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DO School Interview Questions: How Osteopathic Medical School Interviews Work
What DO school interviews look like, how they differ from MD interviews, the four tenets of osteopathic medicine, OMM and "why DO" questions with how to answer, and every DO school guide by state.
DO school interviews ask what MD interviews ask (why medicine, your experiences, ethics, teamwork) plus why osteopathic medicine, what you know about the four tenets and OMM, and what you saw while shadowing a DO. Most are traditional: 41 of the 51 DO schools we have guides for hold a one-on-one or panel interview, 8 use MMI stations, 11 add a group part and 3 a recorded video. Find your school's guide at the end of this page.
How DO interviews work
We read the format section of each of our 51 DO school guides, in 33 states. 31 schools use only a traditional interview, and 4 use only MMI stations. MD schools lean more on the MMI: 45 of our 162 US MD guides name it as the format. Tap a row to see the schools.
Traditional interview: 41 schools
A conversation with one interviewer, two, or a small panel. Often open file, so expect questions about your application.
ACOM, ATSU-SOMA (faculty and staff interviews plus small-group activities), AZCOM, ARCOM, CHSU-COM, Western University COMP (two short standardized patient stations and a 30-minute interview), Rocky Vista, UNC COM (a recorded MMI first, then a live one-on-one for some applicants), NSU KPCOM, Orlando College of Osteopathic Medicine (individual and group interviews), ICOM, IllinoisCOM, DMU-COM, KansasCOM (two one-on-one interviews and a faculty panel), KYCOM, UNECOM, MSOM, MSUCOM, WCUCOM, ATSU-KCOM, KCU-COM (one interview with two faculty or staff, then a group discussion), RVU-MCOM, Touro Nevada (AACOM lists MMI, traditional and group interviews), Rowan-Virtua, Burrell, DYU-COM (AACOM lists traditional and group interviews), NYITCOM, TouroCOM, Ohio University Heritage, OSU-COM (a two-on-one faculty interview, a one-on-one and a group interview), WesternU HCOM (a 30-minute panel interview and two MMI stations), Duquesne, IUPCOM, PCOM, LMU-DCOM, SHSU-COM (two one-on-one interviews, a written essay, a group interview and a group activity), UIWSOM, Noorda, LUCOM, VCOM Virginia, WVSOM.
MMI stations: 8 schools
Short timed stations, each with its own scenario and rater. Practice ethics and teamwork prompts.
The Valley COM, Western University COMP (two short standardized patient stations and a 30-minute interview), Touro Nevada (AACOM lists MMI, traditional and group interviews), XUCOM, WesternU HCOM (a 30-minute panel interview and two MMI stations), BUCOM, TCOM, PNWU-COM (may include MMI stations and a group activity (day still being planned)).
Group interview or activity: 11 schools
You answer or solve a task with other applicants. Listen, build on what others say, keep it short.
ATSU-SOMA (faculty and staff interviews plus small-group activities), TUCOM (up to five applicants interviewed together by three interviewers), Orlando College of Osteopathic Medicine (individual and group interviews), Midwestern CCOM (a group panel: several applicants meet the interview panel together), Marian University (a live group session (the COMversation) and a recorded video assessment), KCU-COM (one interview with two faculty or staff, then a group discussion), Touro Nevada (AACOM lists MMI, traditional and group interviews), DYU-COM (AACOM lists traditional and group interviews), OSU-COM (a two-on-one faculty interview, a one-on-one and a group interview), SHSU-COM (two one-on-one interviews, a written essay, a group interview and a group activity), PNWU-COM (may include MMI stations and a group activity (day still being planned)).
Recorded video: 3 schools
You record answers to on-screen questions with a set time to think and speak, with no live interviewer.
UNC COM (a recorded MMI first, then a live one-on-one for some applicants), Marian University (a live group session (the COMversation) and a recorded video assessment), LECOM (a recorded video interview with randomized questions).
Something else: 1 school
A format that fits none of the above.
Campbell (a virtual Applicant Day with interactive dialogue sessions in place of a one-on-one interview).
Whatever the format, AACOM says DO schools look for applicants who are motivated to pursue osteopathic medicine, know what it is and have shadowed an osteopathic physician. Expect at least one question on each.
The four tenets of osteopathic medicine
The tenets are the philosophy behind osteopathic medicine, approved by the American Osteopathic Association's House of Delegates and repeated by AACOM. Know what each means and have one example. Tap a tenet for what it can look like in an answer.
1. The body is a unit. The person is a unit of body, mind and spirit.
In an answer: A patient whose pain, sleep, job and mood were one problem, not four.
