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Both have small odds of happening, that's all I'm trying to say.
But its like saying my house, and mt everest, are big.
Both have small odds of happening, that's all I'm trying to say.
all this stats talk and generalization makes me bored. Is it possible to get a top agcme surgery residency? Possible, but improbable for a large majority of medical students. You work your ass off, and do more than your colleagues to stand out, and you have a shot. Blending in with the crowd and going with the flow does not a top acgme surgeon make. When your peers are all top students from around the country, it's hard to be the cream of the cream of the crop. Most people cannot do this and don't have the drive (or get burnt out) so it is easy to quote stats and say "i didn't have a chance anyway." but you always did (1% yo, make it happen)
I see what you are trying to express...but the numbers we need are DO students who have actually attempted to apply to ACGME programs, then it can be a real conversation.
I cant assume that the number is really as low as you think it is (though it may be), or not.
I do assume its lower than MD ratios, though, so Ill give you that.
All this stats talk and generalization makes me bored. Is it possible to get a top AGCME surgery residency? Possible, but improbable for a large majority of medical students. You work your ass off, and do MORE than your colleagues to stand out, and you have a shot. Blending in with the crowd and going with the flow does not a top ACGME surgeon make. When your peers are all top students from around the country, it's hard to be the cream of the cream of the crop. Most people cannot do this and don't have the drive (or get burnt out) so it is easy to quote stats and say "i didn't have a chance anyway." But you always did (1% yo, make it happen)
I tire of talking about "top" programs. I don't think many people care about them...but I do think people are passionate about being able to choose the area of medicine they want to practice.
But its like saying my house, and mt everest, are big.
Idk about that. I know it sounds like I'm changing my mind, but hear me out.
In reality, I think most DO students who statistically are on par with MDs at the same ACGME are not willing to risk applying only to ACGME. As I understand it, the AOA match occurs first and if a DO matches AOA, they are automatically pulled from the ACGME match. So the only way a DO could guarantee an attempt at matching ACGME is if they don't rank any AOA schools. This fact alone reduces the number of DOs going to ACGMEs.
To take it one step further, I think most people are realistic about their chances and most DO students (like most MD students) know not to waste their top ranks on top tier schools that they have little to no chance at matching. So that probably lowers the number even more.
My point is that the ratio of DOs who rank top ACGME programs very high to DOs who match at top ACGME programs is likely much higher than the 15MCAT aceptee/applicant ratio. However, it's probably such a small sample size that it isn't a good indication of reality.
1/1000 and 1/1000000 is are both unrealistic. I'm not saying its chance that the OP could get into a top ACGME, but it would be bloody difficult
Idk about that. I know it sounds like I'm changing my mind, but hear me out.
In reality, I think most DO students who statistically are on par with MDs at the same ACGME are not willing to risk applying only to ACGME. As I understand it, the AOA match occurs first and if a DO matches AOA, they are automatically pulled from the ACGME match. So the only way a DO could guarantee an attempt at matching ACGME is if they don't rank any AOA schools. This fact alone reduces the number of DOs going to ACGMEs.
To take it one step further, I think most people are realistic about their chances and most DO students (like most MD students) know not to waste their top ranks on top tier schools that they have little to no chance at matching. So that probably lowers the number even more.
My point is that the ratio of DOs who rank top ACGME programs very high to DOs who match at top ACGME programs is likely much higher than the 15MCAT aceptee/applicant ratio. However, it's probably such a small sample size that it isn't a good indication of reality.
Just to let you know, ranking a "reach" has no impact on whatever falls below it. There isn't really a strategy when making your rank list. You just list the places you interviewed at in the order that makes you most happy.
Im just saying that your comparison is inaccurate and worse, misleading. Difficult and impossible are very different.
But, you are wearing the hell out of that suit, Mr Hamm 😉
To take it one step further, I think most people are realistic about their chances and most DO students (like most MD students) know not to waste their top ranks on top tier schools that they have little to no chance at matching. So that probably lowers the number even more.
Actually that's the biggest difference between the experience of DO applicants and MD applicants.
MD applicants can rank all the top programs they want - there is no "waste" involved as it in no way affects their likelihood of matching at their lower ranked programs.
DO applicants are faced with a different prospect because they have to play the odds of going all-in with the ACGME match (even if it is a reach) or the "safe" option of going to a DO residency.
I see what you are trying to express...but the numbers we need are DO students who have actually attempted to apply to ACGME programs, then it can be a real conversation.
I cant assume that the number is really as low as you think it is (though it may be), or not.
I do assume its lower than MD ratios, though, so Ill give you that.
