md and phd

• 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.

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MD-PhD, Combined Degree

School of medicine, md - phd, combined degree program.

From its inception, the physician-scientist has been a hallmark of Johns Hopkins medicine and the Johns Hopkins School of Medicine. Indeed, the Hopkins tri-emblem represents the three core values of the institution: teaching, patient care, and research.

The Johns Hopkins School of Medicine offers a variety of opportunities for the training of medical scientists. A combined curriculum leading to both MD and PhD degrees enables students who aspire to careers in academic medicine to obtain intensive training in specialized areas of the biomedical sciences in addition to top-flight medical training. The traditional diversity and flexibility of the educational opportunities at Johns Hopkins permit the design of individualized programs to meet the needs of students with a variety of interests, educational backgrounds, and career goals.

To accomplish our training goals, we expect students to fully commit to medical training while in medical school and research training while in graduate school.  However, we also take important steps to ensure that students are exposed to the intersection of both worlds early in their training, as well as given the professional and career development advice they need to succeed.

In a word, the MD-PhD curriculum at Johns Hopkins is flexible. Most students decide to complete the first two years of medical school before they begin graduate school and finish the last two years of their medical training after completing their thesis work (see the Timeline below). However, students who want more first-hand experience in clinical medicine before beginning graduate work can elect to complete three years of medical school, followed by their graduate training, and then the last year of medical school. This can give them a better appreciation of the potential clinical relevance of their research. In making a choice, trainees consult extensively with the Program Director, the Dean of Students, members of the MD-PhD Committee, prospective research mentors, and their faculty advisors. Students in the MD-PhD Program are automatically accepted to all graduate programs, so decisions regarding graduate training programs can be made with a strong understanding of each program.  The MD-PhD Committee is responsible for program oversight, admissions, and  student mentorship .  Students complete MD-PhD training on average in eight years.

Johns Hopkins interdisciplinary organizational structure means each faculty member may be affiliated with several clinical departments, research sections, and graduate programs. 

Formal graduate programs in the School of Medicine encompass the following areas: Biochemistry; Cellular, and Molecular Biology; Biological Chemistry; Biomedical Engineering; Molecular Biophysics; Functional Anatomy and Human Evolutionary Studies; Cell Biology; Cellular and Molecular Medicine; History of Medicine; Human Genetics; Immunology; Neuroscience; Pathobiology; Pharmacology and Molecular Sciences, and Cellular and Molecular Physiology. Students are also eligible to obtain their PhD in one of the 11 graduate programs at the Bloomberg School of Public Health or the School of Arts and Sciences on the Homewood Campus.  Students may select a thesis mentor from faculty in the Schools of Medicine and Public Health.

The MD-PhD Program also sponsors special seminars and lectures, It also maintains a dedicated library, the Paul Talalay MD-PhD Library, to enrich the educational opportunities of all MD-PhD students. Efforts are made to acquaint MD-PhD candidates with the major advances, concepts, and cutting-edge techniques in contemporary medicine and biomedical sciences.  We also create an environment that promotes a more intimate personal contact with successful medical scientists in this institution.

Admission Procedures.  Individuals who wish to apply for admission to the combined MD-PhD Program of the School of Medicine must submit an application through AMCAS  in which they will indicate the MD-PhD Program.  Once the AMCAS application has been verified and submitted to Hopkins, the applicant will receive an invitation to complete the Hopkins Secondary Application.  Here the applicant will submit the additional materials required for the combined degree.  Johns Hopkins does not allow applicants to apply to both the traditional MD program and the combined program during the same cycle.   

All combined-degree applications are reviewed by a separate  MD-PhD Review Committee  which is comprised of faculty from the basic sciences and clinical arena, as well as faculty from the Bloomberg School of Public Health.  A separate Graduate School application is  not necessary . The MD-PhD Committee determines whether or not an interview is indicated.  In general, the committee is looking for students with a passion for research and a commitment to medicine.  This assessment is based on the applicant’s research experience, letters of recommendation, academic performance and extracurricular activities. The Committee considers standardized test scores only in the context of the applicant’s other credentials. If an interview is granted, the applicant is notified by the MD-PhD Office and after the applicant accepts, the process for scheduling an interview begins.  Interview visits generally occur over two days. Applicants are interviewed by members of the MD-PhD Committee and other faculty members who share their research interests. Applicants have many opportunities to meet with current students and tour the campus during their visit. 

All eligible applicants who are admitted to the MD-PhD Program are funded by the NIH Medical Scientist Training Program (MSTP) Award.  This program, supported by the National Institutes of Health, provides full tuition, stipend, and medical and dental insurance for students. Due to federal restrictions, only U.S. citizens and permanent residents are eligible for MSTP funding.  Approximately 10-12 MD-PhD students matriculate each year.

