MD/PhD career insight greatly appreciated

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

Sbr2250

New Member
10+ Year Member
Joined
May 14, 2011
Messages
4
Reaction score
0
Points
0
  1. Pre-Medical
Hey all,

So the discussion here is not about whether I am right for an MD/PhD or what the programs entail.

My question is: In general, how well compensated are MD/PhDs who spend 1/4 of their time with clinical responsibilities and 3/4 of their time doing bench research?

I am NOT going into this career for the money whatsoever. However, I realize that money really equates to freedom in many ways- whether that's fair or not.

If I were to enter a fully paid for MSTP, obtain my MD/PhD, and do good research, would I be compensated well enough to live comfortably, have some degree of freedom to travel and pursue my own interests outside of science, and support a family?

Thank you in advance for your input. I greatly appreciate your suggestions and am looking for as much advice as I can find!
 
Hey all,

So the discussion here is not about whether I am right for an MD/PhD or what the programs entail.

My question is: In general, how well compensated are MD/PhDs who spend 1/4 of their time with clinical responsibilities and 3/4 of their time doing bench research?

I am NOT going into this career for the money whatsoever. However, I realize that money really equates to freedom in many ways- whether that's fair or not.

If I were to enter a fully paid for MSTP, obtain my MD/PhD, and do good research, would I be compensated well enough to live comfortably, have some degree of freedom to travel and pursue my own interests outside of science, and support a family?

Thank you in advance for your input. I greatly appreciate your suggestions and am looking for as much advice as I can find!

Answer is yes. But depends on what you mean by "comfortably."
 
This is hard to ballpark, and what you do with these numbers is completely up to your own interpretation.

So ROUGHLY, you can expect to earn on the order of $100k-$150k/year starting at around the age of 35 in this pathway, assuming you start program at 22 and do 8 years of MD/PhD followed by 5 years of residency and fellowship. You'll probably rise to more like $150k-$200k/year around the age of 40, or a few years as an attending. You'll either be successful enough to be promoted or pushed to more clinical.

Is this enough money soon enough in life for you?
 
We have several students with families in our program--tough, but doable. Once you finish, you'll be compensated pretty well (like Neuronix said), even if you stay in academia (probably slightly less than the above figure). The beauty of it is that we finish with very little debt compared to MDs, so a lower salary doesn't hurt us much in paying back loans...
 
Yeah I fired that post off the hip, but thought about it some more... I was thinking of salaries for the fields I strongly considered, such as rads, rad onc, and surgery. I hear numbers thrown around for mostly research positions in non-procedural medicine, peds, neuro, etc that are more in the 60-80k range. I've tried to ask big wigs in the medicine departments at multiple schools for hard salary numbers for these sorts of positions, and I have been repeatedly rebuffed. "You won't be homeless on the street as a physician-scientist" or "you should follow what will make you the best physician-scientist" is the usual message. The AAMC produces an academic faculty salaries survey, but won't make the data public. This makes me think the salaries really are as low as I suspect.

But another thing comes to mind. What's more difficult is finding time to build or maintain a family. My relationships in medical and graduate school were a constant disaster due to long hours worked and position inflexibility. You are STUCK in one place for eight years, and if the person you're with is a med student and matches elsewhere, you'll be looking at a long time in a long distance relationship. If they're applying for med school and you're a second year, you may not be okay with a five year LDR. Likewise, if you want to match in your home city, good luck! I got one interview in my entire region (the northeast) when I applied to residency. Now I'm doing TY and residency in entirely different parts of the country (midwest and southeast respectively), and really had no control over that either. This says nothing about dating, which I found incredibly awkward and difficult for a lot of reasons relating to time constraints, and just the fact that the rest of the world views us as complete nerds and doesn't understand a thing that we go through.

If you can find someone outside of medicine and/or you have family support (preferably both) to have children, great, you can try it. That also requires either living in a cheap location with a very flexible stay at home partner or extensive family support to provide child care. Day cares run on fixed hours, and we don't have fixed schedules. Nannies make approximately a resident's take home salary a year.

