MCAT for DO Schools vs MD Schools

The United States has two types of medical degrees: Doctor of Medicine (MD) and Doctor of Osteopathic Medicine (DO). Both confer the title of physician and allow graduates to practice in all specialties, but there are differences in philosophy, training and admissions profiles. Understanding these distinctions helps you set realistic MCAT goals.

Philosophical and training differences

• MD programs follow an allopathic tradition focused on diagnosing and treating disease, typically using medications or surgical interventions. DO programs adopt a holistic, whole‑person approach that emphasises the interconnectedness of mind, body and spirit. DO students receive approximately 200 additional hours of training in osteopathic manipulative medicine (OMM)—hands‑on techniques used to diagnose, treat and prevent illness.

• Curriculum length: Both MD and DO programs generally consist of two years of classroom and laboratory instruction followed by two years of clinical rotations.

MCAT and GPA expectations

The core sciences tested on the MCAT are identical for MD and DO programs. What differs slightly are average score thresholds:

• MD programs often require higher averages. MD programs typically expect slightly higher GPAs and MCAT scores than DO programs. Competitive MD schools might look for scores above 510 with strong GPAs; DO programs may accept applicants with scores in the lower 500s if other aspects of the application are strong.
• DO programs take a holistic view. Many DO schools value non‑academic attributes—service, leadership and a commitment to holistic care—and may be more forgiving of a lower MCAT if the applicant demonstrates fit. However, a solid MCAT is still important; scoring above a program’s median strengthens your application and increases scholarship opportunities.

Additional considerations

• Letters and experiences: Both MD and DO schools require letters of recommendation, clinical exposure and extracurricular involvement. For DO programs, a letter from an osteopathic physician (DO) is often strongly recommended or required to show your understanding of the osteopathic philosophy.
• Licensing and residency: DO and MD graduates take different licensing exams (COMLEX for DOs, USMLE for MDs), but graduates of both pathways increasingly cross‑take exams to compete for the same residencies. Both degrees are fully recognised for residency placement.

MCAT preparation tips for both pathways

• Focus on fundamentals: Because the MCAT tests the same scientific knowledge for MD and DO applicants, build a strong foundation in biology, chemistry, physics, psychology and sociology.
• Set a score goal: Research the median MCAT scores for your target MD and DO programs. Aim for or above those medians to remain competitive—remember that MD programs generally expect higher numbers【514068873994066†L97-L105】.
• Embrace holistic experiences: Even if you lean toward MD programs, engage in activities that align with the DO philosophy, such as community service or integrative health experiences. These experiences enrich your application and help you decide which path best fits your values.

Whether you pursue an MD or DO degree, the MCAT remains a critical factor in admissions. Understanding the nuances between the two pathways will help you craft a strategy that aligns with your goals and strengths.