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This is undeniable.First of all:
1) ACGME residencies > non-ACGME residencies in essentially all cases
2) DOs are at a significant disadvantage applying to ACGME residencies in competitive specialties.
3) This is especially true for the top program. There is one DO resident out of the 800 at the top 20 rads programs and the number is just as small or smaller in the surgical sub-specs, etc.
4) DO is a viable option for many fields like primary care, EM, OB. anesthesia etc.
As a future family medicine doctor, however, it doesn't impact me. I doubt, as well, doing FM at an ivory tower will make me a better clinician than doing it at a community program.
In my instance, at least, you have a great deal of leverage of where you can go, granted you have the stats to back yourself up. Also, the ability to apply to less than 10 programs allows me to be more critical of the programs I'm looking at rather than casting a net across the entire residency list for ENT or Optho (which I'd undoubtedly have to apply for in the AOA match).