This doesn't get any better after you finish residency and fellowship. It's not as if these mostly research positions, especially ones that will offer you any incentives to be there (i.e. lab space, startup funding, etc...), are plentiful. You have to go wherever the jobs are and keep working extremely hard.

Sincerely,
Your 30 year old still single moderator
 
Last edited:
I hear numbers thrown around for mostly research positions in non-procedural medicine, peds, neuro, etc that are more in the 60-80k range.

Seriously? Making 60K after 10+ years of post-undergrad training? That's the average starting salary for people graduating from my school's business program (and this is in Canada, so it's not even a big name on the level of Wharton or Harvard).

I'm assuming that's entry level, so what do these positions max out at? I get that we're not really going into medicine/research for the money, but it seems absurd to spend all that time and effort to get the same pay as a 23 year old business major.
 
Seriously? Making 60K after 10+ years of post-undergrad training? That's the average starting salary for people graduating from my school's business program (and this is in Canada, so it's not even a big name on the level of Wharton or Harvard).

That is about the lowest one could expect. However, it is not that uncommon to pursue a transition to faculty position after fellowship. These are basically extra years of fellowship, give the title of "instructor" or similar, and pay fellowship-level salary in exchange for a lot of protected research time. Often these are needed to get grants to get that assistant faculty position and officially begin working up the academic food chain. Other rules of thumb:

Specialties that have a low average salary (i.e. peds) have an even lower academic salary.

The parts of the country that are more popular (i.e. many urban centers, California, Florida, NYC, Chicago, etc...) pay less in raw dollars. You also have to account for higher cost of living.

The bigger name the hospital/academic institution, the less they will pay.

The more clinical work you do the more you'll get paid (outside of chairmanships/patents). Note that's not true in some big name academic departments, but if you're doing mostly clinical, why be there anyway?

I'm assuming that's entry level, so what do these positions max out at?

The best paying academic jobs are chairs of lucrative departments, mostly clinical faculty in high paying subspecialties, or unusual niche positions including very successful patents/company collaborations.

If you want some example salaries, see the University of Utah's salaries posted by the state of Utah. Again these are going to be high as Utah is not a high desirability place for most and is not a big name institution.

http://www.utahsright.com/salaries.php?city=u_of_u

It's hard to give a "typical" number for a typical associate or full professor. Salaries vary tremendously based on specialty, institution, and clinical requirements.
 
Thanks a lot, this is making a lot more sense now.

I freaked out a little when I saw that 60K. I always figured that going the MD/PhD route would probably result in a bit of a pay cut compared to MD only, and I don't have a problem with that if it lets me do meaningful research. At the same time, when I think about how little of the research that is done ever actually translates to clinical practice, it gets hard to justify tacking on an extra 4 years of training only to make 1/5th of what I could in PP.
 
This says nothing about dating, which I found incredibly awkward and difficult for a lot of reasons relating to time constraints, and just the fact that the rest of world views us as complete nerds and doesn't understand a thing that we go through.

Wow, that sounds really bitter and kind of depressing. Never actually thought of the Neuronix as one a mere mortal like us. Don't worry mod, we appreciate you!
 
You know it's funny that people below me think I'm bitter and people at the same level and above me don't think I'm bitter. When you interview, you will meet almost entirely first year MD/PhD students for a reason. The reality is the senior people tend to hide their issues from the public due to completely blaming themselves for their problems and/or becoming apathetic about helping those under them. How many senior MD/PhD students, MD/PhD residents, and program faculty do you see on this well known and completely anonymous board? Very few. I love you guys that come around and encourage everyone's opinions strongly. But the reality is that senior people try to hide the reality from the junior people for various reasons. A lot of people say nasty things about me behind my back for being so open.

It's ok, when I was a pre-med I would have thought this is bitter too. I think I'm still optimistic, and have become sad to watch the optimistic pre-meds become bitter, jaded, and invisible to the outside world with further training. As for my personal life, I've had several failed long-term relationships and tons of rejections, but I still try. I am still very interested in research despite serious past academic/lab issues, though I am worried my online identity and very strong location preferences will sabotage any attempt at a serious academic career.

