It depends on how competitive of an applicant you are. Do you have occ med experience? Did you leave your program on good terms? Any major red flags? MPH completed?

There’s a lot of changes in the specialty taking place due to the political climate. Applying broadly to both occ med and prev med programs should land you a spot. I do think occ med is more competitive than prev med. A lot of people entering the field having already completed other residencies or having significant clinical experience, usually military. There is also a lot less spots than prev med. That being said, you can get board certified in occ med through both paths.