Introduction
Understanding the satisfaction of medical students with their education and career choices is essential for improving medical training programs and graduates' capability to meet the demands of the medical field. However, the perceptions of graduating students in the Doctor of Osteopathic Medicine (DO) programs regarding these factors have not been examined.

Methods
This study reviewed the self-reported satisfaction of DO graduating seniors with their medical training and career choices. It used secondary data from surveys published by the American Association of Colleges of Osteopathic Medicine for academic years 2012-2013 to 2022-2023. Participants rated their satisfaction on a scale of 1 (very dissatisfied) to 5 (very satisfied).

Results
A total of 48386 DO expected graduates responded to these surveys, with a response rate of 70%. The percentage of those who reported being satisfied (ratings of 5 and 4) with their osteopathic medical training has declined, from 82% in 2012-2013 to 66% in 2022-2023, resulting in an average satisfaction rate of 76.2%. Similarly, satisfaction with their career choice in osteopathic medicine fell from 80% to 71%, with an average of 77%. The percentage of students who would choose the same osteopathic school if starting over decreased from 56% to 43%, averaging 47.5%. While 10.5% desired to enroll in a different osteopathic school, those preferring allopathic schools rose from 30% to 40%, averaging 37.4%. Lastly, on average, 4.9% of DO graduating seniors stated they would not pursue a medical degree if starting over.

Conclusion
Most DO graduating seniors are satisfied with their medical training and career choices. However, declining trends over the past decade indicate a need for in-depth studies to better understand these shifts. This data highlights the importance of continually improving DO programs to enhance the overall student experience and provide better support for future DO physicians.