One school only placed 91.91% of grads into residency

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Question: will DO expansion continue to occur even despite some schools having terrible placement rates?
Well it looks like MNCOM is opening in 2019:
“Minnesota is projected to have a shortfall of 2,000 physicians by 2025, and rural areas are even worse off,” "The city’s proximity to Minneapolis-St. Paul — about 50 miles away — and the availability of a campus building also were deciding factors. The school will open in 2019 if all goes smoothly in the accreditation process. The school will open with a class of 150 students. Students will attend the college for two years, then be placed in residencies at medical facilities around the state."
https://bankbeat.biz/minnesota-banker-responds-to-need-for-physicians-in-rural-midwest/

Edit: Also from the article: "Osteopathists are fully licensed physicians ... A DO would treat foot pain caused by kicking a wall, for example, Keithahn said. “They would also ask why you kicked the wall in the first place,” he said."
Edit 2: Interesting statement. "From a regulatory standpoint, MD and DO programs are on a merger course over the next five years, Keithahn said."

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Maybe it wasn’t a typo! Maybe it took so long because the residencies considered strangulation a red flag. o_O It’s the 21st century ya know. Lay off the stranglers PD’s. I’m sure they make great docs from a distance.
Any idea for KCU's percent? I know I asked before and you are super busy, just wondering if current students had heard any numbers lately.
 
Any idea for KCU's percent? I know I asked before and you are super busy, just wondering if current students had heard any numbers lately.

Haven't heard any numbers but I took all the posts off of our Facebook page and put together a match list here (post #766):

2018 Match List

There is still probably 100+ people missing though so it doesn't say much about placement. I'll start asking around a bit more.
 
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Edit: Also from the article: "Osteopathists are fully licensed physicians ... A DO would treat foot pain caused by kicking a wall, for example, Keithahn said. “They would also ask why you kicked the wall in the first place,” he said."
I didn't believe you at first.:eyebrow:

Can't believe it actually says that.
 
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I didn't believe you at first.:eyebrow:

Can't believe it actually says that.
Wait there's more. According to the article:
"There is a complementary relationship between MNCOM’s osteopathic graduates and more mainstream practitioners, Keithahn added. In rural areas where qualified physicians are few and far between, stopping first at an osteopathic general practitioner would be the first step to cover more common ailments and general care before moving on to a specialist if they desire."
 
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Wait there's more. According to the article:
"There is a complementary relationship between MNCOM’s osteopathic graduates and more mainstream practitioners, Keithahn added. In rural areas where qualified physicians are few and far between, stopping first at an osteopathic general practitioner would be the first step to cover more common ailments and general care before moving on to a specialist if they desire."
Good thing this banker really knows what he's doing in starting a DO school. /s

I'm glad that as an osteopathic graduate I'll be able to take a history and treat foot pain. And cover common ailments before sending them to a 'mainstream' specialist... as a radiologist.
 
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Good thing this banker really knows what he's doing in starting a DO school. /s

I'm glad that as an osteopathic graduate I'll be able to take a history and treat foot pain. And cover common ailments before sending them to a 'mainstream' specialist... as a radiologist.

That's why Mr. Keithahn said "osteopathic general practitioner," not "osteopathic graduate." MNCOM would have a primary care focus, just like most other DO schools.
 
Good thing this banker really knows what he's doing in starting a DO school. /s

I'm glad that as an osteopathic graduate I'll be able to take a history and treat foot pain. And cover common ailments before sending them to a 'mainstream' specialist... as a radiologist.

Seems all the banker cares to learn about the professions is the profit he can make off of hopping on the expansion train, which speaks volumes as to why we’re actually seeing careless rapid expansion of DO schools.

They’ll just keep hiding behind the “addressing the primary care shortage!” facade, but we all know the real reason
 
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That's why Mr. Keithahn said "osteopathic general practitioner," not "osteopathic graduate." MNCOM would have a primary care focus, just like most other DO schools.
The fact that he used the term 'osteopathist', in the context of his other statements (e.g., the revelation that someone would both treat MSK pain and ask why you kicked a wall), makes me not completely convinced that he doesn't think every DO is a general practitioner. Plus they only discuss three year residencies. Perhaps I underestimate him.
 
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I can't believe that people are still salty about the prospect of a new for-profit DO school. It's an undeniable fact that RVUCOM has blown most other schools out of the water when it comes to match list quality and boards preparation.

