Do I need an MPH?

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Funke

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Okay, I'd love some feedback on a path to get to my dream position. I want to be a physician, either peds or FM, but I want to also be able to research and teach on global health. Basically be an academic physician with my research interests in something like maternal/child health or global nutrition. I would love to travel and spend time in underserved communities.
What kind of training would propel me to such a career? Do I need to do a combined FM/PM or Peds/PM residency? Try to get my MPH online after residency? Or fellowship in something like ID after a peds residency?
It's early for me, but med school is on the horizon, and I'm sure you guys might know someone with such a job or know if they are available or what kind of training they got to get such a position.

Thanks!
 
You won't need a MPH if you get research training at some point, but if you get to becoming a doc and haven't received research training, then getting a MPH will add that to your list of skills.
 
Do you think any specialty/subspecialty will be applicable in working with developing countries in the next 10-20 years, or will the gems still be things like obstetrics and infectious disease?
I've heard neurology residencies are starting to be integrated with public health programs and even of more upcoming neuroepidemiology training opportunities. Do you think such opportunities are going to keep expanding? I think researching and developing neurological and psychological care in developing countries would be something I would enjoy a lot.
 
Okay, I'd love some feedback on a path to get to my dream position. I want to be a physician, either peds or FM, but I want to also be able to research and teach on global health. Basically be an academic physician with my research interests in something like maternal/child health or global nutrition. I would love to travel and spend time in underserved communities.
What kind of training would propel me to such a career? Do I need to do a combined FM/PM or Peds/PM residency? Try to get my MPH online after residency? Or fellowship in something like ID after a peds residency?
It's early for me, but med school is on the horizon, and I'm sure you guys might know someone with such a job or know if they are available or what kind of training they got to get such a position.

Thanks!

You want to teach and conduct research? Get a MD/PhD.
 
You want to teach and conduct research? Get a MD/PhD.

I don't think I'd be competitive enough to get accepted into one. I'm a non-trad, so I'm gonna have the bare minimum prerequisites getting in. I want to research, but moreso public health than basic science.
 
Do you think any specialty/subspecialty will be applicable in working with developing countries in the next 10-20 years, or will the gems still be things like obstetrics and infectious disease?
I've heard neurology residencies are starting to be integrated with public health programs and even of more upcoming neuroepidemiology training opportunities. Do you think such opportunities are going to keep expanding? I think researching and developing neurological and psychological care in developing countries would be something I would enjoy a lot.

I don't think I'd be competitive enough to get accepted into one. I'm a non-trad, so I'm gonna have the bare minimum prerequisites getting in. I want to research, but moreso public health than basic science.

If you want to do neuro with public health, that's a pretty niche area, as such, I'm not sure of what opportunities there are in that area (I'm a cancer guy).

You can definitely do a MD/PhD with a focus on epidemiology for your PhD. But if you think you're not competitive enough, you could certainly apply to the MD portion first than do the PhD application once you're in. Of course, this wouldn't have the bonus of having your MD funding years covered by your PhD department.

Personally, I'd focus on getting into med school first. Getting into a PhD program isn't as structured with hard requirements like med school. There's more leeway in PhD programs because a lot of admits are based on research abilities and experience (prior pubs) as much as they are grades and such.
 
There are plenty of people in academic medicine doing research that don't have PhD's. I personally wouldn't bother.

OP, your interests sound a lot like mine. I'm currently finishing up my MSPH in Tropical Medicine at Tulane and was just accepted to University of Arkansas for medical school (state resident). If my interests stay the way they are now (I'm open to changing my mind), I would like to do a pediatric residency or pediatric/internal medicine dual residency and follow that up with a pediatric infectious disease fellowship. I want to do research too, but definitely more public health as opposed to bench work.

Personally, I like the extra background my public health degree has given me so far. I wouldn't say it is completely necessary - there are plenty of docs who work overseas without them, but I've enjoyed my public health classes. I would suggest looking into dual MD/MPH programs and also consider maybe doing a one-year MPH (or even two year) prior to entering medical school. I know in dual programs med students can be limited sometimes on which classes they take.
 
