New Schools

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Yep, except I didn't know they had that much increase in the last 4 year. Of the new residency programs being opened lately, I don't think I ever noticed even one Neuro among them. Although, I doubt that will have a major effect on the specialty since it is small to begin with, and 10% increase is still not a lot of programs being added compared to EM IMO.

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Ah, sorry I think I might've blown that out of proportion a bit. I forgot Neurology had advanced positions and AOA programs were still transitioning into the NRMP match 4 years ago. It looks like when adjusted for decreased advanced spots and AOA positions it's only growing at 5-7% a year.
 
That's extremely cynical and inaccurate but okay.

Yes, there are reasons small towns struggle to hire docs. Your commentary is not a helpful contribution to that discussion though.
Ah it is cynical, and not meant to be taken 100% literal. But even jokes have some truth in them. The jester is often the only one telling the truth. I am suspicious of your rural rotations if you never experienced what I was talking about, cause it’s common.
 
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I can't believe people are going to take care of OTHER PEOPLE view humanity in such a light; I hope you stay the hell away from me dude
You coming at me bro? You scared to quote on the interwebs ? Lol, don’t worry home slice I will gladly refer you some diabetic feet if you make It to pod school still, I don’t hold grudges. Someday you’ll grow out of that white knight armor and realize your way up tight. I doubt you’ll ever meet me tho, I think we hang in different circles.
Heck man, you work on your app enough you can go DO too, then you might get to experience the world. Newer school the better. Cocas got this all under control.
 
You coming at me bro? You scared to quote on the interwebs ? Lol, don’t worry home slice I will gladly refer you some diabetic feet if you make It to pod school still, I don’t hold grudges. Someday you’ll grow out of that white knight armor and realize your way up tight. I doubt you’ll ever meet me tho, I think we hang in different circles.
Heck man, you work on your app enough you can go DO too, then you might get to experience the world. Newer school the better. Cocas got this all under control.

I am attending an established DO school this coming fall. I forgot to quote so calm down... if you really want to be the dean of a COM you have a long road ahead of you in terms of maturity. I honestly hope you reach it one day.
 
I am attending an established DO school this coming fall. I forgot to quote so calm down... if you really want to be the dean of a COM you have a long road ahead of you in terms of maturity. I honestly hope you reach it one day.
Lol at a DO dean being mature. You have much to learn. You will tho. A bit of free advice: it’s always your fault, no matter what it is. Accepting that makes your life easier at DO school. The more you argue the more they stomp. And for clarity, I am sadly a bit serious about the last part, don’t argue, keep your head down, it’s the only way through sometimes.
 
Lol at a DO dean being mature. You have much to learn. You will tho. A bit of free advice: it’s always your fault, no matter what it is. Accepting that makes your life easier at DO school. The more you argue the more they stomp. And for clarity, I am sadly a bit serious about the last part, don’t argue, keep your head down, it’s the only way through sometimes.
I have been only preaching individual responsibility to our other colleagues. Trust me bruh, I know how this system works; it’s the others who blame their school,system,environment,etc are only screwing themselves in the long term.
 
I'm planning on attending a relatively established DO program (Western-Pomona) this year, and have gotten very disheartened about the futures of my class and beyond after reading some of the recent posts on here. I understand that in the grand scheme of things, we should all expect to see at least some of the negative effects of so many new schools (ex. "dilution" of the degree, lower primary care compensation, etc.).

For residencies: will it mostly be the students with poorer stats (low step 1/comlex) that will have difficulty matching? I know it's easier said than done, but if I keep my head down, do well on boards and put together a good app will I still be just as competitive for a spot at a mid/upper-mid tier academic IM program, or any general surgery spot? Ofc it's impossible to know for sure what the future holds, but I wanted to get some thoughts.
 
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I'm planning on attending a relatively established DO program (Western-Pomona, c/o 2024) this year, and have gotten very disheartened about the futures of my class and beyond after reading some of the recent posts on here. I understand that in the grand scheme of things, we should all expect to see at least some of the negative effects of so many new schools (ex. "dilution" of the degree, lower primary care compensation, etc.).

For residencies: will it mostly be the students with poorer stats (low step 1/comlex) that will have difficulty matching? I know it's easier said than done, but if I keep my head down, do well on boards and put together a good app will I still be just as competitive for a spot at a mid/upper-mid tier academic IM program, or any general surgery spot? Ofc it's impossible to know for sure what the future holds, but I wanted to get some thoughts.
It won’t be the poorer stats people at first it will be those who fail boards who don’t match at all. As for mid-upper IM, the competition will be fierce for that kind of spot when you get there. I think lower Academic will still be open, but the upper part will not be unless your a strong candidate (good research and appropriate scores). Gen surgery will still be open via former AOA to the 600+ crowd. However non DO will be dicey just as it has always been, you will have to work to match that. A 240 with an audition will probably get it done even in 5 years.

You really need to not fail anything. That’s the biggest issue your class will have, plan on any flag will be a do not rank kind of situation for most specialities. I think the other thing you need to look out for is that you could get trapped in the primary specialty via poor match and be unable to attain fellowships. And I mean in primary care specialties. If general IM sounds like a bad deal, then you need to reconsider this route.
 
Ah it is cynical, and not meant to be taken 100% literal. But even jokes have some truth in them. The jester is often the only one telling the truth. I am suspicious of your rural rotations if you never experienced what I was talking about, cause it’s common.

Rural applies to any city that has a population under 20-30,000 depending on what definition you're using. That's a large part of US geography and population itself you stereotyped.

