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Maybe you can give me some perspective here. I've always wondered why those set on OMFS from the start just don't go to medical school. Medicine offers so many more options as far as surgical specialties and subspecialties go. If you want to be a surgeon, why limit yourself so much by going the OMFS route? You really don't know what you truly like until you actually dive into it at school.To address the OP's original question, I chose to go to HSDM over cheaper alternatives because I came into dental school knowing I wanted to pursue OMFS and I believe that HSDM provides the best opportunity for success. Spending two years at HMS prepares you well for the CBSE while the true pass/fail system makes the experience less stressful.
Despite the fact that HSDM seems to have a spotty rep here on SDN, it does have a remarkable success rate in placing graduates into competitive residencies. If our graduates were as clinically deficient as some posters on here would lead you to believe, one would think program directors would eventually wise up and stop accepting applicants from HSDM. Regardless of how high a school's applicants score on the CBSE and how many papers they publish, if they show up to intern year unprepared to perform in the clinic, I highly doubt a residency director would even continue to interview them.
However, all eight oral surgery applicants from HSDM matched to their first choice programs last year and it has been at least several years since an OMFS applicant has failed to match. For comparison, only 37% of OMFS applicants that obtained at least one interview matched at their first choice program and 38% failed to match anywhere at all. I can't speak to match rates at other schools, but the 135 unmatched OMFS applicants went to dental school somewhere. This does not even account for the number of applicants that did not get interviewed or decided not to apply in the first place because they did not have competitive rankings or CBSE scores.
There is no way to know where those eight would have wound up if they had not attended HSDM. But the extra tuition is worth it for me because I feel that going here has given me the best chance to match successfully even if there is a high probability I would have matched no matter where I attended. I also realize that there are a lot of smart people at every school and cracking the top 20% anywhere is very hard and as is studying for the CBSE without having attended medical school.
I totally agree that if you want to be a general dentist, HSDM is not worth it (in my view, others in my class feel otherwise) and you will be wasting your time in medical school that would be better spent in the dental clinic. But if you want to specialize (particularly in OMFS), you will be set up for success academically and clinically.
Big Hoss