The Med School Interview

Oh why, hello again.

I’ve been reflecting on my time in medical school and what a tremendously weird road it was to get here. And your specific path may just as weird as mine! Or it may be easy breezy pumpkin squeezy. And if that’s the case, I somewhat envy you; but at the same time I’m proud of how I got here. But overall, reflecting is something I’ve found myself increasingly doing lately… I’m going to blame turning 30 on that.

Anywho, in less than a year I will be undergoing residency interviews, so I figured it was about time I wrote this post. What are some important aspects to review for a medical school interview?

I may or may not also have some inside information… but like with every post, please take this with a grain of salt. Everyone’s experience is different. Things that can change how your performance goes. Some major things that can help you:

  1. Confidence. Oh my how this is a big one. You should be confident, but not arrogant. They know you are going to be nervous. Can you work through this?
  2. Prior interview experience. You are more likely to be comfortable on an interview if you’ve had one before.
  3. Prior experience at that campus. If you happen to have gone to school there for a previous degree I can promise you will automatically feel more comfortable at your interview.

Don’t worry if you don’t have #2 or #3; those are things that may help you but aren’t required. But you definitely need to have #1. And only you can work on that!

Oh.

And this is going to be very list heavy. Sorry not sorry.

Researching before you go!

First off, are you interested in MD or DO? Because that will change how you answer some questions…unfortunately.

I have interviewed at both, but in total of my 3 years of trying to get into medical school I only received 3 interviews. One each year. My first year was at an MD school, and my second two years were at KCU where I eventually ended up. My significant other had a good range of interviews between MD and DO, so I will add in some of his experience as well.

  1. You need to research what is important to the school. Look at their values. Now, repeating them verbatim won’t help you, but understanding what they are looking for is important.
  2. If you are interested in DO, you should already know we do a lot more with our hands. Our hands are one of our major tools! So research what DO actually is please! Don’t be the student that walks in and tries to wing it because your CV got you an interview but really you are just interviewing at a DO school for your backup. Don’t be that kid.
  3. Also on the DO route… learn the 4 tenants of osteopathic medicine. That will win you bonus points. And try to be able to describe how you would use them in the specialty or field of medicine you are currently interested in. You will likely change what field you want to go into by the time you graduate, so don’t worry about being sold on that specialty when you interview. But if you are interested in it, work that into your conversation. If you aren’t sure, no big deal! You can still explain how the 4 tenants can help you as a physician.
  4. What type of environment is the school in? City? Suburban? Rural? These will all play a big part in your interview day. Ultimately, if you can’t see yourself being in that area, then you won’t thrive there. If you are a city person at heart and go to ATSU (Kirksville is the birthplace of DO, but there’s nothing there) which is very rural, will you be able to thrive as a student and a person? All things you need to consider.
  5. Talk to students who have been there. Ask them how student life is? Is it student friendly or is it very much top down administration? Are there great resources that your school can help you with? Curriculum is big, but what exactly do you want to know about the curriculum? Make sure you are getting a good understanding of what you want to know, so you can really develop good questions on interview day. (P.s., interviewer’s hate curriculum questions. It’s the scapegoat for all students to ask about when they don’t have anything else to ask).
  6. Are you interested in research? Does this school have that opportunity for you?
  7. What is available in the community?
  8. What types of clubs are on campus? Are you interested in any? Can you see yourself being a part of that? Same goes for SGA, student ambassadors, tutors, etc. If this is something you are interested in doing, know what that school has to offer. A lot of this can be found on their website.
  9. Go to the campus. Try to go to one of the days they have tours. This is where you can get more time with the guides to ask more specific questions. Ask about GPA requirements, MCAT scores, maybe sneak off and talk to a few of those students like I mentioned earlier. Being on campus and actually feeling the vibe will tell you if you fit in there or not. Trust your gut. If you walk onto that campus and immediately it doesn’t feel good or it feels strange, not for you. Versus if you walk on the campus and feel welcome, good choice for you!
  10. Know if the school is big on keeping students in the area or not. Some schools make you sign clauses that you will practice for x amount of years in the area. If this isn’t something you are willing to do or compromise on if you get in there, then don’t waste your money applying.
  11. Are there big-little programs to help you orient your first year? Or groups of students who are willing to help? Do they offer tutoring for first year students? What resources are given to you first year? All of these things won’t make or break a school, but are helpful in knowing if they are available or not.

