MD–PhD

This article is about MD–PhD programs. For doctor of osteopathic medicine–PhD programs, see Medical Scientist Training Program#Non-MSTP MD–PhD and DO–PhD programs.

The Doctorate of Medicine and of Philosophy (MD–PhD) is a dual doctoral degree for physician–scientists. The degree is granted by medical schools. The National Institutes of Health, through the National Institute of General Medical Sciences, currently provides 43 medical schools with Medical Scientist Training Program grants that support the training of students in MD–PhD programs at these institutions through tuition and stipend allowances.[1]

Training programs

In the United States, MD–PhD degrees can be obtained through dual-degree programs offered at some medical schools. The idea for an integrated training program began at Case Western Reserve University School of Medicine in 1956[2] and quickly spread to other research medical schools. In 1964, the National Institutes of Health (NIH) developed a grant to underwrite some universities' MD–PhD programs. This funding was distributed through the Medical Scientist Training Program (MSTP). There are also non-MSTP funded dual-degree programs (e.g., the Medical Scholars Program at the University of Illinois at Chicago, which receives funding through endowment funds, research assistantships, teaching assistantships, and extramural fellowships). Non-MSTP funded dual degree programs have more flexibility and can extend to degrees other than the PhD (e.g., JD and MBA degrees).

Admission to a dual degree program is not a requirement to receive MD and PhD degrees. An individual has the option to complete each degree separately through single-degree programs. However, the student is responsible for all medical school tuition and does not receive a stipend during their MD education. Furthermore, since the PhD training is not streamlined with the medical training, students will often take additional years to complete their PhD.

A PhD may also be obtained by physicians during the residency training period. This combined research and graduate-level medical education are offered by a minority of residency programs. This additional education typically extends the residency period by three to four years.

Training structure

Pre-doctoral

Upon matriculating in an MD–PhD program, students will often follow a 2-PhD-2 plan. In this system, students will complete the pre-clinical curriculum of their medical school (2 years), transition into PhD graduate training (3–5 years), and then finally complete clinical rotations (2 years). By contrast, students in the Medical Scholars Program at the University of Illinois at Chicago are generally required to complete all the requirements of a regular doctoral student before advancing to the second year medical school curriculum.

Post-doctoral

Upon receiving the MD–PhD dual degree, physician-scientists may choose a variety of career paths. The most common continues to be residency training with additional laboratory training. However, a physician–scientist may also elect to refuse residency training, thereby having a career essentially akin to a conventional PhD scientist. A physician–scientist may also elect to work in the private sector with no further formal academic clinical nor research training.

Benefits of the dual degree

Financial compensation

Most MD–PhD programs (all MSTPs) cover all medical school tuition, provide a stipend, and cover health insurance expenses. This allows MD–PhD students to maintain financial-equality to their MD-only counterparts who can earn their full clinical salary sooner but also have to pay off large loans.

Residency programs

Candidates with MD–PhD dual degrees are favorably looked upon in most residency programs.

Career paths

The vast majority (over 80%) of MD–PhD graduates eventually choose to enter academia, government, or industry where medical research is a central component of their duties.[3] According to a FASEB study conducted in 2000, graduates of NIH-funded MSTPs make up just 2.5% of medical school graduates each year, but after graduation, account for about one third of all NIH research grants awarded to physicians. Many MD–PhD graduates also practice clinical medicine in their field of expertise.[4]

Famous people

See also

References

  1. ↑ http://www.nigms.nih.gov/Training/InstPredoc/Pages/PredocOverview-MSTP.aspx
  2. ↑ "CWRU Medical Scientist Training Program (MSTP)". cwru.edu. Retrieved 2012-06-20.
  3. ↑ Ley TJ; Rosenberg LE (2005). "The physician-scientist career pipeline in 2005: build it, and they will come". JAMA 294 (11): 1343–51. doi:10.1001/jama.294.11.1343. PMID 16174692.
  4. ↑ Zemlo TR; Garrison HH; Partridge NC; Ley TJ (2000). "The physician-scientist: career issues and challenges at the year 2000". FASEB J 14 (2): 221–30. PMID 10657979.

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