The Premed Years

625: BSDO Over MD: Why Riya Chose the Osteopathic Combined Program

The Premed Years

Show Notes

(00:00) — Pre-k graduation and "I want to be a baby doctor": Where the idea of medicine first appeared for Riya. (01:07) — Seventh-grade biology and Hashimoto's thyroiditis: The classroom moment that made medicine feel like a real possibility. (02:24) — Hospital volunteering in high school: First clinical exposure, patient interaction, and what sparked genuine interest. (04:57) — Discovering combined BSMD and BSDO programs: How Riya and her mom researched programs in eleventh grade and decided to pursue them. (06:45) — Reflecting on the accelerated path: Whether finishing undergrad in three years meant missing out. (07:15) — The MCAT decision: Why avoiding the MCAT was a meaningful factor in choosing a program. (09:12) — Applying to 23 schools: The breakdown of combined versus traditional applications and getting into four programs. (10:05) — Choosing between programs: Family proximity, location, and the DO philosophy as deciding factors. (10:54) — Why DO over MD: What the osteopathic mind-body-spirit philosophy and hands-on technique meant to her personally. (12:22) — Conditional acceptance pressure in undergrad: Carrying valedictorian stress into a three-year sprint. (13:42) — The hardest semester: o-chem, biochem, and anatomy simultaneously with three concurrent labs. (14:45) — Physical planners and time management: How Riya stayed on top of classes, tutoring, and two research projects. (15:33) — Finding The Premed Years on a two-hour drive: How the podcast became part of her routine. (17:10) — Medical school versus premed undergrad: Why the schedule now feels more manageable. (19:14) — Finding your own study method: Why copying what works for others often backfires. (24:19) — Menstrual health app, a thousand-dollar prize, and a TikTok research project: How curiosity led to unexpected opportunities. (26:54) — Words for the stressed premed: Gratitude journals, getting back up, and holding on to small happy moments.

Riya knew she wanted to be a doctor before she could fully explain what that meant. By eleventh grade she was researching combined BSDO and BSMD programs with her mom, and she eventually applied to around fifteen of them alongside traditional schools. She got into four combined programs and chose a three-plus-four DO pathway that let her stay near family during undergrad before moving states for medical school. The cost was real: she finished prerequisites in three years, took organic chemistry, biochemistry, and anatomy in the same semester with three concurrent labs, tutored classmates, and ran two research projects simultaneously. She also drove two hours home most weekends and, on those drives, found this podcast. Now in medical school and studying for Step, Riya reflects on choosing DO over MD, what the osteopathic philosophy genuinely gave her, and why she has no regrets about any of it. She talks honestly about the stress of a conditional acceptance, the trial and error of finding a study method that actually works, and how keeping a gratitude journal got her through a brutal first semester away from family.

What You'll Learn: - How combined BSMD and BSDO programs work and what it actually takes to stay in one through undergrad. - Why one student chose a DO program over MD programs she was also accepted to, and what that decision has meant in practice. - How to manage an overwhelming premed course load using intentional time planning rather than sheer willpower. - Why finding your own study method matters more than copying the approaches that work for classmates. - How following genuine curiosity across research, hackathons, and extracurriculars can open doors that a straight-line approach would miss.

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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