Questions to prep for

Yo, this will be difficult. But the main thinking goes along this:

  1. Can you answer it coherently? Is it a well rounded answer that you aren’t stuttering through and that answers the question? This is honestly one of the biggest things in interviewing. Answer the question, and do so in complete sentences and coherently.
  2. Confidence when answering. Don’t fidget. Good eye contact. If you need a minute to think of a scenario then tell them you need a second to rack your brain before answering.
  3. If you are passionate about something in your life, make sure you use that in your examples of answering questions. They like well-rounded candidates. Obviously they want to see you have a passion for medicine, but your entire life shouldn’t be revolved around that. Do you have hobbies? Do you play sports? Are you an avid traveler? Or crafter? Whatever it is, make sure you work it into your examples somehow.
  4. Know the basic interview questions. Strengths/weaknesses. Have several scenarios where you’ve had to overcome an obstacle or issue or working with someone that was difficult and how did you work through it. They can seriously ask that question in 10 million different ways. Why MD vs DO? Why do you make a good candidate? What would professors at your undergrad or previous institution say about you as a student? If you could invite any 3 people in the world to dinner or on vacation, who would it be and why? If you were stuck on an island, what x amount of things would you bring? You know, those types of questions. There are 8 million websites that have examples of this and can probably give these better than I can.
  5. Know why you want to go to that school. Seriously. You should be thinking about this. If you are interviewing there, why did you spend all this time and money if you aren’t sure why you want to be there? Think about it and make sure you can answer that question.
  6. If you answer too curtly or you drone on during answering your questions it won’t look good. Treat it like you are having a conversation in a coffee shop with a business colleague. Good length, long enough to answer appropriately and hold attention. If you answer too short, they will run out of questions with you. Too long and they won’t get to ask you what they need to get through. And obviously be professional. No swearing people!
  7. Ethics questions. Ah, so many students are nervous about this. There is no right answer to an ethics question regardless of what someone might tell you. They simply want to know if you’ve given the answer some thought, why you would choose that answer, and can you give a coherent and confident answer. They aren’t expecting you to understand medicine… because you aren’t in medical school yet. That is their job to teach you. Use your common sense and be able explain why you chose that answer. But no, there isn’t a right answer to those questions.
  8. It’s really hard to prep for any odd ball questions honestly.

Dress

This is a very controversial topic. Some schools are hella sticklers for what you wear. Some are more relaxed. Rules are as follows:

  1. Dress professionally.
  2. Cover yourself.
  3. Shower; groom yourself well.
  4. Wear comfortable shoes.

For men, this means a suit and tie. For women, this can be a pantsuit, a skirt suit, or a work dress with or without a jacket.

Bold colors and wild patterns are honestly bit no-no’s. But just know a lot of people will be in black. It’s a power color, and it works in every situation. HOWEVER YOU WILL NOT STAND OUT IN BLACK. Go with a gray or navy suit. Girls if you wear a dress, it’s okay to have a tiny pop of color, or you can do a navy, dark green, tan, gray, or white dress. For shirts, a lot of people like I said will be in black suits and white tops. Women most commonly wear black suits and a pale pink top. I’ve seen girls wear light red and green tops. I’ve worn jewel tones before and it was just fine. Just make sure it isn’t too in your face, but enough to set you apart.

Day of:

So, most of the interviews will be split into two blocks on the same day in order to maximize the amount of people being interviewed.

  1. You interview in the morning, and then go through all the information midday
  2. You go through all the information midday and interview in the afternoon

For most of my interviews, I fell into the second category. So the information includes the following in an interview:

  1. Curriculum set up/type. They won’t give you too much information. You will get that at orientation.
  2. Vaccinations
  3. Other expectations if you accept and deadlines to get it in.
  4. Tour of the place.
  5. Usually they feed you. Which can be hella difficult. KCU offered me barbecue BOTH TIMES. Try not to get that all over your nice clothes. But it was very delicious, I’ll give them that.
  6. Then the interview.

