
The fastest way to tank a strong medical school application is to mishandle DO vs. MD in your personal statement.
Most applicants do.
They think they are being thoughtful and nuanced. Instead, they wave a giant red flag that screams: “I do not understand this profession, and I might trash-talk your degree the second I hit Submit.”
You are not just applying to “medical school.” You are entering a culture that cares a lot about respect, nuance, and how you talk about colleagues’ training. The words you choose about DO vs. MD are not neutral. Commit one of the common mistakes and you will quietly slide into the “No” pile, often without ever knowing why.
Let me walk you through the landmines.
Red Flag #1: Treating DO as Your “Backup” in Writing
If you remember nothing else, remember this: never, ever write anything that suggests DO schools are your consolation prize.
I have seen versions of all of these in real personal statements:
- “Although I hope to ultimately attend an MD program, I am also considering DO schools.”
- “If I am not competitive for MD schools, I would be happy to attend a DO program.”
- “My primary goal is to become an allopathic physician, but I am open to osteopathic medicine as well.”
This is poison. For both sides.
Here is why this is such a massive red flag:
- It insults DO schools. They are not offering you charity. They are selecting future colleagues. If you tell them directly that they are your Plan B, they will happily help you become someone else’s Plan B.
- It annoys MD schools. You are telegraphing insecurity and status obsession. Not maturity, not clarity of purpose. Just ranking and anxiety.
- It exposes that you do not understand how holistic review works. Admissions committees know applicants apply to a mix of DO and MD; you do not need to explain or justify it in your personal statement. Doing so only invites trouble.
Your personal statement is not the place to disclose your internal ranking of pathways.
Correct move: Do not frame DO as your backup. Ever. On any page. For any school.
Red Flag #2: Explaining “Why MD” While Applying to DO Schools (or Vice Versa)
Another common disaster: using one generic personal statement that heavily favors one pathway, then sending it to both DO and MD schools.
Examples I have actually seen:
- “I am particularly drawn to the biomedical research opportunities unique to MD training…” sent to DO schools.
- “The DO philosophy aligns best with my career goals…” sent to MD schools with no mention of how.
- Long paragraphs about “allopathic medicine” while half the application list is DO.
You might think committees ignore this. They do not. They notice instantly.
The problem is not that you have preferences. The problem is that you appear careless and misaligned with the mission of the school reading your file. That is enough to sink you.
What you should avoid doing:
- Do not anchor your essay around “why MD” or “why DO” unless your school list is exclusively one type.
- Do not name the degree path (e.g., “allopathic medicine”) as the central theme unless it matches every school you are applying to.
- Do not copy-paste a DO-heavy philosophy section into an MD personal statement or vice versa.
Better approach:
- Make your core personal statement about why you want to be a physician. Full stop.
- If you have a meaningful, specific reason for DO vs. MD, save it for:
- Secondary essays (where prompts often ask directly), or
- A separate, tailored statement if the system requires it.
If you are using a common essay across both types, it must be neutral, accurate, and respectful of both routes. Anything else looks sloppy.
Red Flag #3: Misrepresenting What DO vs. MD Actually Means
Nothing exposes shaky understanding faster than incorrect or simplistic DO vs. MD explanations.
Common dangerous lines:
- “MDs focus only on the body, while DOs treat the whole person.”
- “Osteopathic physicians are more caring and patient-centered.”
- “Unlike MDs, DOs consider lifestyle and social determinants of health.”
- “DOs perform the same duties as MDs but also use chiropractic-like adjustments.”
These are not just clumsy. They are insulting to both pathways and factually wrong or oversimplified.
Here are the traps:
Overshadowing MDs as cold technicians
When you say DOs “treat the whole person,” you implicitly suggest MDs do not. That is a quick way to alienate MD reviewers who spend every day practicing holistic, patient-centered medicine.Reducing DO to “they crack backs”
If your entire explanation of osteopathic medicine is OMM/OMT, you are telling DO committees you learned your information from a YouTube comment section, not from real-world exposure.Treating DO vs. MD as personality types
“I am more hands-on, so I prefer DO.” “I want to be more scientific, so I prefer MD.” Oversimplified nonsense. Both degrees produce physicians across every specialty, personality type, and practice style.
You must avoid:
- Phrases that begin with “Unlike MDs…” unless you are very precise and accurate.
- Sweeping generalizations about philosophy, empathy, or patient care style.
- Any comparison that makes one pathway morally or intellectually superior.
If you talk about DO at all, it needs to be:
- Specific
- Grounded in real exposure
- Respectful to both DO and MD colleagues
If you cannot do that confidently, you are safer barely mentioning the distinction in the main statement.
Red Flag #4: Turning Your Essay into a DO vs. MD Debate
A personal statement is not an opinion piece. You are not on Reddit arguing about which degree is “better.” You are trying to prove you belong in this profession.
