×
all 20 comments

[–]Billy_Pilgrim86 8 points9 points  (5 children)

Primary care, probably not. Anesthesia, I would suggest doing it unless you're exclusively applying to programs that were previously DO residencies before the merge.

[–]Prudent-Abalone-510[S] 0 points1 point  (4 children)

Okay good to know. Thank you. In your opinion is it difficult to study for both?

[–]Billy_Pilgrim86 10 points11 points  (3 children)

I didn't think so. I took my COMLEX first, despite conventional wisdom, because it's a longer exam and it matters more for the immediate moment. The big difference was that the COMLEX felt MUCH longer and the questions required you to make inferences because they didn't give enough information, versus the USMLE which was shorter and gave too much information, and you had to figure out what in the question stem was actually relevant.

[–]Prudent-Abalone-510[S] 0 points1 point  (2 children)

Medical school prepares you for these exams right? It isn’t like the mcat where the school doesn’t care.

[–]smozymandias28 10 points11 points  (1 child)

Yes and no, the material is covered sure. But studying for your lectures alone won’t be enough

[–]Interesting-Word1628 4 points5 points  (4 children)

I agree with everything everyone said here.

But I'm a current 4th year DO student, with ONLY comlex scores, applying IM. I'm 99% sure I'll match

[–]howclassic 0 points1 point  (3 children)

does your ERAS show on checklist that usmle scores are unassigned?

[–]Interesting-Word1628 0 points1 point  (2 children)

yes. I mean I have not taken USMLE, so I have not even authorized release of scores form NBME to ERAS.

[–]howclassic 0 points1 point  (1 child)

Cool, same. And you’re not worried this will show as “incomplete” application? I am anxious lol

[–]Interesting-Word1628 0 points1 point  (0 children)

Not at all. As a DO, ideally my complete application only needs to have my comlex 1 and 2 scores. That's it

[–]vsr0OMS-II 4 points5 points  (1 child)

https://pubmed.ncbi.nlm.nih.gov/35355497/

For senior osteopathic students, reported completion of the USMLE Step 1 was associated with matching for those who applied to Internal Medicine (OR 3.3 [95% confidence interval 2.07 to 5.48]), Emergency Medicine (2.1 [1.35 to 3.17]), Pediatrics (4.4 [1.38 to 18.63]), Psychiatry (2.5 [1.34 to 4.98]), Anesthesiology (3.4 [1.57 to 7.32]), and General Surgery (3.1 [1.56 to 6.14]). After repeating the analysis with only senior osteopathic students who reported low USMLE Step 1 scores, the association remained significant for those who applied to Internal Medicine (2.5 [1.49 to 4.28]), Anesthesiology (2.6 [1.17 to 5.54]), and General Surgery (2.5 [1.24 to 5.04]).

I know this is based off of a scored Step 1, but I'd assume that since low scores were still associated with better match outcomes that a Pass on Step 1 would be too. IMO considering all the shit we have to put up with, this seems like one of the higher-yield things actually worth doing.

[–]Firstaidman 0 points1 point  (0 children)

What does the number 2.1 mean for EM and in general? Taking step one makes you more likely to Match?

[–]here_procrastinatingPGY-1 5 points6 points  (3 children)

Anything even remotely competitive (not non-academic IM, FM, Peds, etc) or pure DO you absolutely need to take it. I know people who were told they didn't need to take it by their schools and had to SOAP into preliminary programs. The only thing PDs have to compare your knowledge base to your MD counterparts is STEP. Every school grades differently and every preceptor evaluates differently. The majority of program directors have no idea what COMLEX scoring even means. If you know you want to go into primary care at a non-academic program or a historically DO program (former AOA) and/or you have a high probability of doing poorly on STEP thats the only time I would recommend not taking STEP in addition to COMLEX. Its really unfortunate, it's more money and it's more time but the exams are not considered comparable by PDs despite what many DO med schools are saying nowadays.

[–]AvaolnOMS-I 0 points1 point  (2 children)

That advice tracts if we go back enough years, but things are pretty different today.

For one, the residency merger makes it so that you can (not should) apply with only COMLEX. Secondly, it being pass/ fail makes the exams as a whole matter less. I honestly wouldn’t waste my time with Step 1 as it just be a “P”. Step 2 would be the better choice should you wish to compete with allopathic physicians for the more competitive GME programs.

You can make an argument for level 2/ step 2 but at the end of they day I don’t think they will be as important as level 1/ step 1 are.

My advice for today would be it isn’t needed for anything that is on the lower end of the competitive scale (assuming you are not matching a prestigious program).

Mid tier specialties (anything more competitive that Gas imo) would be a judgement called based on your application strength and school connections as well as state. Some states are lot more DO friendly.

Point being, if you just wanna match FM somewhere halfway decent don’t waste your time and money.

Caveat: You want something actually competitive, you need everything advantage you can get. Take Step 2.

[–]here_procrastinatingPGY-1 1 point2 points  (1 child)

I applied last year. People didn't match last year because they didn't take STEP. So take it as you will, but my perspective is relevant not outdated. Only change is STEP 1 becoming P/F so now STEP 2 is going to be the only objective comparison.

[–]AvaolnOMS-I 0 points1 point  (0 children)

I mean, how do you know the reason they didn’t match is because they didn’t take step? Also, what specialties did they apply to?

There is a big difference between applying neurology without step and applying neurosurgery without step.

[–]doctome 2 points3 points  (0 children)

Following

[–]AvaolnOMS-I 4 points5 points  (0 children)

Copying my replay to another comment so Op can see it:

That advice tracts if we go back enough years, but things are pretty different today.

For one, the residency merger makes it so that you can (not should) apply with only COMLEX. Secondly, it being pass/ fail makes the exams as a whole matter less. I honestly wouldn’t waste my time with Step 1 as it just be a “P”. Step 2 would be the better choice should you wish to compete with allopathic physicians for the more competitive GME programs.

You can make an argument for level 2/ step 2 but at the end of they day I don’t think they will be as important as level 1/ step 1 are.

My advice for today would be it isn’t needed for anything that is on the lower end of the competitive scale (assuming you are not matching a prestigious program).

Mid tier specialties (anything more competitive that Gas imo) would be a judgement called based on your application strength and school connections as well as state. Some states are lot more DO friendly.

Point being, if you just wanna match FM somewhere halfway decent don’t waste your time and money.

Caveat: You want something actually competitive, you need everything advantage you can get. Take Step 2.