Some tidbits:

  1. Don’t be the obnoxious person talking over everyone. You won’t make friends, and if the people leading the tours are students they will give that information back to the committee.
  2. Don’t be on your cell phone. I’ve seen too many kids do this. THIS IS NOT PROFESSIONAL. You can text/call whomever after the day is over. Put it down. Or better, turn it the fuck off.
  3. If the tour is student lead, now is your time to ask the good stuff. What don’t you like about the school? What are some of the biggest issues you’ve run into as a student? You can always ask them the positive side of those questions to, but I personally want to know the nitty gritty. Is there a department to look out for? How do they handle mental health? What are some fun things that you’ve gotten to experience since being there? etc.
  4. Do take notes. Take notes of the people talking. Take notes of the people’s names who interviewed you. If you interview at KCU, you can actually look up the faculty by first/last name or department. Most of them have photos (not all). That way you can get their names to write them a thank you note!
  5. Do pay attention. I know it is long, and exhausting. Try to be as attentive as possible.
  6. And for christ’s sake. Be friendly. Mingle. Chit chat. Show you are a communicative person. Everyone is nervous, but they look to see if you are by yourself or mingling or entirely hogging the spotlight.

Let’s see, what else is important… Oh, ask your interviewers questions!

Ask those questions back when you are being interviewed! It is okay to have a list of previously made questions. This is why you brought that bad of paper/portfolio. Well, along with other things. But this is where it will also be of use to you.

Again, don’t ask those damn curriculum or grading questions. It’s a cop-out, and they hate it. Interviewers can tell you don’t actually know anything about the school or you didn’t put any thought into your interview. 

Ask what you want to know about the school. So think about this while you are writing your questions. Some examples:

  • Why did the professors choose to teach there?
  • Why did the professors choose teaching in general?
  • What are they passionate about? And how did they become passionate about that topic?
  • How do the students feel relative to x, y, z?
  • Are the students/professors/staff happy with their choice of school?
  • Is there something they absolutely love about their school/campus?
  • Is there something they dislike about the school/campus?
  • If there is one thing you could change about this school or campus, what is it?
  • What is a hidden gem in the area/community that you love to go to?
  • Since I’m in town, what are some great places to explore before I leave to really get to experience the area?

Post-interview:

Don’t bombard them with an answer after you interview. If they tell you how long it will take to hear back, expect it to take that long. It will just be a pleasant surprise if they give you an answer before then! I think KCU typically takes 6 weeks to decide. They do several interviews and then make a decision on that chunk of interviews for everyone. Know that any thing around holidays or breaks will take longer or be closer to that 6 weeks.

But if they don’t tell you during the information session, it is okay to ask how long you can expect to hear back. If they don’t get back to you in the time they told you they would, then reach out.

Thank you notes

Honestly, doesn’t really matter if you do these. I usually do just as a nice gesture, but you do not have to. Again, make sure you are writing down who you spoke to and interacted with on the day of the interview.

  • You can write a general thank you to the admissions team
  • You can write a thank you for all of your interviewers, or you can send them one specifically.

It is fine to be generic or have a template, but it won’t be as touching. If you choose to thank the admissions team, it can be more general. But for your interviewers, make sure to add in what you spoke about (i.e. what topics you discussed outside of their set interview questions).

I’m pretty sure most schools don’t factor in if you sent a thank you letter into their decision. It is just a nice touch and helps keep things professional.

If you do write them, write them immediately and send them off within a few days to a week of your interview. It is bad etiquette to send it in later than that. Plus, you are likely to forget details of your interview as time passes.

What about non-interview scenarios? Like MMI’s or skit scenarios?

Well, I’ve had a few and so has my significant other like this. What are the types of interviews you can walk into:

  1. A panel. It is you and several people all starting at you. It could be 3+ people. Very intimidating. Expect at least one to try to be a bitch or hardass.
  2. One-on-one interviews. You will usually have many if you do one-on-one. That way, each interviewer can ask the same questions to everyone and a range of people get to meet them. However, I’ve had one interview where only one person interviewed me for 45 minutes. It depends.
  3. MMI or multiple mini interviews. This can consist of a mini scenario on the door and then you go in with your answer and answer questions. This is the only non-traditional type of interview I did. Sometimes this will include a small group project.
  4. Acted scenarios. These just suck. They usually include actors.

The whole point of these is to see how you act under pressure and under a possible chaotic scenario. Can you keep your cool? Can you calm the situation and answer in a well-thought out manner?

For my MMI, I had several mini scenarios (ethics, non-ethical, questions for me) that I had x amount of time to read and think of an answer, and then x amount of time to present that and answer additional questions with the interviewer.

For the scenarios, thankfully I didn’t have this. But my significant other did. He said most of the time the scenarios were absolutely outrageous, could include politically charged or controversial topics just to see how you would react, and if you could calm the scenario down and answer appropriately. I think this is ridiculous and not a good judge of character. And personally, I wouldn’t want to go to a school like that. But I digress.

