PhD to MD/PhD???

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MontieCristo

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Has anyone been successful in switching from a PhD to a MD/PhD program or just an MD program? I've just done some searches and didn't find anything substantial and would greatly appreciate if anyone could post some information.

Here is my general situation: I am a non-science major recently admitted to a non-science PhD program at Harvard and Columbia for this coming year. However, after some deep soul searching and thinking, I have decided that I would like to practice medicine and pursue and MD. Yes, I know, this is pretty messed up, but I am sure of my decision. I am pretty sure that both Harvard and Columbia allow for interdepartmental transfers so that I could switch into a hardcore science department (Biology/Biochemistry/Virology/etc). My major problem is that my biology background is very weak and I plan to take more science classes at a postbacc or grad level regardless of whether or not I choose to pursue to enroll in the PhD.

My questions are: Assuming that I successfully transfer into a science PhD program (Biochemistry or Virology) and survive at either schools, would I be able to switch into a MD/PhD or perhaps just an MD program? Has anyone been able to switch into a MD program at any of the schools? If you are in a PhD program, is it harder to switch into a MD than it is to swtich into MD/PhD?

thanks in advance for the advice!
 
Hi,

Relatively few people decide to pursue the transition you're considering, at least when compared to the converse. I know of a great many MDs who've come to the dark side (ie research).

Take heart, though. One woman from our grad group recently did 2 years of a neuroscience PhD, took her masters and went off to med school. There was a similar case the year before. NB, they both did well in grad school and OK on MCATs, and didn't do a combined degree (went straight MD).

I also know of at least three cases of PhD's coming into the MD/PhD program from grad school. Again, they were excellent students in grad school. They came over at different points (two after prelim exams and one after the whole PhD), but were funded. As an aside, there are a number of "non-science" combined degrees in my program (from arts and science to economics), so you're current PhD field may not be "unacceptable" to MSTP committees. This varies greatly by institution, though.

If you switch to a "science" PhD, though, will you be able to fulfill all your prerequisite classes for med school applications? Each of the cases I mentioned had done so prior to switching. You may want to check with a few admissions advisors before doing anything.

If you do a post-bacc, do well! I actually was admitted to a number of MSTPs and had never taken a science course in college. Once I convinced the admissions people that a former MBA could be reformed into a scientist 😉 , they weighted the post-bacc courses heavily. 'Course, the standard "do well on the MCATs and apply early" hold here, too.

Seems to me, the question you need to answer is whether you want to pursue a combined degree or go just for the MD. Very different courses of action, with different next steps for you.

Good luck,
Primate
 
hey, thanks so much for your reply. well, ideally, i would very much like to just pursue the MD. however, i read a few other posts that its not well reflected if you drop out of a PhD program, and i'm not sure how that will come into play later.

also, wouldn't it be easier for PhD students to be admitted to med school? i guess, i would think that med school see that you could handle graduate level work. thanks again for any advice!
 
Some MD programs will not take you until you FINISH your PhD if you have started it so you may want to think twice about starting that program unless you plan on finishing it before you go to MS. Also, I would be a tad worried that they may peg you as one of those people that can't make up their mind and end up perpetual students because you would have to be somewhat committed to whatever you are doing the PhD in and then now you want to do medicine. I don't know, but it's something to consider. Good luck with your decision....🙂 🙂 🙂
 
I was in a PhD program in Biomedical Physics, terminated at the masters after deciding I wanted to go to medical school, and now I am going this fall, not to the same school though. But I did not realize I wanted to go until after I started my grad program. If you have not started your PhD program yet, then I wouldn't. Instead, enroll in a post bac program to do your pre-med req's. I was lucky in that my advisor wrote me a good letter after I told him I felt that medicine was more my speed, and that my program offered a clinical masters I could change to, and that my program will enable me to be a better physician because of the unique perspective I gained, and thus no questions were raised in the application process. You may not fare so well, so if you haven't made the commitment to your PhD program yet I wouldn't, it will just cause you a lot of grief. If you know you want to go to med school NOW, then start doing what it takes NOW!
 
I completely agree with physicsMD. Medical school programs DO NOT look favorably upon those who have already been in grad school and are now leaving without finishing. It makes you look indecisive. Also, you will need recommendations from your advisors, and if you start a PhD program, then either leave or even leave with a masters, they may be very mad at you and not give you what you need to go to medical school. Besides, the PhD program may not fulfill the pre-med requisites, and they are not going to be happy with you taking extra courses for you to fill them.

