MD after PhD - an "Am I crazy" thread

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

neurosci

New Member
10+ Year Member
15+ Year Member
Joined
May 11, 2007
Messages
6
Reaction score
0
I got my Ph.D. in Physics 10 years ago and since then have been doing research in MR imaging (specialty pediatric neuroimaging). I have over 40 PubMed-indexed publications in the field, with 10 or more as first author, with a few more accepted/in press. I currently have a career development "K" award from the NIH.

But I'm seriously considering med school at this stage anyway because I feel I do not have the necessary knowledge to bring my career to where I want it to go. I sit on an NIH review panel and we reject countless applications which are simply technologies in search of applications. It's necessary to be more than a technological "whiz kid" these days, especially in the current funding environment.

And, finding productive collaborations with those with the necessary knowledge (e.g. MDs) has been an exercise in futility. In my experience they all talk glowingly about the importance of research, but when you get right down to it, research will always be the baby sister, and I don't see the situation improving anywhere in the near future. There is a dearth of MD-driven research. The physicians have to take pay cuts to participate in research due to the NIH salary cap, and the department doesn't want to make up the difference. It's clinical, much more than research, that brings in the big $$$ for the institution, and, like it or not, physicians are graded on how much clinical $$$ they bring in. Finally, many of the MDs lack the necessary training in how to conduct research (e.g. methodology, statistics, etc.), which makes it an exercise in hand-holding from start to finish, and frankly, many of them simply don't like research in the first place. (This is not really intended as a knock or a criticism, just stating things the way they are. One who is a excellent clinician but a lousy researcher should obviously spend his time and effort in the best way possible to improve patient outcome, which in his case is not in the laboratory.)

But med schools seem to be pretty rigid. I talked with a dean some time ago and she told me it was pretty much "matriculate or bust" in terms of taking courses there. But she tried to encourage me to "go for it" anyway, but obviously it's a big commitment and I wasn't sure I was ready for it then. Although, there does seem to be lately more and more acceptance of "non-traditional" students. (Other graduate programs, like Ph.D. programs, are much more flexible.)

My bosses at my lab are supportive though, and I'm sure we could work out some kind of financial arrangement, which of course is a major plus - they need someone to fulfill a "medical director" type role.

And, I'm not exactly sure how my application is going to look. I haven't taken any of the UG prerequisites (except for physics and math, obviously). As a physics major, I obviously never took biology or chemistry. Fortunately, the place I plan on applying does not have rigid pre-req requirements (they are different then most other institutions in this regard, as I have seen from scanning websites). I won't complain if they insist I take biology, and I'm planning on taking it either this summer (if I can fit it in my schedule) or over the next academic year. But chemistry 101, really; I don't need to learn about valence shell electrons, s, p, d orbitals, hybridization, the ideal gas law, latent heats of fusion/vaporization, etc., etc., all of which are amply covered in the physics that physics majors get.

And, my UG GPA is hardly stellar (3.3 I think; it's been ages since I even looked at my UG transcript). This was due to a couple reasons; I was an immature teenager at the time (I received my B.S. at age 17) and I was double-majoring in music (piano performance). Graduate GPA is much better (3.8 or thereabouts) and graduate coursework in physics is pretty much the hardest coursework there is in a university.

But, I did do well on the MCATs last month (38Q: 14 PS; 10 VR; 14 BS) even despite not having taken the UG coursework. That's because one has to able to quickly assimilate information from different fields to succeed in research; a lot of brain researchers, for instance, know quite a bit about genetics, as there are strong genetic influences on brain structure and function.

So any thoughts as to whether I am crazy or not would be appreciated. I haven't posted much on this forum as yet but I have been lurking around for quite awhile and have been much impressed with the breadth of experience and expertise from all the other posters.
 
Wow. Interesting resume! You are certainly the definition of "non-traditional" (and I mean that in a good way). I'd say you've got a pretty good shot, esp. if you're going to apply to research-oriented schools. Your MCAT should pretty much make up for your GPA. Obviously you've got tons of research and clinical experience. As long as you are able to articulate legitimate reasons why you want to get an MD, adcoms should be interested. As for pre-reqs, med schools are typically pretty stringent, but if you've already worked it out with a school, more power to you.
Oh, btw, you ARE crazy. Join the club😀
 
Do it.
Med school is academic, but not in the same way as grad school.
The principle difference I enjoy is directly working with patients.
And, there is a lot less ivory tower politics -- either you stabilized their blood pressure or you didn't.

I'm enjoying myself tremendously post-Phud.
 