2. The body is capable of self-regulation, self-healing and health maintenance.
In an answer: Prevention and lifestyle: a time you saw a doctor help a patient change a habit rather than add a pill.
3. Structure and function are reciprocally interrelated.
In an answer: OMT for back or neck pain, or an injury in one place causing a problem somewhere else.
4. Rational treatment is based upon an understanding of the basic principles of body unity, self-regulation and the interrelationship of structure and function.
In an answer: How the first three shape a real plan of care, not a slogan you recite.
OMM and philosophy questions
OMM (osteopathic manipulative medicine, also called OMT) is the hands-on treatment only DOs are trained and licensed to give, according to AACOM. You aren't expected to know techniques, only what it is and why it fits the philosophy.
What do you know about osteopathic medicine? Full physician training plus a whole-person approach and OMM
Say it in your own words in three parts: DOs are fully licensed physicians who train and practice in every specialty, the approach treats the whole person and stresses prevention, and DOs learn osteopathic manipulative treatment (OMT) as an added tool. Then give one thing you saw that made it real. AACOM lists knowledge of osteopathic medicine among what DO schools look for.
Can you name the four tenets of osteopathic medicine? Name them briefly, then show one in a patient
Name them in plain words (body, mind and spirit as one unit, self-healing, structure and function, treatment built on those three), then spend most of your answer on one tenet you have seen in practice. Interviewers care far more about the example than about exact wording.
What is OMM, and have you seen it used? Hands-on diagnosis and treatment, as one tool among many
AACOM describes OMM (also called OMT) as the therapeutic use of manual pressure or force to restore function and remove barriers to motion, used for problems like back and neck pain, headaches and sports injuries. Describe a session you watched while shadowing, what the DO checked and what changed for the patient. If you haven't seen it, say so and say what you would want to learn.
How would the osteopathic approach change how you treat a patient? Walk through one patient, from history to plan
Take a common case, such as low back pain in a warehouse worker. Ask about work, sleep, stress and activity, examine the musculoskeletal system, consider OMT alongside the usual treatment, and plan prevention so it doesn't come back. This shows you understand the philosophy as a way of working, not a label.
Are you comfortable with hands-on OMM labs? Yes, and say why touch matters in care
AACOM says OMM is a required part of every DO curriculum, taught from the first year through clinical rotations, and the training is hands-on. Say plainly that you are ready for it, and connect it to why hands-on care matters to patients. If you have a real concern, raise it honestly, but don't sound surprised that the training is hands-on.
Why osteopathic medicine, in brief
Interviewers want a reason that only osteopathic medicine answers, shown through something you did. Give one line on the approach, one real moment (a DO you shadowed, OMT you saw help a patient) and how you will use the training. DOs are more than 11% of US physicians and more than 25% of US medical students, per AACOM, so you don't need to defend the degree, only show why it fits you. Our "Why osteopathic medicine?" answer guide has the structure, an example and what interviewers score.
Other DO-specific questions
Tell me about a DO you shadowed. One patient moment and what you learned from it
AACOM encourages applicants to shadow a DO, and many DO schools want a letter from one. Pick one patient encounter, say what the DO did differently (asked about the patient's life, used OMT, explained the plan), and what you took from it. Never make it a list of hours.
Are you interested in primary care, or in a rural or underserved area? Answer honestly and tie it to the school's mission
AACOM says the osteopathic whole-person approach has guided many DOs into primary care roles, in rural and underserved areas. If that is your plan, back it with an experience. If you aren't sure, say what draws you to it and that DOs practice in every specialty. Read the school's mission first, since many DO schools name the region they serve.
Did you apply to MD schools too? Is DO your backup? Be honest and positive about both
Applying to both is common and saying so is fine. Explain what draws you to the osteopathic approach in particular, and never criticize MD training. An answer that sounds like DO is a fallback is the one that hurts you.
Will you take COMLEX, USMLE or both? COMLEX is required at DO schools, USMLE is optional
Show that you know the path. AACOM says DO students must pass COMLEX-USA Level 1 and Level 2-CE to graduate, every state accepts COMLEX for licensure, and DO students may also take the USMLE. Say what you would base the choice on, such as the specialties you are considering, and ask how the school's students decide.
Why our school? Its mission, its region and one program you would use
Name what is specific to the school: its mission and the region it serves, a rural or primary care track, its clinical sites, a student group you would join. Link each one to something you have already done. Your school's guide below lists what each school says it looks for.
DO school interview guides by state
All 51 of our DO school guides, by region and state. Each one has the school's format, dates and practice questions.