In other words, yes, I am a mere mortal. If you stay online and pretend like you know everything for long enough, you too can become an expert 😉
 
Last edited:
You know it's funny that people below me think I'm bitter and people at the same level and above me don't think I'm bitter. When you interview, you will meet almost entirely first year MD/PhD students for a reason. The reality is the senior people tend to hide their issues from the public due to completely blaming themselves for their problems and/or becoming apathetic about helping those under them. How many senior MD/PhD students, MD/PhD residents, and program faculty do you see on this well known and completely anonymous board? Very few. I love you guys that come around and encourage everyone's opinions strongly. But the reality is that senior people try to hide the reality from the junior people for various reasons. A lot of people say nasty things about me behind my back for being so open.

It's ok, when I was a pre-med I would have thought this is bitter too. I think I'm still optimistic, and have become sad to watch the optimistic pre-meds become bitter, jaded, and invisible to the outside world with further training. As for my personal life, I've had several failed long-term relationships and tons of rejections, but I still try. I am still very interested in research despite serious past academic/lab issues, though I am worried my online identity and very strong location preferences will sabotage any attempt at a serious academic career.

In other words, yes, I am a mere mortal. If you stay online and pretend like you know everything for long enough, you too can become an expert 😉
If you were to go back to the day you began applying for medical schools, what would you have done differently?

If you'd have gone back to the beginning of your undergrad, what would you have done differently?

Your candor is much appreciated.
 
Neuronix is awesome. 👍

Having said that, the relationship is going to be a challenge even if you pursue PhD. Nowadays, nearly everyone goes to do postdoctoral fellows, and if you try to stay in one university, good luck. Nearly everyone I've talked to who's doing postdoctoral work is going to different states or even abroad. With so many PhD-to-be's, it's no surprise how competitive it is out there. So if you want to do research (and when I say that, I mean a high level of competitive research), then you should consider think before committing to relationships.

Of course this doesn't mean it is impossible. Some people don't mind moving if their occupation is like teaching where you can quickly transition from one area to another. Still, if the concern about relationship/dating is primary, I wouldn't think MD/PhD isn't the best option out there.
 
Neuronix: I thought MD/PhD students had free reign in choosing residency programs. Am I wrong?
 
Here's a database full of University of Michigan salaries if anyone's interested.
http://data.michigandaily.com/tmdsal
Not quite as pretty as Utah's site, but it's still informative.

Directors of research programs are getting paid big bucks too, but not as much as directors of clinical departments.
 
Here's a database full of University of Michigan salaries if anyone's interested.
http://data.michigandaily.com/tmdsal
Not quite as pretty as Utah's site, but it's still informative.

Directors of research programs are getting paid big bucks too, but not as much as directors of clinical departments.

I wonder if salaries include payments for clinical services. Are they getting one check from the medical school for being a professor and another from the hospital for seeing patients?
 
If you were to go back to the day you began applying for medical schools, what would you have done differently?

If you'd have gone back to the beginning of your undergrad, what would you have done differently?

Your candor is much appreciated.

I always found this to be a silly question. I don't sit around and think of what I should have done differently in the past. I think about what I want to do with the future. I mean sure I use the past to inform that, but I always think the decisions I made were the right decisions for me at the time.

Insig said:
Neuronix: I thought MD/PhD students had free reign in choosing residency programs. Am I wrong?

This is completely wrong IMO. I have discussed this topic extensively on this forum. See:
http://forums.studentdoctor.net/showthread.php?t=830860
http://forums.studentdoctor.net/showthread.php?t=636747
http://forums.studentdoctor.net/showthread.php?t=802957
http://forums.studentdoctor.net/showthread.php?t=784934
http://forums.studentdoctor.net/showpost.php?p=11156505&postcount=37
http://forums.studentdoctor.net/showthread.php?t=744932

I also wrote a blog post about this that was taken down with SDN blogs. I will repost it.
 
Last edited:
I always found this to be a silly question. I don't sit around and think of what I should have done differently in the past. I think about what I want to do with the future. I mean sure I use the past to inform that, but I always think the decisions I made were the right decisions for me at the time.
It's ridiculous to address that question to yourself, but what I'm getting at is things you'd recommend to a 21-25 year old who is currently where you were a number of years ago.