Students who matriculate to the traditional MD Program but have a clearly demonstrated interest and experience in scientific research, are eligible to apply to the combined MD-PhD Program.  These students may apply for admission during the fall of their first or second year of medical school.  These qualified applicants are evaluated and placed in the pool for the current application cycle and will be considered for MSTP funding.  

Financial Support.  The Johns Hopkins School of Medicine Medical Scientist Training Program (MSTP) is supported by a training grant from the National Institutes of Health. A number of exceptional students with unusual accomplishments and commitment to a career in the medical sciences will be selected for traineeships under this program. Such fellowships provide stipend and tuition support for combined medical and graduate study. All students who are admitted to the MD-PhD Program will be considered for these awards. 

Graduates of The Johns Hopkins University School of Medicine MD-PhD Program have gone on to become leaders in many areas of academic medicine.

Advice on the scope and opportunities offered by these programs may be obtained from the Director or Administrative Director of the MD-PhD Program.

• 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.

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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:

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What’s the Difference Between MD and PhD Programs?

What’s the difference between MD and PhD programs? Both an MD and a Ph.D. are doctorates awarded to people who finish the highest level of graduate education. However, MD and Ph.D. holders have quite distinct professional paths. Understanding the difference between MD and Ph.D. will help you choose the one that best matches your academic and career goals. Here, we’ll go through the similarities and distinctions between an MD and a Ph.D., as well as some pointers on how to decide between the two. Here are these medical degrees explained:

The Difference Between MD and Ph.D.

MDs are medical doctors who treat patients, whereas PhDs are researchers who specialize in a particular field of study. The Latin phrase medicinae doctor , which translates to teacher of medicine , is where we get the English acronym MD. People who have earned an MD, also known as a Doctor of Medicine, have participated in clinical training during their time in graduate school in order to become physicians upon completion of their studies.

The title philosophiae doctor , from which we get the name Ph.D., literally translates to teacher of philosophy . However, the term is applicable to a wider variety of people than merely philosophy teachers. Students pursuing a Doctor of Philosophy degree, sometimes known as a Ph.D., follow a curriculum distinct from that followed by those pursuing a Doctor of Medicine. Ph.D. candidates are required to undertake research in their respective fields of study rather than getting experience in the workforce. Graduates with PhDs usually find employment in a field relevant to their major or the specialized field they studied.

Dual MD/Ph.D. Programs

An MD/Ph.D. is a dual doctorate. The curriculum alternates between clinical and research-oriented components. This is perfect for people who want to learn both clinical and research-focused aspects of medicine. Approximately 600 students enter MD-PhD programs annually, according to the Association of American Medical Colleges.

MD/ Ph.D. vs MD 

MD Ph.D. graduates are also known as physician-scientists or medical scientists since they hold a Ph.D. in addition to their MD degree. Medical professionals with an MD degree and a Ph.D. are both considered medical doctors. To obtain this additional degree, you will need to participate in a program that is longer and structured differently than MD programs. MD Ph.D. programs typically last anywhere from seven to eight years and require students to attend both medical school and graduate school. On the other hand, medical doctor (MD) programs can be finished in just four years, which is just half the amount of time required for MD Ph.D. students.

Although the initial two years of instruction in both programs take place in classrooms, MD Ph.D. students continue to graduate school to work on their dissertations for an additional three to four years after those first two years. After that, they will return to medical school to complete their clinical training for another year or two. To obtain a license to practice medicine, graduates with an MD or MD Ph.D. degree must first finish a residency program that lasts between three and seven years.

Application and Cost

The application process is the same whether you are interested in an MD Ph.D. or an MD program. Most programs require you to apply through AMCAS. You will fill out all application sections (including the AMCAS work and activities section) and upload your coursework, letters of recommendation, and medical school personal statement. Find out if the CASPer test is required for admission to the schools of your choice. If so, begin practicing with CASPer sample questions as soon as possible. Students will be required to write two additional essays to explain why they want to pursue an MD Ph.D. degree as well as their research experience. 

In public medical schools, the annual tuition and fees for MD students are about $37,000; in private or out-of-state medical schools, the annual tuition and fees are about $62,000. In contrast, students enrolled in MD-PhD programs have access to reduced or even free tuition, as many programs waive tuition and provide financial aid to cover living costs. The National Institute of General Medical Sciences (NIGMS) funds 49 MD Ph.D. programs through the highly competitive Medical Scientist Training Program (MSTP).

Competition

Both MD Ph.D. and MD programs are notoriously difficult to get into, with acceptance rates ranging on average from 1 percent to 4 percent. The number of available MD Ph.D. programs is significantly lower than the number of MD programs, and the advantage of significantly reduced or waived tuition contributes to an even higher level of competition, particularly in MSTPs compared to MD programs.

