, but it's a lot of work on my end to orchestrate it all. Does that sound like something worth pursuing?

 

[235009]

I didn't apply IM, but USMLE scores are what's most important...like by far.

Board scores are going to be the biggest thing.

Board scores are probably the most important factor, with research definitely being a big plus also. Crush boards and try to at least participate in some case studies, if possible.

not entirely correct. step 1 score gets your foot in the door but class rank/grades/overall performance in med school is equally important. in fact students at the top of their class are oftentimes given a pass on step 1 if they get an excellent step 2 score (not sure if this applies to DOs though)

If fellowship is your goal, aim for an acgme university program ... The highest tier that you can get.

this whole post was excellent but this part needs to be highlighted because it is crucial.

it is important to note though that as a DO the highest tier you can get will be mid-tier (ex: temple, georgetown, GW to name a few examples). certainly feel free to apply to upper-mid tier and upper-tier schools but don't expect anything from them no matter how stellar you are. you're going to need to do some research and find out where DOs have been welcome in the past and focus on those places. you'll have to apply very broadly and make sure you apply to DO friendly university programs in undesirable locations. finally low- and mid-tier university hospitals in close proximity to your school (same state/region) might have experience with taking candidates from your school and will give you preference over DO candidates applying from across the country.

as for rotation sites.... definitely do IM, surgery, and peds at a university hospital. doesn't matter if your OB and psych are at that community hospital you mentioned. no matter what though you need to focus on getting good grades and try to lock down one or two LORs during third year. you should do at least 1 subI at a university hospital during 4th year and strongly consider doing a subI/audition rotation at a university hospital known for being friendly to DOs in general or your school in particular.

 

[cliquesh]

HUP took a DO this year for IM...not that it really matters.

 

[235009]

HUP took a DO this year for IM...not that it really matters.

you're right, it doesn't matter...first of all i won't believe it until it's on their website and second, if it is true, we don't know if this person had some insane connections (probably did)

such a typical SDN post ....pointing out the extremely rare exception when someone's trying to give solid generalizable advice based on experience

 

[cliquesh]

you're right, it doesn't matter...first of all i won't believe it until it's on their website and second, if it is true, we don't know if this person had some insane connections (probably did)

such a typical SDN post ....pointing out the extremely rare exception when someone's trying to give solid generalizable advice based on experience

jesus...i said it doesn't matter because of "pointing out the extremely rare exception when someone's trying to give solid generalizable advice based on experience"

 

[Igor4sugry]

Take USMLE I &II, and apply to a university program somewhere in MidWest or South.
That is the best way to get a fellowship.

 

[235009]

jesus...i said it doesn't matter because of "pointing out the extremely rare exception when someone's trying to give solid generalizable advice based on experience"

guess we agree then 😉 ....just wanted to make sure it was clear in case someone read it as sarcasm for instance

 

[swlabr1980]

Take USMLE I &II, and apply to a university program somewhere in MidWest or South.

Meh, the better university programs in the South are still sort of closed off to all but the most outstanding DO candidates. An average DO student may have to settle for a smaller program in that region, but they do well in other parts of the US.

 

[ilMaestro]

not entirely correct. step 1 score gets your foot in the door but class rank/grades/overall performance in med school is equally important. in fact students at the top of their class are oftentimes given a pass on step 1 if they get an excellent step 2 score (not sure if this applies to DOs though)

How do you figure? I ask because the NRMP survey of PD's suggests otherwise.

 

[235009]

How do you figure? I ask because the NRMP survey of PD's suggests otherwise.

this is at least the third time this has come up in the last few months so i'm just going to quote my own response from before....

the PD survey is essentially irrelevant for a specialty as huge and heterogeneous as IM. answers from PDs of lower tier programs and community programs that are IMG mills will easily outnumber those of PDs from middle and top tier programs that are exclusively AMGs and therefore the responses of the latter will be diluted out. it's not anecdote it's common sense.

