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osteo/allo Em residency

IdontTakeCall

MS IV
10+ Year Member
Oct 21, 2008
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  1. Medical Student
So i spoke with the residency director of one of the D.O. em residency programs and he said that the AOA changed em residencies from 3 years to 4 years, thus making osteopathic em residencies a year longer than allopathic ones. has anyone else heard anything like this? the allo ones im looking at are all 3 years...so is it only the osteo ones that are now 4 and if so is it all of them?
 

Aloha Kid

Senior Member
10+ Year Member
15+ Year Member
Mar 10, 2001
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Yes, you are right. All DO EM residencies are 4 years. What you don't know is that MANY allopathic residencies are 4 years as well. The trend seems to be 4 year residencies.
 

tkim

10 cc's cordrazine
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Aug 2, 2002
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New England
  1. Attending Physician
Yes, you are right. All DO EM residencies are 4 years. What you don't know is that MANY allopathic residencies are 4 years as well. The trend seems to be 4 year residencies.

The ratio of 3 versus 4 year allopathic programs is roughly 3:1:

http://www.emra.org/emra_articles.aspx?id=29472

"As of January 2006, there are 102 PGY 1 - 3 programs, 16 PGY 2 - 4 programs, and 19 PGY 1 - 4 programs accredited by the ACGME. There are also five-year combined programs in Emergency medicine/Pediatrics and Emergency medicine/Internal medicine. Additionally, the American Osteopathic Association has accredited 33 Osteopathic Emergency medicine residencies, which require 4 years of postgraduate training (PGY 2 - 4 after a separate Osteopathic internship)."
 
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LadyGrey

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Mar 24, 2005
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The only "change" in DO residencies is that in EM (and many, many others) it's no longer a one year rotating internship and then a three year residency -- the internship year is part of the EM residency and is EM-focused. (Though some programs maintain more of the feel of traditional rotating year than others). So tkim's quote is out of date wrt osteopathic EM -- this changed pretty recently.

The 3-vs-4 debate is a tough one, with (it seems to me at this point) good arguments on both sides. I've applied to and am interviewing at about equal numbers of each; although the 3 years may predominate overall, there's some geographical variation. My general sense, having interviewed at some of each so far, is that the 4-year programs claim to be the better route to academia; if you have any inclinations that way and do a 3-year, you're "required" to do a fellowship to be taken seriously.
 
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