Graduate level classes are not necessarily any more difficult than undergraduate classes and are definately not like medical school classes. All this adds up to the fact that your undergraduate performance will still be heavily weighed into a medical school's decision, even if you finish your PhD. Also, many MD/PhD programs will not let you apply from their PhD programs. Even the ones that do often look upon it very unfavorably.

Either don't start the PhD, switch to a masters ASAP, or plan to get your PhD then go to medical school. Doing otherwise may set you up for failure.
 
I also agree that medical schools look unfavorably on people who quit. If you have quit before, then what assures them that you will not bail on a long training endeavor of medical training and residency?

On the other hand, I have seen people who have completed their PhDs, then apply to medical school. These candidates are highly sought after if they have an idea how they can combine their previous PhD training with their MD.
 
Originally posted by Neuronix
Graduate level classes are definately not like medical school classes.

My impression from having taken both is that graduate courses are MUCH harder than those basic sciences courses in medical school.

As for transfering from the PhD to the MD/PhD program, the schools I've mentioned this to haven't been unsupportive at all. But I did say MD/PhD and not just MD. As a matter of fact the advisor at a certain school with whom I'd like to work with, is encouraging me to switch to the combined program after my first year in the PhD program. So, I'd say that switching really depends on the circumstances and the school.
 
Originally posted by pathdr2b
My impression from having taken both is that graduate courses are MUCH harder than those basic sciences courses in medical school.

As for transfering from the PhD to the MD/PhD program, the schools I've mentioned this to haven't been unsupportive at all. But I did say MD/PhD and not just MD. As a matter of fact the advisor at a certain school with whom I'd like to work with, is encouraging me to switch to the combined program after my first year in the PhD program. So, I'd say that switching really depends on the circumstances and the school.

Pathdr2b,

If you're switching from a basic science PhD to a MD-PhD program, then that is a different issue. The original post is a NON-science PhD candidate who wants to quit and then reapply.

This will look badly.
 
Originally posted by pathdr2b
My impression from having taken both is that graduate courses are MUCH harder than those basic sciences courses in medical school.

I have taken a number of graduate courses at the University of Delaware and while I found the amount of work comparable to a difficult undergraduate class, the grading was much easier. To me, it seemed that they were not out to weed you out like pre-med courses, and you would really have to do nothing to fail. Maybe this is just at the U of DE.

I have talked to several MD/PhDs at different schools about which is harder--medical school or graudate school. Everyone has told me that the medical school classes were more difficult because of the sheer amount of memorization. However, they have also pointed out that graduate school and the first two years of medical school are about two different things: critical thinking vs. memorization. Some find medical school easier, some find graduate school easier. It just depends on the person.
 
Originally posted by Neuronix
I have taken a number of graduate courses at the University of Delaware and while I found the amount of work comparable to a difficult undergraduate class, the grading was much easier. To me, it seemed that they were not out to weed you out like pre-med courses, and you would really have to do nothing to fail. Maybe this is just at the U of DE.

I have talked to several MD/PhDs at different schools about which is harder--medical school or graudate school. Everyone has told me that the medical school classes were more difficult because of the sheer amount of memorization. However, they have also pointed out that graduate school and the first two years of medical school are about two different things: critical thinking vs. memorization. Some find medical school easier, some find graduate school easier. It just depends on the person.

For most schools, graduate courses tend to be more easier (and more enjoyable) than undergraduate courses - except at schools that have best, most reputable programs. If you think about it, how "good" could the program be if the graduate courses are easier than the undergraduate courses? However, I'm sure it all depends from school to school and from program to program.

And I agree that medical school could be easier/harder than graduate school depending on the person. Most of those who go to medical school major in biology and have stronger memorization skills vs critical thinking skills. So these type of people will generally find medical school easier than graduate school and vice versa.

To to OP: This has been pretty much said in this thread but in general, most schools frown upon those who withdraw from a Phd program to pursue an another. However, they also make exceptions based on your background and career goals.
 
how easy would it be to switch from a SCIENCE PhD to a MD/PhD? For example, if you were pursuing a PhD in Biochemistry and would like to switch into a MD/PhD program?

Does that still depend on the school/program/advisor etc?

Thanks for the help!
 
Originally posted by MontieCristo
how easy would it be to switch from a SCIENCE PhD to a MD/PhD? For example, if you were pursuing a PhD in Biochemistry and would like to switch into a MD/PhD program?

