I'd like to open a discussion. I've been accepted to PCOM and Jefferson and am having trouble deciding. PCOM was an excellent school where everyone seemed happy. The facilities are wonderful - I was comfortable there. They graduate excellent physicians. I have no problem being a DO - I'm interested in emergency medicine where it really doesn't matter. I'm also older so the DO/MD debate is really uninteresting. I have better things to worry about. Jefferson is also an excellent school with a great reputation. I've heard that it is quite hard, compared to other medical schools. There are more research opportunities here. While being a DO doesn't bother me, I am concerned about getting a good residency in the Philly area. I am married and would like to stay here. There are 7 MD EM residencies, all at top notch facilities. But there are only 3 DO EM residencies, and only 1 (Einstein) is at a top notch facility. My only concern with going to PCOM would be what if I don't get a local residency or it is does not provide as good of an experience. I know I could go to PCOM, do an internship and then go to one of the MD residencies, but would the MD residencies not favor someone with 1 year of PGY experience? Seems like a lot of uncertainties. Comments welcomed, particularly from anyone with experience at either school.