Just curious...but for those people that have or will choose "other" - what are your thoughts?
I'm in the "other" category. I'm starting DO school in Florida this fall. I'm completely humbled by the whole app process, and completely grateful that I'm going to
get to be a physician. I applied to 34 MD schools, and 11 DO schools. My state MD school is the only MD school that showed me any love, and in all honesty, I'd really rather not stay in-state despite cheap tuition & fabulous prestige & family and all that. The DO schools that are interested in me simply turned out to be a better fit than the MD school that's mildly "interested" in me.
I could pretend that I'm choosing DO over MD, since I'm "in the pool" at a super-neato MD school, and am not pursuing it. But that pretense would be pure bull. I'm doing DO
because I got in. And because I'm a 3.0 and a 31-O. And because I am 41 years old: buffing my app in an SMP, to go after MD again, has no appeal for me, even though I expect to practice into my 80's. And because being a DO isn't going to get in the way of any of the things I want to do (surg or ID, MSF or PIH, teaching). I freely admit that my DO intentions are largely insincere. I don't see much point in having parallel med ed systems. So I'm a non-purist, and I'm getting away with it, and
that's nothing to brag about.
I fully support individuals who want to practice OMT. For me, I think OMT might be interesting as a low-resource-medicine technique. I think lymphatic flush is particularly interesting with immunocompromised patients and drug-resistant bugs, or generally in PACU and in the ICU. Beyond that level of utility, I'd be surprised if I pursued OMT with any real rigor.
I think the whole "DO philosophy" is a non-statement. (If Nova or LECOM-B are reading this, hi, howya doin?) Show me an allo school that disagrees with the osteo creed. Saying that a focus on "the whole patient" and on self-healing et al differentiates DO as a separate field from MD is ridiculous to me. The whole argument is based on comparing DOs
only to crappy MDs. I don't see much to fight over in the difference between DO and MD. I think it would be fair, if not actually possible, to merge DO into MD and make OMT a specialty with a lot of dual-boarding. (Oh am I ever getting flamed now.)
I think that the alleged DO primary care emphasis is a joke, for DO schools that aren't state-supported. ATSU-SOMA, in particular, has a curriculum and an aggression that could truly change the face of primary care training (I'm a big fan of their program). But at $37k/yr, I doubt many of their graduates will stick with primary care. Lots of MD schools pretend to be focused on primary care as well, but let's call a spade a spade: any school with an interest in being popular with the host state is going to say "oh yes we LOVE primary care: look at our rural health elective!" There's no accountability for
claiming a primary care focus. I wish that ATSU had the financial balls that LECOM has: that other private DO schools can't figure out how to charge only $25k tuition
is to their shame.
From my perspective, choosing DO, with the intention of working side-by-side with MDs, is a bit like choosing to be the fat kid who eats paste in 1st grade, instead of the athletic popular kid who can do a Rubik's cube. (Note that none of these labels matter in the long term. Not a coincidence.) The fat kid can do anything the Rubik's kid can; it'll just be less of a slip-n-slide for the fat kid, and he/she might need to crash non-paste-eater parties in lieu of getting invited. (Punchline: I was the fat kid who could do Rubik's; any paste allegations remain unproven.) But I agree with scpod: I have a history of playing for the underdog and advancing lost causes. I wouldn't be surprised if I ended up in a DO residency, a member of AOA, trying to start a new AOA residency at my hospital, etc. I think it's equally likely that I'll do ACGME residency, practice outside the 5 states, and ignore the AOA. Either would be worth it.
Apologies in advance to anybody I've pissed off. Looking forward to being corrected where I'm wrong. (Teflon on.)