For example, I'd recommend to a kid just starting college wanting to go into medicine: Don't take only science classes just because they're the most interesting. Medical schools want the literature / [insert other fluff here] / art history major, not necessarily the person who knows the most about basic biology research.
I'd have switched to a non-hard science major and never taken a graduate level biology/chemistry courses in undergrad had I known...


EDIT: reading through those posts, you even say: "That is: I'm getting increasingly discouraged the further down the MD/PhD rabbit hole I go. I think I'm getting to the point where for the first time I'm thinking I wouldn't have done MSTP had I known what I know now. Never before have I felt this way, no matter how much adversity I faced."

Well that's a start to the answer to my question...
 
EDIT: reading through those posts, you even say: "That is: I'm getting increasingly discouraged the further down the MD/PhD rabbit hole I go. I think I'm getting to the point where for the first time I'm thinking I wouldn't have done MSTP had I known what I know now. Never before have I felt this way, no matter how much adversity I faced."

Well that's a start to the answer to my question...

On the depressing topic of the soul-crushing grip of academia,
http://external.ak.fbcdn.net/safe_i...w.phdcomics.com/comics/archive/phd072011s.gif

Is this honestly what the next levels are like (obviously a bit exaggerated)? Cause I'm still in the first stage.
 
Well that's a start to the answer to my question...

It's a thought I thought when I made that post. It's not a definite thing that I regret doing both degrees now. I'm ambivalent about it. I'm not sure if I'll continue in academics, but I certainly don't regret the intellectual and personal freedom that the MD/PhD program and associated stipend gave me versus the indebtedness of medical school. It's not a reason you're supposed to do MD/PhD, but with no family support it was great to have some money and be able to do things with it.

You can't ask me a very generic question encompassing ~10 years of education and expect to me just list pages of every thought on every topic. If you want my opinion on something specific, please feel free to ask.
 
EDIT: reading through those posts, you even say: "That is: I'm getting increasingly discouraged the further down the MD/PhD rabbit hole I go. I think I'm getting to the point where for the first time I'm thinking I wouldn't have done MSTP had I known what I know now. Never before have I felt this way, no matter how much adversity I faced."

Well that's a start to the answer to my question...

Yeah, from reading SDN posts and talking to people I'm getting the impression that a lot of MD/PhD upper years and grads seem somewhat disillusioned and cynical about having gone this path, and it's starting to give me doubts. I first heard about MSTP when I was 16 and decided right then that it was perfect for me. But from what I'm hearing, the reality for most MD/PhDs is that they spend an extra 4 years in school and takes a serious pay cut just so that they can spend their time fighting for grants to work on stuff that rarely moves beyond the preclinical stages.
 
my mom will be disappointed when she finds out that I will only be making 70-80K/year as a physician... damn lol Maybe I should learn how to trade stocks or something
 
Yeah, from reading SDN posts and talking to people I'm getting the impression that a lot of MD/PhD upper years and grads seem somewhat disillusioned and cynical about having gone this path, and it's starting to give me doubts. I first heard about MSTP when I was 16 and decided right then that it was perfect for me. But from what I'm hearing, the reality for most MD/PhDs is that they spend an extra 4 years in school and takes a serious pay cut just so that they can spend their time fighting for grants to work on stuff that rarely moves beyond the preclinical stages.

Lol what? I think when I was 16, I was doing sports, like most teens do. I really find it hard to believe (not saying it's not impossible) that you knew that's what you wanted to do. Maybe you were just fascinated by the title ("physician-scientist" sounds cool to 16-year old probably).

rofl said:
For example, I'd recommend to a kid just starting college wanting to go into medicine: Don't take only science classes just because they're the most interesting. Medical schools want the literature / [insert other fluff here] / art history major, not necessarily the person who knows the most about basic biology research.
I'd have switched to a non-hard science major and never taken a graduate level biology/chemistry courses in undergrad had I known...