 

[scpod]

Don't listen to me if you want to. I'm just the chief medicine resident at my program, about to leave for an attending spot. I'll tell you that a lot of people looking for fellowships before residency aren't looking for one after a year or two of residency, mainly because everyone hates clinic- except endocrinologists for some strange reason.

I know a lot of folks that graduated from med school when I did. I don't know of any that want fellowships and have worked hard at it that don't get them. The biggest thing in fellowships is knowing people. Getting in good with the attending a and going to meetings and networking is the most important thing you can do.

The second most important thing you can do is become a great internist first. If you are the senior resident that everyone loves to go to for help then the attendings will hear a lot of good stuff about you and you will get great LORs. But even better than that, they will start calling their colleagues and telling them they've got a great guy in their program that you might want to take a look at.

Their are a couple of guys in my program that are doing fellowships and the hospital has already extended them an offer to come back after fellowship. The administration made some calls as well because these folks impressed them and they want them back. That makes a pretty big impression too.

As for looking for big acme residencies and big name training places.... I don't think it makes a dime of difference. I don't know a specialist currently out if a job right now, except one guy who drinks way too much. I think that area of thought is snobbery and really full of crap. If you want I be an elitist with a great CV then that's ok. I don't judge doctors by pedigree. Its pretty easy to tell who the good ones are these days and it isn't always the ones with the pedigree.

I just want to be a doctor and a good one. I got plenty of offers for attending positions and picked the one I wanted. Every place I contacted offered me an interview. Yes, I went to an AOA residency.

 

[Dharma]

it is important to note though that as a DO the highest tier you can get will be mid-tier (ex: temple, georgetown, GW to name a few examples).

[YOUTUBE]http://www.youtube.com/watch?v=kVu_yMEhUfM[/YOUTUBE]

 

[Trogghunter]

I just want to be a doctor and a good one. .

2nd that. As long as I can keep a job, be competent, and renew my locum contract, I'll be happy without a fellowship.

I don't think that you're all that limited...mayo, duke, Cleveland, UM, etc etc get our students just every year.

 

[group_theory]

As for looking for big acme residencies and big name training places.... I don't think it makes a dime of difference. I don't know a specialist currently out if a job right now, except one guy who drinks way too much. I think that area of thought is snobbery and really full of crap. If you want I be an elitist with a great CV then that's ok. I don't judge doctors by pedigree. Its pretty easy to tell who the good ones are these days and it isn't always the ones with the pedigree.

I just want to be a doctor and a good one. I got plenty of offers for attending positions and picked the one I wanted. Every place I contacted offered me an interview. Yes, I went to an AOA residency.

When it comes to employment, where you went to med school, residency, or fellowships doesn't really matter (of course, if the group who is looking to hire you have extensive experience with your training program, it helps).

But when it comes to fellowships, especially competitive fellowships (cards, GI, heme/onc), then it does matter where you went for residency. For some non-competitive fellowships (ID, endocrine, geriatrics), where you went for residency matters less.

But once you're all done, where you trained matters little.

My advice? Shower and brush your teeth. Idk how much it effects acgme IM chances.... but as an exciting 4th year all I am noticing is the 3rd year grooming habits are slipping. Seems like as good a time as ever to remind people cleanliness is next to godliness (and fellowship).

Yup. If you have bad breath, or body odor, it is a turn off. Especially the mental image of being together for long periods of time (early morning, middle of the night, etc). Who knows what the subconscious mind will do when it comes time to make that rank list 😳

Group-Theory,

I think you are somewhere on the east coast. Where would you place NSLIJ? Mid tier?

Don't know much about NSLIJ - I know it is a large healthcare system. I do not know what its reputation is around the NYC area.

Long Island Jewish is a large tertiary hospital (524 beds), which is now technically the university hospital of Hofstra (which is still a brand new med school so not a lot of people might not know it is a university hospital). It used to be one of the large university-affiliated community hospital with strong academic ties to many of its areas medical schools, and offers a lot of its own fellowships.

