md and phd reddit

An official website of the United States government

The .gov means it’s official. Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

The site is secure. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

• Publications
• Account settings

Preview improvements coming to the PMC website in October 2024. Learn More or Try it out now .

• Advanced Search
• Journal List
• Mol Biol Cell
• v.29(8); 2018 Apr 15

Is an MD/PhD program right for me? Advice on becoming a physician–scientist

We are living in a golden age of biomedical research in which it is increasingly feasible to translate fundamental discoveries into new diagnostic and therapeutic approaches to human illnesses. Inherited diseases are being cured with gene therapy. Cancer cells are being eliminated with less toxic small molecule inhibitors and reengineered T-cells. Direct connections are being made between the central nervous system and prosthetic devices. These efforts are being led by scientists and engineers, some of whom are also physicians. This article is intended to help anyone considering a career as a physician–scientist, but unsure about how best to begin. It is also intended for faculty, staff, and parents who are on the front lines of advising talented students about the options that they have for their future. With this in mind, I have tried to answer common questions about MD/PhD programs, but I have also included information about other paths to becoming a physician who does research.

INTRODUCTION

Because this is a perspectives piece, I will begin it with a confession: I have been a physician–scientist for more than 30 years and I like what I do. I am also a graduate of one of the earliest MD/PhD programs and have been director of the University of Pennsylvania’s MD/PhD program for 20 years. Being a physician who is also a scientist already makes me atypical. According to the American Medical Association, only 14,000 U.S. physicians (out of nearly 1 million) consider research to be their major job, and a search of National Institutes of Health (NIH) databases in 2012 turned up only 8200 physicians who were principal investigators on NIH research grants ( Ginsburg et al. , 2014 ). To put that number in context, there were 28,000 total investigators with NIH grants in 2012. In other words, most NIH principal investigators are PhD scientists, not physician–scientists (MD or MD/PhD).

My primary day (and sometimes night and weekend) job as a card-carrying physician–scientist is overseeing an NIH-funded research team. My clinical responsibilities include taking care of patients with the kinds of bleeding and blood clotting disorders that we study in the lab. Some of these patients have medical problems that are common in the United States. Some of them are true “zebras,” the kinds of patients who get referred to a well-respected academic medical center because physicians are unsure how best to proceed or lack the resources to manage the patient’s problem. I also teach medical students and graduate students, and I direct a very large MD/PhD program. In my spare time, I talk to lots of undergraduates and recent college graduates who are thinking about becoming physician–scientists and wondering whether they should be applying to MD/PhD programs. I meet them at Penn, but also on visits to other colleges and universities. This article is a distillation of some answers to questions that I am commonly asked. If you are an undergraduate trying to decide whether to go to medical school, graduate school, or both, this article may help you. Whatever you decide, I wish you success.

WHAT IS THE PURPOSE OF MD/PhD TRAINING?

MD/PhD programs were established in the 1950s to combine training in medicine and research. They were specifically designed for men and women who wanted to become research physicians, also known as physician–investigators or physician–scientists. Most of the graduates of MD/PhD programs in the 60-plus years since then have become faculty members at medical schools and universities, investigators at research institutes such as the NIH, or leaders in in the pharmaceutical and biotech industries ( Brass et al. , 2010 ). Regardless of where they eventually end up, MD/PhD trainees are being prepared for careers in which they will spend most of their time doing research or translating that research into new therapeutic and diagnostic approaches. It is a busy, challenging, and hugely rewarding career. A study of what has happened to MD/PhD program graduates from 24 schools appeared in Academic Medicine in 2010 and is worth reading not only for the data set, but also for the discussion of what the data mean ( Brass et al. , 2010 ). An even larger outcomes study that includes data on over 10,000 MD/PhD program graduates is scheduled for publication as a AAMC report in April 2018 ( Akabas et al. , 2018 ).

HOW CAN ONE PERSON DO TWO JOBS?

When I was an undergraduate and trying to decide what to do with my life, my mentors told me that I could become a doctor or a scientist, but that trying to combine two busy professions was futile. Many years later, I know that many current undergraduates are being told the same thing. However well-meant, that advice misses the point. The goal of MD/PhD program training is not to prepare you for two unrelated full time jobs. Instead, you should think of physician–scientists as chimeras—blends of a physician and a scientist with the two parts fitting closely together. A more relevant question is: if you are going to become a physician–scientist, do you have to go through an MD/PhD program? I will try to answer that one a bit later in this article. First, I’ll provide some definitions.

WHAT IS THE DIFFERENCE BETWEEN AN MD/PhD PROGRAM, A COMBINED DEGREE PROGRAM, AND AN MSTP PROGRAM? A BIT OF HISTORY AND A WORD ABOUT FUNDING

None. Programs designed to train physician–scientists go by all of these names. For the most part, the terms are interchangeable, although at some schools “combined degree” programs can include MD/JD and MD/masters programs as well—also VMD/PhD programs, which train veterinary physician–scientists. A list of MD/PhD programs can be found at http://www.aamc.org/students/research/mdphd/applying_MD/PhD/61570/mdphd_programs.html . The NIH uses the term MSTP (short for “medical scientist training program”) to refer to programs at schools that have been competitively awarded special training funds to help support MD/PhD candidates. There are currently 46 MD/PhD programs that receive support from the National Institute of General Medical Studies. A list can be found at http://www.nigms.nih.gov/Training/InstPredoc/PredocOverview-MSTP.htm .

When they first started, there were only a handful of MD/PhD programs. I can clearly remember reading a small booklet about applying to medical school that had a single page at the back about MD/PhD programs. Over time, the number of programs has grown. Now there are ∼90 active MD/PhD programs that admit anywhere from a few students per year to 25 or more. The average size of an MD/PhD program in 2017 was ∼90 students in all stages of training. Compared with the many thousands who apply to medical school in each year, only 1900 (∼3%) apply to MD/PhD programs. About one-third of the applicants are accepted, which is similar to the acceptance rate for medical school. 1 When I began medical school, there were very few MD/PhD trainees—I was one of two in my entering class. That has changed considerably. There are currently ∼5500 men and women in training in MD/PhD programs.

Most MD/PhD programs provide tuition waivers for both medical school and graduate school plus a stipend to help cover living expenses. Such fellowships are exceedingly valuable for trainees and very expensive for medical schools and the NIH, so admissions committees work hard to pick the right students for their programs. Despite the high training costs, when I visit other MD/PhD programs to conduct reviews, it is not uncommon to hear deans refer to their MD/PhD program as “the jewel in the crown.” One can easily argue that the existence of MD/PhD programs is evidence of the high value that our society places on physician–scientists.

ARE MD/PhD PROGRAMS LIMITED TO THOSE INTERESTED IN LABORATORY RESEARCH?

The answer varies from school to school. Not all schools offer PhD programs in all disciplines. The majority of MD/PhD students receive their PhD in biomedical laboratory disciplines such as cell biology, biochemistry, genetics, immunology, pharmacology, neuroscience, and biomedical engineering. The names of departments and graduate programs vary from school to school. At some schools, MD/PhD trainees do their graduate work outside of the laboratory disciplines, in fields such as economics, epidemiology, health care economics, sociology, medical anthropology, or the history of science. This is not an exhaustive list, and you should check before you apply to see what is actually offered at any particular school.

Although there is no fully up-to-date and reliable list of which MD/PhD programs offer training in which graduate disciplines, a place to start is at the Website of the AAMC MD/PhD section (which is a good source for other types of information as well). 2

ARE THERE OTHER WAYS TO BECOME A PHYSICIAN–SCIENTIST?

Yes. Definitely. MD/PhD programs are a great choice for people who decide early that that they want to be physician–scientists and have built the necessary track record of academic success and research experience before they apply. Not everyone does this, however, either because he or she did not learn about the option early enough, he or she did not make a decision in time, or he or she does not have an academic and research experience record that supports an application. Not finding out early enough turns out to be a common problem. In my experience, college prehealth advisors know much less about MD/PhD training than MD training—not surprisingly, since only 3% of medical school applicants in the United States every year apply for MD/PhD training. As a result, some people choose (or are obliged) to do MD/PhD training in series, rather than parallel—finishing one degree and then starting the other. The disadvantages of this approach include taking longer to finish training and the likely need to cover the cost of medical school on your own.

I am frequently asked about the strategy of starting medical school and then applying to graduate school as a medical student. Some schools will consider you for transfer into their MD/PhD programs after you have completed a year or two of medical school or graduate school at the same university. Although it is very rare that an MD/PhD program will consider accepting a medical or graduate student from a different school, it does occasionally happen when faculty move from one institution to another and want to bring their students with them. The rules and requirements vary from school to school.

Other programs worth checking out include the NIH MD/PhD program that provides support for the PhD phase at the NIH campus or in Oxford/Cambridge, with the MD training taking place at one of the participating MSTP-designated programs. Note that not all of the MSTP programs have chosen to participate, so if you have your heart set on a specific medical school, you should be sure to ask. 3

Another option is to complete medical school and residency training before doing an extended period of supervised research. A number of Nobel Prize–winning physician–scientists did just that. However, with the increase in the number of MD/PhD training programs nationwide, most people who make the decision to become physician–­scientists while still in college should think hard about doing both degrees together in an integrated MD/PhD program that combines graduate school and medical school into a joint program that currently takes 8 years on average to complete ( Akabas et al. , 2018 ).

DO I REALLY NEED A PhD TO DO RESEARCH? CAN I SAVE TIME BY SKIPPING IT?

The answer to the first of these questions is “Clearly not.” However, while medical school will put you firmly on the path to becoming an accomplished clinician, it does not provide training in how to do research. At some point you will benefit from that additional piece of your education if you intend to become a physician–scientist.

As noted above, in years past it was not uncommon to learn how to do research by doing an extended postdoctoral fellowship after (or instead of) a clinical residency. I am often asked whether it is possible to save time on the path to becoming a physician–scientist by skipping graduate school and just going to medical school. The available data suggest that the answer to this one is “No.” Physician–scientists get their first jobs in academia and their first independent NIH grants at approximately the same age regardless of whether they completed an MD/PhD program or went solely to medical school and then did a more extended postdoc ( Ginsburg et al. , 2014 ). As a result, I normally tell undergraduates that if they are ready to make the commitment before starting medical school, MD/PhD programs offer many advantages, including integrated training, mentored research training, and medical school tuition waivers. On the other hand, if you are sure you want to be a doctor, but less sure about being a scientist, then my advice is to go to medical school and figure out the rest of what you need when you know more about the opportunities that being a physician provides.

HOW DOES MD/PhD TRAINING WORK AND HOW LONG DOES IT TAKE?

The answer varies from school to school, but historically students begin with 2 years of medical school, switch to graduate school in the third year of the program, and then return to finish medical school after completing (and defending) a thesis research project. When I was an MD/PhD student in the 1970s, there was little, if any, communication between the medical and graduate phases of the program. That has changed considerably. Now most programs emphasize integration of the MD and PhD parts of the training, with graduate school courses during years 1 and 2 and clinical experiences during graduate school. Some programs allow completion of 3–12 months of clinical training before the start of full-time graduate training. Be sure to ask how things are organized at schools that you are considering. In programs leading to a PhD in laboratory science, MD/PhD trainees usually spend the summer between the first and second years of medical school working in the laboratory of the faculty member they are considering as a potential thesis advisor. Some programs also ask students to do one of these “lab rotations” in the summer before starting medical school classes as well. Depending on the number of clinical months completed before starting the thesis research, students returning to medical school will need 1–2 years to finish their training and meet the requirements for medical licensure. The stated goal is to complete an MD/PhD program in 7 or 8 years. However, numbers from across the country show that some students finish in 6 years, while others take 10 years (or more). The average currently is 8 years ( Akabas et al. , 2018 ). Note that medical education in the United States continues to evolve. One trend is away from the classic two years of preclinical education followed by 2 years of clinical education. The earlier start in clinical training made possible by shortening preclinical time enables some MD/PhD programs to offer full-time clinical experiences before the start of graduate school. However, some schools are choosing not to do this. The only way to find out what is being done is to ask, if it is not evident from the program’s Website.

