I'm a current DO student who has looked into this specific issue quite a bit (mainly through these discussions on SDN - lol -), so I wanted to throw in my two cents.
I am applying to medical school this year and was wondering if my chances are better to go the DO or MD route to become a dermatologist? I know DO's have little shot into an MD derm residency, so that's not my question. Is it easier to get into a DO derm residency as a DO, or is it easier to get into a MD derm residency as an MD?
First, keep in mind that you are all but guaranteed to change your mind while in medical school. You'll get exposed to a lot of different things and you may find out that you hate derm and would be more interested in surgery, EM, etc. Go into it with an open mind.
Having said that, you are right that MD derm is a LONG shot for DO students. ACGME derm is the golden goose, and only only 75% of qualified US MD applicants who apply get it. I've personally read some pretty heartbreaking stories on these boards from strong US MD candidates who unfortunately became the '1 in 4' who didn't match.
However, in small numbers, it does happen. I know in the past few years, AZCOM put a few people into MD derm (one student at Mayo Clinic in AZ), my school (KCOM) put one in last year (I believe), CCOM usually gets 1 or so a year, etc. So again, not likely, but not impossible. Would I bet on it? Absolutely not.
DO: I don't know how many people apply for derm, but there are about 120-130 spots/year. I'm guessing it's one of the top 2 most competitive specialties in DO, just like it is for MD.
The number of DOs who apply for ACGME derm is most likely very slim. These students are intelligent ... they understand the statistics. However, I don't think you are taking into account the AOA accredited derm residencies that are ONLY open to DO applicants. There aren't a great number, but obviously your chances are much better at these as a DO applicant.
Go for allopathic US-grad MD - it's always better than DO. It will open many more opportunities in far better residencies than a DO degree will get you. You can also avoid the stigma of DO (sorry DO people...it's true).
Hmm, I'm unsure if this is fair. Is it easier to specialize from a US MD school based strictly on numbers? Yes. Does this take into account how difficult it is for ANYONE (from any side of the coin) to have the drive, stats, and luck to match derm, PRS, ENT, etc?? Absolutely not. Sometimes people act like an applicant who is borderline US MD, solid for DO will go to the MD school and be able to moonwalk into an integrated plastics residency. This simply isn't the case. You will be competing with every 4.0/38 MCAT gunner for those spots ... and nothing is guaranteed. You don't know where you will end up after 4 years, so saying 'US MD is always better' is an odd statements. Additionally, this doesn't give any merit to picking a school based on fit, location, cost, proximity to loved ones, etc. These are the factors that will help you thrive and become the best applicant at the end of the day.
Furthermore, can you explain the 'DO stigma' you're referring to? Outside of SDN, I never experience or hear of this phenomenon. I interact several times a month with a DO dermatologist affiliated with the hospital attached to my DO school. Maybe I'll ask him about it ...
Sensitive skin...you didn't know the answer to my question
I agree. Remember that AOA, DO only derm residencies exist. Now, is it easier for a MD to match ACGME derm or a DO to match AOA derm??? I dunno. My guess is that it's easier for a MD to match ACGME derm. However, review some of my above comments. Take this with a HUGE grain of salt, but I personally know a DO student who agrees with the idea that if you network and meet the right people in the AOA world, a lot of doors open that would be difficult to achieve without the perfect CV (ie: it can be 'easier'). Apply, see where you get in, consider factors like location, cost, proximity to family, 'fit,' etc, and then worry FAR down the road about matching dermatology (if that's even what you still want).