TCOM's situation is a little different than the other DO schools. They are a state school, so their tuition for Texas residents is about 9,000/year along with all of the other state schools. This causes the demographics of the admissions pool to be slightly different than for other DO schools. If you live in Missouri and want to be an osteopath you pay +20,000/year to go to KCOM, and you will pay about the same wherever you go. Since tuition is going to be the same in state or out of state, applicants may apply to only DO schools b/c location is the only factor(as compared to finances). I would guess that KCOM has a higher percent of applicants who are DO only. I read from another post that TCOM has a very small percent of applicants who only applied to DO schools. Most of this would be attributed to in-state applications to the MD schools. I was in the admissions office earlier this year talking to probably the same lady you emailed, and she said that they where going to join the TMDSAS. She said that they understood that most Texas residents would apply to more than just TCOM, they would probably apply to all of the other schools in the state. She said that this would prevent applicants from having to fill out another application along with the TMDSAS. To me this really does not seem to be a problem. First of all, if you want to write in your essay what you think of osteopathic medicine, and what it means to you then go ahead! This, more than saying two different things on two different applications, would show that you are serious about osteopathic medicine. If you are a qualified candidate to begin with, then you could have a leg up on the competition. The students who would prefer to go into an MD program, and are using DO as a backup are not going to extol the virtues of osteopathic medicine in their essay the way they might if they could write two different essays. If you are really serious about the DO only approach then say so. It will make you stand apart. If that edge is not enough to put you/or me/or anyone else in the running for a spot then maybe we were not qualified enough to begin with.