HOW LONG DOES IT TAKE TO COMPLETE TRAINING AFTER GRADUATING FROM AN MD/PhD PROGRAM?

Corny as this may sound, the process is never really finished. Your education will continue throughout your career. A more pragmatic answer is that training will extend beyond medical school and graduate school as you complete your post graduate education. Here are some typical numbers: MD/PhD program, 8 years. Residency, 3–6 years. Postdoctoral fellowship, 3–6 years. For most people the term “postdoctoral fellowship” includes another year or two of clinical training, followed by a return to research for 2 or more years ( Figure 1 ). For example, I completed an MD/PhD program in 6 years, followed by a residency in internal medicine (3 years) and a fellowship in clinical hemato­logy and oncology that was combined with postdoctoral training back in a lab (3 years). After that I became an assistant professor and started my own lab. That timing was fairly typical when I did it. Now it would be considered fast. On the other hand, my job description when I finished included running a research team, looking after postdocs and graduate students, and taking care of sick people with complicated medical problems, so maybe all of that training time was necessary.

Paths to becoming a physician who is also a scientist. Integrated MD/PhD training programs that combine research and medical training are not the only path to becoming a physician–scientist. Alternatives begin with doing a research year in medical school (MD+ in the figure) or just doing the standard four-year medical school education. These save time at the start, but usually require a longer period of postgraduate clinical and research training to reach the point where a job as a physician–scientist in academia becomes feasible. As a result, physician–scientists often arrive at the “get a job” point at about the same age whether they began as medical students, MD+ students, or MD/PhD students, although usually with greater student debt if they have not been in an MD/PhD program. See the text for details.

WHAT HAPPENS TO THE GRADUATES OF MD/PhD PROGRAMS?

Short-term, nearly all do additional clinical training. Those who do not are usually headed toward careers at research institutes or outside clinical medicine entirely. Those who do apply for residencies often find that their MD/PhD training makes them particularly appealing to residency programs at top institutions. Long-term, most program graduates end up with careers in which they combine patient care and research. The research may be lab-based, translational, or clinical. Most (75–80%) end up at academic medical centers, at research institutions such as the NIH, or in the pharmaceutical/biotech industry ( Figure 2 ; Brass et al. , 2010 ; Akabas et al. , 2018 ). A much higher percentage of MD/PhD program graduates have ended up in academia than of medical school graduates in general ( Brass et al. , 2010 ). Those who build research careers and apply for NIH research grants find that having the PhD in addition to the MD improves their chances of obtaining funding ( Ginsburg et al. , 2014 ).

Where are they working? Data from 2202 MD/PhD program alumni who have completed all phases of postgraduate clinical and research training. Adapted from Brass et al. (2010) . Industry includes the biotech and pharmaceutical industries. Pvt Practice refers to full-time clinical practice outside of an academic medical center.

HOW DO I APPLY?

The process of application varies from school to school. Some schools have an MD/PhD-focused committee that will screen your application and coordinate the interview and admission process. Other schools consider MD/PhD applicants only after a decision has been made about MD admissions. Finally, some schools consider students for the MD/PhD program only after they have completed a year or more of medical school. Schools that subscribe to AMCAS will ask you to indicate your interest in an MD/PhD program and then to provide additional information as part of a secondary application.

WHEN DO I APPLY?

Most people apply after finishing their junior year in college, but a growing number of applicants finish college and work for a year or more before applying. Some people use the time after college to take courses needed for medical school admission or to gain more full-time laboratory research experience. Some people simply were not ready to make decisions about their future careers and postponed choosing beyond the finish of college. It is a mistake to assume that MD/PhD programs are interested only in applicants who have worked in a lab for a year or more after college. That is clearly not the case, and some of us who direct MD/PhD programs are concerned about the growing percentage of applicants who have waited to apply after they graduate in the mistaken impression that it will improve their resumes. My advice is that for a training path that lasts as long as this one does, it is best to get started as soon as possible.

WHAT DO ADMISSIONS COMMITTEES LOOK FOR?

The answer clearly varies from school to school, but some basic principles apply. In general, admissions committees will look for evidence of academic success, extended research experience, letters of recommendation from people who know you well, and your plans for the future.

• Evidence of academic success. This includes your GPA and MCAT scores, but is not limited to them. Admission committees use a holistic approach and will undoubtedly consider where you went to college and what types of courses you took. They will not necessarily be dismayed if you got off to a slow start, as long as you did well later. They will place the greatest emphasis on courses that are relevant to your chosen area of graduate school training. I have not encountered a program director who seriously believed that the MCAT tests your ability to be a physician–scientist. Nonetheless programs use MCAT scores in a variety of ways, including seeing how you compare with the national pool of applicants and predicting how you will do on the numerous standardized tests that all of us have to take in medical school and beyond.
• Extensive research experience. If you plan to get a PhD in one of the laboratory sciences, then prior laboratory experience counts heavily, particularly if you spent a year or more in the same laboratory. Summer laboratory experience can be helpful because they are usually opportunities to do research full time, but summers are short. Whenever possible, you should try to do research during the academic year, or at least spend multiple summers in the same lab. If you are planning a PhD outside of the laboratory sciences, seek equivalent experiences. The idea is to be sure you like the experience and to create a track record upon which your past performance can be judged and your future success predicted.
• Letters of recommendation. The most important letter(s) are from the faculty members or other senior investigators with whom you worked. The letters should ideally comment on your talents, skills, and potential for success as an independent investigator. If you are working with a senior faculty member, it is very helpful if he or she can compare you with other students with whom he or she has worked. Note that such a letter is not necessarily the most appropriate for an MD-only application. MD/PhD program admissions committees are usually most interested in your talent and ability as a physician–scientist, although they will definitely also consider whether you are likely to become a successful and caring physician. Fortunately, medical schools allow you to submit more than one letter of recommendation.
• Your plans for the future. Because training to be a physician–­investigator is so costly in terms of your time and the school’s resources, your career goals should be compatible with MD/PhD training. Becoming a full-time practitioner is a laudable goal, but does not require a PhD in addition to an MD. Your goal as a trained physician–investigator should be to spend at least 75% of your time on research. You do not need to know the specific problem you want to work on at this point (many do not, and it is likely to change), or with whom you would like to train, but your commitment to becoming an investigator should be clearly communicated in your essays and interviews, and you should have given thought to what will be required.

HOW DO I DECIDE WHERE TO APPLY?

Some applicants have decided that they want to work in a particular field or with a particular faculty member. For them, choosing where to apply is defined by where that faculty member works or where the field is best represented. Most applicants have only a general idea of what they might want to work on in the future and know that their interests are likely to evolve as they are exposed to new things. For them, choice will be defined by issues such as the reputation of the school (hopefully not based solely on U.S. News and World Report rankings!), the success of the graduates of the program (be sure to ask!), and geography. Schools vary in the difficulty of gaining admission. The directors and nonfaculty administrators of MD/PhD programs nationwide are a large pool of resources that you can tap. Most of us get e-mail from future applicants all the time. Take advantage of our willingness to talk with you. Ask questions about the things that are important to you.

FINAL THOUGHTS

I began this perspective with the confession that I am a physician–scientist and I like what I do. It is not unusual these days to encounter articles and opinion pieces that lament the difficulty of becoming and remaining a physician–scientist. I will not cite them here—you can find them on your own. Fortunately, our society is still willing to make a large investment in biomedical research through the NIH and through numerous foundations. If you want to become a physician who discovers the new stuff, there are jobs waiting to be filled. However, you will need good training and great mentorship as you learn the skills needed to be a physician and a research team leader. Good luck with your decision.

Acknowledgments

My thanks to my colleagues who direct MD/PhD programs, the NIH for supporting physician–scientist training (including my own), and the hundreds of MD/PhD candidates and alumni who have taught me so much over the past 20 years.

Abbreviations used:

DOI: 10.1091/mbc.E17-12-0721

1 www.aamc.org/data/facts/enrollmentgraduate/ .

2 www.aamc.org/students/research/mdphd/ .

3 http://mdphd.gpp.nih.gov .

• Akabas MH, Tartakovsky I, Brass LF. (2018). The National MD–PhD Program Outcomes Study. American Association of Medical Colleges Reports.
• Brass LF, Akabas MH, Burnley LD, Engman DM, Wiley CA, Andersen OS. (2010). Are MD–PhD programs meeting their goals? An analysis of career choices made by graduates of 24 MD–PhD programs . Acad Med , 692–701. [ PMC free article ] [ PubMed ] [ Google Scholar ]
• Ginsburg D, Shurin SB, Mills S. (2014). NIH Physician–Scientist Workforce (PSW) Working Group Report. [ Google Scholar ]

What It's Like to Do an MD-PhD Program

New section.

Two medical students answer questions about what it's like to do an MD-PhD program.

Elias (Eli) Wisdom

Undergraduate:   Pacific University, Oregon Major:   BS, Biology Medical school:  Oregon Health & Science University (OHSU) Anticipated Graduation Year:  2028 Bio: Eli Wisdom is an MD-PhD student at Oregon Health & Science University (OHSU) studying the molecular mechanisms of Parkinson’s Disease. He grew up in the small rural town of La Grande, Oregon, where he gained a deep appreciation for community and service and a fascination with the natural world. At Pacific University, he completed his degree in Biology while also playing varsity baseball. After graduating, he was as an Associate in Neuroscience at Yale School of Medicine for two years before starting an MD-PhD program. Outside of school, he enjoys competing in triathlons, camping, and spending time with family.

Sreya Sanyal

Undergraduate:  New Jersey Institute of Technology        Major:  Biology & History Double Major Medical school:   Rutgers Robert Wood Johnson Medical School Anticipated Graduation Year:  2031 Bio: Sreya Sanyal is a MD-PhD student at Robert Wood Johnson Medical School and Princeton University. She is Bengali, and she aspires to become a laboratory principal investigator in the field of oncology. Outside of academia, she enjoys singing, cooking, going to museums, and lifting at the gym.  

Why did you decide to pursue an MD-PhD program?

Eli:  As an undergraduate student, I found my first biomedical research experience to be quite thrilling, and seriously considered pursuing a career in research. Medical school had surfaced as an opportunity, too, as I was deeply passionate about serving others and caring for the sick, but I felt that basic science research was the backbone of advancing clinical care. I first learned about combined MD-PhD programs during my senior year when I was taking part in a summer research program at another academic institute. I learned that in a dual-degree program, I could become rigorously trained as a research scientist and as a physician — and could do both in my future career. To learn more, I reached out to a few physician-scientists who shared how much they loved their careers. In the clinic, their patients and associated medical problems provided new ideas for exploration in the laboratory. And in the laboratory, the insights they gained could inform the way they treated their patients. Sreya:  I’ve wanted to become an oncologist ever since I was 11 and my mother died from gastric cancer. When I shadowed hematologist oncologists in academic settings, I became more interested in their work in clinical trials and research. Entering college, I explored translational research through my undergraduate biomedical engineering lab experiences. As I met more people in the field of drug development and oncology, I realized that I wanted to be at the cutting edge of this work, but I still had the desire to see patients. Through a lot of soul searching and luck, I was able to embark on a career in medical research by pursuing an MD-PhD. Using my training as a physician-scientist, I plan to establish my own lab or work in other ways to improve translational research in the oncological space.

