The Premed Years

616: Inside DO Admissions: What the Osteopathic World Wants You to Know

The Premed Years

Show Notes

(00:00) — Welcome and origin story: Kyle’s path into med ed without being a physician (00:46) — Early admissions work and philosophy: get students into—and out of—med school (02:58) — What AACOM’s VP of UME Services does: support across 71 DO locations (04:48) — Admitted-to-M1 is hard: student services and reps supporting the transition (05:12) — Time in the DO space: Marian start and osteopathic focus since 2018 (06:38) — Biggest shift: single match and what’s improved (and what hasn’t) (10:07) — USMLE vs COMLEX: bias, requirements, and what applicants should weigh (12:33) — Data points: general surgery study, plus primary care ~55% context (16:51) — Advocacy update: the FAIR Act and reporting for federally funded programs (20:17) — The DO deposit debate: amounts, rationale, and potential changes (25:32) — Should you apply to DO schools? Choose by fit, curriculum, and support (31:01) — AACOMAS streamlining: 700-character experiences and tech to cut tedium (33:56) — Personal statements: copy/paste and when to add DO-specific experience (38:03) — Financial aid shift: Grad PLUS elimination and new student resources (40:19) — School-backed loans and lender partnerships: protecting students (43:40) — Final takeaways: faculty support, fit, and thriving as a DO or MD Dr. Ryan Gray welcomes Kyle Hattenberg, AACOM’s VP of Undergraduate Medical Education Services, for a practical look at DO admissions, advocacy, and student support. Kyle explains his new role supporting 71 osteopathic locations, including work on AACOMAS and student services to smooth the admitted-to-M1 transition. They unpack the single match era, persistent USMLE/COMLEX bias, and how AACOM is pushing for equal consideration—highlighting the FAIR Act, which would require federally funded programs to report on accepting and reviewing both DO and MD applicants. They tackle hot-button issues like nonrefundable deposits ($1,500–$3,000), why schools use them, and ongoing conversations about change—plus Kyle’s advice to contact schools for hardship considerations. Kyle previews AACOMAS streamlining, including aligning the experience section to 700 characters and leveraging technology to reduce tedious data entry. He clarifies personal statement strategy and when DO-specific experiences belong. Finally, they address the elimination of the Grad PLUS loan, with AACOM building financial wellness resources, hiring dedicated support, and exploring partnerships, while noting that some schools already offer school-backed loans. The episode closes with guidance to choose schools based on fit, curriculum, and support—because thriving in medical school comes first.

What You'll Learn: - How AACOM supports applicants and 71 osteopathic locations - What the single match means for DOs and where bias persists - FAIR Act goals and what programs may need to report - Upcoming AACOMAS tweaks, including 700-character activities - Deposit realities, Grad PLUS changes, and funding options

More from The Premed Years

Oct 21, 2026

(00:00) — Growing Up in Brooklyn: How watching his grandmother receive care for type 2 diabetes at a Brooklyn hospital first sparked Stevie's interest in medicine at age 11 or 12.

Sep 16, 2026

(00:00) — Welcome and Early Roots: Kelsey describes growing up in a family of healthcare professionals and how watching her father's relationships with patients shaped her interest in medicine. (02:04) — Music vs. Medicine: Kelsey explains why she seriously considered a career in musical theater and how she decided she did not have to give up music to pursue medicine. (07:28) — Planting the Premed Flag: When Kelsey started singing the national anthem at medical conferences in high school and realized she could combine both worlds. (08:44) — The Hardest Part of Being Premed: Kelsey names information overload — not coursework — as the biggest challenge she faced as a premed student. (11:01) — MCAT: A Big Beast: How a weak foundation in basic sciences and unclear study strategies made the MCAT especially difficult for Kelsey. (15:25) — Taking the MCAT Twice: Kelsey's decision to retake after a 500, why she only gave herself a month to prepare, and what happened when her score went down instead of up. (19:10) — Applying MD and DO: Her strategy for casting a wide net across both application systems and her father's perspective on the MD versus DO question. (21:48) — Waiting for Interviews: What it felt like to wait months for a single invite and how she prepared for her first real medical school interview. (25:06) — The Acceptance Call: Kelsey recounts exactly where she was and what she heard when she found out she got in. (31:07) — DO and Dermatology: How Kelsey is thinking about pursuing a competitive specialty as a DO student and what mentorship from DO dermatologists has taught her. (35:17) — What She Would Change: Kelsey's honest reflection on filtering noise, trusting her instincts, and following what actually resonates.