To be a competitive MD Ph.D. applicant, you should have a higher GPA and MCAT score than if you applied as an MD applicant. MD programs have varying levels of competition, and there are MD programs that receive a large number of applicants competing for a limited number of spots. It is entirely dependent on the school, the program, and the application cycle to determine whether or not some MD programs are more competitive than MD-PhD programs.

Salary and Career Prospects

Although it may appear obvious that students who graduate from MD programs become medical doctors and the majority of them practice medicine in hospitals, clinics, medical centers, and private practices, some students are unsure of what a career as a physician-scientist entails. Although many MD Ph.D. graduates choose to complete their residency training in internal medicine, pathology, pediatrics, and neurology, there are also graduates working in a wide variety of other medical specialties, including surgery, radiology, and emergency medicine. Other typical specialties for MD graduates include pediatrics, emergency medicine, and family medicine. One study by the American Association for Medical Education and Research (AAMC) found that nearly 80 percent of MD Ph.D. graduates are employed as professors at medical schools or in research institutions such as the National Institutes of Health (NIH), pharmaceutical companies, and other government agencies. More than 7,000 MD-PhD alumni participated in this study, and 82% said they would do it all over again, even if they could go back in time and do it all over again.

Physician-scientists are trained to not only have in-depth knowledge of the medical field but also of population health and disease, as well as the ability to conduct research and analysis independently. With a dual degree, physician-scientists can treat patients, detect health threats, and develop new treatments, therapies, or cures. When employed in academic settings, physician-scientists have the opportunity to teach, provide clinical services, and conduct their own or joint research. Physician-scientists typically earn between $60,000 and $115,000 per year, depending on the type and location of employment.

Physicians are responsible for managing and supporting the health and wellbeing of the patients in their care. They can manage and significantly improve their patients’ health through physical exams, diagnostic tests, treatment, and communication. Surgical procedures and treatment of illness and disease, either on a general or a specific level, may be performed by doctors of different specialties. The range of annual salaries is usually between $180,000 and $280,000, depending on the level of specialization.

Which Option Is the Most Suitable for You? MD or MD-PhD?

For some students putting on the safety glasses in science class or reviving a childhood teddy bear was a defining moment in choosing the medical field as their future path. However, not everyone is blessed with an immediate passion or the typical “aha” moment. Sometimes, a student’s interest in medicine or research develops later in life through experiences or education, which is perfectly normal. So what if your interests lie somewhere between the two fields of science and medicine? What factors should you consider when deciding between obtaining a degree in medicine (MD) and a joint degree (MD-PhD)? It is essential to choose only after you have considered various factors and are one hundred percent sure about your decision. The reality is that neither choice will be easy, and you’ll need to be willing to invest the necessary amount of time, money, and effort to achieve success.

Why Do Some Students Choose an MD-PhD?

Here are some reasons why people want to be both doctors and scientists.

As a physician-scientist, you’ll have a unique career path. One of the most rewarding aspects of working as a medical researcher is solving a patient’s medical issues while pursuing scientific research that could lead to a clinical cure for that particular disease.

MD-PhD trainees are medical researchers who also have a strong desire to practice medicine in a clinical setting.

The MD-PhD curriculum is designed to integrate the scientific and medical education of the future physician-scientist effectively and efficiently.

In the years leading up to their Ph.D., MD-PhD students complete coursework and receive formal training in research methodology.

Most MD-PhD programs offer trainees financial support in the form of stipends and scholarships to cover tuition costs. This financial support acknowledges the amount of time a student must devote to training in order to pursue a career in both medicine and research (MD-PhD). However, each program’s level of financial assistance varies, and some may provide assistance to only United States citizens and permanent residents.

MD-PhD Training Areas of Research

When applying to specific MD-PhD Programs, one essential factor to consider is the variety of the available graduate degree programs.

Most candidates for MD-PhD programs earn their Ph.D. in a biomedical laboratory discipline like cell biology, biochemistry, genetics, immunology, pharmacology, physiology, neuroscience, or biomedical engineering.

Students in some MD-PhD programs may also complete graduate work in non-laboratory disciplines such as computer science, economics, epidemiology, health care policy, or even the history of medicine and its social and cultural influences.

How to Choose Between an MD and a Ph.D.

Figure out what motivates you the most.

It would help if you first consider what you’re interested in and what drives you. This will help you figure out what you’re passionate about. Suppose you are confident that you are interested in medicine and assisting other people but are only slightly interested in research. In that case, it is probably a good idea to pursue medicine on its own rather than research. The MD Ph.D. program isn’t easy because it takes almost twice as long as an MD program. Students should only go for this joint degree if they are serious about both medicine and research. The joint program may be a good fit for you if you have a strong interest in disease mechanisms, are curious about the unknown, and can’t imagine a career that doesn’t involve research in some capacity.