What kinds of career options does the MD-PhD program give you?

Eli:   From my experience, rigorous training in medicine and scientific research prepares you best for a career in academic medicine. This often means working at a large teaching hospital, where you have an opportunity to conduct independent scientific research, care for patients, and teach students. While it can differ depending on the medical specialty or the individual, a typical physician-scientist may spend 80% of their time conducting research and 20% caring for patients.  However, there are many other career paths available to MD-PhD graduates. Students may also pursue careers working for private research organizations, pharmaceutical and biotechnology companies, or government agencies.  Sreya:  In my experience as an MD-PhD student interested in oncology, I have a wide array of career options to explore. As a clinician-scientist, I can lead research teams and conduct studies in cancer biology, treatment approaches, and translational medicine. In these roles, I can also mentor students interested in my field, allowing me to advance scientific knowledge while shaping the next generation of researchers. Alternatively, I could directly impact patients' lives by increasing my clinical time spent as an oncologist, developing personalized treatment plans, and contributing to clinical trials. The pharmaceutical and biotechnology industries also present exciting opportunities for me where I would be able to work on drug development, clinical research, or medical affairs, playing an essential role in bringing innovative therapies to market. With my combined medical and research expertise, I am well-equipped to make a meaningful difference in oncology through various rewarding career paths.

What type of research experience did you have before entering the program?

Eli: I attended a liberal arts college where students engaged in scientific research through 2- to 4-month long classes, which were combined lecture and laboratory experiences. Building on excitement from these courses, I pursued a summer research internship at a large biomedical research institute the summer prior to my senior year. I loved this initial exposure to working in a high-powered scientific research center. From working in state-of-the-art reach laboratories, to solving scientific problems in creative ways, and watching physicians bounce between research and patient care — I was hooked.  Sreya:  Before starting my current program, I had two significant research experiences. First, I worked in a lab that focused on creating materials for drug delivery in the field of biomedical engineering. We used special gels to deliver important substances to specific parts of the body, which had significant effects on the surrounding tissues, such as promoting blood vessel growth and blocking certain enzymes. I spent about ten hours a week for three years in this lab and contributed to three published papers.

Secondly, I worked at a research institute where I studied mice that were genetically modified to show signs of anthrax toxin exposure. These modified toxins could be controlled to specifically target tumor cells in the body. I dedicated forty hours a week to this research, and as a result, we have two research papers in progress for publication

How did you prepare to apply to MD-PhD programs?

Eli: Since I had played varsity baseball throughout college (which was impactful training in its own right), I had limited time for research as an undergraduate. So, I decided to pursue an extended research position before applying to MD-PhD programs. After sending several emails to laboratories across the U.S. and applying to many formal postbacc research programs, I took a two-year job as a postgraduate researcher at an academic research institute. During my time working on a project in a laboratory, I also volunteered at the connected hospital. This allowed me to experience what it was like to conduct independent research during the first part of my day, then care for patients in the afternoon. This experience only confirmed my deeply held passions for both medicine and science, but also exposed me to the challenges that both careers entailed. I felt much more confident in my decision to pursue a dual-degree knowing these insights.

What is your favorite part about being an MD-PhD student?

Eli: Thus far, my favorite part of my training has been directly experiencing the intersection of clinical care and research. During the first two years of the MD-PhD, I was mainly focused on medical school courses and preparing for the first board exam. But now, as I am beginning my PhD, I am realizing how medical school has broadened my perspective. When I read research papers or craft a plan to tackle a hypothesis, I feel empowered with the knowledge I learned in my didactic medical school courses. For example, during one of my PhD research rotations, a scientist was having difficulty delivering a therapeutic to the brains of the mice they were studying. Immediately I recalled from my medical school courses how mannitol could be co-infused to transiently open the blood-brain barrier for drug delivery. It could easily be translated to this scenario. Similarly, my experiences with clinic patients have benefited from my MD-PhD training. Often, it can be as simple as the ability to explain to a patient or their family, the exact mechanism of a drug and the reason it could be effective for their ailment. Or, informing them about current basic science efforts in the field or current clinical trials they might be eligible for. As I advance further into my training, I am eager to see how clinical care and laboratory research can become even more intertwined. Sreya:  I am very excited to learn new techniques and approaches to my field of interest. I am also glad that for MD-PhD students in my program, there is a huge emphasis on lifestyle and work/life balance. Many students in my program have become engaged, or married, and are starting families, while many medical students may feel pressure to push these milestones off. Being an MD-PhD student is a huge commitment, so I am especially grateful for all of the personal and professional support my program has to offer.

What do you wish you’d known before you started the program?

Eli: I wish I had known how important it would be to keep an open mind about the research topics that interested me most. I began the MD-PhD program with a rigid focus on a certain topic, thinking that it was the only topic that gave me real excitement. It was also the topic I was most versed in and comfortable in. But during my medical school courses, I was suddenly overwhelmed with several fascinating questions and problems that all seemed equally thrilling. It took a fair bit of mental wrestling with myself to broaden my own research interests and muster up the courage to explore a field I was fascinated with even if I didn’t have the most experience in it quite yet. Luckily, MD-PhD programs are usually quite supportive of students exploring new topics of interest and are eager to see you follow your motivations.

Sreya:  One of the most important aspects to consider for MD-PhD students is the idea that this path is a marathon, not a sprint. There is a lot of temptation to overload on clubs, leadership, research, etc., to keep pace with MD colleagues, but in the long run, an MD-PhD is about the quality and depth of training. It’s important to build healthy habits, strong social relationships, and enjoy activities in a sustainable manner, since MD-PhD students have to do another graduate degree on top of medical training.

What advice would you give a student considering an MD-PhD program?

Eli:  My advice is to accrue as many experiences as you can in medicine and research before applying. Through these, you can understand if pursuing both an MD and a PhD is the best fit for you, or, if you’d be completely satisfied pursuing a career with only training in one discipline. If you can, shadow physicians at both large academic hospitals and private practices. This can teach you if you’d enjoy treating patients daily and give you insight into how your experience will vary based on the setting. Seek out research experiences as early as possible. This may be difficult to procure, but having a longitudinal research experience that encompasses the successes and failures of science will inform you if this should be your future career. If you can, ask for opportunities to experience what it’s like to write a grant or an academic research article. These are not easy to write, yet they encompass a significant amount of time for professional physician-scientists, so, it is important to learn if you’d enjoy (or at least tolerate) the academic writing load. Lastly, don’t be intimidated by the amount time it takes to complete an MD-PhD. Yes, it is longer than most post-graduate training and takes up a significant portion of your early life. But it is a unique and worthy career path that is much needed in service to society. Sreya:  My advice to anyone considering an MD-PhD would be to get both a variety and depth of research experiences. As a student, it’s very easy to continue down a path you already started, but you must try to explore before you commit to any one approach. MD-PhD programs appreciate students who know what they would like to research and the only way to discover this is to pursue broad research experiences. That said, once you find what drives and excites you, it’s important to stick with it and maintain good relationships with your PIs and mentors. It’s a small world among physician-scientists, so depth of work and networking will help you achieve and further your goals. Above all, remember that an MD-PhD is not necessary to do research as a physician. The goal of an MD-PhD is to provide the specific training needed to conduct research above and beyond what a physician alone can do. In this case, you must really be sure that research is fulfilling and allows you to achieve your career goals when applying to programs, as they will ask you about your aspirations.

• @AAMCpremed

Translating Pre-Medical Experiences into Clinical Skills

Michael Foster | May 3, 2023

Your time before medical school is golden. It is a unique time to explore where your passions lie (both within and beyond medicine) and lay a strong foundation of the inter- and intrapersonal skills needed for you to be the best physician you can be. The best advice is simple: challenge yourself, be honest, and have fun! […]

The AAMC offers trusted resources and services to help you navigate the journey from premed to residency and beyond.

Is an MD/PhD Program Right for You?

MD-PhD programs may be right for you if you are interested in a career path that melds both clinical practice and in-depth scientific research. MD-PhD graduates aren’t simply doctors; they are “physician-scientists” or “medical scientists.”

MD-PhD programs offer a dual-degree track that combines the clinical training of a standard MD degree with the added coursework of a PhD. The PhD training is particularly rigorous and includes classes usually in the realm of biomedical sciences, as well as advanced research training, lab rotations, and intensive investigative work.

The payoff for choosing an MD-PhD program is that these clinical medicine graduates are equipped to treat patients while also participating in the discovery and development of innovative healthcare solutions. 

Here are a few reasons you might want to pursue an MD/PhD career:

• You want to participate in cutting-edge medical research.
• You want career options beyond clinical medical practice.
• You want to help train future generations of medical doctors.
• You want more collaborative research opportunities with colleagues.
• You want funding opportunities only available to MD/PhD students.

The Difference Between MD & MD/PhD

The difference between MD and MD-PhD is that graduates with an MD-PhD receive PhD training and hold a PhD degree in addition to their MD degree.

The cost of an MD-PhD program varies widely depending on the institution. Still, the stipend and tuition-free training make many of these programs significantly less financially burdensome compared to standalone MD or PhD programs.

MD/PhD students will complete graduate school and medical school qualified to hold positions in academic medicine and biomedical research (in addition to being qualified to practice clinical medicine. 

What Is an MD?

A medical doctor has earned a standard medical degree or MD and is skilled to practice clinical medicine. Medical students must complete 4 years of medical school to earn their degree, followed by 3-7 years of residency and fellowship training to practice medicine.

What Is a PhD?

PhD stands for Doctor of Philosophy in reference to their critical knowledge and research experience in a particular field of study. A PhD is the highest possible academic degree.

Earning a PhD is often considered harder than earning an MD due to the scientific research required to stimulate original thought and develop quality hypotheses.

How Competitive Are MD/PhD Programs?

Physician-scientist programs are slightly more selective and competitive than the average medical program.

Between 2018 and 2023, a little more than one-third of students who applied to an MD/PhD program (37.7%) were accepted. The acceptance rate for medical school applicants in general was 41.2% for the 2022-23 application cycle.

The test scores of these programs also indicate how much more competitive these programs are. The average MCAT score of MD/PhD matriculants in the 2022-23 cycle was 516.2, and their mean GPA was 3.82. In comparison, medical school matriculants overall had an average MCAT score of 511.9 and average GPA of 3.75 during the same cycle.

How Long Are MD/PhD Programs?

The MD-PhD dual degree takes approximately 7-8 years of coursework to complete, followed by an additional 3-7 years of residency to be eligible to practice medicine. 

Generally, MD coursework is emphasized in years 1-2, followed by research training in years 3-5, and ending with medical training and clinicals in years 6-8. 

Requirements for MD/PhD Applicants

If you are considering applying to an MD/PhD program , know that having strong essays and letters is more important than incrementally higher MCAT test scores and GPAs. Numbers get your foot in the door; storytelling gets you a seat at the table. 

