law school after medical school?

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prominence

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is there any demand for people who complete medical school, and then go to law school to pursue malpractice law? my wife is considering this option.

i am telling her to not pursue it. there is no significant increase in salary by having both degrees. plus, although helpful, u do not need to have a MD to practice malpractice law.

she wants to know what her options are with an MD degree besides the traditional route. any thoughts?

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You couldn't practice law without the law degree. I think there is definitely demand for MD lawyers (same goes for PhD Scientist lawyers). As far as doing stuff with an MD degree without completing a residency, you can probably find work in insurance, medical products, pharmaceuticals, hospital/managed care administration, politics/lobbying, etc. But I don't think you would make a whole lot more money by getting and MD before going into one of these fields than going a more traditional route to one of these jobs.
 
is there any benefit in completing a residency if your main intention is to become an MD lawyer?

does anyone know anything about the salaries of an MD lawyer? i have heard conflicting stories.

some people tell me they make the same as any other lawyer (who either has an MD degree or does not), which leads me to believe that having an MD degree provides no advantage as far as salaries go.

yet, i have also heard that MD lawyers make a killing in the salary department.

does anyone know of any relatives or friends who have taken the MD law route? if so, please provide some input. thanks.
 
I don't know about lawyers (although there is lawyer in my medical school class so I will ask her if she knows) but my cousin, an MD, works in insurance and makes far more than what she made as a pediatrician.
 
this is off-subject, but i noticed your avatar...tintin and snowy....the Belgian wunderkid! used to be an avid reader of the series as a kid. read all of them, i think
 
Hi there,
My cousin is a neurosurgeon and lawyer. There was about 20 years between the two degrees. She had a thriving practice in pediatric and trauma neurosurgery but always loved the law. Her experience in both of these arenas made her marketable as an attorney. Without some residency training and practice, a JD after medical school is not going to give you much advantage over the rest of the malpractice attorneys. She does some malpractice but does more general law. Her neurosurgery practice is thriving as well. She tries to do three to four big cases each week. Since her practice is in a large university hospital where there are residents, she is able to practice both law and medicine. She is now in her mid 50s.

njbmd
 
Prominence-
My parents are familiar with an MD/JD in upstate NY. They told me that she was lured away from practice in another state to head up all the medical law and malpractice cases in her current firm. The bait was a HUGE salary. It makes some degree of sense that your wife could probably find a firm that would pay her very very well. "Other factors" probably play in too, like big city v. little town, and how demanding she decides to be.
Best of luck in any situation....
 
thanks to all who responded above.

hey mpp, would it be possible for me to get ur cousin's email address, so that i could ask him a few questions?

if not, could u provide more details? u mention that ur cousin was in pediatrics. how long did he work after residency? now, ur cousin works in insurance. what are some of his job responsibilities? did he have to get extra training in business or take additional classes dealing with insurance?

if u could provide some more details on ur cousin's situation, i would appreciate it. thanks.
 
I have always liked the law - I guess it is in my genes as I have three brothers who are attorneys. One of whom is the senior counsel for the NEA (2 million strong teacher association) and he makes a very good living. After my radiology residency, I got bored with private practice and went to a top 15 law school. In my school, there was a neurosurgeon two years ahead and an OBGyn one year ahead. So board-certified MD/JDs are not rare.

I just have a few things to add to the above posters:
The law field is very competitive as there are more than three hundred law schools in the country and a few hundred more without full accreditation by the ABA. Just about anyone can get into law school because so many schools are mediocre. These graduates fail to pass the bar, and when passed end up making about $40-50,000 a year. Very few attorneys make the kind of money that we hear about (eg. class action suits). To join a prestigious firm, you MUST graduate from a top tier law school (Yale, Harvard, Stanford, Boalt Hall, Chicago, Penn, Duke, NYU, Columbia, Michigan, Virginia, Texas and several others). You MUST make Law Review (top 5%) to be offered a summer internship with a prominent law firm and if it worked out, asked to join them as an associate. It takes as much as 8 years to be considered for partnership with the big money ($200-300K). But often, associates are let go when they are not rain maker caliber, having wasted many years working like a dog, logging inflated billable hours. Having done prestigious clerkships with federal court judges helps in getting partnership. But again, it takes Law Review credentials to get these jobs.

The number of graduating attorneys are astounding. My school had a class size of 500 (my med sch class had 200), Harvard has about 1,000 per year. Yale Law School, considered the best in the country, accepts only 6% of the applicants so getting into a National school is much tougher than getting into med sch. For Yale, GPA must be close to 4.0 and LSAT score in the 99%. Much more so than in medicine, where you attended law school matters. The above are what you would need for a successful legal career.