Here's their fellowship match
http://www.northshorelij.com/hospit...ion/fellowship-matches-internal-med-residency

Its medicine board (ABIM) pass rate is 80% (2009-2011 data from ABIM), with a 95% confidence interval of 72-88%

 

[malformation]

not entirely correct. step 1 score gets your foot in the door but class rank/grades/overall performance in med school is equally important. in fact students at the top of their class are oftentimes given a pass on step 1 if they get an excellent step 2 score (not sure if this applies to DOs though)

Agreed!

it is important to note though that as a DO the highest tier you can get will be mid-tier (ex: temple, georgetown, GW to name a few examples).

Absolute BS. I'm a DO and go to a residency that is accepted as a top tier (not the big 7) IM program by the vast majority of people including folks on SDN IM thread (not that the latter actually matters to me or anyone else that counts, but I feel it might matter to you and some others). I had ZERO connections to this place or any other place. Got there purely based on the merits of my application. I also know more than a few other DOs at other top tier programs (not just IM). Obviously not common but also not uncommon!

But seriously, what do you gain by putting people down on the internet? Overall, pretty sad if you ask me. I really hope that you find some real hobbies outside of SDN, hopefully ones that involve real people that you can hang out with and maybe socialize with (trust me it's fun, you should give it a shot 😉)!

To save you a post, I will not reveal my program and could care less if you (or anyone else) believe me or not, so don't even bother.

it is important to note though that as a DO the highest tier you can get will be mid-tier (ex: temple, georgetown, GW to name a few examples). certainly feel free to apply to upper-mid tier and upper-tier schools but don't expect anything from them no matter how stellar you are. you're going to need to do some research and find out where DOs have been welcome in the past and focus on those places. you'll have to apply very broadly and make sure you apply to DO friendly university programs in undesirable locations. finally low- and mid-tier university hospitals in close proximity to your school (same state/region) might have experience with taking candidates from your school and will give you preference over DO candidates applying from across the country.

as for rotation sites.... definitely do IM, surgery, and peds at a university hospital. doesn't matter if your OB and psych are at that community hospital you mentioned. no matter what though you need to focus on getting good grades and try to lock down one or two LORs during third year. you should do at least 1 subI at a university hospital during 4th year and strongly consider doing a subI/audition rotation at a university hospital known for being friendly to DOs in general or your school in particular.

Besides your typical BS about DO, your other advice is legit and I agree with the rest. You would be a much better person (and teacher, which is actually the real purpose of being in academia and in medicine, not the "prestige/power/etc") if you just stick to the stuff that you actually know about.

 

[Dissected]

it is important to note though that as a DO the highest tier you can get will be mid-tier (ex: temple, georgetown, GW to name a few examples).

Someone in our class matched to Univ of Washington IM. Would you call that mid-tier?

 

[Hokie06]

.

 

[235009]

Absolute BS. I'm a DO and go to a residency that is accepted as a top tier (not the big 7) IM program by the vast majority of people including folks on SDN IM thread (not that the latter actually matters to me or anyone else that counts, but I feel it might matter to you and some others). I had ZERO connections to this place or any other place. Got there purely based on the merits of my application. I also know more than a few other DOs at other top tier programs (not just IM). Obviously not common but also not uncommon!

But seriously, what do you gain by putting people down on the internet? Overall, pretty sad if you ask me. I really hope that you find some real hobbies outside of SDN, hopefully ones that involve real people that you can hang out with and maybe socialize with (trust me it's fun, you should give it a shot 😉)!

To save you a post, I will not reveal my program and could care less if you (or anyone else) believe me or not, so don't even bother.

oh look personal attacks...that's mature 🙄

since you're not willing to reveal your program feel free to link to resident lists of other top tier programs that have DOs. would be very interested to see.

furthermore there are exceptions to every rule and as i stated earlier pointing out a couple of exceptions doesn't mean much. it's nice that people on here want to be encouraging but you're doing everyone a disservice if you are distorting reality in the process. maybe i should've said that DOs are "essentially" limited to mid-tier programs instead of stating it as an absolute but characterizing your situation (or the situation of these unverifiable others) as anything but extremely rare is misleading and a disservice to those who come here for relevant generalizable information.