Does that still depend on the school/program/advisor etc?

Thanks for the help!

Most of the time, you don't "switch". You complete the PhD first and then appy to MD school. If you insist on switching, then you apply for the MD-PhD program within the same institution. The main purpose for this would be to get the MSTP award. The school will not just let you "transfer" into the MD program without applying.
 
Originally posted by Ophtho_MudPhud
Pathdr2b,If you're switching from a basic science PhD to a MD-PhD program, then that is a different issue. The original post is a NON-science PhD candidate who wants to quit and then reapply.

I saw Biochemistry/Virology in his original post so I was responding to that.

To the OP, I'm probably the only one on the MD/PhD thread seriously considering this option beginning this Fall (I'm kicking myself for not applying to medical school last summer but that's another story). While I'm not prepared to discuss where I'll be this Fall (I'm down to 2 schools and will need to chose 1 in the next few weeks) if you PM me, I'd be more than happy to share with you some of the schools I know that have students in the MD/PhD program that transferred from the same school's basic science PhD program.
 
I will not give you any specific advice, as I have no personal experience with these issues (although I generally share Optho and Neuronix' sentiments), but I will respectfuly share my feelings as someone who just went through the MD/PhD application process: I have to admit that I am both concerned and turned off by people who obviously claim to want to do MD/PhD or MD only (MD being the common denominator) but are trying to find shortcut ways of doing it (usually involving grad school + switching/dropping out). Since I think most of us feel this way, I think it is silly to believe that the ADCOM members would view it favorably.
Now, please note that this neither means it's impossible, not that there are no valid, genuine reasons for switching (such as when a person decides they want the MD after starting gradschool, due to an awakened interest, soul searching or anything else).
I think the right thing to do, given that - as you have stated - "after some deep soul searching and thinking, you have decided that you would like to practice medicine and pursue an MD", would be not to commit to a PhD program, bite the bullet, take the pre-reqs and the MCAT and apply to either MD or MD/PhD.

I wish you the best of luck whatever you decide.
 
Originally posted by Alleria
For people who go this route, what ends up being the timeframe? Would one say, apply right before what one anticipates to be the last year of the PhD program so that after the application cycle finishes, one will have a PhD and have a place to go 'in the fall'?

And any comments about re-taking the MCATs simply due to time-expiration? I took them in '02 and was happy with my scores, but with a 3-year expiration at the most selective places, I have a feeling that I'll have to retake them, which is a pretty unhappy thought: I'm unlikely to do quite as well again.

Are cases known of schools waiving that rule and taking slightly older scores? Or of people applying in the middle of their PhD with the understanding they'll matriculate when they finish?

I know a few people who have taken this route. Typically they apply their final year of PhD work and take the MCAT during their graduate training.

In regards to programs waving the 3-year exp. rule, you'll have to contact schools individually and inquire.
 
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No way is this true. Math, quantum chemistry, etc phd courses are NOT easier than med school courses. They are more conceptually difficult. I've had experience with a geophysics phd and now med school.

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Agreed. UG PChem sucked, I'd take med school physiology and biochemistry over that any day. Maybe even Gross Anatomy.

What makes medical school hard is not the subject material - it's the students.

On the subject of graduate school courses, no one cares about your grad school grades, just as long as you pass - not passing is hard.

Yours,
 
Originally posted by pathdr2b
To the OP, I'm probably the only one on the MD/PhD thread seriously considering this option beginning this Fall (I'm kicking myself for not applying to medical school last summer but that's another story). While I'm not prepared to discuss where I'll be this Fall

Getting more certain with each passing day, I'll be a PhD pathology student this fall hoping to switch to the MD/PhD program the following year!:clap: :clap: :clap:

Breast cancer research, here I come!
 
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You better believe that the students in grad school ARE COMPETITIVE. My phd is not from a top notch university and the Geophysics people were ##### competitive.
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Notice I said nothing about people in grad school not being competitive. I just said that grades are not that important in graduate school, and that the course competition is higher in medical school than in graduate school.

Also, its unstated, but the assumption is that for most MD/PhD's, they enter into PhD granting bioscience programs, and not into the physical sciences. Its very unusual for a bioscience program to accept many students for PhD, and then weedout based on limited grants students who eventually go on and do thesis research. It may be the case in chemistry, physics, or engineering, but I certainly don't think it's the case for biosciences. Yes grades will count if there are only a limited number of fellowships available to fund you for the rest of your graduate school career, but you won't find that in the biosciences, and CERTAINLY not MD/PhD.

