- Joined
- Oct 13, 2005
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How do you ever know what to believe on SDN? Do you listen to the "knowledgeable people" who tell the same tails year after year? People who have been on SDN awhile tend to hear the same things over and over again until they really believe it…but is it true? Does anyone look at the facts anymore? On SDN, there doesn't seem to be a need to because every year the same fallacies are brought to the surface and continually written into SDN dogma. Mythbusters brought quite a few "old wives tales" to light on their TV show, so I decided to bring a few to light myself.
MYTH- You have a better chance of acceptance to a COM if you are a URM.
4% of applications in 1995 came from African American students, for example, but that number had increased to 6% by 2006. So, more African Americans really are applying for spots. However, there is no corresponding increase in the percentage of accepted students. While the total numbers are higher, the % of total enrollment for all minorities has dropped from 8.8 to 8.6%. Interestingly, the number of Asian/Pacific Islander students has more than doubled. It appears as if ORM's have made substantial gains, not URM's.
Which schools , then, do have the largest percentage of minorities (and might "theoretically" give you a better chance of acceptance)? NYCOM- 43.6%, LECOM-Bradenton- 30.6%, NSU-COM- 31.5%, UMDNJ-SOM- 52.3%, WesternCOMP- 47.1%, PCOM-GA- 33.7%, TUCOM-CA – 30.2%, TCOM 36.5%. Of course, you gotta keep in mind that schools like TCOM rarely accept OOS applicants, so there are more factors involved here.
MYTH- You have a better chance of being accepted if you apply to a school where you live.
All these have more than 85% in-state students:
MSUCOM, OUCOM, OSUCOM, TCOM, COMP. UMDNJ qualifies too, but since everyone gets in-state status when they move to NJ, it really doesn't count here. What is the trend? Well, it appears that that statement holds true for the majority of state-supported schools, but not for the private schools. Since there are more private schools…you decide.
MYTH- This is really only a myth perpetuated by one COM that I know of in a letter to it's applicants, but it should be addressed. They say that the number of applicants to medical schools is decreasing.
If you look at 1997 and 1998 then you might believe that, because there really were more applications to osteopathic schools in those years than in 2006. However, the med school application process tends to cycle, coinciding with the number of MCAT takers. The dot-com's gained more and more college graduates in the late 1990's during the online business boom, while the COM's lost a few. But, there has been a steady increase since 2002 (6,324 to 9,476).
MYTH- Private DO schools are money-hungry ******, taking all my money and making huge profits.
Where is your money really going? The financial side breaks down like this: Keep in mind that this is based on mean figures from all COM's. The average private COM takes in 22.1 million in tuition, while public COM's average 7.1 million. Private COM's get about $100,000 from local, state, and federal government, while public COM's get 21.8 million. Private schools average 1 million from grants and public schools get 9.7 million. Medical practice plans bring in about 1.4 million to private schools and 16.4 million for public schools. What's the total income? About 30.5 million for private and 63.4 million for public schools. However, public schools spend a lot more too. Private schools average 25.5 million in spending (5.0 million "profit") while public schools spend 60.3 million (3.1 million "profit").
To summarize, private schools get their money from: 73% tuition and fees, 3.1 % government appropriations, 3.6% grants, 4.6% medical practice plans. Public schools get: 13.5% tuition and fees, 34.3 % government appropriations, 15.3% grants, 25.9% medical practice plans. No, it doesn't add up to 100% because I left some things out. For instance, private schools get 5.0% of their money from GME revenue, but public ones get only 2.1%. But, most of the other stuff doesn't add up to a whole lot. Private schools simply need to charge more for tution or they wouldn't exist.
MYTH- The quality of applicants has declined recently with all the new schools opening.
This may yet become a reality, since there are so many new schools opening next year. However, based on the only measurable quantities thus far, you can't say that. MCAT and GPA's remained virtually the same in matriculants from 2000 to 2005. 2000 matriculants had a 24.98 MCAT and 3.43 GPA; 2005 Matriculants had a 24.99 MCAT and 3.44 GPA. Four new COM's opened in that time period.
Myth: The AOA isn't doing anything about GME.
New osteopathic residencies are added every year. In 2003-2004 there were 552 AOA-approved residency programs with 4979 positions. In 2004-2005 there were 569 programs with 5217 positions In 2005-2006 there were 649 programs with 5769 positions. Just in that last year alone there was a 14% increase in the number of programs. While more and more are chosing ACGME residencies, the number of AOA residents has still increased in that two-year span (2327 to 2535). In 2001-2002 there were no osteopathic internships in Louisianna, Minnesota, New Hampshire, North Carolina, South Carolina, Tennessee, Wisconsin or Wyoming. In 2004-2005 they all had them.
It's easy to place blame on the AOA, yet they don't have the sole responsibility to create new residencies. In fact, the creation of new residencies is constrained by the federal government because most of the money comes from Medicare. Yet, new residencies are being created as we speak. There needs to be more of an emphasis on the role COM's, hospitals and even individual DO's play in the creation role.
The AOA will never represent the consensus of DO's if the majority of DO's aren't members. If you don't go to conferences, don't network with other doctors and don't make your voice heard, then the organization will never be what you want it to be, and it will never do what you want it to do. If you want more residencies, then every individual has to do his or her own part. Simply complaining about it will never solve anything.