Bankers' profit incentives don't necessarily conflict with public interest -- and they certainly don't in this case. There is a shortage of physicians in rural, low-income areas of the United States. "Oh, but they're in it for the money!" Who cares? The reason they'll be making money is that their proposed institution fulfills a demand.
 
The fact that he used the term 'osteopathist', in the context of his other statements (e.g., the revelation that someone would both treat MSK pain and ask why you kicked a wall), makes me not completely convinced that he doesn't think every DO is a general practitioner. Perhaps I underestimate him.

"Osteopathist" is a real word, and it means the same thing as "osteopath."

The point of his foot pain example was obviously to show that DOs have a humanistic approach to medicine -- i.e., that they consider social well-being.

He may not be a physician, but he has a business degree from Harvard. He's probably not a total buffoon. Also, keep in mind that he's strictly in charge of the school's finances, not the academic curriculum or clinical research. Why give him flak?
 
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I can't believe that people are still salty about the prospect of a new for-profit DO school. It's an undeniable fact that RVUCOM has blown most other schools out of the water when it comes to match list quality and boards preparation.

Bankers' profit incentives don't necessarily conflict with public interest -- and they certainly don't in this case. There is a shortage of physicians in rural, low-income areas of the United States. "Oh, but they're in it for the money!" Who cares? The reason they'll be making money is that their proposed institution fulfills a demand.
Sure, but what about the training for their students? Shouldn't that be a priority? And who's to say that the students training there will stay? Almost certainly not since a lot will do residencies elsewhere -- and statistically most people stay near where they do residency. I have no problem with for-profit schools, but I will be skeptical of programs that don't look to be putting the education of their students first.

This guy himself said that he originally saw this as an 'economic development project'.
 
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"Osteopathist" is a real word, and it means the same thing as "osteopath."

The point of his foot pain example was obviously to show that DOs have a humanistic approach to medicine -- i.e., that they consider social well-being.

He may not be a physician, but he has a business degree from Harvard. He's probably not a total buffoon. Also, keep in mind that he's strictly in charge of the school's finances, not the academic curriculum or clinical research. Why give him flak?
It's an old fashioned term that is synonymous with the manipulation aspect of the field. Goes along with his poor understanding of what an osteopathic physician is. And yes, I understand what his intent with that example was but it comes off as clumsy.

As I said above I give him flak for looking at my profession and the future of my profession as primarily a business opportunity. It may ultimately be a successful venture that creates great physicians but we'll have to wait and see.
 
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It's an old fashioned term that is synonymous with the manipulation aspect of the field. Goes along with his poor understanding of what an osteopathic physician is. And yes, I understand what his intent with that example was but it comes off as clumsy.

As I said above I give him flak for looking at my profession and the future of my profession as primarily a business opportunity. It may ultimately be a successful venture that creates great physicians but we'll have to wait and see.

I don't mean to interject, because I haven't really read most of what this forum is about, but you do realize that medicine as a whole is becoming more and more of a business as the days go by? This does not excuse the proliferation of medical schools, both DO and MD nor does it excuse what this guy is doing/implying. It's just the reality we live in anymore.
 
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"Osteopathist" is a real word, and it means the same thing as "osteopath."

The point of his foot pain example was obviously to show that DOs have a humanistic approach to medicine -- i.e., that they consider social well-being.

He may not be a physician, but he has a business degree from Harvard. He's probably not a total buffoon. Also, keep in mind that he's strictly in charge of the school's finances, not the academic curriculum or clinical research. Why give him flak?

I just hope that harvard degree makes him smart enough to realize that he should be investing in his students and not soley focused on profits (non-profit/for profit status has nothing to do with this, as RVU has proven. Its merely a tax issue, nothing to do with concern for students), especially with future increasing competitiveness to match. The massive increase in schools opening up could he borderline irresponsible, but if this school properly invests back into their students and assures that they hold up their end up the bargain (offering an education worthwhile, that has resources to offer to their students to help the achieve their goals) then I’ll gladly retract most of the flak given to him/his colleagues.

The article just made him come off very unaware, which makes me nervous. But like you said he’s not in charge of education at the school.

Most of the blame should be put on COCA anyways for approving these massiving expansions, its their job to protect the profession in that sense.
 
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Uh.....wat...?

