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The objective is to complete dual training either at
one institution or at two or more institutions. How you accomplish your
training may be the result of a carefully crafted career plan or by simply
taking advantage of opportunities that appear as you follow your training.
Usually it is a combination of planning and serendipity. Never lose site of
your ultimate goal and realize that there are several different pathways
that will get you there. Your own personal circumstances are important in
determining the steps you take along the way. Remember that although the end
is important, the journey must be pleasant, fun, and as direct as possible
so that you do not become a perpetual trainee. In some programs the trainees
are offered flexibility to achieve the best training that suits their own
background.
PhD followed by MD
This pathway provides for a strong research background before entering your
MD program. A PhD in the biomedical and related sciences should provide you
with a strong background in science and an in-depth focus in one specific
area. Exposure to science that relates directly or indirectly to
understanding the pathogenesis of human disease is most helpful. The PhD
degree provides you with a unique perspective as you carry out your medical
training. It enhances your ability to focus on medicine as a discipline that
relies on hypothesis testing in abnormal human biology. Whatever your PhD
was about, you bring to your medical training the academic rigor of
investigative work that focuses on in-depth knowledge, thorough
understanding of experimental design and effective critical analysis. Your
graduate courses and thesis work provide excellent training to carry out
critical analysis of the medical literature to guide diagnosis and treatment
of your patients. The difficulty is that in most MD programs, you will be
away from the research milieu and will need some further research training
at the end of your MD or residency training. This may be in the area of your
PhD research or you may have identified new areas of interest during your
medical training.
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