Home / Compare / MD vs DO

MD vs DO

By Ander, medical studentChecked November 2026

M.D.s and D.O.s are both physicians. Both complete medical school and residency, and both are licensed to practice in every state. The main difference is the school they attended and its osteopathic training.

Side by side

M.D.D.O.
DegreeDoctor of MedicineDoctor of Osteopathic Medicine
School accreditorLCMECOCA
Medical schoolUsually 4 yearsUsually 4 years
Residency3 to 9 years, by specialty3 to 9 years, by specialty
Licensing examsUSMLECOMLEX-USA
Extra trainingNone specificOsteopathic manipulative medicine
Pay and projections: BLS OEWS, May 2025, and BLS Employment Projections, 2025–35. Other rows: sources listed at the end of this page.

What is the same

Both paths usually start with a bachelor's degree, and both schools use the MCAT in admissions. Students study similar sciences, rotate through hospitals and clinics, and then enter residency.

What is different

D.O. schools add training in osteopathic manipulative medicine. M.D. and D.O. students also typically take different licensing exam series.

Pay data

The BLS publishes physician wages by specialty, not by degree. So there are no official figures comparing M.D. and D.O. pay, and we do not estimate them.

Questions people ask

Is a D.O. a real doctor?

Yes. D.O.s are fully licensed physicians.

Do M.D.s make more than D.O.s?

There are no official figures that split physician pay by degree. Specialty and location are the factors the BLS data can show.

How long is the training?

Medical school takes 4 years after a bachelor's degree, followed by 3 to 9 years of internship and residency depending on the specialty.

Sources

  1. BLS OOH: Physicians and Surgeons
  2. LCME
  3. COCA (American Osteopathic Association)

General information, not career advice. Scope of practice and licensing differ by state: confirm them with your state board.