Northeast (9)Maine, New Jersey, New York, Pennsylvania
Maine
New Jersey
- Rowan-Virtua School of Osteopathic Medicine · Traditional
New York
- D'Youville University College of Osteopathic Medicine · Traditional and group
- New York Institute of Technology College of Osteopathic Medicine · Traditional
- Touro College of Osteopathic Medicine (TouroCOM) · Traditional
Pennsylvania
- Duquesne University Nasuti College of Osteopathic Medicine · Traditional
- Indiana University of Pennsylvania College of Osteopathic Medicine · Traditional
- Lake Erie College of Osteopathic Medicine (LECOM) · Recorded video
- Philadelphia College of Osteopathic Medicine (PCOM) · Traditional
Midwest (10)Illinois, Indiana, Iowa, Kansas, Michigan, Missouri, Ohio
Illinois
Indiana
- Marian University College of Osteopathic Medicine · Group and recorded video
Iowa
- Des Moines University College of Osteopathic Medicine · Traditional
Kansas
- Kansas College of Osteopathic Medicine · Traditional
Michigan
Missouri
- A.T. Still University Kirksville College of Osteopathic Medicine · Traditional
- Kansas City University College of Osteopathic Medicine · Traditional and group
South (17)Alabama, Arkansas, Florida, Kentucky, Maryland, Mississippi, North Carolina, Oklahoma, Tennessee, Texas, Virginia, West Virginia
Alabama
- Alabama College of Osteopathic Medicine · Traditional
Arkansas
- Arkansas College of Osteopathic Medicine · Traditional
Florida
- Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine · Traditional
- Orlando College of Osteopathic Medicine · Traditional and group
Kentucky
Maryland
- Meritus School of Osteopathic Medicine · Traditional
Mississippi
- William Carey University College of Osteopathic Medicine · Traditional
North Carolina
- Campbell University Jerry M. Wallace School of Osteopathic Medicine · Applicant day sessions
Oklahoma
- Oklahoma State University College of Osteopathic Medicine · Traditional and group
Tennessee
Texas
- Sam Houston State University College of Osteopathic Medicine · Traditional and group
- University of the Incarnate Word School of Osteopathic Medicine · Traditional
- UNT Health Texas College of Osteopathic Medicine · MMI
Virginia
- Liberty University College of Osteopathic Medicine · Traditional
- VCOM Edward Via College of Osteopathic Medicine, Virginia · Traditional
West Virginia
- West Virginia School of Osteopathic Medicine (WVSOM) · Traditional
West (15)Arizona, California, Colorado, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington
Arizona
- A.T. Still University School of Osteopathic Medicine in Arizona · Traditional and group
- Midwestern University Arizona College of Osteopathic Medicine · Traditional
- The Valley College of Osteopathic Medicine · MMI
California
Colorado
- Rocky Vista University College of Osteopathic Medicine · Traditional
- University of Northern Colorado College of Osteopathic Medicine · Traditional and recorded video
Idaho
- Idaho College of Osteopathic Medicine · Traditional
Montana
Nevada
- Touro University Nevada College of Osteopathic Medicine · Traditional, MMI and group
New Mexico
Oregon
- Western University Heatherington College of Osteopathic Medicine · Traditional and MMI
Utah
- Noorda College of Osteopathic Medicine · Traditional
Washington
Sources: AOA, Tenets of Osteopathic Medicine. AACOM, About Osteopathic Medicine, OMM Explained, admissions requirements, shadowing a DO, the admissions interview and board exams and licensure. Formats come from each school's own pages and AACOM's Choose DO Explorer, cited in each guide. All checked October 2026.
Frequently asked questions
Are DO school interviews different from MD interviews?
The core is the same: why medicine, your experiences, ethics and teamwork. DO interviews add why osteopathic medicine, what you know about its philosophy and OMM, and what you saw while shadowing a DO. They also lean more on traditional one-on-one or panel conversations and less on MMIs.
Do DO schools use the MMI?
A few do. In our 51 DO school guides, 8 use MMI stations, 4 of them with no other interview. 41 hold a traditional one-on-one or panel interview. Check your school's guide and your invitation.
Do I need to know the four tenets word for word?
No. Know what each one means and have one real example, ideally from shadowing a DO. Reciting the tenets without an example sounds memorized, and interviewers follow up on the example, not the wording.
Do I need to have shadowed a DO?
AACOM lists shadowing an osteopathic physician among the things DO schools look for, and many schools require or prefer a letter from a DO. Even where it is optional, an interviewer will ask what you know about osteopathic medicine, and shadowing gives you the best answer.
How long is a DO school interview?
Most traditional DO interviews in our guides run about 20 to 45 minutes per conversation, often inside a longer day with a school overview and time with current students. Group sessions and recorded videos have their own timing, set out in your invitation.