Some of the references:
http://aacom.org/data/annualreport/index.html
http://www.jaoa.org/cgi/content/full/107/2/57
http://www.jaoa.org/cgi/content/full/106/2/59
MYTH- You have a better chance of acceptance to a COM if you are a URM.
4% of applications in 1995 came from African American students, for example, but that number had increased to 6% by 2006. So, more African Americans really are applying for spots. However, there is no corresponding increase in the percentage of accepted students. While the total numbers are higher, the % of total enrollment for all minorities has dropped from 8.8 to 8.6%. Interestingly, the number of Asian/Pacific Islander students has more than doubled. It appears as if ORM's have made substantial gains, not URM's.
Which schools , then, do have the largest percentage of minorities (and might "theoretically" give you a better chance of acceptance)? NYCOM- 43.6%, LECOM-Bradenton- 30.6%, NSU-COM- 31.5%, UMDNJ-SOM- 52.3%, WesternCOMP- 47.1%, PCOM-GA- 33.7%, TUCOM-CA – 30.2%, TCOM 36.5%. Of course, you gotta keep in mind that schools like TCOM rarely accept OOS applicants, so there are more factors involved here.
MYTH- You have a better chance of being accepted if you apply to a school where you live.
All these have more than 85% in-state students:
MSUCOM, OUCOM, OSUCOM, TCOM, COMP. UMDNJ qualifies too, but since everyone gets in-state status when they move to NJ, it really doesn't count here. What is the trend? Well, it appears that that statement holds true for the majority of state-supported schools, but not for the private schools. Since there are more private schools…you decide.
MYTH- This is really only a myth perpetuated by one COM that I know of in a letter to it's applicants, but it should be addressed. They say that the number of applicants to medical schools is decreasing.
If you look at 1997 and 1998 then you might believe that, because there really were more applications to osteopathic schools in those years than in 2006. However, the med school application process tends to cycle, coinciding with the number of MCAT takers. The dot-com's gained more and more college graduates in the late 1990's during the online business boom, while the COM's lost a few. But, there has been a steady increase since 2002 (6,324 to 9,476).
MYTH- Private DO schools are money-hungry ******, taking all my money and making huge profits.
Where is your money really going? The financial side breaks down like this: Keep in mind that this is based on mean figures from all COM's. The average private COM takes in 22.1 million in tuition, while public COM's average 7.1 million. Private COM's get about $100,000 from local, state, and federal government, while public COM's get 21.8 million. Private schools average 1 million from grants and public schools get 9.7 million. Medical practice plans bring in about 1.4 million to private schools and 16.4 million for public schools. What's the total income? About 30.5 million for private and 63.4 million for public schools. However, public schools spend a lot more too. Private schools average 25.5 million in spending (5.0 million "profit") while public schools spend 60.3 million (3.1 million "profit").
To summarize, private schools get their money from: 73% tuition and fees, 3.1 % government appropriations, 3.6% grants, 4.6% medical practice plans. Public schools get: 13.5% tuition and fees, 34.3 % government appropriations, 15.3% grants, 25.9% medical practice plans. No, it doesn't add up to 100% because I left some things out. For instance, private schools get 5.0% of their money from GME revenue, but public ones get only 2.1%. But, most of the other stuff doesn't add up to a whole lot. Private schools simply need to charge more for tution or they wouldn't exist.
MYTH- The quality of applicants has declined recently with all the new schools opening.
This may yet become a reality, since there are so many new schools opening next year. However, based on the only measurable quantities thus far, you can't say that. MCAT and GPA's remained virtually the same in matriculants from 2000 to 2005. 2000 matriculants had a 24.98 MCAT and 3.43 GPA; 2005 Matriculants had a 24.99 MCAT and 3.44 GPA. Four new COM's opened in that time period.
Myth: The AOA isn't doing anything about GME.
New osteopathic residencies are added every year. In 2003-2004 there were 552 AOA-approved residency programs with 4979 positions. In 2004-2005 there were 569 programs with 5217 positions In 2005-2006 there were 649 programs with 5769 positions. Just in that last year alone there was a 14% increase in the number of programs. While more and more are chosing ACGME residencies, the number of AOA residents has still increased in that two-year span (2327 to 2535). In 2001-2002 there were no osteopathic internships in Louisianna, Minnesota, New Hampshire, North Carolina, South Carolina, Tennessee, Wisconsin or Wyoming. In 2004-2005 they all had them.
It's easy to place blame on the AOA, yet they don't have the sole responsibility to create new residencies. In fact, the creation of new residencies is constrained by the federal government because most of the money comes from Medicare. Yet, new residencies are being created as we speak. There needs to be more of an emphasis on the role COM's, hospitals and even individual DO's play in the creation role.
The AOA will never represent the consensus of DO's if the majority of DO's aren't members. If you don't go to conferences, don't network with other doctors and don't make your voice heard, then the organization will never be what you want it to be, and it will never do what you want it to do. If you want more residencies, then every individual has to do his or her own part. Simply complaining about it will never solve anything.
Some of the references:
http://aacom.org/data/annualreport/index.html
http://www.jaoa.org/cgi/content/full/107/2/57
http://www.jaoa.org/cgi/content/full/106/2/59