I’m not recommending a top DO over a low MD. If you are an unmarried individual, with no serious obligations or concern for anyone else, then by all means pick the MD school no matter where you have to go. My wife is a specialty pharmacist (that required a residency), and I chose schools that were in areas where there were current or upcoming opportunities for her. The other MD schools I applied to weren’t in the most desirable areas. Also, unlike physicians, pharmacists have to retake their licensure exam for each state; inefficient, I know. So, I tried my best to stay in the state we’re currently in for the time being. I could’ve applied without regard for my wife, but for me to ask her to take a job as a retail pharmacist, would be like her asking me to be a family physician if I were trained as a specialist. If I’m going to put her through this, I at least want her to be happy in her career.