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SURGERY AND D.O.'s

Discussion in 'Medical Students - DO' started by ELVIS, Sep 26, 1999.

  1. I am very interested in D.O. schools for a number of reasons. I read on a few earlier posts that D.O.'s were not greatly appreciated in the operating room and that they have a tough time gaining the respect of their colleagues. Is there any truth to this? If I am that interesteed in surgey should I just concentrate on Allopathic Med? Thanks in advance.
     
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  3. turtleboard

    turtleboard SDN Advisor
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    On the issue of respect from the medical community and osteopathic physicians, there doesn't seem to be much that supports the notion that DOs are walking pieces of dog poop.

    As for the surgery thing, DOs are certainly welcome but it's to the extent that they are welcomed that matters. Depending on where you are, you'll find a lot of DOs in the OR or practically none at all. Here in New York, it's a bit tougher to find a DO who's not a primary care doc.

    If you wanted to do surgery, I would try and stick to the allopathic schools. I'm not sure any osteopathic students here or anywhere else would really argue me on that point.


    Tim of New York City.
     
  4. mina

    mina Junior Member

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    None whatsoever . . .
    I am a surgeon (DO)with nine years experience (post residence), and my collegues with MDs treat with the highest respect. Remember there is no status difference between MD surgeonss and DO surgeons. You can only be as good as you are.
     
  5. Nik

    Nik Member
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    I have the same question------how hard is it for a D.O. to get an ACGME general surgery residency? How about an AOA general surgery residency? Does the AOA offer trauma fellowships?
     
  6. mina

    mina Junior Member

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    The residences make no distinctions so long as you are a physician (DO or MD). The matches are done regardless of DO of MD initials behind your name. One has to be a doctor Period. AOA offers fellowships in trauma. The point to remember here is that there is no legal/medical distinction between an a DO and an MD. All of my collegues feel that, except for OMT,the lines that demarcate DOs and MDs simply do not exist.
     
  7. RBorhani

    RBorhani Emergency Physician
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  8. young guy np

    young guy np Member
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    some people won't respect you because of the letters, so you might have to prove yourself. but most DOs are treated equally. the DO i shadowed told me nobody has ever questioned him or treated him with less respect. and this DO is the only DO in the hospital.

    young guy np
     
  9. I would consider more research on this topic. There was an article that came out on medical school training and competence as a surgeon. There was another recent article on match results for osteopathic students in allopathic surgery programs, overall you have about 1 in 100 chance to get in (ie 1 in 100 DOs filled ACGME surgery positions) IMGs fared better around 20/100. Good luck with whatever you decide.
     
  10. UHS2002

    UHS2002 Senior Member
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    Lynch,

    although I have no intention of becoming a surgeon your reply piqued my interest. Can you give the reference for the articles you mentioned? I would really be interested in reading them. Thanks
     

  11. Title: Prestige of training programs and experience of bypass surgeons as factors in adjusted patient mortality rates.
    Med Care 1999 Jan;37(1):93-103
    OBJECTIVES: The relation of physician performance to physician training and experience is not well understood. The aim of this study was to examine whether indicators of physician background and experience were associated with an objective measure of physician performance. METHODS: Physician background information obtained from the Directory of Board- Certified Medical Specialists was linked to physician risk-adjusted mortality rates obtained from three statewide data bases of coronary artery bypass surgeons. Subjects were 275 surgeons who performed CABG surgery on 83,547 patients during the years 1989 to 1992. Surgical performance was measured by the mortality ratio (MR), the ratio of the observed to the predicted patient mortality rate as determined by detailed clinical information. Training institutions and physicians were characterized as prestigious if they were listed as outstanding in published articles. RESULTS: Surgical performance was not associated with graduation from an American medical school; attendance at a prestigious medical school, residency, or fellowship program; or an academic appointment. Mortality ratios decreased with increased volume and increased with years of experience, age, and academic rank. Surgeons were more likely to be considered a "best doctor" if they had more years experience and trained at a prestigious residency or fellowship program. CONCLUSIONS: Training at a prestigious institution was associated with identification as a "best" doctor but not with lower mortality ratios.


     
  12. mina

    mina Junior Member

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    DR.
    With all due respect, the conclusion you draw (in your earlier post) from the foregoing study appears farfetched. Please help me see the connection you are trying to make here . . .
    I am very familiar with the study you quoted. Two of the panel members who helped conduct this study collegues I dearly know and respect. Regrettably, though, that study is not comprehensive enough to warrant the conclusion it makes (please note that the study encompasses a database of three states). For a study to be comprehensive enough for one to arrive at a resonable conclusion, it has to involve a wide sampling extending over a prolonged period of time.
    Dr. Miller
     

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