This is also flawed logic because it ignores the DOs that enter both matches, match AOA gsurg, and have to pull out of the ACGME match. If the DO student forgoes the AOA match entirely and applies ACGME gsurg they could be shooting themselves in the foot and end up scrambling into FM/IM or something so I would imagine that people tend to apply to both, maybe only ranking a few AOA spots that they would want and shotgun applying to as many ACGME programs as reasonable. Maybe if cliquesh gets bored and comments again he can comment on the validity of this.
All of this ignores the point. If you want to train at a top academic institution in surgery, you should try to go to an MD school. Your chances are going to be crap anyhow so you might as well not build any mountains for yourself to climb along the way.
Once 2015 hits, and there is one match, it will be much easier to see match percentages of DO's vs MD's. right now we all have to speculate that when applicant X went through the match, he was pulled from the ACGME after being selected for the AOA match. Or that applicant Y didn't apply AOA and went unmatched through ACGME. The speculation skews the numbers don't you guys think?
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To be honest, even after the unified match, it will still be problematic.
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Actually, smart DOs would be ranking the "osteopathic focused" (not OMM) ACGME programs first, which used to be the AOA ones, and then the others after the unified match has been started.
No. Smart DOs would be ranking more "reach" ACGME programs first. Not being pulled out of the ACGME match due to an earlier AOA match is ridiculously awesome for DOs interested in more competitive specialties. This will allow DOs to not have to "choose" between AOA and ACGME matchs. However, it also opens up those previously DO-only AOA spots for potential MD applicants. Works both ways I guess.
Actually, smart DOs would be ranking the "osteopathic focused" (not OMM) ACGME programs first, which used to be the AOA ones, and then the others after the unified match has been started.
No. Smart DOs would be ranking more "reach" ACGME programs first. Not being pulled out of the ACGME match due to an earlier AOA match is ridiculously awesome for DOs interested in more competitive specialties. This will allow DOs to not have to "choose" between AOA and ACGME matchs. However, it also opens up those previously DO-only AOA spots for potential MD applicants. Works both ways I guess.
No. Smart DOs would be ranking more "reach" ACGME programs first. Not being pulled out of the ACGME match due to an earlier AOA match is ridiculously awesome for DOs interested in more competitive specialties. This will allow DOs to not have to "choose" between AOA and ACGME matchs. However, it also opens up those previously DO-only AOA spots for potential MD applicants. Works both ways I guess.
+1 for the bolded part, at least when looked at the unification process come 2015 from my (as well as many other US-DO school students') point of view(s).
However, you've been a champion supporting "DOs cannot match into competitive ACGME specialties" all over SDN. So, it shouldn't make any difference at your village.
Could a resident/attending comment on why large academic centers are so desirable to train at? Is it simply because of the large volumes and greater varieties of pathologies coming in? To me, as someone interested in IM it would seem that I would want a reasonably sized hospital but one with a smaller number of residents. Having seen some bizarre pathology as a PGY1 standing behind 12 other residents seems like it is only appealing on paper and not always such a learning experience.
Insight appreciated.
Agreed that the traditions won't soon change and DOs will be shunned where they always have been, but maybe you are forgetting about AOA slots, which dont take MDs at all...not just at a low rate, not at all (for good or bad).
I don't know what jibberish you are talking about. When have I ever been a "champion" saying DOs cannot match into competitive ACGME specialties? I'm a DO student and I'm interested in a competitive ACGME specialty. Doesn't make sense I would say something otherwise. I don't live in a village.
That would be a good point if people actually wanted those AOA spots. More than half of the AOA general surgery programs have unfilled slots. That speaks volumes.
Most DOs shoot for ACGME programs.
For the residency: http://news.atsu.edu/index.php/archives/1561
What school did you attend if you dont mind me asking?
The truth is you have just as much of a chance at a competitive residency from a DO standpoint as you do from a low teir MD school. I mean how many Rosilyn Franklin, Drexel, or Meharry students do you see in top programs? Really there shouldnt be a distinction between low teir MD schools and DO schools.
MD applicants can rank all the top programs they want - there is no "waste" involved as it in no way affects their likelihood of matching at their lower ranked programs.
People are happy to get into the specialty they want. The program they want is secondary...there is no real exception to this, so your point fall flat.
Also, everyone shoots for any program they feel they could get (ACGME & AOA) and are happy to match.
I love how a pre-med is telling a soon to be fellow how the match works. Come back in 4 years and tell me I was right.
great, so GME isnt overwhelmed afterall
I dont argue that ACGME spots are sought after, but you are, again, overstating your point...
People are happy to get into the specialty they want. The program they want is secondary...there is no real exception to this, so your point fall flat.
Those volumes are being spoken in empty halls, my friend
Also, everyone shoots for any program they feel they could get (ACGME & AOA) and are happy to match.
6 of the 135 AOA general surgery spots did not fill during the AOA match this year. I don't where he got half go unfilled.