First and foremost, decide if you want to become a medical doctor or a physician-scientist. People driven by their passions are more likely to find fulfillment in their work because they are doing what they truly want to do. You’ll have a rewarding career only when you have enough motivation to put in the necessary time and effort.

Think About the Dynamics of Your Preferred Job

Doctors spend a lot of time talking to their patients and families, and they need good communication skills. In hospitals, doctors may work unusual hours, even on weekends and holidays; in offices, they can have a more conventional schedule. If you decide to get a Ph.D., you might spend a lot of time working alone in a lab, or you might decide to teach students in your field. Whether you want an MD or a Ph.D. can depend on what kind of work environment and schedule you want.

Trust Your Own Experience

Is it possible to know for sure which path is the best for you? Before submitting your applications, get some hands-on experience in the field. This is the best opportunity to see whether you’ll like your future career path. If you’re torn between an MD and an MD Ph.D. program, make sure you get some clinical and research experience before making a decision. This is an excellent opportunity for you to gain practical experience in both fields and determine which ones pique your interest the most. You could sign up for volunteering opportunities that will give you first-hand experience in medicine or research. These experiences will be crucial when applying to medical school, but they’ll also help you narrow your interests.

Finally, remember that if you are still unsure which path is the best, you could always reach out to our Academic Advisors and seek their guidance.

By setting up a free one-on-one meeting with our friendly and knowledge advisors, you will be able to gain the valuable insight as to which career path you would like to take and how to get there. CLICK HERE TO GET STARTED .

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M.D. vs. PhD. Degrees: What Are the Differences? 

Cait Williams is a Content Writer at Scholarships360. Cait recently graduated from Ohio University with a degree in Journalism and Strategic Communications. During her time at OU, was active in the outdoor recreation community.

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Maria Geiger is Director of Content at Scholarships360. She is a former online educational technology instructor and adjunct writing instructor. In addition to education reform, Maria’s interests include viewpoint diversity, blended/flipped learning, digital communication, and integrating media/web tools into the curriculum to better facilitate student engagement. Maria earned both a B.A. and an M.A. in English Literature from Monmouth University, an M. Ed. in Education from Monmouth University, and a Virtual Online Teaching Certificate (VOLT) from the University of Pennsylvania.

Chances are, when you hear PhD and MD, you at least know that there is a difference between them. Since both are the titles of doctors, there’s still a lot of ambiguity as to what those specific differences are. In this article, we will look at how MDs and PhDs differ from one another and which one might be a better fit for you. Let’s jump in!  

Doctor of Medicine (MD)  

We’ll start by taking a separate look at MDs. An MD is a medical doctor. Their primary job is to work with patients in a variety of settings such as hospitals, clinics, and a variety of other places where having medical staff is necessary. 

School  

In order to become an MD, students must complete their undergraduate degree and then attend a four year medical school. Medical School is then followed by a residency, where a new doctor completes training under a senior physician. From start to finish, becoming a doctor takes around 8-12 years to finish undergrad, medical school, and residency.  

Area of study  

As a medical doctor, you will generally choose one area of medicine that you would like to focus on. Specialties can be based on a certain part of the body, such as cardiology, podiatry, or neurology. Aspiring medical doctors can also specialize in working with a select group of people, such as geriatrics or pediatrics, or finally, you can specialize in researching things like oncology. The possibilities are plentiful for MDs! 

Where they work  

Where you work will depend on what you choose to specialize in. Again, this could be in a hospital, a smaller clinic, or even across the globe with various organizations that work to provide medical care to underserved populations. Medical expertise is needed in many capacities, meaning that there is never a shortage of places that a medical degree could take you! 

A word about DOs  

Before we move on to PhDs, we have one more thing to clear up that you might have questions about. In addition to MDs, there is also another type of doctor called a DO, or a doctor of osteopathic medicine . DOs perform largely all the same functions as MDs, but with a more holistic approach. They attend undergrad just like MDs and then attend a four year DO program that is structured very similarly to a regular medical school.  

The only difference between these two is where they receive their medical school training and how they approach studying medicine and treating patients. If you are thinking about becoming a medical doctor, you should take some time to explore DOs and what they do!  

Doctorate of philosophy (PhD)  

Okay, now onto PhDs! A doctorate of philosophy, known also as a PhD , doesn’t actually have anything to do with philosophy in most cases. A PhD can be completed in pretty much any field and is the highest level of education that one can receive.  

In order to complete your PhD, you will need to first complete your undergrad, then a master’s program, and finally apply to PhD programs. Not all PhD programs require that you finish your masters. There are some schools that offer programs that allow you to complete both your masters and your doctorate at the same time.  

Generally, schooling for your PhD takes anywhere from four to eight years to complete. The first year or two of your PhD is spent on coursework, while the remaining years are spent doing research and completing your dissertation.  