Also know that you will likely have to do a group activity. How do you work well with others? Medicine is a team sport after-all!

The other big thing is schools are now asking you to do a writing prompt on interview day. This is to see if your interview paper materials are similar to how you wrote on the day of your interview. They want to know if someone else did your personal statement, answered your secondary questions or if you did it.

One last major thing…

I know. This post is long.

SET YOUR SOCIAL MEDIA ACCOUNTS TO PRIVATE DURING INTERVIEW SEASON.

I’m not joking. There are people at the university or interviewers who will look you up online and see what you’ve posted. And since the type of information they gather from an online search is very subjective (based on the interviewer), a drinking photo, a smoking photo, doing weed, partaking in questionable activities, etc can all come back and bite you in the ass.

Set it to private. Keep it private. Once you have been accepted (or denied) and interview season is over you can set it back to public. Once you are in they don’t care. But it could be JUST the extra thing they needed to kick you out and give you a denial or waitlist. Don’t do that to yourself. Give yourself every chance.

And uh, I think that’s it. It’s a long one, and hopefully a helpful one. I recommend you look at many different sources for this to prep, but always take each person’s experience with a grain of salt. Just because it was easy for one person doesn’t mean it will be for you or that it was actually that easy (they could be lying). Good luck with interviewing!

Premed Series: MD versus DO?

Hello hello!

Now, I wasn’t sure what ya’ll really wanted to know from this. By the time you are applying to medical school you likely have a good grasp on the differences between MD and DO. It will be a bit more DO heavy, and will obviously be based on how I’ve experienced this at KCU. But just in case you are still deciding and this is the beginning of your journey, OR you want some more clarification, keep reading!

What does MD and DO stand for?

Ah, I’m so glad you asked.

MD stands for Medicinae doctor, which is a fancy way of saying Doctor of Medicine. It is the allopathic branch of medicine here in the United States. It is one of the main forms of Western medicine that we recognize today. According to thenewmedicine.org, allopathic medicine became more official after creating the American Medical Association in 1848.

DO came around much later than MD, so we aren’t as fancy in the Latin naming department. But DO stands for Doctor of Osteopathic medicine. I can give you way more information about DO simply because I’m studying it. But long story short, a guy in Missouri by the name of A.T. Still created this branch of medicine in 1874. Better yet, he is quoted stating “On June 22nd 1874,  I flung to the breeze the banner of Osteopathy“. I have a whole blog post on Osteopathy here. 

What differentiates them now?

So, because osteopathy turned osteopathic medicine was seen as voodoo and witchcraft if you will for awhile by allopathic doctors, there was a period of time where they offered DO’s to get their MD license for a certain fee. I don’t remember the year. It’s somewhere in my notes and I’m too lazy to go hunt for it. Just take my word.

However, the DO’s fought strongly if you will, and eventually became accepted (to a degree). There is still some backlash by certain MD’s, particularly of the almost retired age. But, we literally do the same things MD’s do in every aspect except we use OMT (osteopathic manipulative medicine). In layman’s terms it means that “bone popping” stuff, but we do so much more than that. Popping, or as we call it HVLA (high velocity low amplitude) is a very small portion of OMT. And in all reality, just because you want something popped doesn’t mean you need it.

So, if you decide to pursue the osteopathic route, you do a bit extra. We call it “an extra tool in our toolbox” to treat patients. Not all DO’s once they graduate incorporate it as not every specialty may call for it.  On the flip side, many DO’s still incorporate some techniques into their practices.

What does this mean as a DO student?

When you first start out in your first 2 years (or didactics), you learn your coursework for your systems, you start learning how to be a doctor such as physical exam skills, learning to interview, and using that shiny new stethoscope. You also start learning how to do OMT! At the very beginning of learning OMT, you have absolutely no idea what you are doing. To be frank, there are somethings I’m really good at and others I absolutely suck at. Sometimes you just can’t feel it.

So you start learning how to try to “train” your hands and you start learning a bunch of ways to diagnose someone along with a bunch of techniques. You get tested both on written exams on these principles and how to do these techniques. You will also be tested on if your hands can produce the diagnosis and treatment as well. Our school calls them CPA’s, and they are a big chunk of our grade. The downside to when you first start is on one task, they ask you to diagnose your patient. But on the second task, they ask for a completely different treatment (unrelated to your diagnosis) to show them. This plainly is because you haven’t learned enough and they want to make sure you know how to do the treatments that they have been teaching you.