Sep 2, 2026

(00:00) — Growing Up Around Medicine: Hallie describes having two surgical physician associate parents and knowing from childhood that medical school was her path. (04:24) — Division I Fencing Meets Premed: How training at 5:45 a.m., attending class, and working overnight ER shifts defined her undergraduate years. (07:52) — Deciding to Delay, Not Quit: Why Hallie chose two gap years over dropping fencing, and what the full college experience cost her timeline. (09:03) — The MCAT Sucker Punch: Three attempts, one void, 28 full-length practice exams, and a score that moved less than one point. (12:17) — What She Got Wrong About MCAT Prep: The difference between checking off practice tests and actually diagnosing your mistakes. (17:00) — Applying Broadly and Going DO: How she decided to apply to over 40 schools, what happened on the MD side, and why she ultimately found the right fit. (22:43) — DO vs. MD and Orthopedic Surgery: What she knew early about the match landscape for competitive specialties, and how she processed the disappointment. (25:29) — Building a Research and Networking Foundation: Starting research at 19, scrubbing into ORs outside her rotation, and why genuine interest beats strategic positioning. (35:39) — Rewinding to the Application Mindset: Reflecting on what the MD rejections really meant and how her perspective shifted once she was inside medical school. (38:56) — Final Words for the Premed Who Is Stuck: What Hallie would say to any student on their 27th practice exam who is questioning whether to keep going.

Aug 19, 2026

(00:00) — First Spark: How a hospital shadowing program in high school shifted Justin's view of medicine from negative to hopeful. (00:27) — Immigrant Family Expectations: The doctor-lawyer-accountant conversation that narrowed Justin's focus and why he's grateful for it. (04:34) — Choosing Seton Hall: Why staying close to home and picking a smaller school turned out to be the right call for staying focused. (10:22) — Collaboration Over Competition: How studying alongside classmates pursuing PT, PA, and med school kept Justin on track without the cutthroat dynamic. (16:20) — MCAT Rescheduling Spiral: The honest account of pushing back the MCAT four or five times and what finally made Justin ready to sit for it. (21:52) — Checking Boxes vs. Meaning: Why running around doing every premed activity left Justin with experiences he could barely remember by application time. (23:39) — Applying Late and What It Cost: Submitting two months after applications opened, what that felt like in real time, and how it still worked out. (32:50) — TikTok Origin Story: The mall conversation about Washington, DC that accidentally launched a multi-million-follower social media presence. (35:19) — Social Media vs. Medicine: The pressure to quit one or the other, and how Justin reframed content creation as a hobby rather than a competing identity. (38:52) — Dad's Long-Term Question: The family conversation that settled the debate between full-time content creation and medical school. (42:23) — Closing Advice: What Justin would tell any premed trying to balance a public platform with the demands of the path to medicine.

Aug 12, 2026

(00:00) — Born in India, raised in Canada: How early experiences with navigating healthcare planted the seed for a medical career. (03:03) — Canadian medical school odds: Why the stat-heavy, seat-limited system makes it one of the hardest paths in North America. (06:51) — First application cycle, zero interviews: What went wrong and what "being a perfect applicant" actually cost her. (09:02) — Second cycle, authentic essays, a few interviews: How honesty on paper moved the needle — but not enough. (15:29) — Ruling out India, weighing the US, Ireland, and the Caribbean: How she narrowed her options after two rejections. (19:05) — Researching Caribbean schools: Attrition rates, match stats, LinkedIn outreach, and a campus visit with her mom. (23:26) — The financial reality for Canadian students at Caribbean schools: Private loans, OSAP, and a scholarship that changed the math. (28:21) — First days at SGU in Grenada: The pressure of IMG status, 12-to-15-hour study days, and staying focused on today. (32:13) — The "Caribbean med school is a vacation" myth: Why the stigma is wrong and what the attrition numbers actually show. (37:53) — Adjusting to island life: Grocery runs as the only break, finding a study rhythm, and getting comfortable in a new environment. (41:57) — Words for students considering the Caribbean path: Why a different road is still a real road.

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