The only place I know that is that selective is Vanderbilt (one position last year and looking only for MD PhDs). Fortunately most programs are not that way. Generally they fill their slots with 1/2 MDs and 1/2 MD PhDs while some more clinical programs don't even like people with PhDs. It's a wide range. But you are right, competition is stiff and a PhD generally gives you an edge (esp if you have very good pubs) to get an interview.RetroX said:I am at a top 20 school (can't reveal which school), and I am currently conducting clinical research with a Rad Oncologist who happens to be on the admissions committee last year... I was told that the school received 500 applications for one spot last year, and they screen the application by whether or not you have a PhD. In another words, they look at 1. PhD?; 2. Number of publications and where they are published; 3. Step I Score; 4. Reputation of your med school. I was told that without a PhD, your grades, Step I scores, and recommendations made no difference, and they only interviewed people with PhD last year. And of the interviewees, many had Cell, Science, Nature, type of top papers to go with their PhD. This field is getting crazy.