Arrogant PhDs

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Posted:
in General Discussion edited January 2014
The sensless jabbing between MDs and PhDs in medical research has always bothered me, but today something really got my goat. A glowing letter of recommendation for an MD/PhD applicant concluded with this sentence:

Quote:

Her talent and intellectual capacity would be wasted in routine clinical practice.



This is from an eminent structural biologist in Cambridge (England, not Mass., to my surprise). His view, obviously, is that any neanderthal can practice medicine, that there is clearly no intellectual challange in diagnosing and managing a person's disease, or saving his life. OK, maybe he's had some bad experiences with the NHS in England. But what a horrible, dishonorable thing to say.



I emphasize that he knew this letter was for an MD/PhD application, and must have known it would be seen by the medical school committee as well as the research MDs and physican scientists on the MD/PhD committee. We all did/are doing the MD thing for a reason, and not a single one of us would say it's easy, or a waste of our talent and intellectual capacity. Gawd what a jerk.



[/rant]



Edit: This is the same thing shortsighted jerks say about smart teachers: "What a waste, using that Ivy League degree to educate sixth graders". It's a blessing to society that bright people choose to do these jobs, often for poor reward.
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Comments

  • Reply 1 of 46
    andersanders Posts: 6,523member
    May I ask where you got the sentence? Member of a review board?
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  • Reply 2 of 46
    toweltowel Posts: 1,479member
    Quote:

    Originally posted by Anders

    May I ask where you got the sentence? Member of a review board?



    I'm interviewing her.
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  • Reply 3 of 46
    Was she arrogant, or just the person writing her recommendation?

    (ie: don't take it out on her if she didn't display that attitude)
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  • Reply 4 of 46
    there ARE a great deal of talents that would be wasted in a clinical setting for bright research scientists. by the same token there ARE a great deal of talents that would be wasted in a laboratory setting for bright clinical practitioners.



    These are facts. Every MD/PhD has to sacrifice some of these talents. The writer of that letter has obviously not seen the clinical side of the student and perhaps cant comment on that.
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  • Reply 5 of 46
    powerdocpowerdoc Posts: 8,123member
    Quote:

    Originally posted by Towel

    The sensless jabbing between MDs and PhDs in medical research has always bothered me, but today something really got my goat. A glowing letter of recommendation for an MD/PhD applicant concluded with this sentence:



    This is from an eminent structural biologist in Cambridge (England, not Mass., to my surprise). His view, obviously, is that any neanderthal can practice medicine, that there is clearly no intellectual challange in diagnosing and managing a person's disease, or saving his life. OK, maybe he's had some bad experiences with the NHS in England. But what a horrible, dishonorable thing to say.



    I emphasize that he knew this letter was for an MD/PhD application, and must have known it would be seen by the medical school committee as well as the research MDs and physican scientists on the MD/PhD committee. We all did/are doing the MD thing for a reason, and not a single one of us would say it's easy, or a waste of our talent and intellectual capacity. Gawd what a jerk.



    [/rant]



    Edit: This is the same thing shortsighted jerks say about smart teachers: "What a waste, using that Ivy League degree to educate sixth graders". It's a blessing to society that bright people choose to do these jobs, often for poor reward.




    One day a Medical teacher told me that my place was not in surgery but in medecine : "you are too intelligent for surgery". And the scary thing that he wasnt pulling my led : he was serious. That's the stupidiest thing that i ever heard during my medical studies.
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  • Reply 6 of 46
    powerdocpowerdoc Posts: 8,123member
    Quote:

    Originally posted by billybobsky

    there ARE a great deal of talents that would be wasted in a clinical setting for bright research scientists. by the same token there ARE a great deal of talents that would be wasted in a laboratory setting for bright clinical practitioners.



    These are facts. Every MD/PhD has to sacrifice some of these talents. The writer of that letter has obviously not seen the clinical side of the student and perhaps cant comment on that.




    It remind me an AJ Cronin book that i read in Christmas. Unfortunately i forget the english title. But this book dealt with this. However the heroe of the book shone in the two fields.
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  • Reply 7 of 46
    i should say that i dont want to believe that the sacrifice needs to be made, but time is limited.
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  • Reply 8 of 46
    toweltowel Posts: 1,479member
    Quote:

    Originally posted by billybobsky

    there ARE a great deal of talents that would be wasted in a clinical setting for bright research scientists. by the same token there ARE a great deal of talents that would be wasted in a laboratory setting for bright clinical practitioners.



