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    Episode 60: A Discussion About Medical Scientist Training Programs - MD/PhD

    enAugust 08, 2022

    Podcast Summary

    • Integrated MD and PhD Programs: MSTP at Washington UniversityMSTP programs offer students a unique 8-10 year journey to earn an MD and PhD, preparing them for careers in biomedical research. Washington University's MSTP, established in 1969, is a leading example, providing 14 PhD options and fostering collaboration and community.

      MSTP programs, like the one at Washington University School of Medicine in St. Louis, offer students an integrated experience combining MD and PhD curricula. These programs last up to 9 years and provide students with a unique learning experience tailored to their backgrounds and goals in medicine and science. MSTP students participate in both medical and graduate school activities. Washington University's MSTP, established in 1969, is one of the largest and most successful in the country, with a mission to prepare physician scientists for careers in biomedical research. The program offers 14 different PhD programs and emphasizes collaboration and community. Brian Sullivan, a native of St. Louis and long-time Washington University employee, now serves as the executive director of the MSTP. He is an expert in this field and has a deep connection to the university. This conversation provides valuable insights for those considering MSTP programs or just learning about them.

    • From Spanish Degree to MSTP Executive DirectorBrian Sullivan's diverse educational background led him to an unexpected career path in academia, where he stayed for over 27 years, inspiring his daughter to follow in his footsteps.

      Brian Sullivan's diverse educational background and love for learning led him to an unexpected career path as the Executive Director of Washington University's Medical Scientist Training Program (MSTP). Despite initially intending to use his Spanish degree to work in Latin America, he found himself in a lab job, which he eventually grew tired of. After being laid off, he took a job in MSTP out of a desire to work with students. Although the program was complex, he stayed for over 27 years and even saw his daughter follow in his footsteps by becoming the director of admissions. St. Louis, where WashU is located, offers a rich cultural scene, particularly in music and food, making it an attractive place for students and visitors alike.

    • MD PhD programs train physician scientists for research and patient careMD PhD programs create physician scientists capable of thriving in research and patient care, with graduates pursuing diverse careers in academia, industry, pharma, biotech, and entrepreneurship

      MD PhD training programs, such as the Medical Scientist Training Program (MSTP) at Washington University, are designed to produce physician scientists who can excel in both research and patient care. These programs were established in the 1960s to address the need for more physicians with research backgrounds as the biomedical research workforce expanded. While the primary goal is to prepare individuals for academic careers, the definition of success has broadened over time to include various careers in industry, pharma, biotech, and even entrepreneurship. The majority of MD PhD graduates still complete residencies, but some choose to enter industry directly after graduation. It is important to note that there is no fundamental difference between MD PhD and MSTP programs; the latter is simply a grant-funded version of the former. Prospective applicants should not feel limited to research careers, as there are numerous viable options available.

    • Integrated MD PhD training programs allow for flexible scheduling of clinical and research experiencesMD PhD programs now offer flexible scheduling, enabling students to intermingle clinical and research phases throughout their training for a well-rounded education

      The MD PhD training program, also known as the Medical Scientist Training Program (MSTP), used to have a strict sequential structure where students completed preclinical studies, then their PhD focusing solely on research, and finally returned to complete clinical training. However, this model has evolved into a more integrated and flexible approach, allowing students to intermingle clinical and research experiences throughout their training. This change aims to prevent students from forgetting previously learned material and to keep them engaged in both clinical and research aspects of their education. Currently, there is variability between programs regarding the length and timing of clinical and research phases. Some students may complete a full year of clinical work before starting their PhD, while others may have the option to do as little as two months. The ultimate goal is to provide students with a well-rounded education that prepares them for successful careers in academia, research, or clinical practice.

    • Ideal candidates for MD-PhD programs are curious and driven individualsMD-PhD programs seek individuals with strong clinical practice and research potential, emphasizing curiosity and a strong drive to learn and contribute to their fields.

      Individuals with insatiable curiosity and a strong drive for both clinical practice and research are ideal candidates for MD-PhD programs. The white sock test analogy suggests that those who are intensely curious, asking why and what can we learn, are the best fits for these programs. The balance between clinical work and research has evolved over time, with various models available, from heavy research focus to a majority of clinical work. It's essential to recognize that physician scientists who spend most of their time in clinics can still contribute significantly to research in their respective fields. The NIH and academic institutions value the contributions of physician scientists, and MD-PhD admissions committees look for strong MD candidates, emphasizing the importance of both academic and research potential.