There are endless areas of study that offer PhD programs. You can study everything from physical therapy, business management and psychology to health administration, engineering, social work, and so much more. The gist is pretty much that if you can think of a field of study, you can earn your PhD in it!  

Based on the examples of fields you can study, it’s safe to say that what you study will determine where you decide to work. PhD holders are highly educated people, meaning that finding a job when you hold a PhD in your field will look pretty good to most employers.  

Common places where you find a high concentration of PhDs are in hospitals, corporate offices, college campuses, and other educational institutions. Remember, though, that’s not a full list of where you could work–the list of places you could work is endless! 

Tuition and Costs  

It’s true, pursuing either one of these degrees is not the cheapest thing, but don’t let numbers scare you off! If anything in this article sounds like it is right for you, explore it thoroughly. There are lots of ways that you can pay for your education, including scholarships, organizations, and programs out there that want to help you do it!

Okay, so for some real talk, the price of either of these degrees can vary a lot. Medical school will generally cost between $45,000 – $65,000 a year, while PhD programs cost on average about $30,000 a year. But, again, this does not mean you have to be able to pay these costs out of pocket. There are a lot of programs for PhDs that work with you to help you pay for some of the costs. There are even some fully funded PhD programs !

Similarly, there are tons of medical scholarships and even tuition free medical schools that you can apply to help offset the costs of a medical degree. There are also options for student loans that you can take out as well. The point is, there are tons of ways to find your education. If a degree like this is right for you, it is possible to achieve with proper planning and determination.

Related: Top scholarships for graduate students

Shadowing  

Before jumping all the way in with either of these degrees, shadowing is a great tool that can help you explore your intended field or job. It’s highly encouraged that students who want to attend medical school shadow at least a few different MDs and DOs prior to applying to medical school.  

But the benefits of shadowing are not just for the medical world. You can ask to shadow just about anyone . Maybe you’d like to shadow a professor who you had during undergrad, a social worker, or someone you know of who works in business. There are no rules about who you can and can’t shadow, you simply have to ask and go from there!  

What is right for you  

Below are some basic questions to help you get your mind started thinking about whether an MD or PhD is right for you. The first set of questions pertains more to MD or DO degrees.  

If you’re thinking about an MD or DO degree…  

Questions to consider.

• Do you like working with people and helping them during difficult times?  
• Do you love studying biological sciences ?  
• Does working in a hospital or clinic sound like an environment you would enjoy? 

If you’re thinking about a PhD…  

• Is there a specific area or field you would like to study? 
• Do you have a specific job in mind that you would like, and does it require a PhD? 

The answers to these questions won’t instantly help you decide, but they should help you think a little deeper about these degrees. 

Key Takeaways

• Both MDs and PhD holders are highly educated in their field of study, holding the highest degrees that you can earn 
• The only way to become a practicing MD is to first obtain your bachelor’s degree, then attended a four year accredited medical school, and then successfully complete all the proper exams to practice medicine 
• To earn a PhD, you do not have to attend medical school, but you will need to attend a PhD program, complete your undergrad, and usually complete your master’s degree before doing so 
• There are lots of ways to fund both a PhD and an MD, including scholarships, grants, loans, and partially and fully funded programs for each 

Frequently asked questions about the differences between MD and PhDs  

Is a phd higher than an md, who gets paid more an md or a phd, is a phd harder than an md, scholarships360 recommended.

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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 is the Real Difference between an MD and PhD?

Phds advance knowledge, whereas mds merely apply existing knowledge..

Posted March 7, 2011 | Reviewed by Kaja Perina

If you ask someone in the psychology world how people with PhDs (Doctor of Philosophy ) differ from those with MD (Doctor of Medicine) you may get an answer like "MDs can prescribe medication , whereas PhDs cannot." That is true. Another difference is that MDs generally make more money in the United States.

MDs are consider by many to be the "real doctors" because they can help with physiological medical problems. That too is true. I certainly don't refer to myself as "Dr. Kelly" in any context other than an academic setting, because people might get the false impression that I could jump in and help in the event of a broken foot or migraine headache.

All that sounds pretty bad for the PhD. But here's the most essential difference between the two degrees: PhDs advance knowledge, whereas MDs merely apply existing knowledge. Unlike the MD who does not need to produce any original research, the person earning a PhD must produce original research and write it up in a thesis or dissertation. Then a committee of experts must deem that thesis as offering an acceptable advancement of knowledge before the PhD is conferred. It typically takes a couple of years longer to earn a PhD than an MD. Part of the reason it takes so long is that the person earning the PhD is being trained on how to think critically about existing knowledge, and it can take a while to find one's niche and fill a gap in the knowledge base.

If you yourself want to make important scientific discoveries and then tell the world about them, you will be much better prepared by getting a PhD than an MD. You also will be much better prepared to criticize studies you read about in virtually any field because you will be trained in critical thinking and writing.