In general, the requirements for MD/PhD applicants include:

• MCAT score in the 90th percentile: Specific MCAT requirements for MD/PhD programs vary by school. However, in general, most students have the best chance at success with an MCAT score in the 90th percentile or higher. In the 2022-23 application cycle, MD/PhD applicants had an average MCAT score of 511.3, while matriculants averaged 516.2.
• GPA of 3.7 or higher: Like MCAT scores, the GPA requirements for MD/PhD programs differ by program. But your chances are highest with an average GPA of at least 3.7. In the 2022-23 application cycle, MD/PhD applicants averaged a science GPA of 3.61 and overall GPA of 3.68, while matriculants averaged a 3.78 science GPA and 3.82 overall.
• Compelling personal statement: Your personal statement essay should explain why you want to become a physician and is required for both MD & MD/PhD applications . All prospective doctors must write a personal statement that stands out, and this is doubly true for MD/PhD applicants.
• 2 additional essays: You’ll write one essay conveying your personal interest in pursuing an MD/PhD dual degree specifically, and one essay covering your substantive experiences in the field of research . These may include multiple summer projects, senior thesis research, or 1+ years of post-undergrad research programs and activities.
• 2-3 letters from research mentors who can praise your scientific potential.
• 1-2 letters from clinical mentors who know your aptitude for patient care.
• 1 letter from the premed committee.
• 1 letter from a mentor who can discuss your leadership skills and personal traits in an extracurricular setting.

Questions to Ask Yourself When Considering an MD/PhD Program

By answering these questions, you can choose the graduate program that is the best fit for you over the next 8 years.

• What skills do you want to develop? Choose a program that has ample opportunities to explore your field of interest and in which you can identify potential mentors for rotations and thesis projects.
• What is your preferred MD/PhD program size? Choose a smaller program of MD-PhD students if you prefer hands-on guidance with individualized attention and a larger program if you prefer a larger community with more networking opportunities. 
• Where do you want to live for 8 years of medical school ? Choose a location that fits your needs for cost of living, housing, transportation, extracurriculars, as well as opportunities for fun and making friends. 
• Does the program offer financial aid? Choose a program that meets your financial needs in the form of stipends and tuition waivers. It’s important to note that if you drop out of an MD-PhD program, some schools require you to pay back the investment that the school made in you. 
• Will you fit into the school’s culture? Choose a program after you’ve visited the campus, talked with the current students and faculty, and asked about opportunities in your field of interest as well as other’s experiences at the school and living in the city.
• Does the MD/PhD Program align with your timeline? Choose a program with coursework that allows you to graduate in your preferred timeline, which could be sooner or longer than eight years.

Possible Career Paths for MD/PhD Graduates

A career choice often depends on an individual’s specific interests, such as which medical specialties they are drawn to, whether they prefer working with patients or in a laboratory, and how they want to contribute to advancing medical science.

The salary range for MD/PhD graduates varies significantly by position and type of work. Policy analysts’ starting salary is around $57,000 per year, while attending physicians who do research can make upwards of $500,000.

Below are careers someone with an MD-PhD might pursue:

Attending Physician with Research Responsibilities

An MD/PhD holder in this position would have a traditional medical role seeing and treating patients, but they might also have dedicated time for research. This role allows one to continue practicing medicine while contributing to academic or clinical research. 

Individuals in this role often split their time among patient care, research activities, and instructional duties. Typically, they are found in educational hospitals or medical schools.

Physicians’ salaries can vary significantly based on specialty and experience, but generally, they are well-compensated. An attending physician in a specialized field can expect to earn upwards of $200,000 to $500,000 or more, especially if they have dual responsibilities that include research.

Translational Medicine Specialist

These specialists work at the intersection of basic research and patient care, focusing on turning research insights into practical medical applications. 

This role may exist within academia, industry, or clinical settings and is tailored for those who understand both the clinical and research aspects of medicine.

The salary for this role can also vary based on industry, location, and level of experience but would likely fall in the range of $150,000 to $250,000 or more.

Biomedical Researcher

Those with MD-PhD qualifications commonly secure jobs as researchers within biomedical science. Employment settings can range from academic institutions and drug companies to governmental agencies like the NIH.

Salaries for biomedical researchers typically fall somewhere between $85,000 and $104,000 per year.

Clinical Research Director

These are medical doctors responsible for overseeing clinical trials and research projects, usually within a hospital, academic institution, or pharmaceutical/biotech company. This role leverages both the clinical insights from an MD and the research methodology of a PhD.

Salaries can vary widely depending on the setting (academia, private industry, etc.) and geographic location. In general, a Clinical Research Director could expect to earn a six-figure salary, often ranging from around $150,000 to $250,000 or more per year.

Pharmaceutical/Biotech Industry Professional

A significant number of MD-PhDs join the pharmaceutical or biotech sectors. Responsibilities might include roles in the development of new medications, overseeing clinical trials, regulatory compliance, or managing medical affairs.

The average salary for this position will likely differ quite a bit depending on the exact role and company, but the average is generally between $125,000 and $133,00 per year.

Medical Director

In this capacity, a person is in charge of the medical elements of a healthcare facility or a specific department within a hospital. The role usually calls for expertise in both medical practice and research.

This position is likely to be one of the most lucrative of the MD/PhD field, with an average salary from $319,000 to $329,000 per year.

Science Policy Analyst/Advisor

Individuals in this role often find themselves in governmental or nonprofit settings, where they influence policy decisions related to scientific research and healthcare.

The typical salary for a science policy analyst starts at around $57,000 per year. Advisors have a slightly higher upper salary range and may make as much as $75,000.

Public Health Official

Some MD-PhDs opt for roles in the public sector where they focus on health concerns at a societal level. They may be employed by organizations such as the CDC or WHO.

In many cases, public health officials can expect to make a yearly salary of between $101,000 and $111,000.

Medical Science Liaison

This role typically serves as an intermediary between pharmaceutical enterprises and medical professionals. These liaisons disseminate information about new treatments and scientific advancements to doctors, researchers, and other medical stakeholders.

This role also typically commands a six-figure salary, usually ranging from approximately $100,000 to $200,000, depending on experience, location, and the hiring organization.

Medical Educator

Professors teach medical students, residents, and fellows in an academic setting while also conducting research. These doctors often have clinical responsibilities as well. An MD/PhD is especially well-suited for this role due to the dual focus on clinical care and research.

They may teach various medical subjects like pharmacology or genetics and actively participate in the educational goals of their institutions.

In academia, salaries can vary widely based on rank (Assistant Professor, Associate Professor, Full Professor), institution, and geographic location. Salaries may range from $100,000 to well over $200,000 for senior roles or those at prestigious institutions.

Best MD/PhD Programs in the US

There are 122 different American Universities that offer MD/PhD degree programs, according to the AAMC list of MD-PhD Programs by State . A further 13 Canadian programs also use the AMCAS application system.

Some MD-PhD programs in the United States are funded by the National Institutes of Health (NIH) through the Medical Scientist Training Program (MSTP). This means that students receive full tuition remission, health insurance, and a living stipend throughout their training.

Medical schools with fully funded MD-PhD programs :

• Dartmouth University, Geisel School of Medicine
• Duke University School of Medicine
• Harvard/M.I.T MD-PhD Program, Harvard Medical School
• John Hopkins University School of Medicine
• Mayo Clinic College of Medicine & Science
• University of Florida College of Medicine
• University of Pennsylvania, Perelman School of Medicine
• University of Southern California (USC), Keck School of Medicine
• Yale University School of Medicine

Medical schools with the most MD-PhD spots historically: 

• Raymond and Ruth Perelman School of Medicine at the University of Pennsylvania
• University of Illinois College of Medicine
• Weill Cornell Medical College
• Washington University in St. Louis School of Medicine
• Johns Hopkins University School of Medicine
• Albert Einstein College of Medicine of Yeshiva University
• University of California, Los Angeles David Geffen School of Medicine
• University of Michigan Medical School
• Columbia University College of Physicians and Surgeons 
• University of Pittsburgh School of Medicine
• Harvard Medical School
• Case Western Reserve University School of Medicine
• Northwestern University The Feinberg School of Medicine
• Icahn School of Medicine at Mount Sinai
• University of California, San Francisco, School of Medicine
• Vanderbilt University School of Medicine
• Ohio State University College of Medicine
• University of Wisconsin School of Medicine and Public Health
• New York University School of Medicine
• Stanford University School of Medicine
• Yale School of Medicine

Medical schools with MD/PhD programs that accept international students:

• Emory University School of Medicine
• Northwestern Feinberg School of Medicine
• University of Pennsylvania Perelman School of Medicine
• University of Southern California Keck School of Medicine/California Institute of Technology
• University of Texas Southwestern Medical School
• Washington University School of Medicine in St. Louis

The MD/PhD Application Process

The application process for MD-PhD programs is similar to that of typical MD programs. The two major differences are that you’ll designate yourself as an MD/PhD candidate on the AMCAS application, and you’ll submit 2 additional essays on that primary.

The Application Timeline

• AMCAS (submit by end of May): You’ll fill out a primary application through AMCAS in the spring of the first year of your application cycle (e.g., to matriculate in fall 2026, you’ll submit AMCAS in spring 2025). AMCAS opens at the end of May each year. Aim to submit the primary application no later than the end of June, as early applications are more likely to be reviewed and accepted.
• Secondaries (submit by end of August): You’ll respond to secondary applications in the summer after your primary application is reviewed by each school you submitted it to. Each program sends secondary applications to students who generally meet their minimum requirements.
• Interviews (October-March): You’ll then attend interviews as invited between October and March. Some schools won’t contact you at all to reject your application; others will offer conflicting invites. You must prioritize your options and prepare for the opportunities that do come. 
• Final decisions (December-March): Final decisions are made by schools between December and March. Schools with a rolling admissions cycle (most of them) accept students after completing interviews and determining a student is a fit. A smaller number of programs wait to send acceptances until after all interviews are complete.
• Choose your program (March-April): Students choose where to matriculate between March and April.
• Programs start (June-August): Programs begin between June and August, depending on the school.

How to Prepare for an MD/PhD interview

You should prepare for your MD/PhD interview by practicing mock interviews to rid yourself of the jitters and fine-tune your responses in various scenarios. In addition to developing your personal narrative, you must be able to explain your research training at multiple levels.  

If you’re interested in participating in a mock interview with a physician who has served on an admissions committee, consider a mock interview with MedSchoolCoach .

What to Do if You Get Waitlisted

Finding out that you’ve been waitlisted for the MD/PhD program of your dreams is never a good feeling. However, you are not helpless in the wait. It’s a good idea to remain in contact with program leaders and administrators by sending a Letter of Intent or a Letter of Interest.

Listen: An MD/PHD’s Journey to Medicine [PODCAST]  

What is a Letter of Intent vs. a Letter of Interest? 

A Letter of Intent is a formal statement that you would commit to matriculating into a program if you are accepted. A Letter of Interest conveys that you are strongly interested in the program, but it does not indicate any commitment or explicitly state that a program is your first choice.

Both letters should summarize why you believe the program and school are a great fit for your interests and how you will be able to uniquely contribute to the school, in under one page.

Finding Out You’ve Been Accepted!

The day you receive that phone call or email — the one from the MD-PhD program director contacting you to say you have officially been offered acceptance into their program — provides a feeling of joy worth being patient for!

Our Physician Advisors can support you through the application process for your best shot at getting into the school of your choice.

What specialties can MD/PhD graduates earn their PhD in?  

