A Retrospective Comparative Analysis of MD and DO Applicants' Acceptance to Plastic Surgery Residency
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Summary
This summary is machine-generated.Doctor of Osteopathic Medicine (DO) applicants face lower odds of matching into integrated plastic surgery compared to Doctor of Medicine (MD) applicants. Even with similar qualifications, DOs show reduced success rates, indicating potential bias and areas for improvement.
Area Of Science
- Medical Education
- Surgical Residency Admissions
- Health Equity
Background
- Doctor of Osteopathic Medicine (DO) applicants are underrepresented in integrated plastic surgery.
- This study investigates the hypothesis that DO applicants match at a lower rate than similarly qualified Doctor of Medicine (MD) applicants.
Purpose Of The Study
- To compare the success rates of DO and MD applicants in integrated plastic surgery residency.
- To identify potential disparities and areas for improvement in the application process for DO students.
Main Methods
- Analysis of applications to an integrated plastic surgery residency program (2020-2023) with a dedicated DO position.
- Scoring of applications based on research, letters of recommendation, and USMLE Steps 1 and 2 scores.
- Logistic regression modeling to compare match outcomes between MD and DO applicants, including a matched cohort.
Main Results
- MD applicants had significantly stronger application metrics than DO applicants in the full dataset.
- MDs had 9.56 times the odds of success in the full dataset and 5.89 times the odds of success in a matched cohort compared to DOs.
- DO applicants were concentrated in the lowest score quartile and had significantly lower success rates within this group.
Conclusions
- DO applicants with comparable credentials to MD applicants have lower odds of matching into integrated plastic surgery, suggesting potential bias.
- Disparities in scored metrics highlight areas where DO applicants may need to enhance their competitiveness.
- Addressing these disparities is crucial for promoting equity in surgical residency admissions.