The further in you get, you will be asked to diagnose and then treat either the problem you found with a treatment of your choice OR they will give you a modality to use, and it is up to you to use it correctly for the problem at hand.

What are these treatment modalities you keep throwing around?

Basically, they are the different ways I can treat you for the problem that I find. Sometimes, depending on if you’ve injured yourself, you are sick, or your body just doesn’t like certain treatments, we may pick an indirect technique. Usually more healthy patients can tolerate direct techniques. But every patient and body is different. I won’t necessarily delve too much into this. That’s what going to osteopathic medical school is for!

Modalities are as follows:

  • Soft tissue (ST) which is direct
  • Myofascial release (MFR) which is direct or indirect
  • Articulatory (ART) is direct
  • Facilitated positional release (FPR) which is indirect
  • Balanced ligamentous tension (BLT) is also indirect
  • Still’s (named after the original bone wizard A.T. Still!) can be either
  • Muscle energy (ME) is direct
  • High velocity low amplitude (HVLA) is direct
  • Counterstrain (CS) is indirect
  • Chapman’s points and Viscerosomatics typically fall under direct.
  • Craniosacral can be direct or indirect.

What is the difference in schooling?

Well, we mostly covered that above. DO students spend extra time learning OMT and there is a large focus on treating the patient as a whole, not just a specific problem. But other than that, we learn the same things.

However, different schools (even within MD and DO) go about teaching in different ways. This is why going to the school’s site you are interested in is important. The gist of your questions are the same no matter what type of school you are looking at though.

So what does that look like?

  • Does your school go by a traditional grading system (like KCU) or do they do a P/F system?
  • Do they go by systems or subject?
  • Are your courses longitudinal or block? Are they mixed? For example, KCU is taught by systems in a block schedule. So we do one main subject for x amount of weeks before we move onto the next one. Then we have a handful of longitudinal courses that go all year round. So, I may only have 3 or 4 classes total, with one main one. Another school may have 7 classes that go all year round.
  • Do you have cadavers or is it virtual? Personally, I really enjoyed having a cadaver. Made things more realistic. Turns out main structures can be tough to get too, yet oh so delicate at the same time.
  • What type of services do they offer students?
  • Is the campus more student friendly or more traditional in the sense that it is faculty based?
  • How much exposure and practice does the school integrate when it comes to practicing my exam and patient interviewing skills?
  • How does the school prepare you for boards? How well has the school ranked with board scores?
  • If you are interested in research, are there opportunities for this?

You get the idea. All of these things are important when looking at schools to apply at. Not only do you need to look at the specific schools website for some of this, but you may need to scour additional sites to get a better idea per the students.

Just remember, med students can get pretty salty so take it with a grain of salt. Ha, hahaha. 

What are the differences for getting into medical school?

Honestly, they are pretty much the same. You need to have the basic pre-med/science courses down. Each school may require slightly different “required” courses versus “recommended” courses. Check out my “Pre-Med Courses: What to Take Before Medical School” post for more information.

Before you get too far into undergrad, make sure you’ve looked at some medical school sites to see what those courses are. You want to have enough time to incorporate any additional courses that aren’t in your required major, but that schools you are interested in going to require/favor so you don’t have to spend money on postbac courses.

What you need for your application:

  • Required and recommended science courses (which do slightly vary from school to school).
  • A good GPA. High overall GPA is always good, but you need to make sure your science only GPA is also high.
  • MCAT. You aren’t really getting out of this unless you do one of those fancy programs from high school to medical school. Honestly, I think taking the MCAT (even if it is a beast) is a necessary step to growing as an individual. You need to learn failure and hardworking at some point in life. The current average MCAT score is 500. Most schools won’t look at you if you are below this unless you have a super compelling application outside of that. Some schools don’t give you the time of day unless you meet their average. Such as the top 10 schools, coastal schools, etc want a higher MCAT score.
  • Volunteering. You need a good mix of medical and what you are personally interested in. By the time you get to applying, they mostly look at what you did in undergrad. Unless you did something for all 4 years of high school, they likely won’t care. They want to know that you could balance extra things in undergrad while prepping for medical school. There is no set number, But the more you are able to incorporate with different experiences the better. And honestly, pick a few things or one thing that you are really passionate about outside of medicine. Passion shines brighter than mediocre requirements.
  • Shadowing. A must. You need to show you’ve seen what the field is like. For DO students/applicants, it is highly recommended that you’ve shadowed a DO. Find out with each specific schools if this is required or recommended. Why? No clue. They literally do the same things. But, that’s what DO schools like to see.
  • Even better than shadowing is patient care experience. Get in there and get your hands dirty! You are also more apt to get a good letter of rec this way.
  • Speaking of Letter of Rec’s, you need these. Usually 3 is good, sometimes up to 5 is fine. Anything else and they won’t look. Make sure they are strong though. Don’t just ask someone that doesn’t know you well. And for DO schools, you need at least 1 DO to write you a letter of rec. Again, most of the time DO schools prefer a letter of rec be from a DO, but it is not necessary for all DO schools. In general, make sure you are making strong connections so they have positive things to write about you. You usually need 1-2 science professors and a physician. Each school has separate requirements for this as well, so make sure to peruse the sites so you have what they want. Otherwise, they will just toss your application out.
  • Research. I honestly didn’t really do this, but for MD schools they look very favorably on this. But in general, the more you are able to immerse yourself into the science and medical fields before-hand, the better.
  • Have a list of meaningful experiences and why. These will be your highlighted achievements when filling out your application. They can be from the above categories, but you need to make sure you have a compelling reason as to why they were meaningful to you and how they will help you in medical school OR how they have helped you grow as a person, which makes you ready for medical school.
  • And lastly, that darn personal statement. I hated this. There is no great way for you to go about this. Just start writing why you want to go into medicine. Throw in some main meaningful experiences, or one main one that helped guide you to your choice of medicine. You are going to rewrite this thing a million times. And if you have to reapply for the following cycle, you will probably completely re-edit it. My advice? Make sure someone else reads it. Preferably someone in the field, but you need to make sure it is a strong piece of literature written about yourself that sells you well.

What are the differences in boards?

Same thing as previous honestly. The COMLEX which is what DO’s take has OMM (osteopathic manipulative medicine) woven in. MD’s take USMLE. Everyone takes a step 1, step 2, and step 3. You don’t get out of it either way. DO’s can take both the COMLEX and USMLE, however MD’s can only take the USMLE.

You will mostly use the same resources to study for both. First Aid is still the biggest tool, along with U world questions and pathoma. Other favorites include things like Sketchy, Boards and Beyond, Doctors In training, Kaplan, and other question banks.

When taking the exam, the style is a little different. However they just revamped the test in early 2019, as the amount of answer options varied between the two exams. I will let you know more about them once I take them this summer!

What are the differences in residencies between the two?

Previously, the match for residencies was separate. So if you wanted to go to a more MD focused residency as a DO, you’d have a harder time getting in. Vice versa for MD students. They did take students with outstanding applications though (or so I’ve heard).

In 2020, the residencies for both MD and DO will merge as one. So technically, each site should take either COMLEX or USMLE and they are supposed to be seen as equal. However, there are still some MD specific places that are not as friendly towards DO applicants and do not see the COMLEX as equal as the USMLE. I’m assuming the same if it is vice versa with some DO residencies and MD applicants.

If you are interested in a more MD oriented-type of residency in the future, you will be looking to see how many DO’s they tend to take. Most DO residencies don’t restrict on MD students unless they are very focused on integrating OMM. The hope with the merger is that they are seen as equals (because they literally are outside of OMM?) and to incorporate a more diverse set of doctors.

Hopefully with the merger in years to come, there won’t be a difference in the types of residencies.

I have also learned that regardless of those “average” board scores that you see in some of those charts *cough cough*, the main takeaway is you need to interview at a certain number of residencies to get placed. A lot of times, if you interview at enough places, your board scores and that fact that you are a DO who didn’t take USMLE doesn’t really matter.

However, if you wish to go to a more academic institution for residency REGARDLESS of what degree you have or residency you are looking for, you do need to have research on your CV. They don’t tend to take students who haven’t done research. They also tend to have you do research while in your residency as well. And if you are considering a surgical specialty, it is always a better plus that you have some research on your CV as surgical specialties tend to do more research as well.

Do MD’s and DO’s practice differently?

Not really, no. Again, some DO’s don’t use OMT at all while some do. Medical procedures and the art of taking a history, doing a physical exam, and treating patients is exactly the same. However, if a DO does use OMT, they can bill it as a procedure. Just like if you were to get a knee injection, or get your dislocated shoulder back into place, or get an IUD placed. Other than that, they practice in the same capacity.

I hope this was helpful! Let me know if there are other aspects of MD vs DO that you would like me to talk about. Cheers!