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I know a woman in med school who couldn't even handle augrad engineering program. Got kicked out. Switched to psychology and pre-med and is now in med school. She wouldn't have been able to handle UNDERGRAD programs in the physical sciences. No way could she hack a physical science phd. She wouldn't even get in.
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Basing an argument on one example is a fallacy. We both know tons of people who are both engineers and go to med school, and we both know people who failed engineering, switched to premed, and failed to get into med school for obvious reasons.

Besides, what you're really trying to say is that physical sciences is harder than med school or just hard overall - I guess that's why we have english majors, art majors, and business school majors. Not everybody is good at everything, and for this person, engineering was not for her.

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Also, it is hallucinating to think that a grad department doesn't care what your grades are.
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Its hallucinating to believe that when you eventually go into industry or academics people are going to look at your grad school grades. Pass your courses, or even do well if you wish. But when I go to prospective faculty interviews, I'll be 100% sure that they won't be asking about my B in biochemistry. Please think in the bigger scheme of things - you live and die by your research.
 
Originally posted by JPaikman
Its hallucinating to believe that when you eventually go into industry or academics people are going to look at your grad school grades.

I had to submit a graduate transcript (thank goodness I DIDN"T have to submit the undergraduate one) for the job I held as a chemist in the pharmaceutical industry. I also had to submit transcripts for govenmnet jobs I applied for last year including jobs at the FBI, EPA, and NIH.

This may vary from organization to organization but at at least one thrid of the jobs I've applied for over the years, transcripts were required.

On another note, I suspect that when I complete the MD/PhD, I'll finally be "good enough" to bypass the transcripts requirement.:laugh:
 
Well, a lot of places too require your undergraduate college transcripts as well. Do they look at those grades as well? I think not.

Basically, its to ensure you haven't

a) lied about your grades
b) cheated or otherwise gotten thrown out of school
c) lied about the degree that you said you got.
 
There is also the possibility that you could take a leave of absence from your current degree program to work towards an MD and return to it later.
 
There are a number of things I can talk about here, but I will start from experience.

I am a second year PhD student in Molecular Biology at WashU and when I first got here last summer, I spoke to A guy named Andrew Richards who is the "point man" for the MSTP program. He told me I would have to take the MCAT in August (it was June) and apply during my first year. WashU is NOT flexible about the manner in which it's MSTs enter/are trained. However, it is not the rule. Both Mount Sinai and Vanderbilt allow it's PhD students to apply to the MSTP program at later points in their training. Cornell also allows PhD students to take a few medical school classes during their training, with the stipulation that they will start the second year of medical school after their PhD is complete, albeit without any funding.

I also must STRONGLY disagree with your point of switching PhD programs once you are admitted to a given graduate school. Most schools fill a number of funded slots with students. You can't simply move to a different program after being accepted to one. And since many, many "hardcore Bio" programs are run through Medical schools, they operate totally autonomously from the more liberal arts programs, i.e., English, Political Science, whatever, so switching majors as a PhD candidate is like switching institutions.

I commend you drive and desire and offer my advice. If you know you are not interested in pursuing a PhD in a non-science area, Don't. Look at the Post-Bacc Masters programs, like the one offered by Boston University (it has a very good record, additionally). Beef up your advanced science work and see how you feel.

I knew I wanted to be an MD/PhD, but realized too late, so once I have my PhD from one of the best biology/biomedical sciences schools in the world, I'll probably apply to MD programs. Use my background to push the technology of clinical medicine.

Best of luck to you.
FG
 
I have some experience in this whole PhD->MD thing too and am happy to offer advice to any other PhDs who might be trying to make the transition. I have just completed a grueling but rewarding PhD at MIT Biology and am going to YSM next year in the regular MD program. Good luck in your endeavor Fixed Gear, it will be worth it in the end. Having a PhD is not automatically considered a "hot ticket" to going to med school, students with PhD's are evaluated on their own merits as well and are greeted with a healthy dose of skepticism. In fact, I was considered an "odd duck" during my interviews; the adcoms didn't know what to make of me because there were so few PhDs applying to med school. The oddity of your application might serve you in that you will be given a second and more scrutinizing look. You still have to do relatively well in grad school, and not seem as if you are trying to "bail" from grad school to make another career somewhere else. In other words, you must have a logical and reasonable reason for making a switch. Volunteering helps, and will also help you make a decision for yourself whether or not you want to serve people directly (I do). The most common question you will be asked during interviews will be: "for all that science you've done in the past, why medicine now?" Be sure that you have convinced yourself of your answer too, otherwise you won't be believed!