Do it.
Med school is academic, but not in the same way as grad school.
The principle difference I enjoy is directly working with patients.
And, there is a lot less ivory tower politics -- either you stabilized their blood pressure or you didn't.

I'm enjoying myself tremendously post-Phud.

And my resume is really bizarre.
 
Yep, you'd pretty much have to be crazy to get an M.D. after a decade of scientific productivity as a medical physicist.

You're my hero. 😀

Go for it!!!

-MSTPbound

I got my Ph.D. in Physics 10 years ago and since then have been doing research in MR imaging (specialty pediatric neuroimaging). I have over 40 PubMed-indexed publications in the field, with 10 or more as first author, with a few more accepted/in press. I currently have a career development "K" award from the NIH.

But I'm seriously considering med school at this stage anyway because I feel I do not have the necessary knowledge to bring my career to where I want it to go. I sit on an NIH review panel and we reject countless applications which are simply technologies in search of applications. It's necessary to be more than a technological "whiz kid" these days, especially in the current funding environment.

And, finding productive collaborations with those with the necessary knowledge (e.g. MDs) has been an exercise in futility. In my experience they all talk glowingly about the importance of research, but when you get right down to it, research will always be the baby sister, and I don't see the situation improving anywhere in the near future. There is a dearth of MD-driven research. The physicians have to take pay cuts to participate in research due to the NIH salary cap, and the department doesn't want to make up the difference. It's clinical, much more than research, that brings in the big $$$ for the institution, and, like it or not, physicians are graded on how much clinical $$$ they bring in. Finally, many of the MDs lack the necessary training in how to conduct research (e.g. methodology, statistics, etc.), which makes it an exercise in hand-holding from start to finish, and frankly, many of them simply don't like research in the first place. (This is not really intended as a knock or a criticism, just stating things the way they are. One who is a excellent clinician but a lousy researcher should obviously spend his time and effort in the best way possible to improve patient outcome, which in his case is not in the laboratory.)

But med schools seem to be pretty rigid. I talked with a dean some time ago and she told me it was pretty much "matriculate or bust" in terms of taking courses there. But she tried to encourage me to "go for it" anyway, but obviously it's a big commitment and I wasn't sure I was ready for it then. Although, there does seem to be lately more and more acceptance of "non-traditional" students. (Other graduate programs, like Ph.D. programs, are much more flexible.)

My bosses at my lab are supportive though, and I'm sure we could work out some kind of financial arrangement, which of course is a major plus - they need someone to fulfill a "medical director" type role.

And, I'm not exactly sure how my application is going to look. I haven't taken any of the UG prerequisites (except for physics and math, obviously). As a physics major, I obviously never took biology or chemistry. Fortunately, the place I plan on applying does not have rigid pre-req requirements (they are different then most other institutions in this regard, as I have seen from scanning websites). I won't complain if they insist I take biology, and I'm planning on taking it either this summer (if I can fit it in my schedule) or over the next academic year. But chemistry 101, really; I don't need to learn about valence shell electrons, s, p, d orbitals, hybridization, the ideal gas law, latent heats of fusion/vaporization, etc., etc., all of which are amply covered in the physics that physics majors get.

And, my UG GPA is hardly stellar (3.3 I think; it's been ages since I even looked at my UG transcript). This was due to a couple reasons; I was an immature teenager at the time (I received my B.S. at age 17) and I was double-majoring in music (piano performance). Graduate GPA is much better (3.8 or thereabouts) and graduate coursework in physics is pretty much the hardest coursework there is in a university.

But, I did do well on the MCATs last month (38Q: 14 PS; 10 VR; 14 BS) even despite not having taken the UG coursework. That's because one has to able to quickly assimilate information from different fields to succeed in research; a lot of brain researchers, for instance, know quite a bit about genetics, as there are strong genetic influences on brain structure and function.

So any thoughts as to whether I am crazy or not would be appreciated. I haven't posted much on this forum as yet but I have been lurking around for quite awhile and have been much impressed with the breadth of experience and expertise from all the other posters.
 
Fortunately, the place I plan on applying does not have rigid pre-req requirements (they are different then most other institutions in this regard, as I have seen from scanning websites).

What place are you referring to?
 
What place are you referring to?


The University of Cincinnati. Their MSTP program only requires biology, physics, and calculus; while the regular MD program stops short of a rigid pre-requisite requirement, only that the student should have "demonstrated knowledge comparable to" the freshman-level course or some such wording.
 
do you plan to practice medicine? If not then I don't think spending the time and money on the MD makes sense.
 
do you plan to practice medicine? If not then I don't think spending the time and money on the MD makes sense.