6 of the 135 AOA general surgery spots did not fill during the AOA match this year. I don't where he got half go unfilled.
http://www.natmatch.com/aoairp/stats/2013prgstats.html if anyone is interested
I've always wondered...... (and forgive my pre med mind here) with those unfilled spots, were there not applicants that didn't successfully match that could have filled those spots in the scramble? Or were there not enough applicants to fill those spots?
I've always wondered...... (and forgive my pre med mind here) with those unfilled spots, were there not applicants that didn't successfully match that could have filled those spots in the scramble? Or were there not enough applicants to fill those spots?
Usually it's because someone messed up. Either the program director didn't rank enough applicants or the applicant didn't rank enough programs. Those numbers are PRE-scramble. The match was yesterday and today people are interviewing for scramble positions. Most, if not all, of those spots will fill post scramble.
So if the program doesnt fill post scramble, there is no last ditch opportunity for anybody to fill the spots? That sucks for unmatched applicants AND the program that loses the ability to utilize one more resident.
Thanks for the info Half
Usually it's because someone messed up. Either the program director didn't rank enough applicants or the applicant didn't rank enough programs. Those numbers are PRE-scramble. The match was yesterday and today people are interviewing for scramble positions. Most, if not all, of those spots will fill post scramble...at least for the competitive stuff. There will always be FM/IM/internships open.
Why doesn't a program director rank enough applicants? Due to possible financial problems or lack of experience?
So if the program doesnt fill post scramble, there is no last ditch opportunity for anybody to fill the spots? That sucks for unmatched applicants AND the program that loses the ability to utilize one more resident.
Thanks for the info Half
I'm not sure. You may be able to sign outside the match at a latter date.
Overall, 22% of those who participated in the AOA match this year failed to match. I think this fact made me a little pissy yesterday, which was reflected in my negative posts. Lots of people in my class failed to match EM. Ortho seems like the number 2 failure.
6 of the 135 AOA general surgery spots did not fill during the AOA match this year. I don't where he got half go unfilled.
http://www.natmatch.com/aoairp/stats/2013prgstats.html if anyone is interested
Why doesn't a program director rank enough applicants? Due to possible financial problems or lack of experience?
Ortho would make sense because of the competitiveness right? Seems like EM is becoming more competitive every year too.
http://opportunities.osteopathic.or...essionid=f030ca20d438bc2db34f55c32312a267494d
Go through the general surgery programs and see the AOA verified numbers. Very few of them are actually filled for all 5 years.
They're just cocky. I know one ER program, for example, that got 900 applicants for 14 spots. They interview about 100 and only rank 50.
EM is super competitive. Not really from a stats perspective, but from the sheer volume of people interested in EM. Ortho, on the other hand, is stat driven. You really need, so it seems, to get above the 90th percentile on the comlex to match orthopedics.
They're just cocky. I know one ER program, for example, that got 900 applicants for 14 spots. They interview about 100 and only rank 50.
I'm not sure. You may be able to sign outside the match at a latter date.
Overall, 22% of those who participated in the AOA match this year failed to match. I think this fact made me a little pissy yesterday, which was reflected in my negative posts. Lots of people in my class failed to match EM. Ortho seems like the number 2 failure.
Thanks for the insider info, cliquesh. It sort of makes sense, though. Given that many applicants each year to rank shouldn't be a fun job.
Hope the match season's been going great for you. Seems like you'r up to EM. Did you go for AOA?
Of the 22%, how many do you think (know) also failed to match ACGME? 22% seems like a high number.
You do know the meaning of the words "half" and "very few", right? Its ok, even for a resident, to admit that they have overstated their position and just move on.
I love how this is always the argument when resident's run out of hot air.
Nope, not EM. Anesthiology for me. I only applied to Acgme programs.
I agree, it is high. The Acgme match is in march. Last year, 70% of the DOs that applied Acgme matched.
If you go to a DO school, you'll likely find a residency somewhere...it might not be the speciality you're interested in, but you'll match. If you do slightly above average, like a 230 on the usmle, you'll be fine. You will have plenty of option and you'll match at a mid level university program for something.
I do think it's funny when first or 2nd year med students act like they know about how the match and residency selection work... but a pre-med. Ha! Next you can tell me what residency is like or how to do well on step 1. What a joke. In 4 years, when you've gone through the match, come back here and tell us about your experience.
how hard is it to get into any type of surgery as a DO? I know general surgery is the easiest to match into but what about ortho, ENT, Uro, etc
No. Smart DOs would be ranking more "reach" ACGME programs first. Not being pulled out of the ACGME match due to an earlier AOA match is ridiculously awesome for DOs interested in more competitive specialties. This will allow DOs to not have to "choose" between AOA and ACGME matchs. However, it also opens up those previously DO-only AOA spots for potential MD applicants. Works both ways I guess.