You can also decide once you're in med school whether you want to pursue an MPH or not. I'm just finishing up my 3rd year of med school and will be taking a year off to do an accelerated MPH at Johns Hopkins. Med schools are generally very supportive of this because an MPH is such a useful adjunct to your clinical training. (You also will be a more competitive MPH candidate... I don't think I would have been accepted to Hopkins if I wasn't a med student). Although, I guess if you want to go the public health route anyway, and are having trouble getting in to med school, doing well in an MPH could potentially help a bit at getting into an MD degree program


Also, I know it's far in the future, but there are several residency programs that allow you to get an MPH degree during residency... and they pay for it! (This was another option I was strongly considering)
 
You can also decide once you're in med school whether you want to pursue an MPH or not. I'm just finishing up my 3rd year of med school and will be taking a year off to do an accelerated MPH at Johns Hopkins. Med schools are generally very supportive of this because an MPH is such a useful adjunct to your clinical training. (You also will be a more competitive MPH candidate... I don't think I would have been accepted to Hopkins if I wasn't a med student). Although, I guess if you want to go the public health route anyway, and are having trouble getting in to med school, doing well in an MPH could potentially help a bit at getting into an MD degree program


Also, I know it's far in the future, but there are several residency programs that allow you to get an MPH degree during residency... and they pay for it! (This was another option I was strongly considering)

I forgot about during residency and fellowship. I know specifically Tulane allows their infectious disease fellows to do research or get an MPH&TM.

Really, there are a ton of options I guess.

Also, RememberWhen, congrats on Hopkins. 🙂
 
Also, FWIW, Columbia has a neuroepidemiology training program for MD's but also a neuroepidemiology "department" with some really cool research going on, which is a huge draw for me as well. So if you're interested in neuro, check it out. 🙂
 
Abbeyroad, that program looks awesome! Thanks for letting me know about it.

For anyone, what advantages does an MD/MPH have over a PhD in public health (any area)? Say I wanted to devote my career to global health, or to AIDS epidemiology, or whatever area of public health. Does having the MD on the side just give you the option to practice as a physician in that "80/20" split, or does it open up more job opportunities?
 
Abbeyroad, that program looks awesome! Thanks for letting me know about it.

For anyone, what advantages does an MD/MPH have over a PhD in public health (any area)? Say I wanted to devote my career to global health, or to AIDS epidemiology, or whatever area of public health. Does having the MD on the side just give you the option to practice as a physician in that "80/20" split, or does it open up more job opportunities?

Great question, I've spent some time doing public health work in South East Asia and have had the opportunity to ask this same question to a lot of people (with these two degrees, or both). It really depends on what you want to do. An MD is a very powerful degree in global health, and a PhD gives you great grounding/technical expertise in one particular area.

I think when it comes to infectious diseases, an MD can be very useful because infectious diseases primarily deal with vaccines, drugs, treatments, etc (there is some factor of behavior change/social sciences with STDs and AIDS, of course). In this context, clinical training is an asset since the overlap between medicine and IDs is so strong. I know MD/MPHs who told me that the clinical training is much, MUCH, harder to obtain separately. They told me that it could be better to get the MD/MPH and then pick up in the necessary technical skills later (reading up on your own, finding the right mentors). People who have clinical training are highly valued when it comes to ID control. You don't need a PhD in epidemiology to be an epidemiologist. Of course, a PhD tremendously helps, but I feel a PhD is more applicable if research is going to be an integral part of your career. As a PhD, you might not be able to do as much clinical work, but it can still be incredibly useful when it comes to critical thinking and writing skills development.

For chronic diseases, it might be different because you're focusing primarily on policies that prevent them (nutrition, tobacco, alcohol, physical activity). There is an aspect of management of chronic diseases where clinical training can come into play.

An MD definitely opens up more job opportunities (e.g. if you want to be a medical officer, medical epidemiologist, medical anthropologist). But it's not absolutely critical to have. There might be more power behind the degree. It might give you more legitimacy and credibility when it comes to public health and policy. But this is just what I've heard from others in the field, I'm not an MD or a PhD so don't take my thoughts or experiences as truth. You should think about it carefully. An MD is a huge investment of time and money. But if you are certain about how you will use it and the relevance it will have in public health (because public health and medicine are not mutually exclusive), then it can be a very useful degree to have.

Give it some more thought. Talk to PhDs in global health. Talk to MDs in global health. Or also MD/PhDs in global health. Both are very distinct paths. I'll probably end up doing both, but from what I understand, an MD is a great degree to have in global health (numerous directors of major organizations like WHO and CDC are MDs). An MD with a track record of publications and experience in global health is comparable to any PhD or MD/PhD. It's what you do to get those experiences that matters most.
 
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