This calculation is incorrect because an MD with 4 yrs of post-doctoral training is generally ready to move on to a tenure-track faculty position, whereas a fresh MSTP graduate is NOT generally speaking ready for a tenure-track position until some post-doctoral training was done.
There IS a difference between the research you do during your PhD years and post-doc years. As far as producing the results, post-docs win HANDS DOWN. PhDs tend to spend a lot of time goofing off, thinking about creative things, getting married etc etc...Is this fun and enjoyable? You betcha. Is this going to secure an R01 grant as fast as possible? NO WAY
I have come to realize several important things recently. I think I'm gonna be a little bit politically incorrect here but these are my opinions nontheless:
(1) To be a little less extreme...rather than doing a PhD program in molecular/cell biology, I see MD (at least the first two years) as being much more appropriate training for someone who wants to do disease based basic science research. (I.e. me calling these program crap) PhDs don't get the clinical relevancy. They don't see the big picture. Do I think it's important? YES, why? Because all the other PhD (physics, chemistry, math, BME) programs have these "big picture" as part of the cirriculum. Bio programs don't. I honestly DON'T think they teach you "how to think"...A bio PhD program is there to give you some time to develop your research credentials, that's all it is. Most bio PhDs know nothing except whatever myopic range of things they encounter in their research. I found that quite appalling.
(2) MSTP isn't necessarily the best way to go if you want to get in, get out, get a faculty position as fast as possible. This I think is an easy point to make.
(3) MD only pathway + postdoc MAY indeed be the best way to go under CERTAIN instances for someone who wants to do RESEARCH ONLY.
(4) MD only pathway + postdoc (i.e. what the NIH report calls late boomers) suffers essentially no setbacks (except possibly a political one) compare to either an MSTP or a PhD...in fact they may have an advantage in clinical departments. The amount of basic research happening in clinical departments, as we all know, is increasing fast.
(5) Think very carefully before you enter a PhD program, especially a PhD program that is not top notched in your field of study, or you are going in because you didn't get into medical school. By entering a PhD program, you've essentially signed the contract of doing research. An MD confers no such committment.
(6) You are generally safe (both careerwise and financially) with an MD/PhD program, for obvious reasons. And it's a lot of fun too. I think this should be the primary argument for MD/PhD. not because of the whimsical "cirriculum integration" or training to become "the next generation physician scientist" etc etc hand waving.
I think I have a different way of looking at things. When you tell someone you are doing MD/PhD, the first response is usually, wow that'd be REALLY long. Of course, the first question you ask yourself is then, is all this time worth it? (i.e. is it going to SAVE me time later on? Is it a beneficial investment? Is it going to improve myself in someways?) The answer for this, obviously, is not necessarily.
But, instead of this line of thinking, why not ask yourself whether you'll have fun doing what you do? I think for many people such as myself, the answer for that question is a resounding YES. And this is much more convincing an argument for going into the program, personally (not for the interview, of course)
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Originally posted by Sonya why do people think MDPhD saves money. Lets compare MDPhD (8 years) vs MD with 4 years of post doc.
Let's assume:
Tution = 20K/yr. I know this is a fallacy. But, once you consider public school, maybe not.
MSTP Stipend = cost of living= 20 K/yr =
Post Doc/Fellow/Whatever avenue you pursue research after MD salary = 50K /year.
Practicing Physician Scientist (MD with Post doc or MSTP grad) salary = 120K/year.
Interest: 0%. Okay, that's my only fallicy. tell me if you believe that is all that will make it or break it.
So, let's look at how much people owe 8 years after starting medical School
MSTP grad: $0.
MD w/ postdoc:
- 20K * 4 = -80 K (tuition)
-20K * 8 = - 160 K (cost of living)
+ 50K * 4 = + 200 K
NET: ------------------
-40K
So, if you do the post doc, MSTP saves ~40K
Now, if you just do the MD. Four years after you MD you will be at this state compared to MSTPs:
-20 K * 4 = -80 K (tution)
-20K * 8= -160K (cost of living)
+120K * 4 = + 480 K
NET-----------------------------------
+ 240 K
so... MSTP doesn't save money if you're not interested in research. [/B]