There are already a lot of health professionals in the law. Many are nurses, pharmacists, etc. These people work for insurance companies, malpractice defense firms or in-house counsel to hospitals and health care plans. They don't make much money, but what they make is more than what they earned before. Their knowledge of medicine is about what most firms need so the MD doesn't carry that much weight. And if you never did residency, you wouldn't know enough about the practice of medicine to bring insights above those of allied health JDs. Many allied health people and physicians attend Regional schools which are non-competitve and earn their degrees part-time. These are not great credentials if one aspires to one day becoming a partner in a known firm.

Law school is challenging and the skills to do well is different from the scientific mind set we all have. The Socratic teaching method is sometimes rough and you have to think on your feet. There is an incredible amount of writing involved. Searching the law is also tedious as our judicial system is based on precedence, inherited from the English. France on the other hand, has a legal code so judges don't change the law. Law books, court opinions etc can be very boring to read. While in school, the students still have an idealized view of the way the law is practiced, but this goes away fast in the real world. It can be monotonous and many many lawyers leave the law (more than doctors leaving medicine) or never practiced law at all.

There are two great programs offering graduate degrees in Health Law (University of Houston because of the proximity to the Texas Medical Center, the largest medical complex in the world, and Loyola in Chicago). An LLM degree from these institutions should help if one did not go to a National school.

If I had to choose law or medicine alone, I would choose medicine. There is the prestige, the trust of the patients and the satisfaction of helping others. The financial reward is also great, a level that will never be reached by an average attorney.

Unless your wife really, really hates medicine and intends to never practice medicine, then perhaps she should switch but she must get into a National school to attain the kind of lifestyle that a medical career can bring. If she does not do a residency now, she most likely will not be able to apply for one if she ever decides to come back. She would also have a hard time paying off both medical and law school loans with an associate's salary ofclose to $60,000 a year. My final suggestion is to do residency now and law later, after having paid off the loans and saved enough to afford the low incomes of all new attorneys.

Tell her good luck!
 
The other option is to do an occupational medicine residency. This requires a one-year internship followed by two-years of a very benign residency experience that usually includes a built in MPH degree. Occ med physicians usually work for corporations, law firms, insurance companies etc and make a very decent living practicing "corporate medicine." I did a rotation in med school with a occ med physician who worked for a rail road company. Her job was cush. She worked side-by-side with the company lawyers on a variety of medico-legal issues. Be sure to check out this avenue too!
 
where can i get more information on occupational medicine?
 
Originally posted by drusso
The other option is to do an occupational medicine residency. This requires a one-year internship followed by two-years of a very benign residency experience that usually includes a built in MPH degree. Occ med physicians usually work for corporations, law firms, insurance companies etc and make a very decent living practicing "corporate medicine."

FYI: Yes, occ med docs working for corporations do make good money, but the ones who are in group/private practice are reimbursed entirely by workman's comp. In some states, the reimbursement rate is extremely low.
 
My cousin works for a large insurance company. She worked there prior to going to medical school. I believe her original undergraduate training was in business. When she completed her residency they offered her a job there which she turned down due to the work location. She worked as a physician for a few years and then decided to move near to where the insurance company job was located. Turns out, the same job was still open (they could not fill it for several years) and she took it. She works in researching how future medical technologies will alter life expectancies and needed medical care to assist in determining insurance rates.
 
Originally posted by bat21
Yale Law School, considered the best in the country, accepts only 6% of the applicants so getting into a National school is much tougher than getting into med sch.

Uh this is incorrect, or misleading at best. The top med schools have acceptance rates of 4-6%, which is comparable to the top law schools. However, the overall med school acceptance rate is about 50%, whereas law is much higher. You could argue that making Yale law is tougher than making a lower tier med school, which is true, but law/med schools of equal caliber are about the same acceptance rates, and in some cases the med school is harder to get into.
 
Originally posted by mdjd
:laugh: I don't think a single sentence that this guy posted was correct; except, possibly, that he has 3 brothers that are attorneys. So much misinformation it's scary.


except that the name of the law school does matter, and the info about firms. Also, if you want money and prestige, a top law school and law review is a MUST. He had a bit of good info in there, I dont know what crack you're smoking!
 
I agree that the previous poster has almost no idea what he is talking about. First of all, Harvard Law School has 4 sections of 140-160 people a year; so more like 600 -- not 1000. Second, if you go to a top ten law school you don't have to get into law review to get a good job. Pretty much anyone who wants one can get a job with a big firm in NYC, Boston, DC, Houston, Chicago or LA. They literally beg you to come work for them. I should note that the story is much different if you didn't go to one of those top schools, however; and he was right that the vast majority of associates are pushed out of the firm prior to making partner. Next, many of the top schools don't have grades or class rank. At HLS, there is no class rank and there is huge grade inflation/compression -- nearly 70% of each class graduates cum laude, and only one or two a decade graduate summa, therefore it is very hard for employers to look at grades. Finally, Yale is a great law school. It is very competitive because it is very small (60-80 per class I think).