    • MD-PhD programs require a strong foundation in both medicine and researchTo succeed in MD-PhD programs, applicants need a solid background in medicine and research, with a focus on quality and impact over quantity of hours.

      For MD-PhD programs, being a strong medical candidate is essential, and demonstrating a solid foundation and productivity in research is crucial. Admissions committees look for individuals who are willing to take calculated risks and learn from failures. A minimum of 1000 hours of research experience is recommended, but the focus is more on the quality and impact of the research rather than just the number of hours. MD-PhD programs are highly collaborative, and committees work together to ensure that applicants meet the requirements for both the medical and research aspects of the program. Publications and conference abstracts are not necessarily expected, but a strong research background and potential for independent research are essential.

    • Presentations are more valuable than publications for graduate applicationsPresentations demonstrate ability to explain complex research to diverse audiences and show potential to become independent investigators, making them more valuable for graduate applications than multiple short, unconnected research projects.

      While having research publications can be beneficial, they are not a requirement for applying to graduate programs. Presentations, particularly poster presentations, may be more valuable as they require the ability to explain complex research to a diverse audience. Long-term, focused research projects demonstrate a candidate's potential to become an independent investigator, making it more valuable to graduate programs than multiple short, unconnected projects. By the junior year of undergraduate studies, it is recommended to find a lab and commit to staying for the remainder of the degree program.

    • Balancing research and clinical experience in MSTP applicationsGain in-depth research experience and clinical exposure, aim for 40 hours of clinical hours, and demonstrate a genuine passion for both fields to strengthen MSTP applications.

      Gaining in-depth experience and understanding in a particular research project is more valuable than participating in short-term opportunities, even if they involve working with renowned experts. For prospective MSTP applicants, it's essential to balance research experience with clinical or patient care exposures. Aim for a minimum of 40 hours for the latter to satisfy most schools' expectations. The COVID-19 pandemic has presented challenges, but the MSTP community remains optimistic about the number of applicants. While the application process may be more challenging for those without significant research experience, schools are making allowances for reasonable applicants. Remember, it's not just about meeting minimum requirements; it's about demonstrating a genuine understanding and passion for both research and medicine.

    • Increase in gap years before applying to MD-PhD programsTaking a gap year before applying to MD-PhD programs can lead to more informed decisions, valuable research experience, and lower attrition rates.

      The trend of taking gap years before applying to MD-PhD programs has significantly increased over the past quarter century, with up to 75% of applicants now having taken a gap year. This shift has led to a decrease in attrition rates from 15% to 5%, suggesting that students are making more informed decisions about their career paths. While taking a gap year requires an additional investment of time and resources, it allows students to gain valuable research experience and make a more positive commitment to a physician-scientist career. The MD-PhD community is a small and collaborative one, with fewer than 100 programs in the country receiving NIH funding. Therefore, applicants should aim to apply to a reasonable number of programs, with an average of 15.7 applications being made in the previous year. Overall, taking a gap year can be a beneficial decision for those considering a career in MD-PhD research.

    • Expanding your horizons in MD-PhD applicationsConsider a variety of institutions beyond top 10 schools for MD-PhD programs. Look for research fits and potential opportunities for collaboration or employment.

      When applying to MD-PhD programs, it's important to consider a wide range of institutions beyond just the top 10 schools. While it may be tempting to focus on a few schools, doing so could limit opportunities for finding the best research fit. Instead, applicants should look for institutions where their research interests align with ongoing projects and where they could see themselves pursuing a PhD. This approach increases the chances of finding a program that sets the applicant up for success and potentially leads to future opportunities for collaboration or employment. Additionally, letters of recommendation should reflect significant research experiences, with at least one letter coming from a principal investigator if applicable. Overall, the MD-PhD application process requires careful consideration and research to ensure a good fit for both the applicant and the program.

    • Deciding Between MD and MD-PhD ProgramsConsider individual circumstances, institutional preferences, financial commitments, and debt before deciding between MD and MD-PhD programs. MD-PhD programs are funded by institutions to reduce financial burden.

      The decision to apply for an MD or an MD-PhD program depends on individual circumstances and preferences. While some institutions encourage applying to both, others may view it as a hedging strategy or a lack of commitment. MD-PhD programs involve significant financial investment from the institution, and students should aim to graduate debt-free. The cost of living varies greatly among different locations, and ideally, students should not incur any debt during their studies. The NIH started funding these programs to ensure that financial burden does not prevent individuals from pursuing academic careers.

    • Reducing Financial Barriers for MD-PhD StudentsThe NIH-funded MD-PhD program covers tuition, fees, and provides a stipend to help with living expenses, reducing financial barriers for students pursuing research or academic careers.

