confusedSE said:
Hi guys ..
I am considering getting an MD/MBA or just an MD, and working in consulting for a few years to see if I like healthcare business, and to pay off some loans. How hard is it to go into residency after you've taken a break after getting your MD? Or is it better to do your intern year first, and then come back later?
thanks-
Taking time off between med school and residency can create some challenges for you; of course many variables are at play:
1. the length of time off (one year may have very little impact, 5 years would be nearly impossible to overcome)
2. the specialty to which you apply (you would likely still have opportunities in less popular specialties and more competitive ones like Derm and Ortho would be very challenging to get into)
3. how open you are to matching ANYWHERE versus some very specific programs (i.e., if you have a short list of 3-5 programs in a given specialty or have a specific city/region that you MUST match in, taking significant time off may be a real issue since you would probably have to apply to a wider variety of programs)
4. what exactly you are doing with that time after med school. Doing business work is likely to be looked upon much less favorably than other acitivies (things that come to mind that would potentially even make your application stonger would perhaps be Peace Corps, a highly-regarded clinically relevant research project, etc; you would just have to do a lot of explaining on the timing).
5. how willing are you to re-take your USMLE Step 1 and 2 exams? I don't know the exact timeframes off the top of my mind, but I think your scores are valid for some time period and then you will likely have to take them over again if you take too much time off. Plus, how comfortable would you really be working in an ICU in your first month of internship if you were several years removed from weeing patients? I know some MD/PhD's go away to the lab and then come back, but that's got to be hard.
As you can see, there are many issues with delaying training after med school. My advice to you would be to either do the business work before med school or train after med school and then take time for business work. It's generally much easier to transition from clinical medicine to business, while the transition the other way can be very challenging depending on where you are in your career. You are pariticularly vulnerable after med school without any clinical training; if you blow your chance to do a residency, the MD degree will be little more than objective proof that you are intelligent and hard working; great for opening doors, but it won't pay the bills like being a board-certified attending.