In the mean time I have seen drug seeking, drug abuse, unemployment, declining or changing industry etc. Correct me if I'm wrong, but those issues exist across the US in different forms and degrees in cities too. But no I have not met a single doctor who has been sued, let alone successfully.

Like, look, I get it--rural places have plenty of problems. Hell, who's to say if I'll end up practicing in a rural setting myself. But I'm keeping my options open. And this gets back to my original point--there are more than the two options of working in Nowhere, Nebraska or a major city center. I'm tired of the discussion only including that because not only is it unrealistic, but it ultimately devolves into "Hurr durr rural people suck lol" by the same people who then complain about being stereotyped for paying $5000 a month on rent and buying avocado toast every day by Fox. It's counterproductive and it's boring.
 
It won’t be the poorer stats people at first it will be those who fail boards who don’t match at all. As for mid-upper IM, the competition will be fierce for that kind of spot when you get there. I think lower Academic will still be open, but the upper part will not be unless your a strong candidate (good research and appropriate scores). Gen surgery will still be open via former AOA to the 600+ crowd. However non DO will be dicey just as it has always been, you will have to work to match that. A 240 with an audition will probably get it done even in 5 years.

You really need to not fail anything. That’s the biggest issue your class will have, plan on any flag will be a do not rank kind of situation for most specialities. I think the other thing you need to look out for is that you could get trapped in the primary specialty via poor match and be unable to attain fellowships. And I mean in primary care specialties. If general IM sounds like a bad deal, then you need to reconsider this route.

Thank you!!! At the end of the day, I guess all I can do is work hard and put myself in a position to succeed.

Going into DO I have already accepted that there's a good chance that I will end up in PC. I've been able to shadow a hospitalist for a good amount of time and could see myself doing it (at least from my limited experience)
 
Rural applies to any city that has a population under 20-30,000 depending on what definition you're using. That's a large part of US geography and population itself you stereotyped.

In the mean time I have seen drug seeking, drug abuse, unemployment, declining or changing industry etc. But no I have not met a single doctor who has been sued, let alone successfully.

Like, look, I get it--rural places have plenty of problems. Hell, who's to say if I'll end up practicing in a rural setting myself. But I'm keeping my options open. And this gets back to my original point--there are more than the two options of working in Nowhere, Nebraska or a major city center. I'm tired of the discussion only including that because not only is it unrealistic, but it ultimately devolves into "Hurr durr rural people suck lol" by the same people who then complain about being stereotyped for paying $5000 a month on rent and buying avocado toast every day by Fox. It's counterproductive and it's boring.
You never met a sued doc? I thought you were 4th? Either way, the lawsuit thing does happen and they are frivolous.
I get the sensitivity, I like rural areas also, but we cannot pretend there is no reason that many physicians avoid those areas. Their problems are endemic and realistically cannot be solved. No one wants to live there cause of a lack of jobs and education, therefore the only people left are mostly those without jobs and education. A doc doesn’t solve those problems. Most physicians hate the social aspect of medicine and rural areas have way more social issues than the nice area of town all healthcare tries to go too.

Especially when you spend a lot of time in the poor rural areas you realize why the stereotypes exist. Guy says he can’t afford a $60 antibiotic but keeps clamoring on and on for opiates. A retiree coming in on chronic 30 BID oxymorphone for pain with several mg of Xanax to ‘help sleep’. Heck at one of the hospitals I rotated at 1/4 pregnant women where positive for meth at time of birth. Those aren’t made up and are quite frankly common in the hospital where you don’t get to filter. How about the patient that sued one of my attending for supposedly missing a diagnosis that ‘caused’ the patient to commit a crime when the patient didn’t get disability. This legal genius got thrown out after months but It still sucks.

When comparing with a practice in a nice suburb that is well to do, it’s no wonder why docs don’t ‘distribute’ more rural.
 
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Thank you!!! At the end of the day, I guess all I can do is work hard and put myself in a position to succeed.

Going into DO I have already accepted that there's a good chance that I will end up in PC. I've been able to shadow a hospitalist for a good amount of time and could see myself doing it (at least from my limited experience)
You have the right mentality, just control what you can control.
 
Am I the only one that actually wants to practice in the country side? Screw cities man. Smelly and I can’t shoot my guns outside, well I can, but that would be very irresponsible.

My dream is a nice house in the middle of the mountains where I can drive into work (hopefully less than an hour) and am involved in the local community. A place where I can actually see the stars. I live in a city (capitol) and I see the appeal. Not the life for me tho.
 
Am I the only one that actually wants to practice in the country side? Screw cities man. Smelly and I can’t shoot my guns outside, well I can, but that would be very irresponsible.

My dream is a nice house in the middle of the mountains where I can drive into work (hopefully less than an hour) and am involved in the local community. A place where I can actually see the stars. I live in a city (capitol) and I see the appeal. Not the life for me tho.
Wanting to live in the country is different from wanting to work in the country.
 
Wanting to live in the country is different from wanting to work in the country.
Valid point. I am currently at the bottom of the food chain and have not rotated through rural areas like you have, however I have faith in humanity and believe I can build a good rapport with patients. I know I am naive, which makes me not naive? Whatever. I’ll deal with it when I get there.
 
It won’t be the poorer stats people at first it will be those who fail boards who don’t match at all. As for mid-upper IM, the competition will be fierce for that kind of spot when you get there. I think lower Academic will still be open, but the upper part will not be unless your a strong candidate (good research and appropriate scores). Gen surgery will still be open via former AOA to the 600+ crowd. However non DO will be dicey just as it has always been, you will have to work to match that. A 240 with an audition will probably get it done even in 5 years.

