I would say the MD/JD route is for the truly serious few who want to go into specific fields (e.g., biomedical ethics, health law, consulting, etc). I am going to med school this fall and had previously gone to law school. I only lasted 6 weeks until I decided that law is not for me (and I have familly members who are lawyers). curtizz -- Re: money, I don't think it will increase your earning power at all and it will add at least 2 more years of school (and tuition!!). dnt107 -- Re: psychiatrists being invloved in trials, unless you want to be the lawyer running the trial or writing the appeal, there is no reason for a psychiatrist to have a JD. And, if you are the attorney, all the 8+ years of medical and psychiatric training will do is help you ask the right questions during the trial or highlight issues on appeal. If you are interested in testifying at trials as a psychiatrist, it is much better to begin to work with the population you are interested in (e.g., serial killers (sociopaths), schizophrenics, etc) and become an EXPERT in that group of offenders/criminals. Also, you could concentrate your efforts in residency in forensic psychiatry. There is a sub-population of psychiatrists (forensic psychiatry) and attorneys who work in criminal law and use each other all the time for info and testifying. Also, as one of my criminal attorney family members just reminded me, forensic psychiatrists are sought after (i.e., it is a good field to go in to) and most of their work is paid by the federal or state government (i.e., no insurance co's and regular payments). Re: tuition remission for MD/PhD - I have not heard of that happening. I hope this is helpful to you. Good luck!