MD and DO: Differing Medical Degrees and the Associated Perceptions

Harfouch, Nassier; Grunhut, Joel; Hsu, Alexander L.; Pinsky, Simon; Chacko, Jerel; Raden, Mark; Slanetz, Priscilla J.; Sarkany, David

doi:10.1067/j.cpradiol.2020.08.004

Cited by 8 publications

(6 citation statements)

References 1 publication

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“…In an effort to integrate allopathic and osteopathic training pathways at the graduate level into a single accreditation system, the ACGME began accrediting American Osteopathic Association training programs in 2020 [9,42]. With osteopathic medical students now participating in the National Resident Matching Program and increasingly choosing to specialize outside of primary care [13,14], it is likely that radiology will continue to see an influx of physicians with osteopathic degrees.…”

Section: Discussionmentioning

confidence: 99%

“…Although most US physicians are educated at allopathic medical schools [8], osteopathic medical school enrollment is increasing [9,10], with osteopaths representing a faster growing component of the physician workforce [11,12]. Historically, osteopathic physicians have disproportionately practiced in primary care and rural areas [12][13][14], but the number pursuing training in specialties outside of primary care is increasing [12,15].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Osteopathic Versus Allopathic Radiologist Workforce Characteristics: A Medicare Administrative and Claims Data Analysis

Santavicca¹,

Willis²,

Friedberg³

et al. 2022

Journal of the American College of Radiology

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Osteopathic Versus Allopathic Radiologist Workforce Characteristics: A Medicare Administrative and Claims Data Analysis

Santavicca¹,

Willis²,

Friedberg³

et al. 2022

Journal of the American College of Radiology

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“…In a survey-based study on the perceptions of DO and MD degrees, DO residents stated they were more often questioned regarding their abilities, especially during the residency application process. 9 This may subconsciously deter osteopathic students from pursuing more competitive specialties such as otolaryngology.…”

Section: Barriersmentioning

confidence: 99%

“…Osteopathic institutions historically matriculate students with slightly lower mean GPA and MCAT scores (3.48 and 503.83 for DO matriculates in 2018, respectively, compared with 3.72 and 511.2 for MD matriculates in 2018, respectively) 7 , 8 and thus may be creating a perceived deficit in competency. In a survey‐based study on the perceptions of DO and MD degrees, DO residents stated they were more often questioned regarding their abilities, especially during the residency application process 9 . This may subconsciously deter osteopathic students from pursuing more competitive specialties such as otolaryngology. Board examination: Because most academic otolaryngologists are allopathically trained, they may have limited experience in the interpretation of the Comprehensive Osteopathic Medical Licensing Examination (COMLEX) score or may experience subconscious bias when reviewing DO applicants without a USMLE score.…”

Section: Barriersmentioning

confidence: 99%

Current Barriers in Pursuing Otolaryngology as an Osteopathic Applicant and Proposed Goals for the Future

Farsar

Quesada

Brown

2021

Otolaryngol.--head neck surg.

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The osteopathic (DO) medical profession has seen a substantial increase in popularity, evident by the drastic increase in the DO physician workforce and increasing number of DO graduates in the United States. Osteopathic medical schools have historically been primary care focused, resulting in a majority of their graduates pursuing practice in those specialties. This focus may be inadvertently creating a disadvantageous environment for DO students who aim to pursue specialized or traditionally competitive fields in medicine. Otolaryngology is a prime example of osteopathic underrepresentation, as there is currently a significantly low percentage of DO residents in otolaryngology residency programs and practicing DO otolaryngologists. Given the recent American Council on Graduate Medical Education (ACGME) and American Osteopathic Association (AOA) merger between osteopathic and allopathic (MD) residency programs, it is of great value to further discuss avenues for progress and mitigation of barriers.

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“…Multiple factors may be linked to this discrepancy. Osteopathic physicians may encounter subconscious bias during residency selection and training, lack of mentorship, a dearth of resources for research, and inadequate exposure to academic surgery programs compared to their allopathic counterparts [ 4 - 6 ]. For this reason, many osteopathic students interested in general surgery must go beyond their own institution to residency programs at other academic institutions to seek mentorship and research.…”

Section: Introductionmentioning

confidence: 99%

Cross-Sectional Study of Osteopathic General Surgeons in University-Based General Surgery Departments

Khan¹,

Patnaik²,

Wheeler³

et al. 2022

Cureus

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Introduction: Discrepancy between osteopathic (DO) and allopathic (MD) graduates in general surgery spans across all levels of training. In this cross-sectional study, we characterized DO surgeons who serve as faculty at university-based general surgery departments. Methods: Overall, 106 university-based surgery departments were reviewed. DO and MD surgeons from the same institutions were identified, and demographic data were tabulated. MD surgeons were the control group. Univariate analysis and multivariate regression models were used to compare total publications, h-index, and citations. Results: A total of 70 DO surgeons from 34 institutions were identified: 53 assistant professors, 16 associate professors, and one full professor. Of the DO surgeons, 35.7% completed residency at a university-based program, and 92.9% completed a fellowship, with surgical critical care and trauma being the most common. They were compared to 1,307 MD surgeons from the same institutions. Univariate analysis showed that MD faculty graduated medical school earlier (mean years (standard deviation (SD)): 14.8 (6.0) versus 23.3 (10.6); p<0.0001), had more total publications (median (interquartile range (IQR)): 5 (2.0-18.3) versus 35 (15.0-79.0); p<0.0001), had higher number of citations (median (IQR): 61.0 (14.0-265.0) versus 655.0 (155.0-2267.0); p<0.001), and had a higher h-index (median (IQR): 3 (1.0-8.0) versus 12 (6.0-24.0); p<0.001). Negative binomial regression models accounting for years since graduation, gender, and degree were performed. At the assistant professor rank, MD surgeons had more total publications (exponential coefficient (CI): 2.24 (1.67-3.02); p<0.001), more citations (3.10 (2.20-4.11); p<0.001), and a higher h-index (1.93 (1.36-2.73); p<0.001). Similar trends were noted at the associate professor level with MD surgeons having more total publication (1.67 (1.00-2.79); p=0.049), more citations (3.63 (2.13-6.18); p<0.001), and higher h-index (1.93 (1.10-3.39); p=0.022). Conclusions: To address this discrepancy between DO and MD faculty surgeons, action must begin at the medical school and continue through residency. DO trainees need better access to mentorship and research support to foster an academic career.

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MD and DO: Differing Medical Degrees and the Associated Perceptions

Cited by 8 publications

References 1 publication

Osteopathic Versus Allopathic Radiologist Workforce Characteristics: A Medicare Administrative and Claims Data Analysis

Osteopathic Versus Allopathic Radiologist Workforce Characteristics: A Medicare Administrative and Claims Data Analysis

Current Barriers in Pursuing Otolaryngology as an Osteopathic Applicant and Proposed Goals for the Future

Cross-Sectional Study of Osteopathic General Surgeons in University-Based General Surgery Departments

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