Many dental students considering a specialty program are concerned about accruing additional debt. The OMS residency is supported by federal funding for direct graduate medical education (DGME) and indirect medical education (IME). As a result, the OMS resident in a hospital-based residency program accrues limited or no additional education-related debt, as residents are paid a stipend for four years from Graduate Medical Education (GME) funds that enable them to support their living costs. This is not the case for all dental specialties. One exception is that in some MD integrated programs, tuition is required for the years in medical school.