Big mistake: spending half the essay “analyzing” or “contrasting” DO and MD training. I have seen essays like:
- Paragraph 1: Childhood story
- Paragraphs 2–4: History of osteopathy, AOA vs. AMA, philosophy of care
- Paragraph 5: A brief anecdote
- Conclusion: “Thus, I believe both degrees are valid and I would be honored to pursue either.”
On the surface, it seems thoughtful. In practice, it does three bad things:
- It wastes space. You have very limited characters. Using them to restate Wikipedia-level DO vs. MD history instead of showing how you connect with patients is a bad trade.
- It looks like avoidance. Instead of demonstrating maturity, resilience, and clinical insight, you hide behind a policy essay.
- It can sound like you are lecturing the very people who have been doing this for decades.
Do not turn your personal statement into:
- A timeline of DO vs. MD history
- A political essay about licensing, board exams, or post-merger politics
- A manifesto on how “society undervalues DOs” as your main theme
If you absolutely need to reference the distinction, do it briefly and only when it directly connects to your lived experience. Two or three precise sentences, not half the essay.
Red Flag #5: Name-Dropping OMM/OMT with No Real Understanding
A classic DO-aiming error: forced talk about osteopathic manipulative medicine (OMM/OMT) without demonstrating any meaningful exposure.
You see things like:
- “I am passionate about learning OMM to treat back pain.”
- “I want to be a DO so I can use manipulative techniques in my practice.”
- “I look forward to adjusting patients as part of a holistic plan.”
Here is the problem. When adcoms read that, they ask one question: “Where did this understanding come from?” If your entire OMM background is:
- One shadowing session where OMM was mentioned in passing, or
- Vague online research
then your essay will read as hollow branding, not genuine motivation.
Do not:
- Overemphasize OMM if you have barely seen it used clinically.
- Promise you will build an OMM-focused practice when you have no idea what specialty you want or how that realistically plays out.
- Use OMM as a buzzword to “sound DO.”
If you genuinely want DO because of OMM, you need:
- Concrete experiences: “During my 20 hours shadowing Dr. X, a DO family physician, I watched her use OMM to treat chronic neck pain in a patient who had failed multiple other interventions…”
- Reflection: what you saw, why it mattered, and how it changed your understanding of patient care.
Otherwise, you are better off framing your interest in broader terms of patient-centered, relationship-based care without pretending OMM is your primary driver.
Red Flag #6: Over-Explaining or Justifying Why You Are Applying to Both
You do not need to justify applying to both DO and MD. Admissions committees already know applicants use both routes.
Still, people write tortured paragraphs like:
- “Given the competitiveness of MD programs, I am also applying to DO schools to increase my chances of becoming a physician.”
- “While my ideal path is MD, I would consider DO if necessary in order to help patients.”
- “Because my GPA is not optimal, I feel DO is a better fit for me.”
This is self-sabotage. You are:
- Broadcasting your insecurities.
- Signaling that prestige and acceptance are more important than alignment.
- Telling DO schools explicitly that they are a step-down, and telling MD schools that you see them as a status badge.
You do not owe any explanation in the personal statement for why both degrees appear on your school list.
Stronger strategy:
- Aim your primary statement at the shared core: the practice of medicine, care of patients, your growth, your experiences.
- Let secondaries or school-specific prompts handle any degree-specific nuance.
- Keep your internal calculations about competitiveness and odds completely out of your writing.
If you feel compelled to write “because MD is more competitive…” anywhere in a primary essay, stop. That paragraph is a liability.
Red Flag #7: Using Prestige Language or Ranking Mentality
Nothing turns off an admissions committee faster than a prestige-obsessed applicant. This gets especially ugly around DO vs. MD.
Problem phrases include:
- “Although DO is perceived as less prestigious…”
- “While MD is traditionally seen as the gold standard…”
- “Despite the lower reputation of DO programs…”
You may think that by acknowledging stereotypes, you are cleverly “dispelling” them. You are not. You are repeating them and linking them to your own thinking. That matters.
Red flags for committees:
- You care more about status than service. Medicine does not need more of that.
- You have not spent enough time with real DO physicians to see how irrelevant your ranking system is in the actual hospital.
- You might carry this mentality into residency and beyond, disrespecting colleagues.
You must avoid:
- Any mention of “prestige,” “ranking,” “tier,” or “reputation” of the degrees.
- Comparing MCAT/GPA cutoffs of DO vs. MD in your narrative.
- Framing your journey as “overcoming the stigma” of DO—especially if you are not even in a DO program yet.
Your job is to show you respect the profession and the people who practice it. All of them. Not to weigh in on imaginary status differences.
Red Flag #8: Using DO vs. MD to Excuse Weaknesses
This one is acid for your application: tying your stats to your degree choices as an explicit justification.
Examples:
- “Due to my lower GPA, I recognize that osteopathic schools may be a better fit.”
