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I've heard that md/phd applicants are strongly encouraged to apply only to md/phd programs to demonstrate commitment to the physician-scientist career. I'm pretty committed to this career, but I'm thinking of the MD, then research fellowship or MD then PhD path. So I'm applying to md at some schools and some md/phd programs at others. If I do this, how are md/phd adcoms going to know about the other schools (other than perhaps through my letters of rec?)