If you are deciding which degree is right for you, ask yourself if you will be content with applying the knowledge you learn (MD) from other people, or if you would like to get in on the action of making the discoveries yourself (PhD). For instance, would you like to be one of the scientists who are figuring out how to reverse the aging process (PhD)? Would you like to see if giving aging mice a particular the enzyme (one that you discover) makes their hair shiny again and restores their fertility (PhD)? Or would you be content giving your future medical patients the proper dose of the medications that arise from this research and then seeing the signs of youth return in your patients (MD)? These are the kinds of questions that college students everywhere should be asking themselves, and yet I have never seen them do so.

This difference in training also means that if you want to know what the cutting -edge knowledge is in a given field, you have to ask a PhD in that field, not an MD. So for instance, let's say you or your mate is having trouble getting pregnant . If you just ask your local obstetrician or gynecologist what the cutting edge discoveries are regarding fertility, that MD is not likely to know. That MD can give you fertility treatments that he or she has learned about and tried with other patients. It should be noted, however, that many MDs make an effort to remain abreast of scientific research long after their degree has been conferred.

The upshot of my message is this: We need both kinds of people, those who apply existing knowledge (such as the MD does in the medical field) and those who advance it (PhDs). But if you think a PhD is less qualified than an MD when it comes to having cutting-edge knowledge, you have that backwards.

Anita E. Kelly, Ph.D., is a Professor of Psychology at the University of Notre Dame. She is author of The Clever Student and The Psychology of Secrets.

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“M.D.” vs. “Ph.D.” vs. “Dr.”: Are They Synonyms?

Quick: when you hear the word doctor , what do you picture?

Most would probably describe someone in a white lab coat with a stethoscope hanging around their neck or someone in medical scrubs—someone you would seek out if you have a deep cut that needed stitches.

That word doctor , however, is a title assigned to many who don’t come close to that description, many of whom you wouldn’t want stitching up that cut. Take your English professor, for instance. No offense, Dr. Barrett. 

It can all be a bit confusing, which is why it’s important to know who and why someone might be called a doctor , as well as what all those initials and abbreviations after their name mean. Here we break it all down.

What does Dr. mean?

Let’s start with doctor or D r . for short. While the first definition of the word is “ a person licensed to practice medicine,” that doesn’t mean you want to take medical advice from anyone who calls themselves a doctor . There are many looser definitions of the word that follow and, frankly, make things a bit confusing.

For example, the third definition is older slang for a “cook, as at a camp or on a ship,” while the seventh entry is “an eminent scholar and teacher.” Bugs Bunny didn’t help matters either by plying anyone and everyone with his famous greeting,“What’s up, doc?” 

The term doctor can be traced back to the late 1200s, and it stems from a Latin word meaning “to teach.” It wasn’t used to describe a licensed medical practitioner until about 1400, and it wasn’t used as such with regularity until the late 1600s. It replaced the former word used for medical doctors— leech , which is now considered archaic. 

WATCH: When Did The Word "Doctor" Become Medical?

Physician vs. doctor : are these synonyms.

While the term physician is a synonym for doctor , it’s typically used to refer to those who practice general medicine rather than those who perform surgery, aka surgeons . 

A quack , on the other hand, is defined as “ a fraudulent or ignorant pretender to medical skill.”

What does M.D. mean?

Moving on to initials that carry more weight than a nod from Bugs, let’s look at M.D.s .

M.D. , which can be used with or without the periods ( M.D. or MD )  is the designation for a medical doctor. This is earned by attending medical school (typically a four-year program after completing at least one undergraduate degree, plus a residency program), and learning to diagnose patients’ symptoms and offer treatment. 

The initials M and D stem from the Latin title  Medicīnae Doctor. There are many different types of doctors, with different specialties, but if you have a physical ailment, visiting a doctor with the initials M.D. is a good place to start.

Specialty doctors may add even more initials to their title, such as DCN (doctor of clinical nutrition), DDS (doctor of dental surgery), or countless others they acquire with additional training. To make things even more confusing, some may add abbreviations from medical associations they belong to, such as FAAEM (Fellow of the American Academy of Emergency Medicine). 

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What does Ph.D. mean?

As for Ph.D. , this stands for “doctor of philosophy.” It stems from the Latin term Philosophiae Doctor.

You can get a Ph.D. in any number of subjects, from anthropology to mythological studies. It’s not an easy feat, however, as to earn one, you must do original research and write a dissertation . 

Ph.D. vs. M.D .: are these synonyms?

There are two big differences between Ph.D. s and M.D .s. When it comes to medicine, M.D.s can prescribe medications, and Ph.D.s can’t. And yes, it’s possible to be both an M.D. and a Ph.D. In fact, some med schools offer programs in which you can achieve both simultaneously. 