See, I have mixed feelings about this. I go to LAC, and while I once said this (and still hear it), it really doesn't mean much. Perhaps back sometime ago when people going into medicine were mostly from science backgrounds, but with so many non-trads with different life history and majors, I don't think medical school really cares. Plus, if you like science, why shouldn't you take science courses and force to put in humanities and social sciences just to please medical schools? People do it all the time, but frankly, it doesn't matter if you get a low score on Verbal. I've taken non-science courses, and some are fun. But then there are others that absolutely don't teach you a thing. I say people should take courses that interest them, let it be science or non-science.
 
Lol what? I think when I was 16, I was doing sports, like most teens do. I really find it hard to believe (not saying it's not impossible) that you knew that's what you wanted to do. Maybe you were just fascinated by the title ("physician-scientist" sounds cool to 16-year old probably).

Nope. This was the summer before my last year of high school, so I was getting ready to apply to university and thinking about what I might want to do as a career. I liked the idea of being a scientist but I also liked the idea of being a doctor, so when I came across the MSTP and learned that I could do both and get it paid for, that looked really cool.

The point was that in the 4 years since then (going into 4th year uni now), that's always seemed like the right thing to do, but now, for the first time, these posts are making me question whether it's really worth it do do the PhD.

People do it all the time, but frankly, it doesn't matter if you get a low score on Verbal.

How on earth do you figure...if you want to have a good shot at the top schools you should aim for at least high 30s, which is pretty tough to do if you get an 8 on verbal.

Regardless, med schools absolutely do not want people who just take science courses. A lot have non-science course recommendations, and some even require a certain number of non sciences.
 
How on earth do you figure...if you want to have a good shot at the top schools you should aim for at least high 30s, which is pretty tough to do if you get an 8 on verbal.

Regardless, med schools absolutely do not want people who just take science courses. A lot have non-science course recommendations, and some even require a certain number of non sciences.

Get 8 on Verbal and score 14's on sciences. That puts you at 36, which is certainly a "high 30's."

And as a correction, you can't get away with just science courses. There's one year English requirement, and additional small requirements like maybe one semester of humanities or one semester of behavioral science (this would be like Hershey Med). Still, the requirement is extremely minimal, and "recommendations" don't really matter. The only case that they matter is if you are doing special programs, say Humanities Program (forgot what it was exactly called) at Mt. Sinai, which in that case humanities courses matter. But in most cases, nobody really cares if you took most of philosophy courses in your university. It may come up as one interview question - if you did like a thesis on it - but I'm pretty sure that your coursework in non-sciences won't really tell much about yourself as an applicant unless your PS and activities back it up. In fact, science courses provide a better picture than non-sciences because it's another way to show that you can handle the rigor of coursework.

Now if you are talking about English major scoring 35 on MCAT, sure that looks good. But is that really impressive to give you an admission? Probably not, unless you took that knowledge to study abroad and had national publication, etc... then yes, that's cool. But what you studied and what your coursework were do not matter (and this goes to science majors too... so in other ways, I'm saying, this conversation's going nowhere. We pretty much agree that adcoms have better things to care about than our coursework).
 
Get 8 on Verbal and score 14's on sciences. That puts you at 36, which is certainly a "high 30's."

14 on the sciences. NBD you guys.
I'm def not great at science sections, but I imagine getting 14 on both science sections is harder than getting a 11 or 12 on verbal.
 
http://www.neuronix.org/2011/07/nrmp-puts-out-charting-outcomes-in.html

Try this. Let me know if it is useful. I feel like it's poorly formatted and written, but I don't have the time to put into it right now. Hopefully it's still of some value.

Yeah.....

For me, this whole residency process just seems years and years away... Isn't the advice the same for any residency: boards and clinical grades? I mean, I think I'm going to take the time to find out what residency/specialty makes sense for me rather than just being all theoretical about it.
 
14 on the sciences. NBD you guys.
I'm def not great at science sections, but I imagine getting 14 on both science sections is harder than getting a 11 or 12 on verbal.

Statistically, you are right. However, it's not that uncommon for someone to do really well on sciences but do poorly on Verbal for reason being, inability to focus on "boring" passages. Maybe "14" is not the best example, but you get my point regardless.
 