You really need to not fail anything. That’s the biggest issue your class will have, plan on any flag will be a do not rank kind of situation for most specialities. I think the other thing you need to look out for is that you could get trapped in the primary specialty via poor match and be unable to attain fellowships. And I mean in primary care specialties. If general IM sounds like a bad deal, then you need to reconsider this route.
You never met a sued doc? I thought you were 4th? Either way, the lawsuit thing does happen and they are frivolous.
I get the sensitivity, I like rural areas also, but we cannot pretend there is no reason that many physicians avoid those areas. Their problems are endemic and realistically cannot be solved. No one wants to live there cause of a lack of jobs and education, therefore the only people left are mostly those without jobs and education. A doc doesn’t solve those problems. Most physicians hate the social aspect of medicine and rural areas have way more social issues than the nice area of town all healthcare tries to go too.

Especially when you spend a lot of time in the poor rural areas you realize why the stereotypes exist. Guy says he can’t afford a $60 antibiotic but keeps clamoring on and on for opiates. A retiree coming in on chronic 30 BID oxymorphone for pain with several mg of Xanax to ‘help sleep’. Heck at one of the hospitals I rotated at 1/4 pregnant women where positive for meth at time of birth. Those aren’t made up and are quite frankly common in the hospital where you don’t get to filter. How about the patient that sued one of my attending for supposedly missing a diagnosis that caused the patient to commit a crime when the patient didn’t get disability. This legal genius got thrown out after months but It still sucks.

When comparing with a practice in a nice suburb that is well to do, it’s no wonder why docs don’t ‘distribute’ more rural.

And I thought Game of Thrones Season 8 had a depressing and nihilistic ending, but BAM, here comes Game of Bone Wizards Season 2020s topping it all.
 
Rural applies to any city that has a population under 20-30,000 depending on what definition you're using. That's a large part of US geography and population itself you stereotyped.

In the mean time I have seen drug seeking, drug abuse, unemployment, declining or changing industry etc. Correct me if I'm wrong, but those issues exist across the US in different forms and degrees in cities too. But no I have not met a single doctor who has been sued, let alone successfully.

Like, look, I get it--rural places have plenty of problems. Hell, who's to say if I'll end up practicing in a rural setting myself. But I'm keeping my options open. And this gets back to my original point--there are more than the two options of working in Nowhere, Nebraska or a major city center. I'm tired of the discussion only including that because not only is it unrealistic, but it ultimately devolves into "Hurr durr rural people suck lol" by the same people who then complain about being stereotyped for paying $5000 a month on rent and buying avocado toast every day by Fox. It's counterproductive and it's boring.
You're beating around the bush. People are leaving middle america and small towns. That's simply the case, and I don't particularly care why, although it's obvious to most (except maybe for those who don't understand hyperbole....). Any new school claiming rural interests is doing so disingenuously unless they put their money were their mouths are and offer tons of scholarships and low tuition fees for those that stay. Wonder why we don't see that.
 
I mean they're the two largest specialties already, their average salary isn't that high either (just a little over 200K), and we got leaders, school admins, and the media screaming out primary care physician shortage when in fact it's more of a distribution problem. The mission of most if not all DO schools is about primary care, and they do match most of their students into PC. Eventually some of the new schools are going to sponsor new GME programs, and when they do it's probably gonna be FM/IM for the most part which will probably further decrease the earning potential of PCPs at some point. Big city markets are already saturated, so I think it's only a matter of time before new PCPs reach those "underserved" areas with all the new graduates we're going to have in the next few years. Adding onto that PAs and NPs want to do the same things PCPs do. God forbid we have to compete with them too.

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When it comes to primary care, there actually is a shortage. Pretty much nowhere in the country has sufficient primary care. Cities, suburbs and rural areas, PCPs can come in, set up shop and be busy. Multiple systems are opening up clinics all over cities for this reason. Other specialties may suffer primarily from maldistribution, but not primary care. Add on that the average age of PCPs is in their 60s, shortage will actually get worse for PCPs. I get offers constantly from big cities. They're not saturated. I'm not really sure where you're getting that from.

The pay for primary care has nothing to do with saturation at the moment and everything to do with how we as a society value prevention and "thinking" specialties as opposed to procedures. Also it's actually been one of the fastest growing compensation for medical fields in the last decade. There's a reason why Kaiser is paying above the mean to fresh residency grads to build up their PCP clinics all over CA.

As for midlevel encroachment, unfortunately that's a problem in basically every field, but fortunately for midlevels most find primary care difficult to manage and chase after specialties, not unlike their physician counterparts.

... As a personal side rant, I am dead tired of the conversation being a binary choice of living in poverty in NY/Bay/Chicago vs. being the town doctor for BFN Iowa. To be an FM or IM PCP these days means you can live and work just about ANYWHERE in the US and live extremely comfortably, at the very least.

Hey man BFN Iowa is paying $400k for a FM doc right now according to my inbox. Plus you get to be "first in the nation" for the caucuses.
 
When it comes to primary care, there actually is a shortage. Pretty much nowhere in the country has sufficient primary care. Cities, suburbs and rural areas, PCPs can come in, set up shop and be busy. Multiple systems are opening up clinics all over cities for this reason. Other specialties may suffer primarily from maldistribution, but not primary care. Add on that the average age of PCPs is in their 60s, shortage will actually get worse for PCPs. I get offers constantly from big cities. They're not saturated. I'm not really sure where you're getting that from.

