The 2020 and beyond entering classes will now have a pass or fail USMLE Step 1 exam. How does this impact DO students at a school like Western?
3rd year here. Nobody knows. People will speculate. Some theories are more plausible than others. But nobody really knows.
I used to be quite bullish on DO schools and westernu in general, recommending it wholeheartedly to anyone who was okay with primary care or mid tier comp specialties. But I'm considerably less confident with the change of P/F step1 and the recent corona virus exposing a lot of our clinical year weaknesses.
My concern for our clinical years is namely the lack of our own hospital and residency slots. For instance, GWU is opting to shut down aways for their students. That sucks majorly for them, but they're MDs, have a home program and have good academic rotations inhouse. If VSAS shut down, most of us at western would be in a way more trouble than them. We basically set up our own rotations 4th year, and lots do rotations through VSAS (away rotation service run by the MD side). Where we don't set up rotations through VSAS, we just pop out into the community and see who will take us.
I don't think it would get so bad that VSAS shuts down, but I can't discount it at this stage. And additionally, if our community partnerships are strained by coronavirus, we have very little alternatives or pushback. Many of our rotations are powered by the goodwill of physicians who simply enjoy teaching. We hold very little power over them as a medical school. COCA, our accrediting body, requires a ratio of 1.2x rotation slots per student. There isn't a lot of breathing room. And there's 220+ of us per year.
I don't think it will affect the class coming in right now, presuming that corona is less of an emergency 3 years from now. But it highlights how much more precarious our rotations situation is than I originally thought it was.
Informed consent is my thing, and is why i'm here. Someone smart enough to be accepted should be smart enough to know what to do with this sort of information once they're aware of it.
In either case, feel free to ask me anything about those concerns or anything else. My bio in short: I actually have been loving my experience here, and have no regrets since being accepted. Staff are great, curriculum allowed me to be above average on boards, clinical rotations have been mostly hit, and i'm optimistic about my chances of matching in my desired specialty where I want.