Should I change my career plans after DO acceptance?

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

invisibleman023

Full Member
10+ Year Member
Joined
Jan 1, 2012
Messages
50
Reaction score
40
Obviously I'm going to be a doctor, but do you guys think academia is harder to penetrate via the DO route? I know in general as an employed or private practice physician, DO vs. MD doesn't really matter. But I had originally planned to have a distinguished career in academia with research and clinical combined. Will this be too much of an uphill climb? I will already need to score really well and better than MDs on the USMLE to land a good residency. I'm just afraid the DO will limit me too much down the road when it comes to a part of medicine (academia) that really puts emphasis on name/branding. A part of me feels like I would be smarter to focus on a clinical practice career and do well ("well" meaning not only financially but from a satisfaction standpoint) in that sector. Thoughts?
 
Obviously I'm going to be a doctor, but do you guys think academia is harder to penetrate via the DO route? I know in general as an employed or private practice physician, DO vs. MD doesn't really matter. But I had originally planned to have a distinguished career in academia with research and clinical combined. Will this be too much of an uphill climb? I will already need to score really well and better than MDs on the USMLE to land a good residency. I'm just afraid the DO will limit me too much down the road when it comes to a part of medicine (academia) that really puts emphasis on name/branding. A part of me feels like I would be smarter to focus on a clinical practice career and do well ("well" meaning not only financially but from a satisfaction standpoint) in that sector. Thoughts?

From what my experience talking with Ucsd medicine faculty, residency and fellowship are the times that really make or break if you'll enter academic medicine. So you should go into residencies that have protected research time (1-2 yrs) to build your CV and hopefully apply for a K99/R00 pathway to independence NIH grant. Winning these awards usually leads to the ability to enter a track position at a research university.

It IS possible to enter residencies with protected research time as a DO.

It also really depends on where you plan to be a professor of medicine (usually associate or assistant professor at first, you'll get the promotion if you get more funding). If it's Stanford, MD Anderson, Tulane, or some highly regarded research university then it will be very tough. But if you win a multi million dollar grant then perhaps that may change!

One of the reasons it's tougher for DOs is that research resources at most schools are limited. It's a biit harder to find PIs who could could provide you with that Cell or PNAS authorship that could launch your academic career. Not because the PIs are bad...but because resources are limited. DO schools only took in like 2-3% of the total nih funding for medical schools because we are a much smaller cohort of faculty.

When you think about it, many MD are associated with a university that has a PhD program in biomedical sciences, there's a tremendous amount of workforce (grad students, post docs, research scientists) there that most DO schools do not have.

I would say Rowan, Touro CA, KCU, Nova, DMU, and any of the state DO schools have good research behind them and should give you the opportunity to make yourself as competitive as possible to go into a residency that allows for research and also is a feeder for fellowship.

At the end I wouldn't drop your medical school acceptance. Sure it may be a tougher road to enter academic medicine but it IS doable.

Feel free to PM me as this is a route I want to enter as well.
 
Last edited:
Ccom is in an area that has a good amount of research (Chicago). Don't know much about how much research the school itself has.

Msucom being a state school definitely has research resources.
At interview day at CCOM, the impression I got from both administration and students is that there are an abundance of research opportunities available; some students decide to pursue it while others do not. However, the opportunities are available for those who want them.
 
Last edited:
Obviously I'm going to be a doctor, but do you guys think academia is harder to penetrate via the DO route? I know in general as an employed or private practice physician, DO vs. MD doesn't really matter. But I had originally planned to have a distinguished career in academia with research and clinical combined. Will this be too much of an uphill climb? I will already need to score really well and better than MDs on the USMLE to land a good residency. I'm just afraid the DO will limit me too much down the road when it comes to a part of medicine (academia) that really puts emphasis on name/branding. A part of me feels like I would be smarter to focus on a clinical practice career and do well ("well" meaning not only financially but from a satisfaction standpoint) in that sector. Thoughts?

Have you considered the DO/PhD route?
 
Obviously I'm going to be a doctor, but do you guys think academia is harder to penetrate via the DO route? I know in general as an employed or private practice physician, DO vs. MD doesn't really matter. But I had originally planned to have a distinguished career in academia with research and clinical combined. Will this be too much of an uphill climb? I will already need to score really well and better than MDs on the USMLE to land a good residency. I'm just afraid the DO will limit me too much down the road when it comes to a part of medicine (academia) that really puts emphasis on name/branding. A part of me feels like I would be smarter to focus on a clinical practice career and do well ("well" meaning not only financially but from a satisfaction standpoint) in that sector. Thoughts?
Idealizations. They will fade quickly once you're into this process.
 