The pay for primary care has nothing to do with saturation at the moment and everything to do with how we as a society value prevention and "thinking" specialties as opposed to procedures. Also it's actually been one of the fastest growing compensation for medical fields in the last decade. There's a reason why Kaiser is paying above the mean to fresh residency grads to build up their PCP clinics all over CA.

As for midlevel encroachment, unfortunately that's a problem in basically every field, but fortunately for midlevels most find primary care difficult to manage and chase after specialties, not unlike their physician counterparts.



Hey man BFN Iowa is paying $400k for a FM doc right now according to my inbox. Plus you get to be "first in the nation" for the caucuses.

Do you think there ever will be a time PCPs compensation become similar to other specialties(or is single payer the only way it happens)?
 
Do you think there ever will be a time PCPs compensation become similar to other specialties(or is single payer the only way it happens)?

I don't think so, except maybe by specialties being paid less. We still don't value primary care docs and what they do as a country. We may like our PCPs, we may even trust them, but no one is as impressed by a PCP getting their A1c down from a 10 to a 7 over 6 mos than they are for the orthopedic surgeon that saved their foot with a 3rd ray resection due to osteomyelitis from a diabetic wound, even if those 3 points mean you never have the infection to begin with.
 
I'm planning on attending a relatively established DO program (Western-Pomona) this year, and have gotten very disheartened about the futures of my class and beyond after reading some of the recent posts on here. I understand that in the grand scheme of things, we should all expect to see at least some of the negative effects of so many new schools (ex. "dilution" of the degree, lower primary care compensation, etc.).

For residencies: will it mostly be the students with poorer stats (low step 1/comlex) that will have difficulty matching? I know it's easier said than done, but if I keep my head down, do well on boards and put together a good app will I still be just as competitive for a spot at a mid/upper-mid tier academic IM program, or any general surgery spot? Ofc it's impossible to know for sure what the future holds, but I wanted to get some thoughts.

you will match based on you, not school
 
I'm planning on attending a relatively established DO program (Western-Pomona) this year, and have gotten very disheartened about the futures of my class and beyond after reading some of the recent posts on here. I understand that in the grand scheme of things, we should all expect to see at least some of the negative effects of so many new schools (ex. "dilution" of the degree, lower primary care compensation, etc.).

You'll be fine. This is all based on YOU, not your school. ACGME programs for the most part don't even know anything specific about osteopathic schools. For ACGME programs in general, it just goes like this: top tier MD > lower tier MD > DO. No one will dig into what DO school you came from. They'll just generally lump you in the same group (for better or for worse). Sometimes people point out that a particular DO school matches well in a particular region (like KCU matches in the midwest for the most part) - but I think that's not really based on the school per se, but just based on the fact that the person attended some school in that region and PDs at some programs tend to interview people from a particular region.

For residencies: will it mostly be the students with poorer stats (low step 1/comlex) that will have difficulty matching? I know it's easier said than done, but if I keep my head down, do well on boards and put together a good app will I still be just as competitive for a spot at a mid/upper-mid tier academic IM program, or any general surgery spot? Ofc it's impossible to know for sure what the future holds, but I wanted to get some thoughts.

DO students generally have a more difficult time in the match compared to an MD student with the same application. Sometimes the difference in number and quality of interviews received is staggering, even in a specialty that isn't that competitive overall.

Upper tier IM programs are some of the most competitive programs in the entire match, including among competitive specialties. Without significant research connections, DO students will usually never be competitive for upper-tier IM programs. Even with connections, chances are extremely slim. Sometimes top programs handing out interviews to well-connected DO students (those who had significant research connections and big name chairs/faculty giving phone calls to departments) are courtesy invites to play the political game, with no real desire to match the person, and I know of this happening at one of the top IM departments in the country.

In general, you will match in IM if you want to match anywhere. If you want to climb the ladder and get to mid-tier academic IM programs, youdefinitely should try to do research with important people and get on their good side - their support and letters and phone calls will go a long way for you. It isn't safe to rely on scores and research alone. You gotta play the game to get to places. If you want to get to a top tier program, just know that almost all of these programs aren't attainable even for DOs who are very well-connected.

Can't really comment on Gen Surg, but it's doable. @AnatomyGrey12 will know more.
 
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Hey man BFN Iowa is paying $400k for a FM doc right now according to my inbox. Plus you get to be "first in the nation" for the caucuses.

Second off, just because more FM/IM docs graduate does not mean their salaries are gonna plummet instantly or even over the next 10yrs. When it comes to supply and demand, the demand still far outweighs the supply. There are entire towns and counties within the Midwest where a physician does not work let alone live. What's more, plenty of old physicians are retiring or aging out (as in they are +70yo and have only kept working because there is no one to replace them in their territory). There is a reason these places are hiring FM docs for +$400,000 a year--they need them to serve as the lifeblood of the local medical community. What's more--NPs and PAs are absolutely NOT filling in the gaps. These people flip from job to job far faster than physicians and, this just in, they are not picking up the jobs physicians have failed to fill. I am in a town of ~25,000 and the midlevel turnover is absolutely atrocious, whereas when a new physician comes in they stay for 3-5yrs minimum and receive a rockstar welcome when they move in.

Glad to see I wasn't just talking out of my a** lol
 
With regards to GS yes it will still be possible. You don't need a 600+ for the former DO programs unless you're wanting the more competitive ones like Doctors, honestly I would say a 525+ is enough if you're willing to go anywhere and you are smart where you audition and a 550 would make you a competitive applicant. I should add these numbers will likely increase with the increased number of DO applicants coming.

