RD to MD for Medical Missions & Fulfillment

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quitejaded

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Hey student doctors,

When I first joined this website probably a decade ago, I did not believe I'd be posting that I wanted to become a doctor, but here I am. I'm posting a little bit of my thought process to get some feedback, please!

I'm currently a registered dietitian (master's degree level) and I'm thinking of becoming a medical doctor. Why?

The main reason was because I did medical missions while I was studying to be an RD and had the privilege of being incredibly involved -- conducting basic physicals and helping in the diagnosis in addition to my role as an RD educating patients on food habits. It was incredibly rewarding and I wanted to do it for the rest of my life. I searched for organizations that was run by dietitians (I thought surely there is a global pregnancy health organization that needs the aid of dietitians) or allows non-physicians to be active in the care. I quickly realized this doesn't exist. If I wanted to do medical missions in the capacity I had been doing, I need to become a medical doctor (not even PA or NP would do for global work).

Medical missions is the main reason why. I'd like to know that for the rest of my life, I can make a fulfilling impact in the world because I went to medical school and endured medical training. My family created a non-profit medical mission organization so I know that this is something that will never leave my life. I feel a slight irk every time we plan trips and I realize I won't be doing much more than checking blood pressures and basic (culturally appropriate) diet education. I just think "No, its not worth it to feel this irk every time I travel doing medical missions. It's not worth it to stop doing medical missions just because I'm irritated with my position."

The second reason is deeper knowledge. I love learning. I was originally planning to get a PhD in medical anthropology with a focus on nutrition studies. It is something I have personal interest in. But after thinking about my personality and the benefits of being an MD, I felt that it would be more rewarding for me to finish an MD program.

I currently run a private practice and it also would be much easier to get reimbursed if I were an MD or hired other RDs under myself as an MD. The thought of being able to provide more holistic care is very exciting for me.

There are so many more emotional reasons why, but I think that covers the most obvious reasons.

Questions:
1. Am I daydreaming? Am I romanticizing? Are there other options I hadn't considered?
2. I was planning on applying to the 2 schools closest to where I live now. One of which is the school I got my master's degree from. Their acceptance rate is 5 - 6%. As a nontraditional student, what do I need to focus on to be highly desired for acceptance? I am open to moving, but only as a last resort.
3. I do worry about the time it will take. I think its obvious that I'm most interested in gastroenterology (the thought of being an RD/food-geek who also understands GI disorders sends tingles up my spine... no more thinking in my head "that's outside of my scope of practice" when people talk to me about food and then tell me about GI problems that an average person would THINK I should understand...) -- but I know that requires IM and ANOTHER residency. If I did FM, it'd be much faster. I'm not becoming an MD to open an GI clinic... is it worth the extra time for my love of knowledge? Should I just commit to FM, wham-bam-thankyou-maam and start mission work?

P.S. I am not worried about the financial burden of medical school. Cost of the education is not a factor in my decision. I am also not worried about family planning.

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Gastroenterology is a sub-specialty of internal medicine that largely deals with chronic diseases of the gut and performance of colonoscopy for CA screening.
As a science, nutrition is in its infancy. There is less than a week's worth of medical school that can be devoted to this topic (however important) because of the quality of available evidence.
Before committing to this for the love of knowledge, shadow some family docs or general internists. They would probably be happy to have you, given your training.

Many people do not have the positive view of missions that you do. If you are an Adventist, Loma Linda is a clear goal, though.

Very few MD candidates can focus on only two schools...
 
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Gastroenterology is a sub-specialty of internal medicine that largely deals with chronic diseases of the gut and performance of colonoscopy for CA screening.
As a science, nutrition is in its infancy. There is less than a week's worth of medical school that can be devoted to this topic (however important) because of the quality of available evidence.
Before committing to this for the love of knowledge, shadow some family docs or general internists. They would probably be happy to have you, given your training.

Many people do not have the positive view of missions that you do. If you are an Adventist, Loma Linda is a clear goal, though.

Very few MD candidates can focus on only two schools...

Thankyou for your help and speedy response! 🙂

I'm interested in gastroenterology and obesity/bariatric. I will shadow them. I have shadowed family medicine and wound care. Private practice in those areas are not appealing to me. Private practice in preventative medicine would be more up my ally if I continue to do what I'm currently doing (nutrition private practice, talks, organization education, writing books, etc) and I believe I can just be FM and take a test for preventative medicine. I still don't know if its worth it for me to specialize or just do the bare minimum to be licensed MD. Both routes have aspects I would enjoy.
 
If I were you, I'd sit in on some classes and/or read some books about GI diseases. You don't have to go to medical school to study the GI tract. To be "quite jaded" as a premed where you're already talking about "enduring" medical training is not a good way to start down this path. Seriously.

Regarding the medical missions, it's easy enough to assemble a mixed group of practitioners. If you need a GI doc's help, heck, just recruit one to come on your next trip. Though honestly, if you're interested in going to third world countries and doing the most good, your current degree is probably more helpful than mine in terms of providing the most bang for the buck under those circumstances. Sanitation, nutrition, and vaccination have saved more lives and done more good for humanity than any doc can ever hope to do in their lifetime.
 
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