But isn't the whole point of Physician-Scientist training to prepare leaders in translational research? I think the OP's desire for an MD makes perfect sense, despite the time and financial investment, given his expressed desire for a decidedly biomedical career trajectory - even if that career doesn't involve practicing medicine per se - no?

OP, if you haven't already, you might want to do a search in the Nontraditional students forum - I wonder if it wouldn't add more insight to your decision-making process.


Good :luck:,

-Mbound
 
But isn't the whole point of Physician-Scientist training to prepare leaders in translational research? I think the OP's desire for an MD makes perfect sense, despite the time and financial investment, given his expressed desire for a decidedly biomedical career trajectory - even if that career doesn't involve practicing medicine per se - no?

OP, if you haven't already, you might want to do a search in the Nontraditional students forum - I wonder if it wouldn't add more insight to your decision-making process.


Good :luck:,

-Mbound
while yes that is what they say, but if you are going to have to spend $200-250k and 4yrs I don't think it's worth it. But I am biased I also don't think it makes sense to join an MSTP after M2 like people occasionally do. I also know a lot of PhDs who are going to med school because they are tired of science, but that doesn't seem like what the OP said.
 
OP, what exactly is your career goal? Is there any way you can realistically manage to get there without getting an MD yourself? In other words, could you team up with an MD and write grants as co-PIs? It would save you an awful lot of time and money if you could go that route. It sounds like you have a very successful career already, and it's hard to walk away from all that to start all over again. It's d*** hard.

Also, if you haven't already, you might want to read the couple of posts by a few of us who are doing this PhD-to-MD thing. (I just finished my first year of med school post-PhD.) Click on the sticky at the top of the forum about pathways for physician scientists and click on the link to the PhD-to-MD thread.

As for whether other people think you are crazy or not, who cares? If you need your own MD to do what you want to do, then you need to go to medical school. There is no other way to obtain your own MD. Whatever you wind up deciding, best of luck to you. 🙂
 
OP, what exactly is your career goal? Is there any way you can realistically manage to get there without getting an MD yourself?

My career goal is in biomedical/translational - type research. Unfortunately I've become more and more aware of the fact that the answer to your second question is likely "no". And I really don't want to spend the entire rest of my career on pulse sequence development, image reconstruction/data post-processing algorithms, and things like that. I've seen too many "gee whiz" applications get top billing presented at international conferences, and go nowhere after that.

In other words, could you team up with an MD and write grants as co-PIs? It would save you an awful lot of time and money if you could go that route.
It would be the ideal situation indeed. Unfortunately I have come to realize it simply doesn't exist. The combination of 1) an MD who is really serious about cutting-edge research, rather than conducting mere plain-vanilla observation studies where parameter X was different in patient population Y as compared to control group Z; 2) an MD who is willing to take the pay cut due to the NIH salary cap; 3) an MD who actually understands the basic principles of research (many in fact don't; med schools evidently don't teach them this); and 4) a department that will support the MD and give him enough time to actually do the research, and not ding him on his yearly evaluation as to the clinical $$$ he brings in is almost impossible to find. No matter what anyone says, research is an afterthought, except for a very few.

It sounds like you have a very successful career already, and it's hard to walk away from all that to start all over again. It's d*** hard.
Well I wouldn't exactly be starting all over again. I'd be able to combine my current technical knowledge with new-found clinical knowledge. It's not like I was spending my time post-Ph.D. doing theoretical work on M-theory.

Also, if you haven't already, you might want to read the couple of posts by a few of us who are doing this PhD-to-MD thing. (I just finished my first year of med school post-PhD.) Click on the sticky at the top of the forum about pathways for physician scientists and click on the link to the PhD-to-MD thread.
I have checked that section. Based on your experience, I don't even know how my application will be viewed. But I guess I'll find out soon enough, should I decide to apply.

As for whether other people think you are crazy or not, who cares? If you need your own MD to do what you want to do, then you need to go to medical school. There is no other way to obtain your own MD. Whatever you wind up deciding, best of luck to you. 🙂
Thanks - actually it was not others but myself wondering if I've slipped a mental cog somewhere.
 