One other note. Lawyers do not need a medical background to defend malpractice cases, just as they don't need to be civil engineers or ground water hydrologists to do environmental cases. Some background helps, but these cases aren'y won or lost on the science, they're won or lost on emotion and the distortion of the facts. In the end, the firm's big stud litigator is probably going to try the case. The reason the firms hire MD's is because its cheaper than paying consulting fees of $300+ and hour. Unless you happen to have the gift of being a great litigator and a doctor, the firm is just screwing you.

Ed (btw HLS '93)
 
bat21 is correct on alot of points. My original goal in life was to practice law. I have a BA in CJ, took the LSAT, was ready to apply to law school (for this past fall), and have worked in the CJ field for over 2 years. So I do know what I am talking about.

Prestige of school is VERY important. If you do not attend at "national" school and make law review, you will not even be considered for an internship clerking for a federal/state judge. Without these credentials one will never be able to get hired at a prestigious law firm or work in the upper echelons of the government. And yes, there are plenty of law schools, so the opportunity is greater to be accepted somewhere, than when dealing with medical school.

One of the reasons I changed careers, is that the opportunity to make a six figure salary is greater in medicine than it is in law. For someone who doesn't go to a top tier law school the career path is usually the same. Following school, you get a job as a DA or PD and spend at least two years getting suitable trial experience (the average salary for a DA or PD is 28-30,000 per year). THEN TRY to get a job in private practice. The liklihood of reaching six figures is slim. Here's an observation: I have seen MANY broke attorneys, I have NEVER seen a broke physician (except residents, but they still make more than ADA's or APD's).

Lawyers have the highest rate of exodus than any other profession. Most find out that while they enjoy the theory of the law, they hate the practice of it. By no means is the law anything like what you see on television. Its trials are long and drawn out, reading and writing briefs is boring, and researching is tedious. If you have a desire to help and influence people lives while making a great living--law is not for you. There is a book out there that helped me realize this fact (I was already leaning on not going--cause it began to bore me) its called "How to get accepted into a Top Law School", I forget the author. But he has written other books about business school by the same name. Go to Amazon. com and run a search. It is a must ready for anyone thinking of law.
 
I am wondering which field would be more suitable for future physicians interested working in a community clinic? Also, does anyone know about the Master's program in medical ethics at Widener university?
 
What I would like you guys to pursue is the MD/Politician...please, be active in political change in our country. Sway the bean counters, pursue change! Protect patient and physician practice rights. Fight the good fight.

Ok, off my little soapbox.
 
Originally posted by bat21
I have always liked the law - I guess it is in my genes as I have three brothers who are attorneys. One of whom is the senior counsel for the NEA (2 million strong teacher association) and he makes a very good living. After my radiology residency, I got bored with private practice and went to a top 15 law school. In my school, there was a neurosurgeon two years ahead and an OBGyn one year ahead. So board-certified MD/JDs are not rare.

I just have a few things to add to the above posters:
The law field is very competitive as there are more than three hundred law schools in the country and a few hundred more without full accreditation by the ABA. Just about anyone can get into law school because so many schools are mediocre. These graduates fail to pass the bar, and when passed end up making about $40-50,000 a year. Very few attorneys make the kind of money that we hear about (eg. class action suits). To join a prestigious firm, you MUST graduate from a top tier law school (Yale, Harvard, Stanford, Boalt Hall, Chicago, Penn, Duke, NYU, Columbia, Michigan, Virginia, Texas and several others). You MUST make Law Review (top 5%) to be offered a summer internship with a prominent law firm and if it worked out, asked to join them as an associate. It takes as much as 8 years to be considered for partnership with the big money ($200-300K). But often, associates are let go when they are not rain maker caliber, having wasted many years working like a dog, logging inflated billable hours. Having done prestigious clerkships with federal court judges helps in getting partnership. But again, it takes Law Review credentials to get these jobs.

The number of graduating attorneys are astounding. My school had a class size of 500 (my med sch class had 200), Harvard has about 1,000 per year. Yale Law School, considered the best in the country, accepts only 6% of the applicants so getting into a National school is much tougher than getting into med sch. For Yale, GPA must be close to 4.0 and LSAT score in the 99%. Much more so than in medicine, where you attended law school matters. The above are what you would need for a successful legal career.

