New SDN member, applying to schools (MD and DO) this June...but I feel this question is best answered by current DO students. So what if I attend a DO school and want to go into a competitive residency such as sugery or rad...more than likely I will end up in an ACGME residency because, and I'm only pretty sure of this, there aren't many AOA residencies for competitive residencies like surg/rad. How much of a problem is this really going to be if I want to be a practicing D.O. in one of the 5 states where this is a problem? I live in Michigan BTW, family is here, so more than likely I'll live at least part of my life in MI, but that will be difficult if I can't practice as a D.O. because I went through an MD residency, which by itself was only because of the limited number of specialty AOA residencies in the first place! Any help is appreciated because I'd hate to become a D.O. surgeon and not even be able to practice in my home state! Also, I did read a thread somewhere that said that even if I was granted approval by AOA under resolution 42, I still might not be able to practice in Michigan (or other 4 states) because I still need approval from some Michigan liscensing board which is a separate body from the AOA. Any opinions/help? Is DO a possibility for me in Michigan with an ACGME residency? Or does this issue only matter for where you do your residency and not where you intend to practice later in life?