      The MD-PhD program, funded by the National Institutes of Health (NIH), aims to reduce financial barriers for individuals pursuing research or academic careers. The program covers tuition and fees, and provides a monthly stipend to help with living expenses. However, some students may still incur debt depending on their specific program and personal spending. Regarding MCAT scores, programs typically consider the highest score, and multiple attempts may raise concerns if there's no significant improvement. WashU's MD-PhD program stands out for its strong research focus, broad research portfolio, and the success of its students in various fields such as immunology, microbiology, genetics, neuroscience, and computational biology.

    • A Comprehensive and Engaging Educational Experience at WashU's MSTPThe MSTP at WashU offers over 600 labs, weekly dinner seminars, valuable guidance, diverse student body, and community initiatives for a rich learning experience.

      The Medical Scientist Training Program (MSTP) at WashU offers a unique and engaging experience for students interested in immunology, neuroscience, or other research fields. With over 600 labs to choose from and a large student body, the program ensures a high level of interaction between students and faculty. Weekly dinner seminars provide opportunities for students to discuss their experiences and challenges with their peers, fostering a strong sense of community. The experienced staff and long-tenured faculty offer valuable guidance and support. MSTP students also contribute to the institution and community through various initiatives, such as the Young Scientist Program and the Public Health Plunge. These students, who are committed and passionate about their research, bring diverse backgrounds and experiences, making for a rich and dynamic learning environment. Overall, the MSTP at WashU offers a comprehensive and engaging educational experience that goes beyond the confines of the lab or classroom.

    • MSTP threads: Specialized seminars for MSTP studentsMSTP threads offer students a chance to engage with faculty, learn about research, and hone presentation skills, fostering a strong sense of community and support.

      The MSTP (Medical Scientist Training Program) at Case Western Reserve University offers a unique blend of medical education and research experience. During the first phase of the program, MSTP students balance their medical coursework with specialized seminars called "MSTP threads." These seminars provide opportunities for students to engage with faculty members, learn about groundbreaking research, and develop presentation skills. Additionally, the program fosters a strong sense of community and support among students and faculty. The interview process for MSTP candidates is tailored to the program and focuses on assessing a candidate's potential for success in both medical and research fields. The program's emphasis on vertical integration, community building, and personal relationships sets it apart and contributes to the growth and success of its students over a long period of time.

    • Discussing research with a dozen faculty members during committee interviewThe MSTP interview process includes a unique committee interview where applicants discuss their research with a dozen faculty members, providing a fairer and more comprehensive evaluation of applicants.

      The Medical Scientist Training Program (MSTP) at this university offers a unique interview process, which includes a committee interview, in addition to regular medical school interviews and individual faculty interviews. During the committee interview, applicants have 20 minutes to discuss their research with a dozen faculty members, who then ask questions and make the decision on their application. This process is seen as fairer than traditional interviews, as all committee members have the opportunity to ask questions and make an informed decision. The committee interviews are also beneficial for the university, as they get to meet some of the brightest students in the country and learn from their research. Applicants should be well-prepared for the interview day, knowing their research inside and out and being able to explain it in layman's terms to non-experts. The individual faculty interviews, while not weighing heavily in the admissions decision, provide an opportunity for applicants to discuss their research interests with potential advisors. Overall, the committee interview process adds a human element to the application process and allows for a more comprehensive evaluation of applicants.

    • Preparing for Graduate Committee Interviews: Explaining Your Research Without SlidesBe well-prepared to discuss your research background, hypothesis, testing methods, and results without slides during graduate committee interviews. Encourage questions to provide more impressive answers.

      During graduate committee interviews, it's essential to be well-prepared and able to clearly explain your research without relying on slides or external aids. Focus on sharing your research background, hypothesis, testing methods, and results. If possible, leave some information out to encourage questions, allowing you to provide a more impressive answer. While no slides are allowed during the committee interview at this specific institution, individual interviews may have different rules. Always ask first if you can use aids, but be prepared to discuss your research in depth without them. Additionally, updates on research progress, such as poster presentations or new data, can be beneficial during the application process.

    • Communicating with admissions committeesProactively update admissions committees and express continued interest in graduate programs, consider community and personal fit, and give serious thought to the application process.