There are already a lot of health professionals in the law. Many are nurses, pharmacists, etc. These people work for insurance companies, malpractice defense firms or in-house counsel to hospitals and health care plans. They don't make much money, but what they make is more than what they earned before. Their knowledge of medicine is about what most firms need so the MD doesn't carry that much weight. And if you never did residency, you wouldn't know enough about the practice of medicine to bring insights above those of allied health JDs. Many allied health people and physicians attend Regional schools which are non-competitve and earn their degrees part-time. These are not great credentials if one aspires to one day becoming a partner in a known firm.

Law school is challenging and the skills to do well is different from the scientific mind set we all have. The Socratic teaching method is sometimes rough and you have to think on your feet. There is an incredible amount of writing involved. Searching the law is also tedious as our judicial system is based on precedence, inherited from the English. France on the other hand, has a legal code so judges don't change the law. Law books, court opinions etc can be very boring to read. While in school, the students still have an idealized view of the way the law is practiced, but this goes away fast in the real world. It can be monotonous and many many lawyers leave the law (more than doctors leaving medicine) or never practiced law at all.

There are two great programs offering graduate degrees in Health Law (University of Houston because of the proximity to the Texas Medical Center, the largest medical complex in the world, and Loyola in Chicago). An LLM degree from these institutions should help if one did not go to a National school.

If I had to choose law or medicine alone, I would choose medicine. There is the prestige, the trust of the patients and the satisfaction of helping others. The financial reward is also great, a level that will never be reached by an average attorney.

Unless your wife really, really hates medicine and intends to never practice medicine, then perhaps she should switch but she must get into a National school to attain the kind of lifestyle that a medical career can bring. If she does not do a residency now, she most likely will not be able to apply for one if she ever decides to come back. She would also have a hard time paying off both medical and law school loans with an associate's salary ofclose to $60,000 a year. My final suggestion is to do residency now and law later, after having paid off the loans and saved enough to afford the low incomes of all new attorneys.

Tell her good luck!

Bravo, Bat21. Your post is 100% right on. I am not an MD yet, but I am a lawyer. I can tell you that there are enough lawyers out there - and certainly enough malpractice lawyers. You do not need an MD to practice medical malpractice law. In fact, the MD degree is somewhat superfluous. You have realize that lawyers/litigators for the most part are generalists. I don't think that there is a HUGE or small demand for medically trained lawyers. I think the anecdotes about MDs turned JD's lawyers being lured away by huge salaries and high demand are somewhat misleading. This MD/JD that was lured away to head up her own medical malpractice defense firm by big money - was probably sought after because of the name/reputation she had created for herself and her experience - not her MD. That's just an added benefit. But I'm willing to bet that if she had not had the MD and still had the same practice experience, she still would have gotten the same offer. In most situations, an MD will not bump up your salary. It may get your foot in the door and edge out other applicants for the position (the legal market is so saturated that it is very tough to get a job), however, the loans and exhausting time of medical school is high price to pay for such a small advantage - a blip on your resume. Finally, there may be a benefit to having been an MD before law school, which is that you've made contacts and have a potential base for clients. However, this would not apply to your wife who hasn't even done residency, let alone, build professional relationships within the medical community. I'd also like to add that at the highest level - having gone to a top 10 school, law review, gotten great grades, etc. - the most your wife can make coming out of law school is what other top-notch law graduates can make - $100-125k at large law firms. To my knowledge, the practices of biggest law firms in the country (which pay these kind of salaries) are very corporate-centered. They do not tend to practice or specailize in medical malpractice. Smaller litigation boutiques and outfits tend to pick up this kind of work --- the chance of your earning more than 60k starting out at any these firms are slim to none. Don't get me wrong, I think people are genuinely impressed that you got in and went through med school. I also think there are somewhat baffled by the fact that you are now in law school. But I just don't believe that it will make any difference in the regard or salary you will get as an attorney.

I am a lawyer and I'd like to be an MD. However, I'm going to medical school bc I want to be a doctor. Not a lawyer with an MD. If your wife genuinely hates the profession and wants to be a lawyer, then she should go to law school. But she shouldn't go to law school bc she thinks an MD will set her apart and make her highly sought after...she will be sorely mistaken if she does this.
 
I also want to point out to those are disagreeing about Bat21's observations about needing to make law review to work at a large law firm. Or, that the acceptance rates to top law schools and how it compares to medical school. I really that think that those areas are somewhat irrelevant but otherwise the post responds to the posters question regarding will his wife be highly sought after and better paid with an MD degree. The answer is a resounding no.

Law review and grades are important. They are more important at a lower ranked school and less important at higher ranked schools. Getting into law school is hands down much easier than getting accepted into medical school. However, it still is not easy. And expensive; remember, the best schools are for the most part almost are private. In any event, this is all irrelevant bc getting into law school is not the hard part. And whether you need to be on law school or be in a top 5 school is an issue common to law graduates (including a former/non-practice MD)....you get no free passes.
 
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