Someone in our class matched to Univ of Washington IM. Would you call that mid-tier?

yes, probably upper-mid tier (not very familiar with programs out west) ...a solid and mpressive match nonetheless

...but again, that's a one in a hundred kind of case

EDIT: or might just be misrepresentation of an affiliated community program as described below

 

[JeetKuneDo]

Someone in our class matched to Univ of Washington IM. Would you call that mid-tier?

This is actually very impressive. I didn't know they took DO's there. I know a few matches ago it was said an AZCOM grad also matched UW IM, but no one could confirm it.

 

[235009]

This is actually very impressive. I didn't know they took DO's there. I know a few matches ago it was said an AZCOM grad also matched UW IM, but no one could confirm it.

doesn't look like they've taken any DOs in the last 3 years: http://depts.washington.edu/uwmedres/people/roster.htm

these claims are very easy to verify

 

[JeetKuneDo]

doesn't look like they've taken any DOs in the last 3 years: http://depts.washington.edu/uwmedres/people/roster.htm

these claims are very easy to verify

Yeah, I tried looking right after I saw the match (I believe it was a 2010 or 2011 list.) I couldn't find it either. I'd be very interested to see this year's list for them.

Edit: Well, actually there was a UW IM match from AZCOM. But it was UW-Boise. A little misleading, I guess.

http://boiseinternalmedicine.com/residents_va/

 

[235009]

Edit: Well, actually there was a UW IM match from AZCOM. But it was UW-Boise. A little misleading, I guess.

http://boiseinternalmedicine.com/residents_va/

figures... see this post and the ensuing discussion:

http://forums.studentdoctor.net/showthread.php?p=13812738#post13812738

 

[SLC]

What "tier" would you consider U of Utah's IM program? That's probably my #1 target at the moment.

They weren't at all DO friendly until recently, but they've changed the wording on their website to remove a restriction on hiw many DO's they will take each year, and currently have 1 DO who happens to be a cheif.

It doesn't really matter in the end what tier it is though, it has every fellowship in-house and it's the program I'm most interested in regardless. I really just want to become a good doctor, possibly an IM subspecialist, and then go out and practice. I don't have any delusions that I'm going to win a Nobel prize or anything, and I don't need to know that I matched into a top flight program in order to be satisfied with my self/career.

As long as the program gives me the opportunity to do what I want, I'm good.

 

[Hokie06]

.

 

[DrBumblebee]

What "tier" would you consider U of Utah's IM program? That's probably my #1 target at the moment.

They weren't at all DO friendly until recently, but they've changed the wording on their website to remove a restriction on hiw many DO's they will take each year, and currently have 1 DO who happens to be a cheif.

It doesn't really matter in the end what tier it is though, it has every fellowship in-house and it's the program I'm most interested in regardless. I really just want to become a good doctor, possibly an IM subspecialist, and then go out and practice. I don't have any delusions that I'm going to win a Nobel prize or anything, and I don't need to know that I matched into a top flight program in order to be satisfied with my self/career.

As long as the program gives me the opportunity to do what I want, I'm good.

+1 👍

... And, this is what all mature US physicians do care about. Only little kids, gunners, and people with insecurities wanna participate in the "prestige" pissing contest. On the other hand, there are millions of patients to be taken care of. So, demand is always gonna be high for physicians.

Also, as time flies by, DOs are achieving better results in the residency match, year after year. IMHO, since DO graduates are mostly non-trad applicants, career changers, etc. they have more realistic expectations, thus they seem like are better positioning themselves for the future.

 

[as1212559]

You see, there are "tiers" of medical student posters on SDN. Certain posters ITT are mid-tier at best and because of their established posting record will never be able to reach top-tier status. Becaus of course no top-tier posters would ever consider such individuals their equal. And posters who do consider them as equals will merely be impostors with slightly altered names like MickNaylor, nnnndowe, and DocEspada, imitating the top-tier posters of this site while in reality being totally inept at posting, and thus having no chance at ever being considered for a moderator fellowship.