Seems you failed to understand my post properly.

He's saying 91% is not a bad number just because it's high. I'm saying since other schools' match rates are close to 100%, though, 91 by comparison is a low number. I offered a similar example using exam scores to provide a corollary....not that hard to understand....
 
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Seems you failed to understand my post properly.

He's saying 91% is not a bad number just because it's high. I'm saying since other schools' match rates are close to 100%, though, 91 by comparison is a low number. I offered a similar example using exam scores to provide a corollary....not that hard to understand....

Oh no, I understood it. It's just a horrible example considering the factors surrounding the low match/placement rates can be attributed to more than just not studying hard enough for an exam. You're really comparing apples to oranges here.
 
It will be very easy for these new schools and the AOA to defer blame for the lack of residency expansion. They see the 'physician shortage' as a multi-faceted issue involving undergraduate medical education, graduate medical education (in general), expansion of primary care GME slots and rural physician recruitment (among other factors). They will argue that they are solving one aspect of the problem and it is up to ACGME (now that they've conveniently washed their hands of GME accreditation/maintenance) and Medicare to allocate additional funds for new residency programs.

Again, COCA/AOA are all about that paper, and no pesky little drop in placement rates is going to stop them from raking it in.
 
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This downward trend in placement rates is not ok. Admittedly I have not researched the topic myself yet and am going off of what people said here, but it honestly makes me pretty furious at the DO profession if things are as grim as this thread indicates.

I know it's easy to throw your hands up and say "well it's the student's fault for failing boards/courses/etc", but isn't the appeal of DO schools over Caribbean schools that even non-perfect students are afforded the means to become doctors? When the class of 2018 made the decision to invest 200K in DO education, they were given the impression that they had a 99+% chance of succeeding. Not matching is one thing, but not placing means these schools sucked these students dry of tuition money and left them with no employment options.

The AOA and COCA are the ones running the show and making decisions that affect how DO students match. The endless school expansions and the hostile takeover, I mean merger, have almost certainly contributed to weaker students struggling to find a job. If this isn't an anomaly and the downward trend continues, then I absolutely think COCA and AOA should be held accountable.
 
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Most of the blame should be put on COCA anyways for approving these massiving expansions, its their job to protect the profession in that sense.

It would be great if COCA's mandate covered professional protections, but unfortunately, that is not the case. I know exactly what you're saying and agree, but they see themselves as having a limited scope to accredit COMs and ensure they maintain QI throughout the period of their accreditation.

From their website: "The AOA Commission on Osteopathic College Accreditation (COCA) serves the public by establishing, maintaining, and applying accreditation standards and procedures to ensure that academic quality and continuous quality improvement delivered by the colleges of osteopathic medicine (COMs) reflect the evolving practice of osteopathic medicine. The scope of the COCA encompasses the accreditation of the COMs."
 
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This downward trend in placement rates are not ok. Admittedly I have not researched the topic myself yet and am going off of what people said here, but it honestly makes me pretty furious at the DO profession if things are as grim as this thread indicates.

I know it's easy to throw your hands up and say "well it's the student's fault for failing boards/courses/etc", but isn't the appeal of DO schools over Caribbean schools that even non-perfect students are given the means to become doctors? When the class of 2018 made the decision to invest 200K in DO education, they were given the impression that they had a 99+% chance of succeeding. Not matching is one thing, but not placing means these schools sucked these students dry of tuition money and left them with no employment options.

The AOA and COCA are the ones running the show and making decisions that affect how DO students match. The endless school expansions and the hostile takeover, I mean merger, has almost certainly contributed to weaker students struggling to find a job. If this isn't an anomaly and the downward trend continues, then I absolutely think COCA and AOA should be held accountable.
I personally don't think things are grim quite yet. We just have to be careful with how we as a profession deal with, and identify, the issues that lead to a school matching poorly (be it from the merger/ACGME match, individual student factors, school factors, etc.) and how to make things better moving forward. Gotta be proactive.
 
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Nearly Every practicing physican would oppose residency expansion. We don’t need more physicians. We need better incentive for rural jobs that is both money based and time based.

For example, if west virginia offer me a job that is half a year and 100k more than a cali job, I’ll take the west virgina job in a heart beat.
 
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"Osteopathist" is a real word, and it means the same thing as "osteopath."