As for MD surgery you need to be a competitive applicant. You absolutely need a USMLE score to even be considered unless you have direct connections to a specific program like your parent is program faculty or something. 230 is kind of the magic line where you get consideration from the majority of community places and I know a few people who are applying right now in the low 230's who have 15+ interviews. Overall the higher you can score on USMLE the better with 230 being good enough, 240+ makes you competitive and 250+ icing on the cake. Research can be very helpful and will be a pseudo requirement at many university programs. Whether you're applying MD or DO you will need to do auditions and rotate your butt off to make connections and get LOR's. Be prepared to get interviews far below what your app would have netted had you been an MD applicant. While general surgery is doable as a whole for DO's, it's one of the last great bastions of DO bias in medicine.
 
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You're beating around the bush. People are leaving middle america and small towns. That's simply the case, and I don't particularly care why, although it's obvious to most (except maybe for those who don't understand hyperbole....). Any new school claiming rural interests is doing so disingenuously unless they put their money were their mouths are and offer tons of scholarships and low tuition fees for those that stay. Wonder why we don't see that.

Apologies for not understanding the fine art of your hyperbole, but getting back to my original argument--thank you for confirming my point that new schools opening up and claiming dedication to rural primary care won't cause a sudden or even soon decrease in demand for FM/IM.

In the end, this generation of new and future physicians has a choice--either live in the city to obtain their desired amenities but take a pay cut or live in slightly less populated area and make more bank. I am again emphasizing, however, that the current narrative that you must live in the middle of nowhere to achieve the latter option is insufficient and inaccurate. I really do pity anyone who believes they have to live in a major city center or on the coasts in order to be happy.
 
I'm planning on attending a relatively established DO program (Western-Pomona) this year, and have gotten very disheartened about the futures of my class and beyond after reading some of the recent posts on here. I understand that in the grand scheme of things, we should all expect to see at least some of the negative effects of so many new schools (ex. "dilution" of the degree, lower primary care compensation, etc.).

For residencies: will it mostly be the students with poorer stats (low step 1/comlex) that will have difficulty matching? I know it's easier said than done, but if I keep my head down, do well on boards and put together a good app will I still be just as competitive for a spot at a mid/upper-mid tier academic IM program, or any general surgery spot? Ofc it's impossible to know for sure what the future holds, but I wanted to get some thoughts.
Oh, the sky is always falling on SDN, especially when self-loathing DO students are involved. Despite the mindless proliferation of DO schools currently, it won't affect you.

Be forewarned that the odds are still about 50% that you'll end up in Primary Care, and higher if you add in the typical DO-friend specialties like Neuro, EM, Gas, etc. "Mid/upper tier IM" programs tend to be anti-DO. Gen surg is a challenge, but doable. Just go in eyes open.

As long as there are more residency slots than bodies to fill them, DO grads will still match. However, it likely won't be in LA, Boston or NYC, but probably in Jonesboro AR or Kalispell, MT, and more likely to be at a community hospital than a University medical center.

BUT, being a grad from a well established school gives you a huge network to rely on! Western grads are a known product to PDs, unlike, say, ICOM or ICOM grads will be.

The students who will have to worry the most will be the ones with red flags, like Board failures or repeating years, which will definitely be a risk of attending a new school as a student with a weaker academic history. A good student will always be a good student, even at BCOM.
 
Oh, the sky is always falling on SDN, especially when self-loathing DO students are involved. Despite the mindless proliferation of DO schools currently, it won't affect you.

Be forewarned that the odds are still about 50% that you'll end up in Primary Care, and higher if you add in the typical DO-friend specialties like Neuro, EM, Gas, etc. "Mid/upper tier IM" programs tend to be anti-DO. Gen surg is a challenge, but doable. Just go in eyes open.

As long as there are more residency slots than bodies to fill them, DO grads will still match. However, it likely won't be in LA, Boston or NYC, but probably in Jonesboro AR or Kalispell, MT, and more likely to be at a community hospital than a University medical center.

BUT, being a grad from a well established school gives you a huge network to rely on! Western grads are a known product to PDs, unlike, say, ICOM or ICOM grads will be.

The students who will have to worry the most will be the ones with red flags, like Board failures or repeating years, which will definitely be a risk of attending a new school as a student with a weaker academic history. A good student will always be a good student, even at BCOM.
While this may be true, at the same time the last few years have seen some seriously good matches on the DO side at traditional MD programs (ie optho at brown, Ohio state, Michigan Uro, psych etc, Neurosurgery at UMMC) a lot of mid tier- lower tier IM programs actually have DO’s so if you have the scores and work ethic you can definitely match at these. Upper tier IM programs are gonna be hard but who cares! Places like Cleveland Clinic IM and mayo have taken DO’s too
 
While this may be true, at the same time the last few years have seen some seriously good matches on the DO side at traditional MD programs (ie optho at brown, Ohio state, Michigan Uro, psych etc, Neurosurgery at UMMC) a lot of mid tier- lower tier IM programs actually have DO’s so if you have the scores and work ethic you can definitely match at these. Upper tier IM programs are gonna be hard but who cares! Places like Cleveland Clinic IM and mayo have taken DO’s too
I agree 1000%. If anything, we are seeing DOs kick open the doors each year and match lists keep on getting more impressive (well, I can think of a few schools where they're not). What is even more amazing that even int he uber-residencies, like Interventional Rads, Urology, Ophthalmology, and their ilk, the numbers of DOs gaining residency slots are increasing at the rate of ~5% per year. These are not due to the simple transition of AOA -> ACGME. Granted, these are only single digits of people, but each year since roughly 2015 or so, the number sare increasing.
 