PhD students commonly choose to specialize in topics such as:

• Cell Biology
• Biochemistry
• Pharmacology
• Neuroscience
• Biomedical Engineering

What is the salary range for an MD/PhD graduate? 

MD/PhD graduates can expect an average annual salary of about $100K, depending on the type of work and place of employment.

What is the difference between a PhD and a Postdoctorate? 

A Postdoctoral Fellowship is a temporary period of mentorship and research training for graduates with doctoral degrees, offered by the National Institutes of Health, to acquire skills needed for a chosen career. A PhD thesis must be successfully defended, whereas a postdoc is a non-defendable temporary employment assignment from an organization such as a university.

Can an MD/PhD be a doctor? 

Graduates who earn an MD/PhD are fully qualified doctors and may practice medicine in a clinical setting upon completing their residency training.

Can an MD/PhD graduate be a surgeon? 

While an MD/PhD graduate CAN be a surgeon if they choose surgery specialties in their residency programs, a surgical resident is not required to obtain a PhD in addition to their MD.

Schedule a free 15-minute consultation with MedSchoolCoach to learn how we can help boost your chances of success getting into medical school .

Related posts:

• What Does DO Mean?
• What Kind of Students are Successful in Getting into Medical School?
• What Counts as Clinical Experience for Medical School?
• Should I Delete My Social Media When Applying to Medical School?

Renee Marinelli MD

Related articles.

Dermatology – Maria Aleshin MD

Weekly Weigh-In: Medical School Surprises

Seeing Beyond the Checklists

Difference Between Advanced-Practice Providers and Physicians

• PhD vs MD – Differences explained
• Types of Doctorates

A MD is a Doctor of Medicine, whilst a PhD is a Doctor of Philosophy. A MD program focuses on the application of medicine to diagnose and treat patients. A PhD program research focuses on research (in any field) to expand knowledge.

Introduction

This article will outline the key differences between a MD and a PhD. If you are unsure of which degree is suitable for you, then read on to find out the focuses and typical career paths of both. Please note this article has been written for the perspective of a US audience.

What is a MD?

MD (also seen stylized as M.D and M.D.) comes from the Latin term Medicīnae Doctor and denotes a Doctor of Medicine.

MDs practice allopathic medicine (they use modern medicine to treat symptoms and diseases). A common example would be your physician, though there are numerous types of medical doctors, with different areas of speciality and as such may be referred to differently.

What is a PhD?

A PhD (sometimes seen stylized as Ph.D.) comes from the Latin term Philosophiae Doctor and denotes a Doctor of Philosophy.

A PhD can be awarded for carrying out original research in any field, not just medicine. In comparison to an MD, a PhD in a Medicinal field is focused on finding out new knowledge, as opposed to applying current knowledge.

A PhD in Medicine therefore does not require you to attend medical school or complete a residency program. Instead, you are required to produce a thesis (which summarizes your research findings) and defend your work in an oral examination.

What is the difference between a MD and a PhD?

Both are Doctoral Degrees, and someone with either degree can be referred to as a doctor. But for clarity, MDs are awarded to those with expertise in practicing medicine and are therefore more likely to be found in clinical environments. PhDs are awarded to researchers, and are therefore more likely to be found in academic environments.

This does not mean that MDs cannot pursue a research career, nor does it mean that a PhD cannot pursue clinical practice. It does mean, however, that PhDs are more suited to those who would wish to pursue a career in research, and that MDs are more suited to those who prefer the clinical aspects of medicine or aspire to become a practicing physician.

It should also be noted that a medical PhD doctorates possess transferable skills which make them desirable to various employers. Their familiarity with the scientific method and research experience makes them well suited to industry work beyond medical research.

Program structure and time

The standard MD program structure sees students undertake 2 years of coursework and classroom-based learning, before undertaking 2 years of rotational work in a clinical environment (such as a hospital). Getting an MD requires attending a medical school (accredited by the Liaison Committee on Medical Education) and completing a residency program. Both of which prepare students to diagnose patients and practice clinical medicine.

The standard PhD program lasts 5 to 7 years and sees students undertake original research (monitored by a supervisor). Getting a PhD requires the contribution of novel findings, which leads to the advancement of knowledge within your field of research. With the exception of some clinical PhDs, a PhD alone is not enough to be able to prescribe medicine.

PhD doctorates are required to summarize the purpose, methodology, findings and significance of their research in a thesis. The final step is the ‘ Viva Voce ’ where the student must defend their thesis to a panel of examiners.

To summarize, a MD program usually lasts 4 years, whilst a PhD program lasts 5 to 7 years. Before being licensed to practice medicine, however, you must first complete a residency program which can last between 3 to 7 years.

What is a MD/PhD?

A MD/PhD is a dual doctoral degree. The program alternates between clinical focused learning and research focused work. This is ideal for those who are interested in both aspects of medicine. According to the Association of American Medical Colleges, an estimated 600 students matriculate into MD-PhD programs each year .

The typical length of a MD/PhD program is 7 to 8 years, almost twice the length of a MD alone. As with a MD, MD/PhDs are still required to attend medical school and must complete a residency program before being able to practice medicine.

In comparison to PhD and MD programs, MD/PhD positions in the United States are scarce and consequently more competitive. The tuition fees for MD/PhD positions are typically much lower than MD and PhD positions are sometimes waived completely.

Those who possess a MD/PhD are commonly referred to as medical scientists. The ability to combine their medical knowledge with research skills enables MD/PhDs to work in a wide range of positions from academia to industrial research.

Finding a PhD has never been this easy – search for a PhD by keyword, location or academic area of interest.

Browse PhDs Now

Join thousands of students.

Join thousands of other students and stay up to date with the latest PhD programmes, funding opportunities and advice.

PhD vs MD vs MD PhD – What’s right for you?

• Cracking Med School Admissions Team

For some students, choosing between a career in medicine and one in science seems like an impossible task. Many times, students will engage in research during college and develop an interest in medicine and do not want to give up the ability to do both by pursuing either a PhD or MD. Recognizing this desire, many medical schools have also created MD-PhD combined programs that allow students to get both degrees. With the plethora of options offered for graduate degrees coming out of college, many applicants are unsure of which program is best for them.

In this blog post, we will cover the following topics:

• PhD vs MD vs MD PhD?

What are the differences between PhD vs MD?

• MD vs MD PhD – which is right for a future doctor?
• Pros and Cons of MD PhD
• Complete List of MSTP Programs
• Resources for future MD PhD Applicants

Our Students Were Accepted at These MD PhD Programs!

PhD vs MD vs MD PhD

Before we analyze the differences between these programs, we will clearly define what each program consists of.

What is a PhD? PhD programs are funded graduate doctoral degree programs ranging from 4-8 years offered by research universities to teach and mentor graduates to contribute to research in their field, develop societal solutions, and train the next generation of scientists.

What is an MD? MD degrees are granted by allopathic medical schools in the United States, last four years, and prepare graduates to enter the world of medicine as physicians, usually through continued training in residency and fellowship programs.

What is an MD PhD program? MD/PhD programs are funded programs that last 7-9 years and train graduates to be clinical and academic leaders as both physicians and researchers who work closely with patients but also dedicate a significant amount of their time to researching areas adjacent to medicine to improve knowledge and treatment protocols.

When deciding PhD vs MD vs MD PhD, most students will first need to decide what aspects of science are most interesting to them – do they enjoy the interpersonal interactions or working with the biology itself to make new discoveries? First, let’s look at the differences between a PhD vs MD. There are three core differences between getting a PhD and an MD: career opportunities, admissions and training, and cost.

Career Options

As rigorous and prestigious degree programs, both MDs and PhDs have a plethora of career opportunities available to them. Most graduates from MD programs elected to continue their training by completing a residency and fellowship to become specialized and practice medicine. Nonetheless some graduates also choose to pursue alternative careers in public health, business, or education. In fact, 32% of graduates from Stanford’s MD program [1] chose not to a pursue a residency, many drawn by the allure of alternative ways to produce impact in society.

PhD graduates tend to have slightly more options, in both the academic and professional spheres. Many PhD candidates choose to pursue the established path of joining a research university to perform their research while teaching undergraduate and graduate students. This path often is best suited for those extremely passionate about their research topics who seek to mentor younger researchers and students but suffers from department politics attached to rising up professorial ranks and difficulties in receiving funding in certain disciplines.

Many other graduates choose to pursue non-academic work, whether it is joining an established industry company, starting their own companies, or working in public sector agencies. In these endeavors, they are able to leverage much of their subject matter expertise to conduct research, assess business operations and growth options, and contribute to public health or public works initiatives. At the same time, many graduates who take this path may find themselves drifting away from their academic routes and may find a slightly more fast-paced lifestyle than in academia.

Whether you pursue and MD degree or PhD degree, there are several post-graduate career options. 

Admissions and Training

Admissions and training processes and timelines are also highly variable between MD and PhD paths, and require different planning for each.

MD Admissions and Training: MD programs often have extremely long admissions timelines, often starting two years before matriculation when many students begin studying for the MCAT (the medical school admissions exam). In addition, the increasing expectations of applicants has resulted in an increasing number of students taking gap years to adequately prepare to apply. After applying and matriculating, medical students have four years of medical school, followed by anywhere from 3-10 years of post-graduate specialization training. Furthermore, applications often have multiple components, require in-person interviews, and have delayed decision timelines.

PhD Admissions and Training: In contrast, PhD programs have relatively simpler timelines, with most students applying the winter before they plan to matriculate, with many schools not requiring standardized testing (GRE) to apply. After applying, many students receive interviews within a few weeks and an admissions decision soon after. After matriculating, program length can differ significantly, but usually consists of 5-8 years of graduate research and training before one is able to complete their degree.

Despite recruiting students with similar skillsets and backgrounds, medical school and graduate PhD programs have radically different cost structures. While pursuing an MD is a costly endeavor (often ranging from $200-400k), PhDs are usually fully funded and most students receive a generous living stipend. With this in mind, one would assume that most students would naturally gravitate to a PhD. However, while the median biology PhD starting salary is $100k [2] , the median starting salary for a physician is double – at $200k [2] – such that many physicians recoup the cost of their education in the long term. Although the ultimate decision will depend on your desire to take on loans and your career and training area preferences, cost is undoubtably an important component of this decision as well.

What are the differences between MD vs MD PhD

Differences between MD and MD-PhD admissions are neither widely discussed nor well understood, mostly because only 6-7% of students applying to medical school choose to pursue this path. [4]  

MD-PhD programs are one of many dual-degree programs offered by medical schools and allow you to receive medical training while developing expertise in a particular research area. Your research focus can range from hard science like molecular biology and genetics to the social sciences like sociology. Since you would be getting two degrees, a MD-PhD program is designed to take 7-8 years, instead of 4 years for medical school and 5-6 years for a PhD. Usually, MD-PhD candidates will spend their first two years doing pre-clinical coursework with MD students. After completing their pre-medical requirements and taking the STEP 1 exam, MD-PhD students will usually take 3-5 years for their doctoral studies before they return for their final two years of clinical rotations.

In the United States, there are approximately 130 MD-PhD programs and 45 of these programs are known as Medical Scientist Training Programs (MSTP) programs. MSTP programs are funded by the National Institute of Health (NIH) and are very competitive as they offer full tuition coverage, support with living expenses, and a stipend. While some MD-PhD programs are funded by institutions, many of them may not offer the same financial support as an MSTP program.