The point of his foot pain example was obviously to show that DOs have a humanistic approach to medicine -- i.e., that they consider social well-being.

He may not be a physician, but he has a business degree from Harvard. He's probably not a total buffoon. Also, keep in mind that he's strictly in charge of the school's finances, not the academic curriculum or clinical research. Why give him flak?

He sounds like he despises DOs.
 
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It would be great if COCA's mandate covered professional protections, but unfortunately, that is not the case. I know exactly what you're saying and agree, but they see themselves as having a limited scope to accredit COMs and ensure they maintain QI throughout the period of their accreditation.

From their website: "The AOA Commission on Osteopathic College Accreditation (COCA) serves the public by establishing, maintaining, and applying accreditation standards and procedures to ensure that academic quality and continuous quality improvement delivered by the colleges of osteopathic medicine (COMs) reflect the evolving practice of osteopathic medicine. The scope of the COCA encompasses the accreditation of the COMs."

Seems kind of fortunate for them that they dont state it as one of their responsibilities, so they can pat themselves on the back and pretend they have no fault in whatever goes wrong.

It may not be a directly stated responsibility, but as uncle ben said “with great power comes great responsibility”. It is within their power to approve/not approve schools, so it is (or atleast should be) their responsiblity to monitor the outcomes and potential effects of their decisions.

Not matching sounds like a horrific nightmare, and winding up 300k in debt without a residency is something most US med students shouldnt have to face. And if we do a reach a point where more and more schools are hitting 92% placement rates, COCA cant just sit back and pretend that they played no part in this.
 
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"Osteopathist" is a real word, and it means the same thing as "osteopath."

The point of his foot pain example was obviously to show that DOs have a humanistic approach to medicine -- i.e., that they consider social well-being.

He may not be a physician, but he has a business degree from Harvard. He's probably not a total buffoon. Also, keep in mind that he's strictly in charge of the school's finances, not the academic curriculum or clinical research. Why give him flak?
Yeah except Osteopaths are not equal to Doctors of Osteopathic Medicine. Osteopaths are basically chiropractors in other countries who only manipulate. The fact that he keeps using that term shows he really knows nothing about DO's in the US. Its clear he thinks we are something closer to a chiropracter than a 'real doctor.'
 
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Seems all the banker cares to learn about the professions is the profit he can make off of hopping on the expansion train, which speaks volumes as to why we’re actually seeing careless rapid expansion of DO schools.

They’ll just keep hiding behind the “addressing the primary care shortage!” facade, but we all know the real reason
Thats right, he just wants to steal all the rural primary care shortage for himself! Greedy jerk! RPC-COM of TBD will rank way higher than MN Highschool COM of jokeopathic general practitioning. My school will produce board certified FM, Peds, IM and OB-GYN only! No 1 year GP's for us!
 
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Oh no, I understood it. It's just a horrible example considering the factors surrounding the low match/placement rates can be attributed to more than just not studying hard enough for an exam. You're really comparing apples to oranges here.

LOL WOW! That is not what I said, so no, you didn't understand it. I was never comparing exam skills to match rate. I was saying that high number by itself does not necessarily mean a good thing and why average matters, not equating the two scenarios. The exam scenario was merely an example to illustrate that point, not to offer a relationship between exam scores and match rate in any way...

Hope you don't misunderstand the HPIs you will have on your patients, future doc!
 
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Admittedly I have not researched the topic myself yet and am going off of what people said here

It’s usually a good idea to research something yourself before joining in on hysteria (e.g. doomsday threads).
 
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Are you kidding me? It's horrific. In my class, that would be about 11 people who failed to match. That's 11 people whose lives are basically ruined, with likely $250,000+ of debt and no job. That's totally insane.

I'm only an MS2 (maybe technically MS3 as of today?) so admittedly I'm not well versed on how the match works, but would their lives really be ruined? Can't they just apply to the match again the following year? I mean it's a waste of a year which really sucks, but it's not career ending right?
 
I'm only an MS2 (maybe technically MS3 as of today?) so admittedly I'm not well versed on how the match works, but would their lives really be ruined? Can't they just apply to the match again the following year? I mean it's a waste of a year which really sucks, but it's not career ending right?

They can, but the odds of matching after a failed match cycle aren't good. If you failed to match once, there's probably a pretty good reason, and you're not very likely to find something to do with your unplanned gap year that will make you significantly more attractive to programs.