I agree 1000%. If anything, we are seeing DOs kick open the doors each year and match lists keep on getting more impressive (well, I can think of a few schools where they're not). What is even more amazing that even int he uber-residencies, like Interventional Rads, Urology, Ophthalmology, and their ilk, the numbers of DOs gaining residency slots are increasing at the rate of ~5% per year. These are not due to the simple transition of AOA -> ACGME. Granted, these are only single digits of people, but each year since roughly 2015 or so, the number sare increasing.
Absolutely, I seriously think that the more the candidate looks like an MD applicant( research, board scores and working with prominent people in the field 4th and or 3rd year who will vouch for the candidate in a letter of rec) for a uber residency PD’s will interview and rank you despite the DO and this has to be a positive sign for DO’s going forward looking to match in those specialties. The former AOA programs are there too!
 
I agree 1000%. If anything, we are seeing DOs kick open the doors each year and match lists keep on getting more impressive (well, I can think of a few schools where they're not). What is even more amazing that even int he uber-residencies, like Interventional Rads, Urology, Ophthalmology, and their ilk, the numbers of DOs gaining residency slots are increasing at the rate of ~5% per year. These are not due to the simple transition of AOA -> ACGME. Granted, these are only single digits of people, but each year since roughly 2015 or so, the number sare increasing.
Absolutely, I seriously think that the more the candidate looks like an MD applicant( research, board scores and working with prominent people in the field 4th and or 3rd year who will vouch for the candidate in a letter of rec) for a uber residency PD’s will interview and rank you despite the DO and this has to be a positive sign for DO’s going forward looking to match in those specialties. The former AOA programs are there too!

This. The vast majority of DO's simply don't look like their MD counterparts on paper. It's not just board scores, it's the research, the people RUNNING the research, the LOR's, the support from large clinical departments, etc. Stuff like that is really where MD's murder DO's when you compare applicants. For the DO's that hustle and make their apps look the same as the MD apps rolling across the PD's desk then the bias begins to loosen, notice I didn't say it disappears but it definitely loosens, and those poeple tend to actually match very well. I'm up to 10+ anecdotal examples of this.

The elite DO candidates are being recognized for what they are, elite candidates.
 
This. The vast majority of DO's simply don't look like their MD counterparts on paper. It's not just board scores, it's the research, the people RUNNING the research, the LOR's, the support from large clinical departments, etc. Stuff like that is really where MD's murder DO's when you compare applicants. For the DO's that hustle and make their apps look the same as the MD apps rolling across the PD's desk then the bias begins to loosen, notice I didn't say it disappears but it definitely loosens, and those poeple tend to actually match very well. I'm up to 10+ anecdotal examples of this.

The elite DO candidates are being recognized for what they are, elite candidates.

Meanwhile, at the DO school admin office: "My goodness, another bumper crop year of residency matches! This MUST be due to us insisting on classes during dedicated study and pushing for people to focus on COMLEX. JENKINS! Add another class to their schedule in April--wait! Make it May! We know what these boys and girls need!"
 
Meanwhile, at the DO school admin office: "My goodness, another bumper crop year of residency matches! This MUST be due to us insisting on classes during dedicated study and pushing for people to focus on COMLEX. JENKINS! Add another class to their schedule in April--wait! Make it May! We know what these boys and girls need!"
I loved it, I am rolling over here.
 
Absolutely, I seriously think that the more the candidate looks like an MD applicant( research, board scores and working with prominent people in the field 4th and or 3rd year who will vouch for the candidate in a letter of rec) for a uber residency PD’s will interview and rank you despite the DO and this has to be a positive sign for DO’s going forward looking to match in those specialties. The former AOA programs are there too!

The most important part of this which should be really emphasized is, especially for competitive specialties, the "working with prominent people in the field". There are specialties that are filled with programs that will never even look at the DO application no matter what, unless an important figure in that specialty has written letters/made phone calls.

In the specialty I am interested in, DOs matching at a particular program really has a negative benefit for DOs trying to match in that program in subsequent years. I've been told by numerous people that it likely has to do with the fact that these programs can't risk taking multiple DOs in two or more years in a row. As a specific example, I know of a mid-tier program at a very large academic center at a very well reputed medical school that took a DO a long time ago, and will likely never do so again. I don't think that a DO matching at a particular program therefore has much of a positive benefit for DOs matching in that specialty going forward.
 
The most important part of this which should be really emphasized is, especially for competitive specialties, the "working with prominent people in the field". There are specialties that are filled with programs that will never even look at the DO application no matter what, unless an important figure in that specialty has written letters/made phone calls.

In the specialty I am interested in, DOs matching at a particular program really has a negative benefit for DOs trying to match in that program in subsequent years. I've been told by numerous people that it likely has to do with the fact that these programs can't risk taking multiple DOs in two or more years in a row. As a specific example, I know of a mid-tier program at a very large academic center at a very well reputed medical school that took a DO a long time ago, and will likely never do so again. I don't think that a DO matching at a particular program therefore has much of a positive benefit for DOs matching in that specialty going forward.
You trying to go for Optho bro?
 
As a specific example, I know of a mid-tier program at a very large academic center at a very well reputed medical school that took a DO a long time ago, and will likely never do so again. I don't think that a DO matching at a particular program therefore has much of a positive benefit for DOs matching in that specialty going forward.
This is really vague for a specific example.
What specialty and which program?
 
This is really vague for a specific example.
What specialty and which program?

Ophthalmology is the specialty. Can't be any more specific than that. In fact, even if they wanted to take another DO, this hospital's board that oversees resident selection won't let them off easy if they tried. It was kind of like a one time thing, probably for political reasons (big name called another big name, you know how the world spins). Seems to be pretty common in the specialty.