      Applicants to graduate programs, particularly MD-PhD programs, should be proactive in communicating with admissions committees. Sending updates and expressing continued interest can make a difference in the application process. Additionally, it's essential to consider the community and personal fit when choosing a program. The applicant pool is becoming more diverse, with an increasing number of female and underrepresented minority applicants and students. Programs are making efforts to reach out to these groups and provide opportunities for exposure and decision-making. However, the application process can be lengthy and challenging, so it's crucial to give it serious thought and consideration before making a decision.

    • Some MSTPs Accept and Fund International StudentsWashington University, Hopkins, Cornell, and Penn are among MSTPs that accept and fund international students. Prospective students and advisors should check AAMC website for specific program policies.

      Not all medical scientist training programs (MSTP) accept and fund international students due to NIH funding restrictions. However, there are institutions like Washington University in St. Louis, Hopkins, Cornell, and Penn that do accept and fund international students. Prospective students and advisors are encouraged to check the AAMC website for specific program policies regarding international students. It's essential to clarify program funding sources and eligibility requirements early in the application process. Program directors and administrators are open to answering questions and welcome inquiries from prospective students and advisors.

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    Related Episodes

    Episode 61: Sharing A New Podcast & MCAT Resources

    Episode 61: Sharing A New Podcast & MCAT Resources

    The podcasting community is a small, supportive community and when I heard of this new podcast from the University of Chicago Pritzker School of Medicine, I knew I had to share it with you, my premed listeners. It is called, “The Clinical Excellence Podcast” and can be helpful and provide insight for our premed listeners to hear how physicians navigate the various challenges of this profession. 


    If you find this podcast to be a helpful resource, RATE, REVIEW, & SUBSCRIBE please!  It helps others find it!

    Send me your recommendations for future medical schools that you'd like to hear featured! Send it to: allaccess@case.edu   

    Visit our website for more information on this episode and others. 

    https://linktr.ee/allaccessmedschool    


    RESOURCES: 

    Dr. Adam Cifu

    The Bucksbaum Institute of Clinical Excellence

    The Clinical Excellence Podcast

    On Being a Doctor Lecture Series - It’s an open lecture and aimed to help college students.

    New MCAT Resources:

    Sign up to be notified when the AAMC MCAT Official Prep Free Practice Exam is available.

    Some of Christian's Favorite Podcasts:

    The Daily

    Coaching for Leaders

    Work Life

    TED Radio Hour

    How I Built This

    Unlocking Us

    The Eddie Trunk Podcast

    Episode 62: 2022-23 Mid-Cycle Check-In

    Episode 62: 2022-23 Mid-Cycle Check-In

    Checking in midway through the 2022-2023 application cycle with updates and tips for current applicants and advice for prospective applicants. 


    If you find this podcast to be a helpful resource, RATE, REVIEW, & SUBSCRIBE please!  It helps others find it!

    Send me your recommendations for future medical schools that you'd like to hear featured! Send it to: allaccess@case.edu   

    Visit our website for more information on this episode and others. 

    https://linktr.ee/allaccessmedschool


    RESOURCES

    AMCAS 2022-2023 Application Guide

    FREE AAMC - Diversifying the Next Generation of Doctors: Career Fair and Workshops

    Saturday, November 12, 2022   |   8:00 a.m. - 4:30 p.m. CT   |   Nashville, TN

    AAMC FACTS - Applicants, Matriculants, Enrollment, Graduates, MD-PhD, and Residency Applicants Data

    Altus - Casper Situational Judgment Test

    AAMC PREview Situational Judgment Test

    Kira Situational Judgment Test 

    See what schools require situational judgment tests - MSAR

    Episode 59: The AAMC PREview Professional Readiness Exam

    Episode 59: The AAMC PREview Professional Readiness Exam

    The Association of American Medical Colleges (AAMC) has developed a situational judgment test called, PREview Professional Readiness Exam, that is being used by eighteen medical schools for the 2022-2023 application cycle. I am joined in this episode by two representatives from the AAMC who are intimately involved in the development and delivery of this new assessment tool. You will hear details about this exam and preparing for it from Dr. Rebecca Fraser, the Director of Content Development within the Admissions and Selection Research and Development Program, and Lisa Peters, the Director of Operations for PREview. 


    If you find this podcast to be a helpful resource, RATE, REVIEW, & SUBSCRIBE please!  It helps others find it!

