I saw this thread and was like, “Yep, $5 there is a DO vs. MD in this mother…”
Thanks SDN. You never disappoint.
The DO mission is very clear: 20% of all new graduates are DOs and, in my opinion, there is no reason why they won’t try to close the gap to 30-40% within a decade. As I’ve said in other threads, COCA and the AOA have an excellent business model. DO organizations have 28% of the new ACGME board, giving them tremendous power over residency accreditation. My guess is that COCA means to expand their influence by controlling a greater share of physician production for when it comes time to talk about consolidation on that front.
Academics: Love the DO model. There isn’t a “Should medical school be shorter?” article that doesn’t blatantly espouse, word for word, the DO education model. Larger student: faculty ratios and more rural and clinic-based rotations. Did anyone see the recent IOM report? It was basically canned AOA policies.
States: They love DO schools. Very little, if any, taxpayer support. They pop out doctors with a propensity for primary care. They open up in the middle of nowhere, satisfying the rural vote and improving access to healthcare.
Students: More and more students see it as $$$ in primary care. The writing is on the walls. You’ve got people clamoring for more primary care doctors and most people agree it’s inevitable that the feds are going to funnel more money that way. Plus, practicing OMT as a family practice physician instantly makes you a proceduralist. Find any DO who actually does it and then ask them how much they rake in. Say what you will about OMT, but Medicare and most private insurers eat that stuff up, placebo or not. Guess what? They pay.
More and more of your colleagues will be DOs and, inevitably, COCA will have influence when it comes to a possible merger with the LCME. Mid-level creep will be the big enemy at the gate and a lot of the COCA policies that you guys rant and rave about now (larger class sizes, community hospital rotations, etc.) will become necessary to survive in a world where the value of physician education is questioned at every corner. The public doesn’t value elitist arguments, however efficacious, about the need for research or dedicated academic medical centers or whatever else the allopathic world wants to shout about regarding DO education. They. Don’t. Care. In fact, despite 100 years of bickering, the DO is more popular than ever (see recent NYTimes article). The osteopathic profession has had over a century of being the minority. They're the scruffy kid in the parking lot. Small, but battle hardened. While I don't agree with every policy, I've come to slowly admire their tradition for shrewd, strategic brilliance in the public domain. Think about it: a small group of doctors who were started by a guy with a crazy hat and a bone in his hand now have a substantial seat at the table of the ACGME. 20% of all medical school graduates are DOs. That isn't a mistake; it's successive smart moves played out over a century of determined advancement.
That’s right, folks. Stop fighting with each other, because it won’t be DOs who are sullying the hard work we’ve all done to become physicians. The faster the two join together, the better for our profession (singular). Soon enough you’ll have another “doctor” to fight with about educational legitimacy: the DNP.