Would all DO schools pass LMCE accreditation?

[Dustbowl12]

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Nearly all would make it given a time window.

 

[JoeUSA]

The problem with this is that the clinical training can be lacking. It's easy to set up pre-clinicals; getting quality rotation sites is another. This is why a number of ACGME PDs have a leery view of DO grads these days, not for the different philosophy of practicing Medicine.

One reason why PDs might have a "leary view" of DO graduates is because we are in an unknown box. MDs do not know about our educational process. They are not familiar with our curriculum, our rotations or OMT.

 

[Goro]

True. One can be at a deficit when coming from any school with which a PD is unfamiliar, be it MD or DO. In many ways, medical schools are feeder schools to residency programs in the same way UG schools feed med schools.

One reason why PDs might have a "leary view" of DO graduates is because we are in an unknown box. MDs do not know about our educational process. They are not familiar with our curriculum, our rotations or OMT.

 

[hallowmann]

So I talked to a APD the other day at a good university program that occasionally takes DOs, but doesn't really "like" to. Anyway, he told me the best thing for DOs is doing a subI, because as a DO I don't have a hospital with residencies that I do my core rotations in. I then was like "actually I have a core clinical site with multiple residencies, so almost all of my cores were done with residents in those specific fields."

The guy looked at me with a confused look. He was like "but you guys don't have a hospital right?", and I was like technically we do, but in any case we have clinical affiliates with residencies, but its not the same as a university program, they're mainly community programs. I explained it a bit more and he seemed satisfied. One of our clinical sites is a core affiliate for his university's med school, so some of our students are literally rotating with students from his school on multiple core rotations.

It'll take time, but if we improve minimum clinical rotation standards, perception of DOs will inevitably improve. How long that would take and to what degree it can improve is anyone's guess.

 

[JGimpel]

LECOM would definitely not pass.
Maybe their Erie campus might pass but they would be asked to cut the class size and hire more faculty.

Personally I think whether we want to admit it or not, we need to talk about both the necessity of the state to recognize the role DO schools play in their healthcare system and that they need to provide them with funding and the need for DO schools to cut back on enrollment. I believe honestly that most schools should at most be between 175-225 ( Which schools like LMU being at most 125-150 students tops and schools like DMU being allowed to have 200).

It's a perfect storm; schools increase well beyond capacity to have as much cash come through the door, let's 25-30% of them fail out or, at the least, get a poor education which makes it hard for most of them to get into anything but FP, which are the only programs being built regularly. You thought you could go anywhere, but your chances of being forced into Primary Care are too far against that. There will always be the unique snowflakes that think that this de facto itinerary doesn't apply to them, let them be and be realistic about what your options will be.

 

[Drrrrrr. Celty]

One reason why PDs might have a "leary view" of DO graduates is because we are in an unknown box. MDs do not know about our educational process. They are not familiar with our curriculum, our rotations or OMT.

And we solve this by opening schools with enormous class sizes that cannot possibly have decent 3rd and 4th year rotations? And MDs are familiar with our curriculum and they are familiar with our "OMT", they are also familiar with our poorly trained students from bottom tier schools, with having to spend more time during residency training us than MDs, and many other things due to the reality that they do not live in a bubble.

It's a perfect storm; schools increase well beyond capacity to have as much cash come through the door, let's 25-30% of them fail out or, at the least, get a poor education which makes it hard for most of them to get into anything but FP, which are the only programs being built regularly. You thought you could go anywhere, but your chances of being forced into Primary Care are too far against that. There will always be the unique snowflakes that think that this de facto itinerary doesn't apply to them, let them be and be realistic about what your options will be.

When a rural school has a class size of 250 ppl, has some relatively poor quality rotations, has a history of piss poor performance on the comlex and there is no talk about reducing enrollment or rethinking the curriculum, it hurts us as a whole.