Since the key difference between the MD and MD-PhD program is the emphasis on research, make sure that you will be able to demonstrate a longstanding commitment to research and that you have tangibly and significantly contributed to research projects, which can take the form of presentations or serving as an author on papers. Also, make sure that your research mentor is prepared to submit a strong recommendation to attest to your readiness for such a rigorous program.

Only 6-7% of medical school applicants apply as an MD PhD candidate

AMCAS most meaningful activity example #2: This applicant chose to write about his work in the emergency room. You can see both the 700 character AMCAS activity description and the 1325 character AMCAS most meaningful essay.

Pros and Cons of Applying MD PhD

Pros of applying md phd vs md, why md phd #1: tuition funding .

There is no doubting it – medical school is very expensive. Since many MD-PhD programs are fully funded with a living stipend on top, many MD-PhD candidates feel that they are being “paid” to pursue this education. While many of their medical school classmates will graduate with tens or hundreds of thousands of dollars of debt, most MD-PhD candidates will not incur any cost during the course of their degree, attracting many looking to avoid accumulating further debt in addition to whatever was accrued during college. Although this funding seems attractive at first, it is important to remember that it comes at the cost of four more years, which could be time spent earning an attending’s salary. Depending on your choice of specialty, receiving this funding could actually be a negative if you aren’t interested in research.

Why MD PhD #2: Allows you to pursue 2 passions

If you are unable to decide between science and medicine, or want to pursue both, applying to an MD-PhD program will allow you to bridge these two disciplines and enjoy the best of both worlds. Many MD-PhD candidates believe that their professional careers would be incomplete without both research and medicine or seek to combine these two passions in their career. These are the exact candidates that MD-PhD programs exist for as they open up many opportunities that may not be available for regular MD students. Especially if you hope to have a career in academia or research-based medical universities, the skills and competencies of doing research and applying for grants is highly prized.

Why MD PhD #3: Receive great research and medical training in a shorter time period

It is undeniable that the condensed time frame of the MD-PhD program is highly appealing to those who seek to pursue both degrees. Instead of taking 9-10 years if completed separately, an MD-PhD program is highly integrated and structured to allow you to focus on one pursuit at a time while still providing continuity so that you can do research during your medical training and medical volunteering while completing your doctoral work. This blend allows for the shorter time period and still allows you to benefit from receiving high quality science and medical instruction.

Cons of Applying MD PhD vs MD

Why not apply md phd #1: time to complete degree .

Although the condensed format is ideal for those who have their hearts set on getting both an MD and a PhD, if you are unsure about pursuing both degrees or have a clear preference for one, the significantly longer educational period is a major factor to consider. A major aspect of the admission process for the MD-PhD is determining if you are prepared to make an almost decade-long commitment to a discipline, institution, and city. The projected 7-8 years to complete an MD-PhD is just that – a projection. Many times, there are factors both inside and outside of your control that can cause this number to vary greatly and increase to up to 10 years. Furthermore, since many people start their MD-PhDs at 23 or 24 years old, they often complete their residency in their late 30s, a fundamentally different time of your life where many of your friends from college may already have families and have been in the workforce for over a decade.

Why not apply MD PhD #2: You can still do research without a PhD

Although MD-PhD students learn how to apply for grants and the research skills necessary to drive their future academic careers, many MD students often pick up these skills if they take a research year, pursue a master’s degree, or spend a significant amount of time doing research in residency and beyond. In fact, while many researchers in academic institutions are PhDs or MD-PhDs, there are also numerous MDs who spend a large amount of their time dedicated to both clinical and basic science research. Furthermore, if your research interests are solely clinical in nature, you may be better served developing these skills in a residency or pursuing a master’s degree than pursuing an MD-PhD, which is usually more suited for basic scientists. Another downside to the MD-PhD is that while you will be focused on trying to pursue two separate paths as a clinician and scientists, many of your peers will be spending all of their time focusing on one of the two, which may put you at a disadvantage compared to them.

Why not apply MD PhD #3: May limit specialty choice

Finally, while MD-PhD students can technically pursue any residency after they graduate medical school, there is often a push to place them in less competitive and non-surgical specialties where they will have less clinical time and therefore more time to dedicate to their research work. Since surgical specialties are highly procedural, research is often a secondary consideration and usually not as prized as surgical dexterity. Furthermore, since you are more valuable to an academic center as a surgeon performing high value elective procedures than as a researcher, there is often a push to have surgeons focus on their clinical work. Similarly, many MD-PhDs may be encouraged to pursue less competitive specialties where they have more time to focus on their research work or where their research funding may be more valuable than the money they bring in from being a clinician. Although an MD-PhD student is free to pursue any specialty that they desire, these pressures are commonplace and often can stifle strong clinical preferences in favor of research potential.

List of MSTP Programs

As stated earlier, MSTP MD PhD programs are fully funded by the National Institutes of Health. 

As of 2021, here is the list of MSTP MD PhD programs by state.

University of Alabama at Birmingham School of Medicine http://www.uab.edu/medicine/mstp

Stanford University  http://med.stanford.edu/mstp.html

University of California, Davis School of Veterinary Medicine https://vstp.vetmed.ucdavis.edu/

University of California, Irvine School of Medicine http://www.mstp.uci.edu

University of California, Los Angeles & Cal Tech California Institute of Technology David Geffen School of Medicine http://mstp.healthsciences.ucla.edu

University of California, San Diego School of Medicine http://mstp.ucsd.edu

University of California, San Francisco School of Medicine https://mstp.ucsf.edu/

University of Colorado Denver http://www.ucdenver.edu/academics/colleges/medicalschool/education/degree_programs/mstp/pages/MSTP.aspx

Connecticut

Yale University School of Medicine http://medicine.yale.edu/mdphd

University of Miami Miller School of Medicine http://mdphd.med.miami.edu

Emory University School of Medicine M.D./Ph.D. Program http://med.emory.edu/MDPHD

Northwestern University Medical School http://www.feinberg.northwestern.edu/sites/mstp

University of Chicago Medical Scientist Training Program https://pritzker.uchicago.edu/academics/mstp-landing-page

University of Illinois at Chicago College of Medicine http://chicago.medicine.uic.edu/mstp

Indiana University School of Medicine, MSTP https://medicine.iu.edu/education/dual-degrees/

University of Iowa Carver College of Medicine https://medicine.uiowa.edu/mstp?

Johns Hopkins University School of Medicine https://mdphd.johnshopkins.edu/

University of Maryland School of Medicine http://mdphd.umaryland.edu

Massachusetts

Harvard Medical School/Massachusetts Institute of Technology

There are two MD/PhD programs through Pathways and HST. Read more about Harvard Medical School here:  https://crackingmedadmissions.com/how-to-get-into-harvard-medical-school/ http://www.hms.harvard.edu/md_phd

Tufts University School of Medicine http://sackler.tufts.edu/Academics/MSTP-Welcome

University of Massachusetts Medical School http://umassmed.edu/mdphd

University of Michigan Medical School http://medicine.umich.edu/medschool/education/mdphd-program

University of Minnesota Medical School http://www.med.umn.edu/mdphd

Mayo Medical School https://college.mayo.edu/academics/biomedical-research-training/medical-scientist-training-program-md-phd/

Washington University School of Medicine http://mstp.wustl.edu

Albert Einstein College of Medicine http://www.einstein.yu.edu/education/mstp

Columbia University College of Physicians and Surgeons http://www.cumc.columbia.edu/mdphd

Icahn School of Medicine at Mount Sinai http://icahn.mssm.edu/education/graduate/md-phd-program

New York University School of Medicine http://www.med.nyu.edu/sackler/mdphd-program

Stony Brook University https://medicine.stonybrookmedicine.edu/mstp

University of Rochester School of Medicine and Dentistry http://www.urmc.rochester.edu/education/md/md-phd

Weill Cornell/Rockefeller/Sloan-Kettering Tri-Institutional MD PhD  Program http://weill.cornell.edu/mdphd

North Carolina

Duke University Medical Center https://medschool.duke.edu/education/degree-programs-and-admissions/medical-scientist-training-program

University of North Carolina at Chapel Hill School of Medicine http://www.med.unc.edu/mdphd

Case Western Reserve University School of Medicine http://mstp.cwru.edu

Ohio State University College of Medicine http://medicine.osu.edu/mstp

University of Cincinnati College of Medicine MSTP http://www.med.uc.edu/MSTP

Oregon Health and Science University School of Medicine http://www.ohsu.edu/mdphd

Pennsylvania

Penn State College of Medicine http://www.pennstatehershey.org/web/mdphd

University of Pennsylvania Perelman School of Medicine http://www.med.upenn.edu/mstp

University of Pittsburgh http://www.mdphd.pitt.edu

South Carolina

Medical University of South Carolina https://education.musc.edu/colleges/graduate-studies/academics/dual-degree/mstp

Vanderbilt University School of Medicine MSTP https://medschool.vanderbilt.edu/mstp

Baylor College of Medicine MSTP https://www.bcm.edu/education/programs/md-phd-program

University of Texas Health Science Center Houston Department of Internal Medicine https://gsbs.uth.edu/mdphd/

University of Texas Health Science Center San Antonio Department of Neurology, Pharmacology, and Physiology https://lsom.uthscsa.edu/mimg/

University of Texas Southwestern Medical Center at Dallas https://www.utsouthwestern.edu/

University of Virginia Health System MSTP Program http://mstp.med.virginia.edu

University of Washington School of Medicine http://www.mstp.washington.edu

Medical College of Wisconsin MSTP https://www.mcw.edu/education/medical-scientist-training-program

University of Wisconsin School of Medicine and Public Health http://mstp.med.wisc.edu

Read our medical school profiles to learn more about each individual school. 

Now that we have reviewed what MD, PhD, and MD-PhD degrees consists of and how to apply, as well as some of the pros and cons of pursuing a MD-PhD program, we hope that you can make an informed decision about your graduate education! Even if you choose not to pursue an MD or PhD, many institutions have accelerated programs that allow MD or PhD graduates to complete the other degree in a shorter timeframe. Similarly, many medical schools even allow students to apply to add a PhD portion onto their education before they begin their clinical training. Regardless of whichever path is right for you, all three offer incredible opportunities to pursue scientific passions and work towards solving societal issues.

Here are some Cracking Med School Admissions Resources you will find helpful as you think about MD PhD programs:

• How To Shadow A Doctor
• Resume, CV, and Cover Letter Edits
• Premed Timeline: Planning For Medical School Applications

If you have any questions, don’t hesitate to contact us down below.

Questions? We're happy to help!

• Your Name *
• Your Email *
• Phone (optional)
• Leave us a Message or Question! We will email and call you back. *
• Name This field is for validation purposes and should be left unchanged.

Start typing and press enter to search

Pros and Cons of the MD-PhD Degree

• By Lawrence Wang
• August 17, 2018
• Medical Student , Pre-med
• Clinical Rotations , Dual Degree , Research , Residency

“Two roads diverged in a wood, and I— I took the one less traveled by, And that has made all the difference.”                                  -Robert Frost

Do you have an interest/background in medicine and research , but balk at the prospect of spending eight years getting the MD-PhD degree? You can theoretically do all the same things (i.e. see patients and run a research lab) with only an MD degree. There are plenty of MD’s out there who are successful physician-scientists, and the MD-PhD  is certainly the less common path, the road less traveled. So why bother getting a PhD as well?

These are all great questions, worth a fair amount of thought and reflection. Pursuing the rewarding, competitive, and singular pathway of a combined MD-PhD degree is a major decision that warrants a critical evaluation of its associated pros and cons.  So without further ado, let’s dive right in.