Also, saying that you want to use your science to push medical technology seems reasonable and can work, but know that this explanation alone is a tough sell. Fixed Gear: an interesting story for you will be that I knew of someone during the mid 90's who graduated with a PhD from UWash, applied to med school, and during his interview at the UWash med school they repeated a question twice about why he wanted to pursue medicine; he replied twice: "because I want to push the forefront of science and technology in medicine". He wasn't accepted. An adcom member I know at a NYC school said once: "the most common way to reject a student is to fault him for not having compassion for helping people." Science PhD's by and large are not known to have spent any substantial time which proves they are motivated to help people. It's something to think about and work on. Note that adcoms for MD admissions also are commonly NOT looking to train yet another physician scientist, they are interested in exclusively training physicians since their MSTP adcom colleagues are picking up the slack to fulfill the physician/scientist objective.

One more thing to be aware of, while one might be going to a hardcore grad program like WashU, standards are getting harder and the average number of years needed to award a PhD across the country is averaging 7.5 years in bioscience programs! (Data from 2001) This is no joke! It is disheartening to know that the number of years required is increasing every year as well. Unless you can get out in <4 yrs, you will be given a hard time by your interviewers who will state: "our MDPhD's get their PhD's in 3 years". My advisor and other faculty members have had rows with MDPhD programs in their schools because those programs require a restricted 3yr PhD program; thus in the mind of an MD adcom member, "3yrs" is the target date required for a PhD. Of course it is preposterous to expect 3yrs as an average at a hard core PhD program (though in rare instances of uber-talent/luck or politics it has happened). Several faculty I have spoken to have the same opinion that 3yr PhD's aren't as valued as 7yr PhD's (quote: "MDPhD's are smart but undertrained scientists"). However, do we all want to get our PhD's in <4 years??? Yup.


heepain wrote:

Also, it is hallucinating to think that a grad department doesn't care what your grades are.
You are correct. Though it only happened once out of eleven interviews, I was asked about my grad school grades; so my feeling is that depending on the adcom member, they can look at anything during the med school screening process. Frequently, if you show improved grad grades, adcoms will look favorably upon it. And yes, grad school classes can be as impossible as any undergrad course out there; thus they are weighted the same IMHO.

Alleria wrote:

For people who go this route, what ends up being the timeframe? Would one say, apply right before what one anticipates to be the last year of the PhD program so that after the application cycle finishes, one will have a PhD and have a place to go 'in the fall'?

Are cases known of schools waiving that rule and taking slightly older scores? Or of people applying in the middle of their PhD with the understanding they'll matriculate when they finish?
The time frame is that one year before you know you are going to graduate/defend you take your MCATs and fill out your primary AMCAS application. Hopefully you have permission from your committee a year in advance, but if you don't, like I didn't, you're going to have one hell of a time working your butt off to convince them to let you leave on time. While you are writing your thesis, you are also filling out your secondary applications and going to interviews. You think you will have time, but you will really have none. This last year was much tougher than I was expecting. Juggling experiments, writing your thesis/papers, and dealing with med apps/interviews simultaneously was a bitch! Two schools accepted me before I graduated, and one was adamant about my finishing my thesis (my defense and admission for this school came in the same week).


MontieCristo wrote:

how easy would it be to switch from a SCIENCE PhD to a MD/PhD? For example, if you were pursuing a PhD in Biochemistry and would like to switch into a MD/PhD program?

Does that still depend on the school/program/advisor etc?
Thanks for the help!
It definitely depends on the program. The hard way to do it (what I chose) is to complete the PhD and reapply to all schools. Having MDPhD programs admit PhD students is less common than admitting MD students from the same school (I'm guessing this has to due with student desire & student quality).
 
So ducaliner, would you mind telling us what your MCAT score was?
 
Alleria,

I?m glad someone found my post useful! Yes, there is light at the end of every PhD tunnel, and one long tunnel is can be, just hang in there it will happen!

