I have had the great fortune of being accepted to a few incredible MD/PhD programs, but this application process has made me seriously reconsider my career aspirations. I am still 100% committed to academic medicine, in that I fully envision myself participating in teaching and administrative duties (admissions, curriculum committees, diversity recruitments, etc.) alongside clinical practice. However, I am fairly confident that I don't want to run my own lab as a PI. I'd prefer to conduct clinical research or public health research (20-30% of my time) rather than wet lab/basic science work. All this considered, should I still go forward with the MD/PhD or do MD-only? Finances are an important consideration, since I don't qualify for need-based aid and my parents will only help with my COL expenses, so I would likely graduate $300k of debt. I feel that the financial benefit of MD/PhD would reduce a lot of stress and improve my quality of life for the next decade, even though the financial benefits are null in the end. Additionally, timing isn't a huge issue for me because I love being in school, I look forward to the intensity of graduate training, and I am excited about living in a new city for 8 years. I think doing the PhD would give me important experience in designing and conducting sound research, and this experience may help me secure a position in academic medicine in the future. That being said, would I be expected/constrained into doing basic science research in the future if I get a PhD? I would appreciate any other perspectives on this dilemma.