Thanks - actually it was not others but myself wondering if I've slipped a mental cog somewhere.
I don't think so. My class has a couple of PhDs in it; it seems like a lot of schools have at least one or two of us per class. In other words, you definitely wouldn't be alone. If it's insanity, and we are all participating in it, that makes it ok, right??? :meanie: 😉

You said you want to apply to U Cincinatti. I think you should make an appointment to talk to their admissions folks about how you could strengthen your app as much as possible. Do as much of what they suggest as you can, maybe apply EDP if they have that option, and that's about all you can do. When I applied a couple of years ago, I decided I was only going to apply once, so I wanted to give it my absolute best shot. If I didn't get in, I would go do a post doc and get on with my life; it's not like I hated being a chemist. It sounds like you might be in a similar situation (i.e., that you don't hate your day job and you'd just like to add more to it). So, what the heck, give it a shot. I didn't apply to U Cinc., so I can't give you specific advice about them, but I'm sure you could find other nontrads who've applied there if you post about it in the nontrad forum. 🙂
 
Hello neurosci,

I also work in MR imaging, but I'm just a MD/PhD student. I'll give you my opinion because I find your post very interesting and I have seen what it's like in my own, fairly big name, Radiology department.

I'm seriously considering med school at this stage anyway because I feel I do not have the necessary knowledge to bring my career to where I want it to go. I sit on an NIH review panel and we reject countless applications which are simply technologies in search of applications. It's necessary to be more than a technological "whiz kid" these days, especially in the current funding environment.

Where do you want it to go exactly? Do you want to keep doing research? This is what I struggle with the most about your post. You want to do research that's more relevant to medicine? I just don't think you need to spend the next 10 years of your life in Medicine, Radiology residency, and then Fellowship to get there. Especially when it sounds like you're pretty successful as you are. I think you'd probably go further investing the next 10 years of your life into doing bigger and better research, but then again in the current funding environment I'm not sure how anyone is supposed to get started... :scared:

There is a dearth of MD-driven research. The physicians have to take pay cuts to participate in research due to the NIH salary cap, and the department doesn't want to make up the difference. It's clinical, much more than research, that brings in the big $$$ for the institution, and, like it or not, physicians are graded on how much clinical $$$ they bring in.

That's right. So when you have an MD, are you going to be inclined to continue slaving away doing what you're doing now? Is your department going to let you do these things? You're a special case, so when you say, "sure", I believe you. But, I've seen what it's like for the MD/PhDs here. They are still under heavy pressure to produce clinical revenue. They still don't get resources to do the research they want to be doing (go get grants, but here's no startup money). But the biggest part is time. You get promised 80/20 for example, but in reality it's only 80/20 if you work 100 hours a week. Why not go into private practice, triple your salary, triple your vacation time, and have a stable job with less pressure?

I mean it's not just interest. I'm sure it is for most MDs, but for those who are doing or want to be doing research, why aren't they at your instiution? You can't just stereotype all MDs (it's ok--they do it here too), but you have to understand that research-oriented MDs and MD/PhDs are facing alot of pressures of their own. If you join the MD side of things, you're going to have to face these as well.

As for how to get you into medical school... You're such a special case it's so hard to say and it's going to depend on the school. You'll have to talk to admissions again at your program and maybe at some others and see what they say. Don't count your chickens before they hatch though--these same people are never going to tell you not to apply even if you have no chance. I don't want to sound negative, but I've seen many cases of this. Your MCAT is impressive IMO. I suspect you studied a decent amount for it. I disagree with some of your reasoning for your score--I've seen many successful graduate students in the basic sciences over the years take the MCAT and bomb it because they assumed their training made them ready for it. Then again maybe you're a special case, who knows.

So any thoughts as to whether I am crazy or not would be appreciated. I haven't posted much on this forum as yet but I have been lurking around for quite awhile and have been much impressed with the breadth of experience and expertise from all the other posters.

I don't think you're crazy. I just have this to say for what it's worth. My mentor in Radiology died a few weeks ago in his sleep, completely unexpectedly, while I was on vacation. He was 35 years old (IIRC) and had two young children. He was a super-smart, super-friendly MD/PhD guy who spent his whole life training to get somewhere. Nobody ever had a bad thing to say about him, especially me. I looked up to him all the time. His advice on my project was always 100% on target and I even wished he would come around the lab more so I could pick his brain more often. I always felt bad for him because I thought the department never wanted to give him much protected time for research, but he always wanted to be doing it. When the rest of the department went away to RSNA last year, he was still here covering the clinical duties. He always had an eye towards the research. He was fighting to get there--to be a PI himself. He never got a chance to make it.

So what did I learn from this? I'm not sure. I still can't really digest it. When my dad was 35 (I was 8), they told him he had a rare disease and would die soon. You spend your whole life training to get somewhere, and what's the point if you never really get there. So what do you do? If you died in the next few years, would you wanted to have gotten somewhere, or would you be happy knowing that you were still after something? I can't figure it out. Everyone has to answer that question for themselves. What do you think? Are you going to spend the rest of your life wishing you had gotten that MD? Or, would it be enough to just switch institutions or take a risk and write a big grant on something more clinically relevant?
 
