Here's the situation. I am interested in public health, maybe epidemiology (something that seems interesting to me is working as an applied epidemiologist at the CDC for example). I also have an interest in clinical medicine (though albeit the pig pictures and concepts of medicine interests me more currently). Much of my research on this matter showed that having a MD-MPH would really benefit me in my career options and potential opportunities/flexibility. MD-MPH seems like it would provide me with a very well rounded knowledge base (clinical medicine and epistats. Thus, I recently submitted my medical school application for this next year. Thing is, I also (spur of the moment decision) applied to Global Epi MSPH at Emory 3 weeks ago (I know...that's end of May! very late indeed) and just got an acceptance letter. I am very confident that I will get into medical school this coming year so it's not like I would go to Emory just to boost my MD chances. However, I have taken two gap years working in the clinical setting (scribe and technician) and I am not keen on taking ANOTHER gap year (had to due to personal circumstances). Here are my pros and cons for accepting Emory versus waiting to start medical school: I would appreciate if anyone looked at this list and gave some more suggestions/insights (especially if I have some misconceptions...which ya know...because I am human) Accepting Emory Pro: I want a MPH anyways. Going now will mean that I save a year of waiting for MD school Pro: I am interested in working at the CDC...Emory is right there! Pro: I may find that other routes like PHD or drPH fit me better than MD after all...would save me some loans Con: Expensive! A) MPH is usually one year for MD graduates and is cheaper (so it would be more expensive if I pursue this now) B) I hear that some residencies (I think I want to do primary or infectious disease) pay for MPH education?? If so then much cheaper in the long run to do MD first Con: Might put too much distance between me and clinical care for me to feel comfortable applying to medical school. Con: I could wait one more year and apply to the top 5 mph schools (deadline were past when I decided to apply this time around). I would likely get into JHU which is #1...but Emory is pretty legit so not sure waiting a year is worth it. Waiting for MD Pro: I could spend this year gaining experience in public health. I am applying to a few fellowships at the CDC Pro: As above, could be cheaper in terms of getting a MPH later Pro: Starting off with the "stronger" degree (aka the degree that will hold the most water/importance in my future career potential) seems suitable/proper? Not sure if that makes sense, but its like getting the hardest assignment done first. Con: waiting another gap year when I already feel like 2 years has been too many Con: I am open to the possibility of pursuing something other than MD (MD just seems like the practical, more educational, and higher potential choice right now). Con: Doing a MPH first may actually help me orient myself properly. I am interested in public health, but without a background in it, I think it would be hard to keep myself on a clinical/public health track when the only experience I would be getting in medical school and residency would be clinical.