You can also get a professional doctorate degree in a number of fields. For example, you might receive a doctorate of education, an  Ed.D . 

So, in a nutshell, both M.D.s and Ph.Ds can be referred to as doctors . If you’re looking for someone to treat what ails you physically, then you want at least an M.D. following their name. If you want to dig deep into a subject and get advice from someone who has done their own research and who likely knows the latest and greatest developments in a particular area, then you’re probably looking for a Ph.D. And if someone has both, even better—depending on your needs, it may be just what the doctor ordered.

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A welcome message from Sabrina Diano, PhD, Director, Institute of Human Nutrition.

IHN alumni are advancing nutrition around the world through work in the health care industry, clinical research, medical education, and more.

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PhD in Nutritional and Metabolic Biology

The Nutritional and Metabolic Biology (NMB) PhD training program prepares students to work at the frontiers of biomedical research in nutritional and metabolic sciences, exploring the role of nutrition in maintaining optimal human health.  The objective of the training program is to prepare individuals who will conduct original basic science research, teach in medical schools and universities, and hold positions of leadership in community and international nutrition.

Housed within the Institute of Human Nutrition (IHN) at Columbia University Medical Center (CUMC), this inter-disciplinary and multi-departmental training program is highly structured and comprises both coursework and basic research. The NMB program is one of the few pre-doctoral training programs in nutrition in the United States that is located within a medical school and is unique among the other PhD programs at CUMC with an equal number of MDs and PhDs as faculty mentors (including ten MD/PhDs). The location of the NMB training program in a medical school offers trainees a wide array of research opportunities in laboratories headed by established senior scientists as well as NIH-funded younger independent investigators, all focused on the role of nutrition and metabolism in health and disease.

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For information on NMB faculty, please visit the Faculty page on the Graduate School of Arts and Sciences (GSAS) site .

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Faculty Appointments and Promotions Voting Privileges Expanded in the Academic Clinician Track

Listen to "faculty appointments and promotions voting privileges expanded in the academic clinician track".

As the Department of Internal Medicine expands in size and scope, the academic clinician track has seen the sharpest growth rate across the five faculty ladder tracks. Faculty in this track play a critical role in the department's clinical and educational missions.

Historically, Yale University policy stipulated that senior faculty in the academic clinician track could vote only on appointments and promotions in the academic clinician track. In contrast, senior faculty in the other four ladder tracks could vote on all appointments and promotions (A&P.) With the permission of Yale School of Medicine, the Department of Internal Medicine’s leadership recommended that the voting privileges of professors in the academic clinician track be expanded to include all faculty appointments and promotions during the A&P process. The senior and tenured faculty has officially voted to approve this change as a new departmental policy.

“As we've expanded our clinical programs, there's an enormous need for academic clinician faculty to further our clinical and clinical-educational missions. There are outstanding professors in the academic clinician track whose insights are critical to helping determine the future of the department, so I am glad that they can now vote on all faculty appointments and promotions,” said Lawrence H. Young, MD , vice chair of Faculty Affairs and professor of medicine (cardiovascular medicine) and of cellular and molecular physiology.

Since 2019, the academic clinician track has added nearly 50 new physicians within Internal Medicine. Per Yale’s Office of Academic & Professional Development, the academic clinician track “ highlights faculty who provide exemplary clinical skills, and clinical and/or educational leadership.”

Department Chair Gary V. Désir, MD , Paul B. Beeson Professor of Medicine and vice provost for Faculty Development and Diversity, is pleased with the voting change.

“The academic clinician track has changed over the years, but what has never changed is our faculty’s exceptional clinical skills and their unwavering commitment to educating the future leaders in medicine. They are a vital part of our department, and I am happy that the leadership and tenured faculty have agreed to honor them in this way,” said Désir.

Professors in the academic clinician track can now vote on faculty in all tracks as part of the A&P process, a change that was effective on March 1, 2024.

The Department of Internal Medicine at Yale School of Medicine is among the nation's premier departments, bringing together an elite cadre of clinicians, investigators, educators, and staff in one of the world's top medical schools. To learn more, visit Internal Medicine.

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Annual faculty awards: Ann Anderson Berry, MD, PhD

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Ann Anderson Berry, MD, PhD

Ann Anderson Berry, MD, PhD, is a recipient of the UNMC Faculty Senate’s Outstanding Faculty Mentor of Graduate Students Award.

• Name:  Ann Anderson Berry, MD, PhD
• Title:  Executive director, Child Health Research Institute, and professor, Department of Pediatrics, UNMC College of Medicine
• Joined UNMC:  Residency, 1998-2001, faculty, 2004
• Hometown:  Casper, Wyoming

What are the greatest rewards of mentoring graduate students?