So any thoughts as to whether I am crazy or not would be appreciated. I haven't posted much on this forum as yet but I have been lurking around for quite awhile and have been much impressed with the breadth of experience and expertise from all the other posters.

I don't think you're crazy at all - in the funding environment today, keeping your options open is a good idea, IMO. I've been hearing that there may be a fundamental change in the way research is funded coming, with universities and foundations playing a much larger role, and the NIH a much smaller one. Uncertain times make diverse training a good idea, IMO.

I'm doing the MD thing after doing my PhD. It's certainly do-able, but you shouldn't think that your grad work will prepare you for the MD school-work, the MD is a different animal all together, much more of a grind. It's almost like the curriculum is designed to kill any hint of independent thought by drowning you in minutiae - so just a heads up there.

I did the post-doc thing all through my first two years (I just quit to study for and take Step 1 - just took it yesterday and my brain still hurts) - I also have a wife a two kids, so it's absolutely possible to continue research while in school, I did ok, I don't think my wife likes me as much as she used to, but I guess I can live with that 🙂. You just have to be ready to work hard, and I think most successful PhD students are used to that.
 
Neurosci: I must say that I am extremely impressed with your background. Your post intrigued me so much that it forced me to stop lurking and start actually posting.

I am a recent college graduate with a chemistry major (I'm 22, not 17). I have done quite a bit of MR research (spectroscopy, not imaging), and have seen quite a bit of projects that were done with something of a nebulous application in mind. Other than that, I'm trying to decide between graduate and medical school (or both).

Thanks - actually it was not others but myself wondering if I've slipped a mental cog somewhere.

I actually think there are quite a few things you should consider before committing yourself to 4 years of medical school and 3+ years of residency. However, many of these options may require geographical relocation.

1. Do an intramural year at NIH. It should be a lot easier to collaborate with other researchers and hence pick a project that's actually useful.

2. Consider a CAMPEP medical physics residency. CAMPEP is the accrediting agency for medical physicists who work in clinical practice (try a google search on them). While clinical medical physics is mostly for rad-onc physics, there is also some radiology and MR physics. One one hand, you may know all the stuff that they'd teach you, but on the other hand, it may give you the opportunity to apply your knowledge in a clinical setting, where you can actually see MR imaging diagnosing patients' ailments on a day to day basis. This may give you a better idea of what the limitations of MR in clinical practice are, so you'd know how to fix them, and hence make discoveries that actually affect patients. One drawback is that I don't think there are many of such CAMPEP residencies for radiology and MR physics.

3. Consider working for industry. They can't afford to mess around with useless research. I'm sure all of the companies that make MRI scanners or NMR instruments may be of interest to you, and you may be of interest to them.

4. Collaborate with a Ph.D psychologist wanting to do fMRI research. Such a psychologist may be more committed to research than an MD at your institution. The main question is whether their desired area of research is actually worth pursuing. My personal opinion is that some psychologists are doing important research, but quite a few are not.
 
Welcome!!!!! You aren't crazy at all!!!!!! Just graduated with my PHD (Developmental Cardiology) in May....... headed to GW for medical school!!!!!!!! 😍
 
Welcome!!!!! You aren't crazy at all!!!!!! Just graduated with my PHD (Developmental Cardiology) in May....... headed to GW for medical school!!!!!!!! 😍
do you plan to still do research? your case is very different from the OP and I think it makes more sense IMHO.
 
If you're crazy, I'm crazy. I got my PhD in Chemical Physics in 1999 and I'm starting med school this fall. I decided I wanted to do clinical research and I need an MD for that. I've been given advice to the effect of "don't ask too many questions and realize that you're at the bottom of the totem pole again". I'm planning on keeping a low profile and hoping to do some research to keep my critical thinking skills in the face of so much memorization.

Good luck! The more of us, the better (maniacal laugh) :idea:
 
Just Do It. Been there, done that (Ph.D Physics U.Md. College Park 1990, M.D. Georgetown 1997). Have never regretted it. It will greatly open up your career options and enhance your research opportunities, if you still want to do the research thing. I suspect you do, given your accomplishments to date. Besides, it's fun to be the "scary physics guy" in my practice group 😉 Good Luck
 
Yes I still plan to do research. GW has an excellent track system that will allow me to transition into clinical research. 🙂

do you plan to still do research? your case is very different from the OP and I think it makes more sense IMHO.
 
Top