Have you considered the DO/PhD route?

Not really because I don't think it would be worth the tradeoff considering the length.

Idealizations. They will fade quickly once you're into this process.

I see your point but I also think my inability to have some foresight is what put me in this situation. In college I started out as engineer and wasn't really sure what I wanted to do. I ended up finishing an engineering degree at a top ten school with a 3.3 GPA (which is above average in engineering at my school). Had I known what I wanted or carefully played the admissions game, I would've changed my major early and possibly even transferred schools. Because in the end, admissions committees couldn't care less what my major or school is. So having some plans, albeit idealistic, does have benefits.
 
From what my experience talking with Ucsd medicine faculty, residency and fellowship are the times that really make or break if you'll enter academic medicine. So you should go into residencies that have protected research time (1-2 yrs) to build your CV and hopefully apply for a K99/R00 pathway to independence NIH grant. Winning these awards usually leads to the ability to enter a track position at a research university.

It IS possible to enter residencies with protected research time as a DO.

It also really depends on where you plan to be a professor of medicine (usually associate or assistant professor at first, you'll get the promotion if you get more funding). If it's Stanford, MD Anderson, Tulane, or some highly regarded research university then it will be very tough. But if you win a multi million dollar grant then perhaps that may change!

One of the reasons it's tougher for DOs is that research resources at most schools are limited. It's a biit harder to find PIs who could could provide you with that Cell or PNAS authorship that could launch your academic career. Not because the PIs are bad...but because resources are limited. DO schools only took in like 2-3% of the total nih funding for medical schools because we are a much smaller cohort of faculty.

When you think about it, many MD are associated with a university that has a PhD program in biomedical sciences, there's a tremendous amount of workforce (grad students, post docs, research scientists) there that most DO schools do not have.

I would say Rowan, Touro CA, KCU, Nova, DMU, and any of the state DO schools have good research behind them and should give you the opportunity to make yourself as competitive as possible to go into a residency that allows for research and also is a feeder for fellowship.

At the end I wouldn't drop your medical school acceptance. Sure it may be a tougher road to enter academic medicine but it IS doable.

Feel free to PM me as this is a route I want to enter as well.

I would add ccom and PCOM to that list for sure.
 
If you want to run your own lab that probably won't happen having only a DO degree. If you want to work at a university hospital and do clinical research then you should be fine as a DO as long as you attend a decent acgme residency/fellowship.
 
If you want to run your own lab that probably won't happen having only a DO degree. If you want to work at a university hospital and do clinical research then you should be fine as a DO as long as you attend a decent acgme residency/fellowship.

Agreed. Normally, I'm pro-DO, and argue that pre-meds should apply for both. You can be just a good of a clinician this route, and (while the opportunities are fewer) a good researcher as well. But if your goal is truly "a distinguished career in academia," a PhD or MD might be a better fit for you. That's not an easy goal even as a PhD or MD. It's not impossible as a DO, of course, but it's more of an uphill battle.
 
If you want to run your own lab that probably won't happen having only a DO degree. If you want to work at a university hospital and do clinical research then you should be fine as a DO as long as you attend a decent acgme residency/fellowship.

This is because of the lack of research resources during UGME?
 
This is because of the lack of research resources during UGME?

Kind of. Being a normal MD won't qualify you to run a research lab either. You need a good mentor, lots of basic science experience, and probably a PhD. The OP should really be applying for MD/PhD programs. I know there are DO/PhD programs, but I think you'll be working with PhDs instead of physician scientists in those programs; I could be wrong.
 
Kind of. Being a normal MD won't qualify you to run a research lab either. You need a good mentor, lots of basic science experience, and probably a PhD. The OP should really be applying for MD/PhD programs. I know there are DO/PhD programs, but I think you'll be working with PhDs instead of physician scientists in those programs; I could be wrong.

You're probably right. There aren't a lot of DO/PhD's around. I do know MSUCOM is prominent with DO/PhD's though.

But I'm sure with that basic science experience you also need lot's of abstracts/posters/pubs under you belt to start running a basic science lab huh? And of course funding.
 
Top