Statistically, you are right. However, it's not that uncommon for someone to do really well on sciences but do poorly on Verbal for reason being, inability to focus on "boring" passages. Maybe "14" is not the best example, but you get my point regardless.

Personally I would not bank on two 14s to make up for a poor verbal score. And the minute you go lower (two 13s), you have a "meh" MCAT (8/13/13 34) when it comes to top schools.
 
http://www.texastribune.org/library/data/government-employee-salaries/

You can look up any employee of the state of Texas, which includes academic medical centers. So just look up MD/PhDs at a given institution, and there you go.

One of the alarming things that I've seen is an MD/PhD pediatric oncologist (Hopkins residency) assistant professor that makes $97K in San Antonio. Do you more seasoned folks think that this is because he's got another source of income (does private practice on the side, is independently funded for part of his salary, etc.), or is that an accurate representation of a salary in an academic, non-high dollar field?
 

I didn't pull those numbers in post #5 out of nowhere.

One other point--I don't understand why "Hopkins residency" would have anything to do with salary. If anything, people from community programs or not so big name places go into private practices, often in less desirable areas, and those types will usually make the highest salaries.
 
Statistically, you are right. However, it's not that uncommon for someone to do really well on sciences but do poorly on Verbal for reason being, inability to focus on "boring" passages. Maybe "14" is not the best example, but you get my point regardless.

This is ridiculous. Verbal is every bit as important as the sciences and a bad verbal score will throw up all sorts of flags. ALL standardized tests have boring passages.

I don't go around quizzing people about their scores but I've never heard of a score like that. And even if that somehow happened, I don't think it would be as well regarded as a 36 with more balanced subscores.

FYI, when I said high 30s, I was thinking 38+, which is barely above average at some of the best programs.
 
This is ridiculous. Verbal is every bit as important as the sciences and a bad verbal score will throw up all sorts of flags. ALL standardized tests have boring passages.

I don't go around quizzing people about their scores but I've never heard of a score like that. And even if that somehow happened, I don't think it would be as well regarded as a 36 with more balanced subscores.

FYI, when I said high 30s, I was thinking 38+, which is barely above average at some of the best programs.

You are going into the aged argument about "how important is Verbal on MCAT" again (something users on SDN love to debate about). Go on as much as you want, but I'm not wasting my time on how important it is - and sure, go ahead on and pull studies on MCAT Verbal vs USMLE correlation etc if you would like, since apparently people love to do that.

And as a side note, you might want to read more into what I'm exactly saying. Nowhere did I say Verbal was unimportant (I simply said sciences are important, too, and 8/14/14 was just an example that I saw here on SDN about a year ago), nor make a point that unbalanced score with high sciences beat the balanced score. In the ideal world, everyone wants to have 12 BS/12 PS/12 VR than unbalanced 36. Does it happen to every accepted MD/PhD applicant? Not necessarily, you don't know that (and I don't either). The bottomline is, MD/PhD applicants usually come with very exceptional scores, and that's almost an expectation - but people with unbalanced scores but with great research experience do get into the programs, which just go to show that while scores certainly play significant role, but so are your competency to properly talk about research.

And @Raziela: I agree with your point. Generally, I would say 35+ is what people should be looking at.
 
I didn't pull those numbers in post #5 out of nowhere.

One other point--I don't understand why "Hopkins residency" would have anything to do with salary. If anything, people from community programs or not so big name places go into private practices, often in less desirable areas, and those types will usually make the highest salaries.

I figured the Hopkins residency would be relevant because I would assume that that training background would open doors as far as academic appointments go, implying that his current position was his best offer (obviously, there are factors other than salary). His training as it is, this is someone who was a best-case scenario for an MD/PhD (from a pedigree standpoint) and he still makes less than $100K.

But on the SA website, he's listed as a fellow in one of the translational labs, even though he's listed as an assistant professor on the Tribune list, so who knows.
 
His training as it is, this is someone who was a best-case scenario for an MD/PhD (from a pedigree standpoint) and he still makes less than $100K.

Since when has Hopkins been a top peds program? This is a common pre-med fallacy. Big name med school does not mean big name residency program. Conversely, some big name residencies are at not so big name medical schools.
 
Top Bottom