so, instead of "did it for the CV" (which is a slim minority as it is) you'll get people "doing it to get out of that massive debt i accrued as a med student"...
The "slim minority" is not my experience. But fair enough: I hadn't thought of the bolded point, and it's a good one.
...if you've got a 22 year old interested in research and medicine, i tend to doubt that 6+ years of all-clinical education is the best way for the NIH to cultivate a potential researcher...
Possibly. Right now we have a range of training programs, some of which integrate clincial and research experience:
- MSTP and MD/PhD programs
- the ABIM research residencies, CSTA programs, and similar
- year-off programs HHMI, DDCRF
- combined research/medical training (e.g. CCLM)
- post residency MS/PhD training (e.g. fellowship +/- NIH loan repayment)
...anyway, doesn't the NIH already give
financial incentives for straight MDs to do research after med school?...
They do, but my question is how to best spend limited dollars.
...as others have posted before (?Vader?), what we're missing is real outcome data for the MSTP.
I agree. The MSTP cohort has improved grant success rates. But it also costs a lot of time and money, and there's significant hurdles with when to do the PhD, going back to the wards, timing of Steps, PhD burnout, applicability of PhD to medical practice, and where program participants go after graduation.
...MD/PhD directors are trying to increase the size of their program. They believe in what they're doing. Their success is measured by how much money they can get into the program and how much it grows...
I think this measure of success - obtaining funding - is entirely reasonable and is what every program director, be it a residency, department, or MSTP, will point to as proof. And no director will talk down their program for obvious reasons.
But they need to show the results of where
everyone goes. That means long-term f/u on all people who
start the program, not just graduates, preferably compared to failed applicants and/or MD students. This data should also be compared to the results of the programs I listed above.