As far as advisor support is concerned, it really depends on your advisor! Also, I didn?t begin my apps until the ever end of my PhD, so my advice may not be applicable to someone who is starting so early in her PhD. But there are a few things you can do to help your advisor aid you in your path. First of all I would recommend to talk to your advisor early and often. But most importantly: ?make your thesis advisor your ally.? Later in your PhD, you should try and make your thesis project as a ?team effort?, on a weekly basis ask your advisor what else needs to be done in order for your work to be publishable. Work like hell to address your advisor?s concerns ? this will be the most efficient way at producing data for your thesis. After two to three years, you should have enough to write up and your advisor will be more than happy to support you to you during your thesis committee meetings. This is a useful guide I found when I was writing my thesis:

http://www.learnerassociates.net/dissthes/#16b

When it came to telling my advisor about my med school ambitions, I?m sure he wasn?t thrilled that I wanted to go. But eventually after I addressed his concerns (about getting enough data and publishing my work etc?), he was on board. If you assure your advisor that his/her lab is the one you want to do your MD/PhD thesis in, then I?m sure you?ll receive support and a good letter of recommendation to attend your school. After all it will be in his/her interest to make you happy and successful as a future PhD from his lab! Grad school is flexible. You can disappear for a while for interviews and no one will notice. One thing you might want to do is to make a habit of spending a regular amount of time in the library researching for your thesis, eventually you can use that time to write your apps instead w/o having to state that you will be gone from lab to do med school apps.

I saw your earlier post about your grades and MCATs, geeze those are GREAT scores! You should definitely personally speak to the dean of admissions for the MD or MSTP program about your app (at what school are you trying to do this? ?internal transfers? seem rare). By making the process a personal one with as many admissions officers as possible, you will only improve your chances. You?ve got a great shot! 😎 Good luck!

-duc

P.S. Definitely apply this round to your school and not at the end of your PhD, because your PhD may take you 6+ years to complete! Take advantage of those great MCAT scores!

Gibna: my ugrad school (Cal) and scores weren?t all that different than your own. You?ll have a good chance, just make sure you don?t quit with a terminal master?s and you?ll be fine. Good luck. PM me if you want to discuss more in detail.
 
Hey Ducaliner-

Thanks for the advice and the words of encouragement. I have mentioned to my adivisor- a severe, yet small, Korean woman- my thoughts about possibly pursuing an MD once my thesis is done. She encouraged me and commented on the dual standard here at WashU- that the MD students are given many, many, many chances to apply to the MD/PhD program yet the program has no interest in exposing PhD students to anything remotely clinical.

To quell your fears, I would NEVER say something to the extent of "I want to use my knowledge of science to push clinical medicine." It's so cliched it's painful. Truth is, the human component is missing from doing solely basic science work and I'm just a curious person. I think that upon completion of my PhD (right now, it looks like I will be examing the role of a number of transcription factors in hematopoiesis), there will still be holes in my knowledge about human biology. Gaping holes. Plus, I dont want to spend my entire life sitting at a computer writing grants.

Anywho, thanks again, and good luck to all.
 
Originally posted by pathdr2b
Getting more certain with each passing day, I'll be a PhD pathology student this fall hoping to switch to the MD/PhD program the following year!:clap: :clap: :clap:

Breast cancer research, here I come!



Week 3 of pathology program working on a kidney cancer project instead of breast.:clap:
 
MontieCristo,

I thought that I'd throw my two cents in here. In 2001 I completed a Ph.D. in experimental pathology, which took me 5.8 years. I had kicked around the notion of applying to medical school for some time, and about four years into graduate school I set the ball rolling and took the MCAT. Fortunately for me, I got in on the first try and now I'm a third year med student.

My advice for you is simple: decide what you want and chart the most direct course to obtaining it. Want to be an MD? Do not enroll in a non-science PhD program and try to switch around later. The thought of going from a non-science PhD to a science PhD to an MD/PhD is a horribly overcomplicated proposition. Even if this is theoretically possible, if you get stuck at any point in the process you are left with a rather unpleasant conundrum: finish demanding and potentially lengthy graduate work that you don't necessarily want, or drop out. Neither option is very appealing.

Under ideal circumstances, you should get a job related in some way to medicine and begin beefing up your science credentials with additional coursework. Nail your classes, nail the MCAT, and you'll be set to apply to as many schools as you want or need to.

Given your goal of practicing medicine, I would frankly avoid graduate school. Many people have a tendency to trivialize grad work, as in "I'll apply to med school, and if I don't get in I'll just go do a PhD somewhere and reapply or transition to a combined degree." What the naive do not yet grasp is that any decent graduate program will utterly consume one's life for at *least* four years. Believe me, that's not something to be taken lightly.

Good luck.
 
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