 

[NontradCA]

Oh this is what a douche acts like in the wild. All this time I've been confused. Thanks SDN

 

[Trogghunter]

Does number of posts on SDN correlate with residency match? WAMC at hopkins if I can get to 1000? I mean...I do get good input (and some anxiety) from sdn. I'm just glad that everyone is so friendly. 😍

 

[docnotsopc]

Started noticing a trend in SkinMD posts:
- Unnecessarily negative and specifically anti-DO

So let me ask you this oh holy SkinMD of the Allopathic world, do you go to a top MD school? You sure act like it. More importantly, why do you take the time to post on Osteopathic forums?

 

[Hokie06]

.

 

[Hokie06]

.

 

[NontradCA]

i dont think skinDO is anti-DO i think he just has a critical eye and sees things for face value. he does give credit when its warranted. although i do think he can add a bit more positive spin in his responses 🙂

He makes completely unproductive posts by stating the obvious in a truly dickish way. It's not as if most Osteopathic students (of which he is not), do not realize the things he says. His seemingly unwarranted replies, as evidence here, is more indicative of his own issues than it is of any DO student's.

 

[as1212559]

i dont think skinDO is anti-DO i think he just has a critical eye and sees things for face value. he does give credit when its warranted. although i do think he can add a bit more positive spin in his responses 🙂

Hokie eh. Virginia Tech. MID TIER, GTFO

 

[weskenr]

He makes completely unproductive posts by stating the obvious in a truly dickish way. It's not as if most Osteopathic students (of which he is not), do not realize the things he says. His seemingly unwarranted replies, as evidence here, is more indicative of his own issues than it is of any DO student's.

His irrepressible and pathological compulsion to belittle and annoy others will serve him well.
BTW Sheldon Cooper blows elephant dicks without the canned laughter. At least Steve Urkel had charm.

 

[Textbookversion]

Started noticing a trend in SkinMD posts:
- Unnecessarily negative and specifically anti-DO

So let me ask you this oh holy SkinMD of the Allopathic world, do you go to a top MD school? You sure act like it. More importantly, why do you take the time to post on Osteopathic forums?

He's really bitter because he didn't match top tier IM despite a strong step 1 score and being a US MD. He has turned this into a crusade and become very vitriolic.

Frankly I'd guess he didn't match because some of his online persona bleeds out IRL.

 

[235009]

It is absolutely terrifying that some people's egos are so fragile that their automatic response to an opinion/observation based on experience is to immediately turn to personal attacks and name-calling (none of which I will dignify with a response). All I did was suggest that, given my experience applying to residency, there is a ceiling to the reputation of program that a DO would be considered at. Absurdly enough I was attacked by people saying I was wrong AND people saying that what I'm suggesting is so obvious that it does not need repeating.

Anyway it's no skin off my back (pun totally intended) if many of you want to live in a fantasy world during your premed and early med school years. I've simply had some time on my hands because of how chill 4th year is so I thought I'd take a look at these forums and saw that they could use a different perspective because it has certainly become a bit of a bubble.

 

[as1212559]

If 4th year is "chill" since you already matched top-tier, how about something productive like working out or reading a book, rather than making people on the internet laugh at the size of your head on an internet forum?

There are plenty of DO students on this board who have pointed out that high powered IM programs are out of reach for DO students, some have even used the word ceiling. You bring nothing to this sub-forum except having a dumb avatar and starting pissing matches because someone didn't clarify that xyz hospital is actually only loosely affiliated with xyz, which they didn't even know because they were just listing someone else's match.

TL;DR: Pls go.

 

[Dmr6186]

His irrepressible and pathological compulsion to belittle and annoy others will serve him well.
BTW Sheldon Cooper blows elephant dicks without the canned laughter. At least Steve Urkel had charm.

Can't understand why so many people love it. TV today is just awful.