    Send me your recommendations for future medical schools that you'd like to hear featured! Send it to: allaccess@case.edu  

    Visit our website for more information on this episode and others. 

    https://linktr.ee/allaccessmedschool  


    RESOURCES:

    AAMC PREview Professional Readiness Exam

    Essential Guide

    Workspace and Computer Requirements

    Practice Exam

    Core Competencies for Entering Medical Students


    2022-2023 Participating Schools

    Carle Illinois College of Medicine - Research Only

    Chicago Medical School at Rosalind Franklin University of Medicine & Science Recommended - Research Only

    Cooper Medical School of Rowan University - Recommended

    Des Moines University Medicine & Health Sciences - Recommended

    Geisinger Commonwealth School of Medicine - Recommended

    George Washington University School of Medicine - Recommended

    Michigan State University College of Human Medicine - Required (either PREview exam or CASPer)

    Morehouse School of Medicine - Recommended

    Oakland University William Beaumont School of Medicine - Recommended

    Saint Louis University School of Medicine - Required

    Southern Illinois University School of Medicine - Recommended

    Universidad Central del Caribe School of Medicine - Required

    University of Alabama at Birmingham Marnix E. Heersink School of Medicine - Recommended

    University of California at Davis School of Medicine - Required

    University of California, Los Angeles David Geffen School of Medicine - Required

    University of Hawaii, John A. Burns School of Medicine - Required

    University of Oklahoma College of Medicine Recommended - Research Only

    University of Virginia School of Medicine - Accepted, Research Only

    Bonus Episode: Listener Event Announcement!

    Bonus Episode: Listener Event Announcement!

    Join us for an exclusive Zoom event featuring Christian Essman, the host of "All Access: Med School Admissions." Are you an aspiring medical student with burning questions about the admissions process? Look no further! This is your chance to spend an engaging evening with Christian Essman and have all your inquiries answered.

    During this virtual gathering, Christian Essman will share his knowledge and expertise on the intricate world of medical school admissions. As a seasoned professional in the field, he has guided countless students through the challenging journey of getting into medical school. With his wealth of experience and insider insights, Christian will provide invaluable advice, strategies, and tips to help you navigate the complex admissions process successfully.

    The event will be structured as an interactive Q&A session, allowing participants to ask Christian anything related to med school admissions. Whether you have inquiries about crafting an outstanding personal statement, preparing for interviews, selecting the right medical schools, or seeking guidance on how to stand out among other applicants, Christian will be there to offer his expert advice and address all your concerns.

    THURSDAY, JUNE 15th @ 7:00 pm EST

    *REGISTER HERE*

    ---------------------------------------------------------------

    If you find this podcast to be a helpful resource, RATE, REVIEW, & SUBSCRIBE please! It helps others find it!

    Send me your recommendations for future medical schools that you'd like to hear featured! Send it to: allaccess@case.edu

    Visit our website for more information on this episode and others. https://linktr.ee/allaccessmedschool

    Episode 67: UMass Chan Medical School

    Episode 67: UMass Chan Medical School

    I had the pleasure of speaking with Dr. Tracy Kedian, the Associate Dean for Admissions, at the UMass Chan Medical School in Worcester, MA. Dr. Kedian sheds light on the unique aspects of UMass Chan's curriculum, known as VISTA. This innovative curriculum fosters curiosity, inquiry, and equity through group and problem-based learning, along with extensive use of medical simulation. One exciting feature of UMass Chan is its commitment to serving underserved populations. With a focus on health disparities and public and community health, the school offers two distinct tracks with its regional campuses - the Population-based Urban and Rural Community Health track, based at Baystate Health Systems in western MA and the LEAD@Lahey track, located in Burlington, MA, that concentrates on leadership skills and health systems science to prepare future medical leaders.

    Dr. Kedian also provides valuable insights into the admissions process at UMass Chan. While the school predominantly admits students from Massachusetts, it remains an excellent resource for premeds from all backgrounds. Throughout this conversation, you'll discover a wealth of helpful advice for aspiring medical students, regardless of whether UMass Chan is your state school or not. Join us as we delve into the world of UMass Chan Medical School and med school admissions with Dr. Tracy Kedian, a dedicated family physician and an expert in medical school admissions.

    If you find this podcast to be a helpful resource, RATE, REVIEW, & SUBSCRIBE please! It helps others find it!

    Send me your recommendations for future medical schools that you'd like to hear featured! Send it to: allaccess@case.edu

    Visit our website for more information on this episode and others. https://linktr.ee/allaccessmedschool

    RESOURCES:

    UMass Chan Medical School

    2022 Year in Review YouTube Video

    VISTA Curriculum

    CONTACT:

    admissions@umassmed.edu

    Music:

    Kalte Ohren by Alex (c) copyright 2019 Licensed under a Creative Commons Attribution (3.0) license. https://dig.ccmixter.org/files/AlexBeroza/59612 Ft: starfrosch & Jerry Spoon