I don't see why academic med isn't a field. I'd guess at this point most people, if they were being honest, would have to be very general e.g. some kind of surgery, family practice, peds, int'l med. I think academic med is perfectly legit. The only possible negative question I could imagine an adcomm asking is: why don't you apply MD/PhD if you want to do straight research? But since many academic docs just have MD, I don't know if this would be an issue at all. Besides, for Hopkins, I'm sure many of their grads do go into academic rather than clinical practices.