Many of these people will indeed match next year, but even those that do will have lost a year of attending salary.
 
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I'm only an MS2 (maybe technically MS3 as of today?) so admittedly I'm not well versed on how the match works, but would their lives really be ruined? Can't they just apply to the match again the following year? I mean it's a waste of a year which really sucks, but it's not career ending right?
Ruined, no. But it would really suck. Let me give you a friend as an example -- they will probably have to give up on the specialty they've worked four year for, they will have to find *something* productive to do for a year, they will have to go through the match all over again, and hopefully end up with a decent spot in anything -- no guarantees. After spending thousands on an interview season with more than ten interviews in several different states. Nevermind the blow to your ego after spending all of medical school to fail at the very final point and still have a mountain of debt looming over you while watching your classmates progress.
 
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It’s usually a good idea to research something yourself before joining in on hysteria (e.g. doomsday threads).

I'm not even sure how I would go about researching this further, though. The "best" (still not great due to the lack of transparency) data we have are the stats provided by AACOM, which is what is being discussed in this thread. These stats are objective measures, and indicate that the placement rates are falling across many DO schools. Which is a problem. Not doomsday, I never said that. A problem.

If you, as an MS-0, have any substantial information that contradicts this, then please feel free to contribute to the conversation. But do so with the knowledge that you haven't been dealing with AOA and COCA for as long as most people in this thread have
 
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LOL WOW! That is not what I said, so no, you didn't understand it. I was never comparing exam skills to match rate. I was saying that high number by itself does not necessarily mean a good thing and why average matters, not equating the two scenarios. The exam scenario was merely an example to illustrate that point, not to offer a relationship between exam scores and match rate in any way...

Hope you don't misunderstand the HPIs you will have on your patients, future doc!

I'll just let it end there, because there's no sense in continuing to try and hold a meaningful conversation with you surrounding the principles of statistical analysis.

We all knew this was coming, so why is everyone acting so surprised? In the grand scheme of things, it could have been MUCH worse.

Only ~94% of U.S. Allopathic Seniors matched this year and you don't see anyone up in arms about that....
 
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This. Why are people so surprised? I understand that student loans and the sacrifice you took to get here, but everyone on SDN knew that residencies were stagnant and DO schools were expanding. It doesnt take many brain cells rubbing together to figure out that there is gonna be a squeeze.

You think this is bad? This isnt like Podiatry was where they pulled the rug out from everyone and switched to a 3 year residency closing down all others, leaving 20% of the graduating class of 2013 without residencies.

Its like listening to Pharmacists complain about how there are no jobs. There are jobs out there, but yall gonna have to find rural positions where nobody wants to go.

We all knew this was coming, so why is everyone acting so surprised? In the grand scheme of things, it could have been MUCH worse.
 
This. Why are people so surprised? I understand that student loans and the sacrifice you took to get here, but everyone on SDN knew that residencies were stagnant and DO schools were expanding. It doesnt take many brain cells rubbing together to figure out that there is gonna be a squeeze.

You think this is bad? This isnt like Podiatry was where they pulled the rug out from everyone and switched to a 3 year residency closing down all others, leaving 20% of the graduating class of 2013 without residencies.

Its like listening to Pharmacists complain about how there are no jobs. There are jobs out there, but yall gonna have to find rural positions where nobody wants to go.
My understanding is that the podistry powers that be then put a moratorium on class size expansion and new schools until residencies caught up with school spots.

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Only ~94% of U.S. Allopathic Seniors matched this year and you don't see anyone up in arms about that....

Because we aren’t talking about match rate. If a US MD school had a placement rate of 92% then people would definitely be losing it. 92% placement is horrendous. If it continues the schoool should be automatically shut down it’s that terrible.

This. Why are people so surprised? I understand that student loans and the sacrifice you took to get here, but everyone on SDN knew that residencies were stagnant and DO schools were expanding. It doesnt take many brain cells rubbing together to figure out that there is gonna be a squeeze.

You think this is bad? This isnt like Podiatry was where they pulled the rug out from everyone and switched to a 3 year residency closing down all others, leaving 20% of the graduating class of 2013 without residencies.

Its like listening to Pharmacists complain about how there are no jobs. There are jobs out there, but yall gonna have to find rural positions where nobody wants to go.

