I know this topic has been posted a bunch of times but I'm just wondering why the hostility or the exclusivity of ACGME programs to DO students. What exactly does it take for a DO student to match into an ACGME program? I feel like if I went to any allopathic school I would be pretty competitive, so my question is, what do I need to do? My USMLE Step 1 score is a 255, I've done a year of research in orthopedics and will be second author on a publication by the time I apply to programs (I'm a third year), I have great grades, honored 2/3 rotations so far (high passed the other), have done a bunch of volunteering and even spent my first summer of med school doing an international research exchange program. I plan on doing a couple of audition rotations with ACGME programs next year but with only 3 DO students matching into 698 Ortho spots, is it even worth it? Any advice would help. Oh and the reason why I want to even do an ACGME program is location and research