Here's a post I wrote earlier this year about MD vs DO ENT programs. Let me know if you have any specific questions.
Osteopathic otolaryngology is an extremely small field. There are only 18 programs nationwide with approximately 18-20 positions total per year. The AOA ENT residencies are mainly at some of the larger DO hospitals but some are also at the smaller ones as well. For the most part, AOA residencies are great at training you for the "bread and butter" ENT procedures. More complex head and neck(H&N) oncology and skull base surgery rotations are usually provided at larger institutions. Many DO ENT residents go to Univ. of Indiana for H&N onc. Many of the Michigan programs go to Michigan Ear Institute for otology. You get the point. Each program has there own associated out rotations. It is unfortunate but needed to properly train in all aspects of ENT. I rotated at several AOA ENT residencies and can easily say there is a wide variety of quality among programs. Some had next to ZERO didactics while others had at least one lecture per day, however, I think all will adequately train you to be an excellent general ENT surgeon.
Competition among students for these limited positions is fierce. For most programs, you must rotate there to be considered, meaning that you can only truly have a chance at the 2-4 programs you are able to do an elective with. Therefore the biggest part of obtaining a residency is really picking the right programs for a rotation. I was lucky, I know several well qualified applicants that did not get a position.
As for ACGME, they have all the advantages previously discussed about ACGME residencies. Nearly all are excellent residencies. Services at each hospital vary but for the most part they do not have to do alot of out-rotations, if any, at other institutions. Usually lots of didactics and research etc.
For the most part, DO's are at an extreme disadvantage for these positions since ACGME programs receive tons of highly qualified US MD applicants to their limited positions as well. DO's have matched however I have only seen 1 DO and that was at Geisinger in Danville,PA. Western Univ./COMP's match list this year had a guy matching ACGME ENT, but I don't know if it is an accurate list since someone posted that their was problems with it. I am sure there have been others but for the most part the list of DO's matching ACGME ENT is very short.
As for fellowships, most can be obtained through completion of a DO ENT residency with the exception of Facial Plastic Surgery fellowships. It is a very difficult match for ANY ENT resident.
BOTTOMLINE: The question of AOA or ACGME residency for DO's interested in ENT is usually a simple one. AOA programs offer a much better chance of matching, but is still competitive and costly due to numerous out rotations.
Check out these sources:
http://residency.wustl.edu/medadmin...04?OpenDocument
http://www.otomatch.com/
http://opportunities.aoa-net.org/index.htm
http://www.ama-assn.org/ama/pub/category/2997.html
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