The curricula of both schools are nearly identical. State licensing agencies and most hospitals and residency programs recognize the degrees as equivalent. In other words, osteopathic doctors are legally and professionally equivalent to medical doctors.
In order to become a physician, each student must complete four years of undergraduate training, four years of medical school, and additional years of internship and residency. During the period of internship, they work with patients under the supervision of physicians in many areas including internal medicine, psychiatry, gynecology, and surgery. Many MDs receive graduate medical education in a particular specialty through a paid residency that they complete in a hospital. Many DOs participate in a 12-month internship and a residency that may extend into six years.
To be licensed in the United States, physicians must graduate from an accredited medical school, pass a rigorous examination, and receive one to seven years of graduate education, depending upon their specialty. In order to receive board certification by the American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA), the physician must pass another examination within two years of practice. Some doctors become Fellows of the American College of Surgeons (FACS), meaning that the doctor's education, training, competence, and ethical conduct has passed an intensive assessment consistent with the standards of the College of Surgeons. The doctor may also complete more training in a subspecialty.