Pros of the MD-PhD Degree

1 | fully funded.

Medical school is expensive, with the average medical student graduating in 2017 with a debt of nearly $200,000 . In contrast, many MD-PhD students graduate debt-free and may even have a small nest egg saved away. This is because Medical Scientist Training Programs (MSTP) and many non-MSTP MD-PhD programs waive tuition and provide stipends to their students that are comparable to a biology graduate student stipend (~$30,000 of disposable income a year). The stipend is adjusted to match the cost of living in the city in which your school is located.

2 | Options for Fast-Tracking

MD-PhD’s enjoy specialized tracks that enable them to shorten their PhD and residency training. The PhD portion of the dual degree is an average of 4 years (vs. an average of 5-6 years for single degree PhD’s in the biomedical sciences).

Furthermore, MD-PhD graduates can “short-track” their residency into fellowship training. In the case of the three-year internal medicine residency, the American Board of Internal Medicine (ABIM) has a pathway that enables residents with a demonstrated potential for basic science or clinical research to spend only two years doing clinical training before returning to full-time research . These so-called “research residencies” are typically populated by MD-PhD’s, with a few MD-MPH/MD-MS/MD graduates that have strong research credentials thrown into the mix.

3 | Competitiveness for Funding to Start a Lab

According to an NIH report about physician-scientists , MD-PhD’s overall had higher award rates for research program grants (RPGs) (24.6%) than MD’s (21.7%, p<0.01) or PhD’s (21.4%, p<0.01). Furthermore, the award rate for MD-PhD’s from an MSTP program was nearly three times higher than that for MD/PhD’s not from an MSTP program (36.2% vs. 12.3%). If you are interested in more details, there is a wealth of outcomes data in this report as well as the  AAMC National MD-PhD Program Outcomes Study .

Cons of the MD-PhD Degree

1 | delayed autonomy.

The additional four years that an MD-PhD student invests in obtaining a PhD represent a significant opportunity cost (time and money). The ramifications of this can be broad. For example, an MD-PhD student living on a graduate student stipend may not have the financial autonomy to start a family until after they obtain an income (and free time!) commensurate to their training level. Furthermore, the average age of young investigators obtaining their first RPG’s continues to rise (44.3 years for MD-PhD’s, 43.8 years for MD’s, and 41.9 years for PhD’s in 2014) . The path of an academic researcher, especially an MD-PhD, creates an extreme delay in full professional autonomy.

2 | Disjointed Training

MD-PhDs are often likened to chimeras in their duality, which is exemplified by the disjointed path to obtaining the MD-PhD degree.

Students typically complete the first two pre-clinical years of medical school, transition to a 4-year PhD program, and then return to medical school to finish the last two clinical years before graduating with their dual degree. Subsequently, most pursue residency and fellowship training in their chosen medical specialties before finally becoming principal investigators (PIs) of a lab. This disjointed pathway forces many MD-PhD’s to play catch-up when they inevitably fall behind in either medicine or research. For instance, a common issue for MD-PhD’s is that their research skills become outdated when they return to clinical training for a number of years during the latter half of medical school and residency.

3| Balancing Clinical and Research Commitments

Juggling the considerable responsibilities of caring for patients and managing research projects can be challenging. Physician-scientists working at academic medical centers may be incentivized (or even pressured) to spend more time seeing patients, a task that earns more revenue for both the physician-scientist and the medical center. It also requires significant time and money for physician-scientists to maintain their clinical skills and board certifications. Consequently, many MD-PhD’s eventually dedicate themselves to either medicine or research and unfortunately let their less-used skill set fade into irrelevance.

Final Remarks

Any aspiring student considering a dual MD-PhD degree should think deeply and critically about whether this demanding career path is right for them. There are pros and cons to getting the MD-PhD degree, some of which may be deal-makers or deal-breakers. Ultimately, I see MD-PhD’s as chimeras walking a road less traveled, obtaining unique toolkits to address gaps in the existing body of medical knowledge and therapies. If this aligns with your goals, it can be an outstanding career!

If you are considering an MD-PhD degree but are unsure, please consider the Med School Insiders  general advising services . We have advisers who have completed this degree and can give you  detailed, real-world advice and feedback!

Lawrence Wang

2024-2025 Residency Application Timeline and Month-by-Month Schedule

We outline the residency application timeline you should follow, including key dates and an ideal month-by-month preparation schedule.

6 Shocking Facts From the 2024 NRMP Match

Let’s dive into the results of the 2024 NRMP Residency Match. Did emergency medicine make a comeback, or is it still a declining specialty? Why are more DOs applying?

Medical School vs Residency Comparison

The transition from Medical School to Residency is often misunderstood. Learn about the key differences between med school and residency so that you can best prepare yourself for both types of training.

Leave a Reply Cancel reply

Join the Insider Newsletter

Receive regular exclusive MSI content, news, and updates! No spam. One-click unsubscribe.

Customer Note Premed Preclinical Med Student Clinical Med Student

You have Successfully Subscribed!

• Medical School

MD PhD vs MD: Which is best for you?

If you find yourself struggling between pursuing an MD PhD vs MD degree, you've come to the right place. In this blog, we'll explore the similarities and differences between medical doctors and physician-scientists to help you determine how to choose the pathway that is best suited for you.

>> Want us to help you get accepted? Schedule a free strategy call here . <<

Article Contents 7 min read

Md phd vs md: education.

While those with MD PhD and MD degrees are both medical doctors, MD PhD graduates also possess a PhD and are therefore known as physician-scientists or medical scientists. Obtaining this extra degree requires a different program structure and length compared to MD programs. MD PhD programs are generally 7-8 years in length and require attendance at both medical and graduate school. MD programs, on the other hand, will be completed in four years, half the time it will take MD PhD students. While both programs are classroom-based during the first two years, MD PhD students will move on to graduate school to complete their PhD thesis for between 3-4 years. They will then return to medical school for a year or two completing clinical rotations. Both MD PhD and MD graduates will complete their residency training for between 3-7 years before being licensed to practice medicine.

MD PhD vs MD: Application and Tuition

Whether you're interested in an MD PhD or an MD program, the application process is similar. You'll apply to most programs through AMCAS where you'll complete all sections of the application including the AMCAS work and activities section and you'll upload your coursework, letters of evaluation, and medical school personal statement . Make sure to find out if the schools of your choice require you to take CASPer test. If so, start practicing using CASPer sample questions as soon as you can. In addition to the standard application components, MD PhD applicants will have to complete two additional essays that describe both their reasons for pursuing an MD PhD degree and their research experience. Review our medical school application timelines  blog to ensure you're aware of the application process and corresponding deadlines.

It's no secret that both MD PhD and MD programs are extremely competitive, with acceptance rates on average between 1-4%. There are far fewer MD PhD programs available compared with MD programs and the large benefit of reduced or waived tuition makes for even higher competition, especially in MSTPs vs MD programs. It's a good idea to use our medical school chance predictor to see how your grades and test scores compare with the average scores of accepted individuals into either program. Last year, MD PhD matriculants had an average MCAT score of 516 and an average GPA of 3.80 compared with the 511.5 MCAT score and 3.73 GPA of MD matriculants. So, we can see that in order to be a competitive MD PhD applicant, you'll have to possess a higher GPA and MCAT score than if you were to apply as an MD applicant. Of course, the level of competition varies between schools, and there are certainly MD programs that receive a high volume of applicants competing for few spots making some MD programs more competitive than MD-PhD programs, it's entirely dependant on the school, program, and application cycle.

MD PhD vs MD: Career Outlook and Salary

Although it may seem obvious that students who graduate from MD programs become medical doctors and most practice medicine at hospitals, clinics, medical centers, and private practices, some students are unsure of what a career looks like as a physician-scientist. Many MD PhD graduates choose to complete their residency training in internal medicine, pathology, pediatrics, and neurology, however, many other specialties are also represented, from surgery to radiology to emergency medicine. Internal medicine is also a common specialty choice for MD graduates as well as pediatrics, emergency medicine, and family medicine. According to a study conducted by the AAMC, nearly 80% of all MD PhD graduates enjoy careers as faculty members at medical schools or work for the National Institute of Health (NIH), other research institutions, industry, and federal agencies with many devoting a large portion of their time to research. Also, out of roughly 7000 MD-PhD alumni that took part in this study, 82% said that they would partake in MD-PhD training again, even if they had the chance to go back in time and change their mind.

Physician-scientists not only possess in-depth knowledge in the medical field, they also have knowledge of population health and disease and will be trained to conduct independent research and analysis. With this dual degree, physician-scientists are highly valued for their ability to treat patients while also contributing to detecting health threats, developing new treatments, therapies or even cures. Physician-scientists working in academia can teach and provide clinical service, while also conducting their own, or joint, research. The annual salary for physician-scientists is usually between $60,000-$115,000, depending on the type and place of employment.

Physicians manage and support the health and well-being of those in their care. Through physical examinations, diagnostic testing, treatment, and communication, they can manage and significantly improve the health of their patients. Depending on the type of physician, they may perform surgeries and treat either general or specific illness and disease. Annual salaries generally correspond to level of training and specialization and usually range from $180,000-$280,000

For some, from the moment they put on safety glasses in science class or that time they resuscitate their childhood teddy bear, they knew what they were going to be when they grew up. Not everyone has an immediate passion or the typical “aha” moment later on in life. Sometimes, a student's drive to medicine or research develops later on in life, through experiences, education or even while overcoming hardships, and this is perfectly normal. So, what if you have a passion for both science and medicine? How can you choose whether to pursue an MD degree or a joint MD PhD degree? It's important to choose only once you've considered a variety of factors and are 100% sure in your decision, because the reality is, neither option will be easy and you'll have to be willing to invest the time, money, and effort to be successful.

Find out what drives you.

Start by thinking about what you're interested in and what motivates you to help you determine where your true passions lie. If you know that you are really interested in medicine and in helping others but only have a slight interest in research, then it's probably a good idea to pursue medicine on its own. At nearly twice the length of an MD program, the MD PhD program is no walk in the park. Students should only pursue this joint degree if they have a serious passion for both medicine and research. In addition to feeling passionate about treating patients, if you find yourself interested in the mechanisms behind disease, are curious about the unknowns and can't picture a career that doesn't involve research, it's a good sign that the joint program will be suitable for you.

Determining whether or not you are interested in becoming a medical doctor or a physician-scientist is the first and most important decision you'll have to make when deciding between the two pathways. If you're motivated by your passions, you're likely to enjoy your career because it's actually what you want to do. By putting in the time and effort to be the best version of yourself, you'll have a fulfilling rewarding career.

So, how can you know for sure which path is the best for you? Gain experience in the field well in advance of filling out your applications. This will be closest you'll get to test drive your potential career choice. If you're struggling to decide between an MD and MD PhD program, be sure to gain both clinical and research experience. This will be a great way for you to get hands-on experience in both fields to see which areas really spark your interest and which areas you're not as keen on. Learn how to ask to shadow a doctor , sign up for volunteering experiences that place you in the medical or research field, and partake in scientific experiments where you'll be testing hypotheses to gain research experience. Not only will these experiences be essential when filling out your medical school applications, the key is that through a variety of different experiences, you'll be able to hone in on your interests.

Consider the affordability of each program.