I learn so much from my graduate students. They are each talented, inquisitive and creative and start their PhD training with varied and complementary skill sets. Everyone brings something to the lab group, and together we are able meet and exceed our research goals and the impact of our work.

Describe a moment in your career when you realized you had picked the right profession .

As a clinician, administrator and a clinical and translational researcher, I am able to make an impact on my patient population (neonates) and their mothers in each of my roles. Being able to take what I do in clinical care in the NICU and translate it into research questions and studies that have the potential to impact clinical practice and policy is incredibly rewarding.

What are the biggest challenges you face as a mentor?

One of my biggest challenges as a faculty member is having to say no to a potential student. We have so many talented students at UNMC that are looking for a high-quality research experience, I would encourage all faculty to consider mentoring in research whether you have a wet lab, do clinical or translational research, or have a small study idea that you could do with the help of a medical student. It is time well spent.

How do you know when you’ve been successful as a mentor?

My greatest satisfaction is when my students and trainees grow in their research practice. I love to see them confidently plan research next steps, problem solve and educate trainees who have started after them, other graduate students and the faculty in our lab group. Graduation day always is bittersweet.

Congratulations Dr. Anderson Berry! Your students and your staff appreciate you so very much. Thanks for all you do for so many.

Congratulations! Ann!! Well deserved award!

CONGRATULATIONS DR. ANDERSON BERRY!!! VERY WELL-DESERVED RECOGNITION!!

Congratulations, Dr. Anderson-Berry! Thanks for all you do for Pediatrics and UNMC.

Congratulations, Dr. Anderson Berry! Very well deserved!

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UNMC Faculty Awards

Recipients of this year’s faculty awards for meritorious teaching and mentoring will be honored during the UNMC Faculty Senate’s annual meeting on April 16 at 3 p.m. in the Durham Research Center Auditorium. A Zoom link is available to UNMC on the UNMC Faculty Senate webpage .

Learn more here about the UNMC Faculty Awards.

• Outstanding Faculty Mentor of Graduate Students Award: Ann Anderson Berry, MD, PhD, professor, Division of Neonatology, Department of Pediatrics, UNMC College of Medicine
• Outstanding Faculty Mentor of Graduate Students Award: Siddappa Byrareddy, PhD, professor, Department of Pharmacology and Experimental Neuroscience, UNMC College of Medicine
• Outstanding Faculty Mentor of Graduate Students Award: Don Ronning, PhD, professor, Department of Pharmaceutical Sciences, UNMC College of Pharmacy
• Outstanding Faculty Mentor of Junior Faculty Award: Rebecca Oberley-Deegan, PhD, professor, Department of Biochemistry and Molecular Biology, UNMC College of Medicine
• Outstanding Teacher Award: Jianghu (James) Dong, PhD, assistant professor, Department of Biostatistics and Division of Nephrology, UNMC College of Public Health
• Outstanding Teacher Award: Lisa Ulrich Walters, clinical assistant professor, UNMC College of Nursing-Northern Division
• Outstanding Teacher Award: Amanda Ribeiro Wobido, DDS, assistant professor, UNMC College of Dentistry

MD-PhD Dual Degree Training

New section.

MD-PhD programs provide training in both medicine and research. They are specifically designed for those who want to become research physicians.

The AAMC MD/PhD section is committed to recruiting and training a diverse Physician-Scientist workforce and an inclusive learning and working environment.

Graduates of MD-PhD programs often go on to become faculty members at medical schools, universities and research institutes. Regardless of where they eventually work, MD-PhD candidates are being prepared for careers in which they will spend most of their time doing research, in addition to caring for patients. The MD-PhD dual career is busy, challenging, rewarding, and offers opportunities to do good for many people by advancing knowledge, developing new treatments for diseases, and pushing back the boundaries of the unknown.

As you explore the MD-PhD career option, this site enables you to ask good questions and to make informed decisions. You should also contact individual MD-PhD programs for answers to specific questions.

Just some of the reasons why people choose a career as a physician-scientist.

Information about the career path of a physician-scientist, including training, residency or fellowship, research residency programs, and time commitment.

Most MD-PhD programs support trainees with a stipend and tuition scholarship during medical school and graduate school training.

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Helpful tools and information regarding medical MD-PhD programs.

Information about applying to MD-PhD programs, emphasizing the application process during COVID-19.

Information about MD-PhD programs, emphasizing the career and application process.

Learn about MD-PhD Programs from program leaders.

Upcoming short presentations will describe features of MD-PhD training, alumni careers, and detailed logistics of the application process.

Emily battled viral encephalitis for years during college, and now as a MD/PhD student, she reminds premeds that it's okay to ask for help.

Cesar couldn't apply to medical school when he first graduated from college due to his undocumented status. Now he's in a MD-PhD program and hopes to practice in the Southwest where there's a high need for Spanish-speaking physicians.