Point is, don't think that a 270 Step 1 score and multiple first author publications are going to guarantee you anything. If you can't play the game, you are probably going to end up disappointed. And don't rely on the fact that "oh yeah this program took a DO in the past", especially if it seems like a one time affair, because they're probably going to be very much against the idea of matching another DO if they care about their reputation (and for the most part, competitive programs, or programs in competitive specialties in general, definitely care about their reputation).
 
Ophthalmology is the specialty. Can't be any more specific than that. In fact, even if they wanted to take another DO, this hospital's board that oversees resident selection won't let them off easy if they tried. It was kind of like a one time thing, probably for political reasons (big name called another big name, you know how the world spins). Seems to be pretty common in the specialty.

Point is, don't think that a 270 Step 1 score and multiple first author publications are going to guarantee you anything. If you can't play the game, you are probably going to end up disappointed. And don't rely on the fact that "oh yeah this program took a DO in the past", especially if it seems like a one time affair, because they're probably going to be very much against the idea of matching another DO if they care about their reputation (and for the most part, competitive programs, or programs in competitive specialties in general, definitely care about their reputation).
How’d the interview season going for you? Assume your a DO, heard some good optho matches from DO schools
 
How’d the interview season going for you?

I am not a 4th year, so didn't apply for residency this year.


Assume your a DO, heard some good optho matches from DO schools

In a few days we can look at the published statistics and see what happened this year. I don't imagine much has changed. Well-connected people will match (typically to lower tier programs) every year, but it's still extremely tough. The SF Match stats are typically pretty terrible for DO applicants - usually in the 20s and 30s for match rate. Last year was in the 30s and still a bit exaggerated due to the fact that a former DO program was participating in the SF Match and ended up matching all DOs (for whatever reason that is).
 
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The most important part of this which should be really emphasized is, especially for competitive specialties, the "working with prominent people in the field". There are specialties that are filled with programs that will never even look at the DO application no matter what, unless an important figure in that specialty has written letters/made phone calls.

In the specialty I am interested in, DOs matching at a particular program really has a negative benefit for DOs trying to match in that program in subsequent years. I've been told by numerous people that it likely has to do with the fact that these programs can't risk taking multiple DOs in two or more years in a row. As a specific example, I know of a mid-tier program at a very large academic center at a very well reputed medical school that took a DO a long time ago, and will likely never do so again. I don't think that a DO matching at a particular program therefore has much of a positive benefit for DOs matching in that specialty going forward.
Two sides to your observation.

This is just the opposite at my school. We find that once our grads are a known quantity, the door slides more open rather than closed.

Now I DO agree that the bias is real, and a bad DO grad will be viewed as "That's a DO for you", while a bad MD grad will provoke the comment, "Jeeze, that kid is an idiot".

This is an indictment of COCA and its lax standards for clinical education.

And yes, we know the DO bias is real and you can't go to IM at NYU. Yet the doors keep cracking open.
 
Two sides to your observation.

This is just the opposite at my school. We find that once our grads are a known quantity, the door slides more open rather than closed.

Now I DO agree that the bias is real, and a bad DO grad will be viewed as "That's a DO for you", while a bad MD grad will provoke the comment, "Jeeze, that kid is an idiot".

This is an indictment of COCA and its lax standards for clinical education.

And yes, we know the DO bias is real and you can't go to IM at NYU. Yet the doors keep cracking open.

I'm really not sure what you're talking about because we aren't talking about clinical education here. This has absolutely nothing to do with whether or not the DO was a great resident or a bad one. Like I said before (and you'd know this if you spoke to PDs and Chiefs in competitive programs) - they don't have anything personal against the DO, they just don't want the DO to harm their program's image. Trying to put the onus on COCA and its clinical education standards is totally avoiding reality. It's just like how the strong LCME clinical standards don't help people from low tier MD schools that are unranked. It is what it is.
 
I'm really not sure what you're talking about because we aren't talking about clinical education here. This has absolutely nothing to do with whether or not the DO was a great resident or a bad one. Like I said before (and you'd know this if you spoke to PDs and Chiefs in competitive programs) - they don't have anything personal against the DO, they just don't want the DO to harm their program's image. Trying to put the onus on COCA and its clinical education standards is totally avoiding reality. It's just like how the strong LCME clinical standards don't help people from low tier MD schools that are unranked. It is what it is.
What's more, I don't really think you can blame people for this, nor will it ever go away. People from top-tier MD schools will look at a roster of residents from low-tier MD schools as a negative, people from low-tier MD schools will look at rosters full of DOs as a negative, and DOs look at rosters filled with IMGs as a negative. Human bias will never disappear and I think trying to pretend it will, or ignore it, is just childish.
 
I'm really not sure what you're talking about because we aren't talking about clinical education here. This has absolutely nothing to do with whether or not the DO was a great resident or a bad one. Like I said before (and you'd know this if you spoke to PDs and Chiefs in competitive programs) - they don't have anything personal against the DO, they just don't want the DO to harm their program's image. Trying to put the onus on COCA and its clinical education standards is totally avoiding reality. It's just like how the strong LCME clinical standards don't help people from low tier MD schools that are unranked. It is what it is.

correct me if I am wrong. what @Goro is trying to get is that no PD just wakes one morning and starts hating DOs. The underlying factor for the bias is that their education doesn't compare to their MD counterparts. At times it is warranted, can't deny that. PDs that take DOs from his school can actually perform well so PDs are willing to take a chance on DOs in the future.
 
correct me if I am wrong. what @Goro is trying to get is that no PD just wakes one morning and starts hating DOs. The underlying factor for the bias is that their education doesn't compare to their MD counterparts. At times it is warranted, can't deny that. PDs that take DOs from his school can actually perform well so PDs are willing to take a chance on DOs in the future.

