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Lisa L Schlitzkus MD, Christopher J Clark MD, Steven C Agle MPH, MD, P.J. Schenarts MD 

A Six Year Head-to-Head Comparison of Osteopathic and Allopathic Applicants to a University-Based, Allopathic General Surgery Residency. Lisa L Schlitzkus MD, Christopher J Clark MD, Steven C Agle MPH, MD, P.J. Schenarts MD . Background. 250% increase in DO graduates, 1980 – 2005

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Lisa L Schlitzkus MD, Christopher J Clark MD, Steven C Agle MPH, MD, P.J. Schenarts MD 

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  1. A Six Year Head-to-Head Comparison of Osteopathic and Allopathic Applicants to a University-Based, Allopathic General Surgery Residency Lisa L Schlitzkus MD, Christopher J Clark MD, Steven C Agle MPH, MD, P.J. Schenarts MD 

  2. Background • 250% increase in DO graduates, 1980 – 2005 • 1/5 of medical school graduates DO • 18,000 MD graduates annually, stable since 1980

  3. Background • 419% increase in DOs in allopathic residencies, 1985 - 2006 • DOs entering allopathic general surgery residency 3%, up from 1.2% mid 1990s • Bias against DO applicants

  4. Hypothesis Applicant characteristics of osteopathic graduates to a university-based, allopathic general surgery residency are no different than those of allopathic graduates

  5. Methods • IRB approval • Retrospective • US Graduates only • Electronic Residency Application Service (ERAS)

  6. Methods • Database of self-reported data • Demographics • Years and Jobs after graduation • Couples match • Letters of Recommendation • Volunteer experiences • Scholarly works • Advanced degree • USMLE and COMLEX scores • Statistical Analysis • Student t-test and chi-square • Significance set at p<0.05

  7. Results 1,155

  8. Demographics

  9. Other Demographics

  10. Common Selection Variables

  11. USMLE Step 1

  12. USMLE Step 2

  13. COMLEX Performance

  14. Limitations • Retrospective • Self Reported Data • Unable to compare clerkship grades • Single Institution • Few osteopathic applicants

  15. Discussion • Increased osteopathic graduates of which 9% enter general surgery residencies • Osteopathic residencies cannot accommodate thus more will enter allopathic • Screening variables not applicable to DOs • Example: AOA membership • Unfamiliarity with specific medical schools • Race may reflect rural focus • Failure to report USMLE scores may be considered red flag

  16. Conclusion Essentially no difference exists between allopathic and osteopathic applicants, except for USMLE Step 1 scores, which may be due to self-reporting of favorable data.

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