Because when you go to a US medical school you are going under the assumption that there is a 99% chance that you will get a residency afterwards. This isn’t the Carib where you know going in that there is a high chance you won’t get a spot. I don’t give two craps about what happened to podiatry, the situations aren’t analogous so stop bringing it up.

And we aren’t talking about rural jobs pre-whateveryouarethisweek, we are talking about residencies. You can never get a rural FM job if you don’t get a residency.

This school should be made known because their students and applicants deserve to know.
 
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Yes, and the problem has gotten better to the point where there are many programs that have 95-100% placement rates. Maybe COCA should look into a moratorium.

My understanding is that the podistry powers that be then put a moratorium on class size expansion and new schools until residencies caught up with school spots.

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You technically can practice without a residency in 1 state. They are called Assistant Physicians or something like that. Missouri I think.

Any you can do more than just practice medicine with a DO degree. There is consulting, MCAT prep, tutoring, drug reps, the list goes on and on.

You can never get a rural FM job if you don’t get a residency.
 
Soooo, why are we talking about alternative careers? If you fail to match or SOAP, due to whatever factor(s), can’t you just find something to do in the meantime and reenter the match the following year?
 
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Soooo, why are we talking about alternative careers? If you fail to match or SOAP, due to whatever factor(s), can’t you just find something to do in the meantime and reenter the match the following year?

"Just find something to do"? Like what? And what makes you think you'll automatically have more success next year if you couldn't even SOAP this year?

Totally failing to match is bad. You might match next year. Might not. It's not trivial to find something to do for a year, on short notice, that will make you more attractive to programs.
 
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"Just find something to do"? Like what? And what makes you think you'll automatically have more success next year if you couldn't even SOAP this year?

Totally failing to match is bad. You might match next year. Might not. It's not trivial to find something to do for a year, on short notice, that will make you more attractive to programs.
I didn’t say it wasn’t bad. It very clearly is. But is resigning to life as an MCAT tutor a real possibility for the 10-ish % who didn’t match?
 
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I didn’t say it wasn’t bad. It very clearly is. But is resigning to life as an MCAT tutor a real possibility for the 10-ish % who didn’t match?

2018 match statistics: Previous Graduates of US Allopathic Medical Schools: out of 1511 active applicants, 849 (56.2%) went unmatched.

And that's allopathic schools.
 
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Yes, and the problem has gotten better to the point where there are many programs that have 95-100% placement rates. Maybe COCA should look into a moratorium.



You technically can practice without a residency in 1 state. They are called Assistant Physicians or something like that. Missouri I think.

Any you can do more than just practice medicine with a DO degree. There is consulting, MCAT prep, tutoring, drug reps, the list goes on and on.
Knowing people who are trying to do this, the spots are very limited, and it is difficult to get in. A couple other states are coming up with similar ideas as well (I believe arkansas will let anyone who graduated from a medical school in Arkansas do the Assistant Physician as well).

Graduating med school without a residency is nearly a worthless degree tho at this point.
 
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2018 match statistics: Previous Graduates of US Allopathic Medical Schools: out of 1511 active applicants, 849 (56.2%) went unmatched.

And that's allopathic schools.
That’s horrifying. Not matching is clearly a big red flag you carry from them on out.
 
I didn’t say it wasn’t bad. It very clearly is. But is resigning to life as an MCAT tutor a real possibility for the 10-ish % who didn’t match?
Lol, how you gonna tutor something you didn't do well on most likely?
 
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I could see this becoming a very real avenue for states in the future, especially since we "Have a doctor shortage".

Then its only 4 years to become a physician vs 7. I think that would appeal to a lot of people.

Knowing people who are trying to do this, the spots are very limited, and it is difficult to get in. A couple other states are coming up with similar ideas as well (I believe arkansas will let anyone who graduated from a medical school in Arkansas do the Assistant Physician as well).

Graduating med school without a residency is nearly a worthless degree tho at this point.
 
Lol, how you gonna tutor something you didn't do well on most likely?
One of the factors that turned me away from mcat tutors back in the day was that they often come unmatched from Carib programs haha
 
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I could see this becoming a very real avenue for states in the future, especially since we "Have a doctor shortage".

Then its only 4 years to become a physician vs 7. I think that would appeal to a lot of people.
you are still not a functioning as a physician you are an Assistant physician. If the time commitment is an issue for people they should be going PA or NP.
 
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