Anyone who believes that the bias is due to "weak education" is pretty disconnected with how residency programs work.

What you are talking about in your post has no relevance to why competitive programs and programs within competitive specialties tend to ignore DO applicants. It has absolutely nothing to do with education standards (which, make no mistake, are absolute trash under COCA). It has much more to do with the fact that they don't want DOs to hurt their image. These programs want to attract candidates from the best schools, and they aren't going to risk their reputation by taking DOs and IMGs.

You will learn all this if you spend a lot of time around programs in a competitive specialty and get close to people in the field so that they can actually speak to you honestly about it.

What's more, I don't really think you can blame people for this, nor will it ever go away. People from top-tier MD schools will look at a roster of residents from low-tier MD schools as a negative, people from low-tier MD schools will look at rosters full of DOs as a negative, and DOs look at rosters filled with IMGs as a negative. Human bias will never disappear and I think trying to pretend it will, or ignore it, is just childish.

Exactly. It is pretty annoying when people try to falsely attribute this bias to educational differences and whatnot.
 
I am not a 4th year, so didn't apply for residency this year.




In a few days we can look at the published statistics and see what happened this year. I don't imagine much has changed. Well-connected people will match (typically to lower tier programs) every year, but it's still extremely tough. The SF Match stats are typically pretty terrible for DO applicants - usually in the 20s and 30s for match rate. Last year was in the 30s and still a bit exaggerated due to the fact that a former DO program was participating in the SF Match and ended up matching all DOs (for whatever reason that is).

I know of UNC and MCW at this point. I have never been interested by the eyes so have no idea if those are good matches or not.
 
I am not a 4th year, so didn't apply for residency this year.




In a few days we can look at the published statistics and see what happened this year. I don't imagine much has changed. Well-connected people will match (typically to lower tier programs) every year, but it's still extremely tough. The SF Match stats are typically pretty terrible for DO applicants - usually in the 20s and 30s for match rate. Last year was in the 30s and still a bit exaggerated due to the fact that a former DO program was participating in the SF Match and ended up matching all DOs (for whatever reason that is).
The 20-30% rate from last year is lower because out of the very few number of DO applicants a bunch of them dropped out of the sf match when they matched in the aoa, so realisticly like 5-6/10-11 or so people matched in the SF match so yea around 50%, not great but not as bleak as 20-30%
 
The 20-30% rate from last year is lower because out of the very few number of DO applicants a bunch of them dropped out of the sf match when they matched in the aoa, so realisticly like 5-6/10-11 or so people matched in the SF match so yea around 50%, not great but not as bleak as 20-30%

This is absolutely false. The SF Match occurs earlier than the AOA Ophthalmology match.
 
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Anyone who believes that the bias is due to "weak education" is pretty disconnected with how residency programs work.

What you are talking about in your post has no relevance to why competitive programs and programs within competitive specialties tend to ignore DO applicants. It has absolutely nothing to do with education standards (which, make no mistake, are absolute trash under COCA). It has much more to do with the fact that they don't want DOs to hurt their image. These programs want to attract candidates from the best schools, and they aren't going to risk their reputation by taking DOs and IMGs.

You will learn all this if you spend a lot of time around programs in a competitive specialty and get close to people in the field so that they can actually speak to you honestly about it.

Exactly. It is pretty annoying when people try to falsely attribute this bias to educational differences and whatnot.
PDs on SDN have specifically mentioned the fear that their program will somehow be "tainted" in the eyes of elitist MD candidates.

That prejudice didn't come out of thin air, it came from this historic nature of DO clinical education which, in the absence of teaching hospitals, relied upon preceptorships that were scattered all over the states, and were in many cases no more than glorified shadowing.

Hence, poorly trained DO grads did the profession no favors. To this the older and now dying historical prejudice from MD MDs who looked upon DOs as competitors at "not real doctors".

One PD commented to me about a grad from a northeastern DO schools who was amazingly untrained. Their program then instituted a requirement that the candidates have particular evidence of training....I forget what it was. Now, if Drexel or NYKC grad had come in with the same defects, no one would have batted an eye.

So stop projecting. I'm not making the news, just reporting it.

And to get back to the OP, this illustrates why the rush to open new DO schools without strengthening the current ones (yes, talking about you, Nova and LMU) is hurting the profession.
 
What's more, I don't really think you can blame people for this, nor will it ever go away. People from top-tier MD schools will look at a roster of residents from low-tier MD schools as a negative, people from low-tier MD schools will look at rosters full of DOs as a negative, and DOs look at rosters filled with IMGs as a negative. Human bias will never disappear and I think trying to pretend it will, or ignore it, is just childish.

If a number of top twenty programs in a competitive specialty all took 1-2 DOs per year, then the bias will very quickly disappear. No prestige-boner MDs can say anything if many of the top residencies have a few DOs.

The established DO schools have low-tier MD matriculation averages, and places like PCOM and the state schools have teaching hospitals/hospital network and/or great GMEs. With the merger, top DO applicants will be more exposed. Every year, I see DOs breaking barriers and matching in legit places.

What’s honestly holding us back are the fools at COCA accepting new schools in Randomville, USA and these stupid branch campuses hundreds of miles away from the parent school, because the clinical education sites at these places will be suspect.
 
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