According to the AAMC, approximately 76% of medical school students graduate with debt. For the students that borrow money, the median debt is approximately $200,000 at public medical schools. Of course, with an average physician salary of $300,000, this debt can be repaid, but it can be a rocky start for students as they begin entering their careers. A major benefit of MD PhD programs is the fact that most programs partially cover or completely waive tuition for enrolled students, and many also provide a stipend that can be used to cover the costs of living expenses. Due to this, some students can finish their training debt-free, and potentially even with a decent amount of savings. Now, this isn't to say that you should simply pick a program based on the cost but it's an important factor to consider if you want to pursue either option. What's important is that you pick your path depending on which best aligns with your interests, motivations, and short and long term career goals.

Check out this video for a recap:

Like our blog? Write for us ! >>

Have a question ask our admissions experts below and we'll answer your questions, get started now.

Talk to one of our admissions experts

Our site uses cookies. By using our website, you agree with our cookie policy .

FREE Training Webinar: How To Make Your Med School Application Stand Out

(and avoid the top 5 reasons that get 90% of applicants rejected).

Time Sensitive. Limited Spots Available:

We guarantee your acceptance to med school or you don't pay.

Swipe up to see a great offer!

Graduation 2024: Congratulations to School of Medicine Graduates!

Congratulations to the 446 students from the Duke University School of Medicine who graduated on Sunday, May 12, 2024, marking the successful culmination of their hard work and dedication. Students received degrees in the following programs:

MD and MD/PhD Graduates

Master of Biomedical Education Program

Medical Physics MS and PhD Graduates

Doctor of Physical Therapy Graduates

Occupational Therapy Doctorate Graduates

Maryland Senate Primary Results 2024

Democratic Sen. Ben Cardin's retirement has opened up a seat, and a potential battleground race, in Maryland. Prince George's County Executive Angela Alsobrooks and Rep. David Trone are facing off for the Democratic nomination in an expensive race fueled by Trone's personal fortune, but the campaign will not end there. Popular former Republican Gov. Larry Hogan jumped in late into the GOP primary with self-funder Robin Ficker, and polling shows Hogan would make the general election competitive in the normally blue state.

Republicans

Republican County Results

• Size of lead
• Est. Remaining votes

Democratic County Results

The expected vote is the total number of votes that are expected in a given race once all votes are counted. This number is an estimate and is based on several different factors, including information on the number of votes cast early as well as information provided to our vote reporters on Election Day from county election officials. The figure can change as NBC News gathers new information.

Source : National Election Pool (NEP)

Find Your Congressional District

We will only use your address to look up your district.

2024 election results

• Connecticut
• Dem. Abroad
• Massachusetts
• Mississippi
• N. Mariana Is.
• New Hampshire
• North Carolina
• North Dakota
• Pennsylvania
• Puerto Rico
• Rhode Island
• South Carolina
• South Dakota
• Virgin Islands
• West Virginia

• History, Facts & Figures
• YSM Dean & Deputy Deans
• YSM Administration
• Department Chairs
• YSM Executive Group
• YSM Board of Permanent Officers
• FAC Documents
• Current FAC Members
• Appointments & Promotions Committees
• Ad Hoc Committees and Working Groups
• Chair Searches
• Leadership Searches
• Organization Charts
• Faculty Demographic Data
• Professionalism Reporting Data
• 2022 Diversity Engagement Survey
• State of the School Archive
• Faculty Climate Survey: YSM Results
• Strategic Planning
• Mission Statement & Process
• Beyond Sterling Hall
• COVID-19 Series Workshops
• Previous Workshops
• Departments & Centers
• Find People
• Biomedical Data Science
• Health Equity
• Inflammation
• Neuroscience
• Global Health
• Diabetes and Metabolism
• Policies & Procedures
• Media Relations
• A to Z YSM Lab Websites
• A-Z Faculty List
• A-Z Staff List
• A to Z Abbreviations
• Dept. Diversity Vice Chairs & Champions
• Dean’s Advisory Council on Lesbian, Gay, Bisexual, Transgender, Queer and Intersex Affairs Website
• Minority Organization for Retention and Expansion Website
• Office for Women in Medicine and Science
• Committee on the Status of Women in Medicine Website
• Director of Scientist Diversity and Inclusion
• Diversity Supplements
• Frequently Asked Questions
• Recruitment
• By Department & Program
• News & Events
• Executive Committee
• Aperture: Women in Medicine
• Self-Reflection
• Portraits of Strength
• Mindful: Mental Health Through Art
• Event Photo Galleries
• Additional Support
• MD-PhD Program
• PA Online Program
• Joint MD Programs
• How to Apply
• Advanced Health Sciences Research
• Clinical Informatics & Data Science
• Clinical Investigation
• Medical Education
• Visiting Student Programs
• Special Programs & Student Opportunities
• Residency & Fellowship Programs
• Center for Med Ed
• Organizational Chart
• Leadership & Staff
• Committee Procedural Info (Login Required)
• Faculty Affairs Department Teams
• Recent Appointments & Promotions
• Academic Clinician Track
• Clinician Educator-Scholar Track
• Clinican-Scientist Track
• Investigator Track
• Traditional Track
• Research Ranks
• Instructor/Lecturer
• Social Work Ranks
• Voluntary Ranks
• Adjunct Ranks
• Other Appt Types
• Appointments
• Reappointments
• Transfer of Track
• Term Extensions
• Timeline for A&P Processes
• Interfolio Faculty Search
• Interfolio A&P Processes
• Yale CV Part 1 (CV1)
• Yale CV Part 2 (CV2)
• Samples of Scholarship
• Teaching Evaluations
• Letters of Evaluation
• Dept A&P Narrative
• A&P Voting
• Faculty Affairs Staff Pages
• OAPD Faculty Workshops
• Leadership & Development Seminars
• List of Faculty Mentors
• Incoming Faculty Orientation
• Faculty Onboarding
• Past YSM Award Recipients
• Past PA Award Recipients
• Past YM Award Recipients
• International Award Recipients
• Nominations Calendar
• OAPD Newsletter
• Fostering a Shared Vision of Professionalism
• Academic Integrity
• Addressing Professionalism Concerns
• Consultation Support for Chairs & Section Chiefs
• Policies & Codes of Conduct
• First Fridays
• Fund for Physician-Scientist Mentorship
• Grant Library
• Grant Writing Course
• Mock Study Section
• Research Paper Writing
• Establishing a Thriving Research Program
• Funding Opportunities
• Join Our Voluntary Faculty
• Child Mental Health: Fostering Wellness in Children
• Faculty Resources
• Research by Keyword
• Research by Department
• Research by Global Location
• Translational Research
• Research Cores & Services
• Program for the Promotion of Interdisciplinary Team Science (POINTS)
• CEnR Steering Committee
• Experiential Learning Subcommittee
• Goals & Objectives
• Issues List
• Print Magazine PDFs
• Print Newsletter PDFs
• YSM Events Newsletter
• Social Media
• Patient Care

INFORMATION FOR

• Residents & Fellows
• Researchers

Former NIH Director to Speak at Commencement for MD Class of 2024 on Monday

Commencement for the MD Class of 2024 : All are welcome to celebrate our MD graduates on Monday, May 20, at 12:30 p.m. in Amistad Park.

Physician-geneticist Francis Collins, MD, PhD, the former director of the National Institutes of Health (NIH), is the graduation speaker. The annual faculty awards recognizing excellence in medical education will be announced at the ceremony. Please bring your Yale ID to access Amistad Park.

• White House
• Energy/Environment
• Health Care
• Transportation
• Heard on the Hill
• Fintech Beat
• Political Theater
• Donald Trump
• White House Calendar
• White House Releases
• Press Seating Chart
• Donald Trump Twitter
• Correspondents Dinner
• Newsletters
• Capitol Ink
• Roll Call e-Edition
• Classifieds

Maryland voters set matchups for open House seats

Baltimore County Executive John “Johnny O” Olszewski won the Democratic nomination to replace retiring Rep. C.A. Dutch Ruppersberger.

Olszewski had 82 percent of the vote in a six-way primary when The Associated Press called the race at 8:41 p.m. 

Olszewski is set to face Kimberly Klacik, a conservative talk radio host, in November. Klacik won a three-way Republican primary and had 65 percent of the vote when the AP called the race at 8:43 p.m. Klacik previously ran in the 2020 special election in the 7th District to replace the late Rep. Elijah E. Cummings. 

Olszewski, who previously was a member of the state House of Delegates for nearly nine years and was considered a potential candidate for the Senate before opting to support Angela Alsobrooks, is the favorite for the seat. Democrat Joe Biden would have won the district by 20 points in 2020, and Inside Elections with Nathan L. Gonzales rates the race as Solid Democratic. 

3rd District

State Sen. Sarah Elfreth won the nomination to replace retiring Rep. John Sarbanes Tuesday, defeating nearly two dozen fellow Democrats including former Capitol Police officer Harry Dunn, who brought national attention to the race.

Elfreth had 36 percent of the vote when the AP called the race at 10:27 p.m. Dunn trailed with 26 percent. 

Dunn gained a national following after he spoke out about his experience defending the Capitol on Jan. 6, 2021, including in a bestselling book . That helped him to raise $4.6 million as of April 24, far more than anyone else in the field, including Elfreth, who raised $1.5 million. 

But outside groups ran ads on Elfreth’s behalf, which helped close the gap on the airwaves. United Democracy Project, the independent expenditure arm of the American Israel Public Affairs Council, spent $4.2 million to boost Elfreth, the youngest woman ever elected to the state Senate. A group called Pro-Choice Majority 2024 dropped $175,000 on radio ads to support Elfreth ahead of the final weekend of the campaign, according to Federal Election Commission filings. She touted endorsements from retiring Sen. Benjamin L. Cardin and former Sen. Barbara A. Mikulski. 

Elfreth is the favorite in November. The 3rd District would have supported Biden by 25 percentage points in 2020, according to Inside Elections with Nathan L. Gonzales, which rates the race as Solid Democratic. 

6th District

The matchup for what’s likely to be Maryland’s most competitive House race this year is set after voters in both parties picked their nominees on Tuesday. 

Democrat April McClain Delaney, a former Department of Commerce official, won the Democratic nomination, leading a crowded ballot with 16 candidates, although some of those candidates dropped out before the election. McClain Delaney had 40 percent of the vote when the AP called the race at 10:21 p.m. Del. Joe Vogel ran second with 26 percent. 

McClain Delaney, whose husband, John Delaney, previously represented the district, was endorsed by former Speaker Nancy Pelosi as well as Maryland Reps. Steny H. Hoyer, Jamie Raskin and Ruppersberger. 

If elected, she would succeed Rep. David Trone, who gave up the seat to run for Senate. Trone had succeeded her husband when he ran for president in 2020. 

McClain Delaney will face Republican Neil Parrott, the 2020 and 2022 GOP nominee in the district. Parrott, a former member of the House of Delegates, had 50 percent of the vote in the seven-candidate field when the AP called the race at 10:02 p.m. 

Dan Cox, another former state lawmaker who lost the 2022 gubernatorial race, had 29 percent. 

Inside Elections rates the race as Likely Democratic. 

Recent Stories

House passes bill to require ongoing flow of weapons to Israel

Jan. 6 plaque is waiting on Republicans, Jeffries says

Arab leaders’ Gaza demands give Biden another election-year headache

Johnson calls Billy Graham a ‘towering figure in my life’ at Capitol statue unveiling

At the Races: And the winner is … the target of this attack

Draft NDAA seeks to cut housing costs for military families