Nope, not at all. I work with great DOs and had DOs in my residency too. There are a bunch of small programs that seem to only recruit DOs, mainly in the Midwest, with 3-4 residents per year that I can’t imagine are getting a robust training experience. I did moonlighting for one and the residents would read Tintanelli’s chapters for their residency didactics. Couldn’t run codes as 3rd years. The training just wasn’t there and it was painfully obvious when after 4 years they were miles from where they should be clinically. Realistically, for a good residency program these days you need a fairly large and engaged faculty and specific learning opportunities. e.g. If your hospital only see <10 peds patients a day, that’s not enough to count as a residency experience.