- “Because my MCAT is not as strong, I have broadened my search to include DO programs.”
- “I know my academic record is not competitive for top MD schools, so I am open to DO.”
This is how an adcom reads that:
- You do not believe in your own growth.
- You see DO as the consolation pathway for “weaker applicants.”
- You have not taken responsibility for your academic performance beyond playing odds.
If you have weaknesses, address them directly and maturely:
- What happened.
- What you learned.
- How you improved.
Then stop. Do not drag DO vs. MD into your remediation story. That is your anxiety talking, not your professional judgment.
Red Flag #9: Overcomplicating the Degree Choice in Your Narrative
Many applicants are genuinely conflicted about DO vs. MD. That is normal. But you do not need to turn your entire essay into a tortured inner monologue about it.
I have seen statements that look like:
- 3 sentences about wanting to be a doctor
- 5 paragraphs of “I went back and forth between DO and MD for months…”
- 2 sentences at the end saying “whichever path I take, I will be a caring physician”
Adcoms do not need a blow-by-blow of your decision anxiety. They are not your therapist. They are asking one question: Do you seem ready to train as a physician?
If you obsess about:
- “Choosing the right letters after my name”
- “Balancing parental expectations for MD with my interest in DO”
- “Reconciling social perceptions with my personal values”
you are using your precious real estate to talk about brand labels, not patients, learning, or growth.
You can acknowledge the existence of multiple paths without centering your entire identity on that crossroads. A single, clear line is plenty:
- “Shadowing both DO and MD physicians showed me there are multiple routes to practicing patient-centered medicine; I am committed to that end goal.”
Then move on.
How To Mention DO vs. MD Without Raising Red Flags
So what does a responsible, non-destructive mention look like?
Guidelines:
Keep it anchored in experience, not theory.
“While shadowing Dr. R, a DO family physician…” is safer than “I have always believed osteopathic medicine…”Use neutral, respectful language.
Talk about “physicians” more than “DOs vs. MDs.” Emphasize shared goals.Do not compare.
If your sentence requires a “unlike MDs…” or “instead of DOs…”, you probably should not write it.Do not justify your school list.
Your applications themselves explain that you are open to both paths. Your essay does not need to defend it.If in doubt, aim for universals.
Motivation, service, resilience, growth, curiosity, compassion. Those matter more than your analysis of degree types.
| Step | Description |
|---|---|
| Step 1 | Want to mention DO vs MD? |
| Step 2 | Do NOT include it |
| Step 3 | Rewrite to remove comparison |
| Step 4 | Shorten or move to secondary |
| Step 5 | Safe to include |
| Step 6 | Is it based on real experience? |
| Step 7 | Does it compare DO and MD? |
| Step 8 | Is it brief and relevant? |
Quick Self-Check: DO vs. MD Red Flag Scan
Before you submit, search your personal statement for these words and patterns. If you find them, look carefully:
- “backup,” “plan B,” “if I am not accepted to MD…”
- “prestige,” “reputation,” “ranking,” “less competitive”
- “unlike MDs,” “unlike DOs”
- Long explanations of DO/MD history or philosophy
- Any sentence that tries to justify why you are applying to both
If a line makes you sound:
- Status-obsessed
- Misinformed
- Defensive
- Or like you are lecturing the committee
delete or rewrite it.

FAQ (Exactly 4 Questions)
1. Should I explicitly say I am open to both DO and MD programs in my personal statement?
No. Your school list already shows that. Writing “I am open to both DO and MD programs” adds nothing and often invites you to over-explain or justify the choice. That is where applicants fall into backup-language and prestige talk. Focus on why you want to be a physician; let your application distribution speak for itself.
2. If I am only applying DO, should I talk about DO philosophy a lot?
Careful. If you are DO-only, it is reasonable to mention osteopathic philosophy or OMM, but it must be grounded in real experiences and not copied from a brochure. Two or three specific, experience-based sentences are stronger than long, abstract paragraphs you clearly pulled from websites. Overdoing it can sound performative instead of genuine.
3. What if my parents want MD but I am genuinely drawn to DO? Can I mention that tension?
Usually no, not in a primary personal statement. It risks centering your essay on family drama and status anxiety. At best, you might briefly reference learning to choose based on your values rather than external expectations—but keep degree labels out of it. That kind of nuance is better suited to a secondary with a prompt about challenges, identity, or values.
4. My stats are borderline for MD. Can I say that is why I am considering DO?
Absolutely not in your personal statement. That framing insults DO schools and makes you sound resigned rather than driven. Address your academic record on its own merits if needed—what happened, what changed, how you improved—but do not link DO vs. MD to “my numbers are not good enough.”
Open your personal statement right now and search for “DO,” “MD,” “osteopathic,” “allopathic,” “prestige,” and “backup.” Any sentence that tries to rank, compare, justify, or explain your degree choice needs a hard look—and probably a red pen.