    Different fields require different talents, certainly. That which makes a good scientist wouldn't necessarily make a good clinician, nor a good lawyer or teacher.



    That wasn't the implication of the letter-writer, though.



    Anders: I belatedly realized you meant if I knew the context and accuracy of the sentence: yes, it's verbatim, and doesn't sound any better in context.



    curiousburb: I'm sure it doesn't reflect attitude of the interviewee at all. I'm glad I read it a week ahead of time, so it can be fully out of my system before I see her. In a backhanded way, though, if it did... well, it wouldn't make a good fit for this program, but it would, in a way, make her a stronger applicant in general. The most important criteria for a long program like this is whether you'll finish it. You need people who really won't be satisifed (for whatever reason) just doing clinical medicine, or else they might be tempted to join the program just to get half of med school paid for, then drop out without finishing the PhD.
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  • Reply 9 of 46
    scottscott Posts: 7,431member
    I think it's more of a reflection that medical research needs good MD researchers. In that sense it would be waste but should have been posed the other way. "Not having this person focus on research would be a waste".





    As a PhD that spends most of my time in the clinic ? it aint rocket science.
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  • Reply 10 of 46
    toweltowel Posts: 1,479member
    Quote:

    Originally posted by Scott

    As a PhD that spends most of my time in the clinic ? it aint rocket science.



    Mostly true, which is why so much routine clinical work is being passed off to NPs and PAs. 99% of the time the computer flies the plane. But that's not what you pay the pilot for, nor the doctor. You make a mistake, something goes wrong, people die. That MD means responsibility.
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  • Reply 11 of 46
    randycat99randycat99 Posts: 1,919member
    My talent and intellectual capacity is absolutely wasted not living the absorbitantly rich, "good life"! I am most fit to spend maybe 2 hrs in the office a day, drive expensive sports cars, have young, unbelievably hot debutantes fawn over me constantly, and live in a posh mansion with an oceanside view. I may occasionally concentrate my time on special intercontinental expeditions to acquire highly-prized treasures in archaic, hidden temples- just for some excitement. Mostly, I would just stay at home and write down inventions that my multibillion dollar company would develop into viable, marketable products for humanity. Oh, and bang the hot chick-sah pacing about the mansion- can't forget that.



    Do you think Monster.com has any listings like that?
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  • Reply 12 of 46
    scottscott Posts: 7,431member
    Quote:

    Originally posted by Towel

    Mostly true, which is why so much routine clinical work is being passed off to NPs and PAs. 99% of the time the computer flies the plane. But that's not what you pay the pilot for, nor the doctor. You make a mistake, something goes wrong, people die. That MD means responsibility.



    Yea yea yea I know. You should write for ER.



    The Dean of the med school, who used to be chairman of my department, reluctantly gave up his clinical practice after many many years as Dean. So where I am there's a respect for clinical practice. We don't have any MDs on staff that only do research. Can't say the same thing for the physicists. In our department no one could get away with it. Plus the best MDs are the ones that do the best research. Because they really know their shit.
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  • Reply 13 of 46
    fred_ljfred_lj Posts: 607member
    Quote:

    Originally posted by Scott

    Plus the best MDs are the ones that do the best research. Because they really know their shit.



    Yup, yup, and yup. This is perceptively, utterly true. I work in a pediatric cardiology lab for a cute (yet brilliant) couple -- she's British, he's Italian; he's an MD, she's a PhD. But he has got to be the most brilliant mind I've ever encountered. Our area is in molecular genetics (congenital heart defects in early development), and he proposes things off the top of his head to remedy problems that some people may have been pondering for weeks.



    Yup.



    P.S. -- Towel: is this a senior in an undergraduate program applying to an MD/PhD program off the bat or someone already in graduate school?
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  • Reply 14 of 46
    torifiletorifile Posts: 4,024member
    PhD's have a different charge than medical researchers. We have the ability to ask (and answer) theoretical questions. MDs tend to be more applied. We're a different breed. (Not implying any superiority, just difference)
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  • Reply 15 of 46
    scottscott Posts: 7,431member
    PhDs are medical researchers. Having that contact with clinical practice is vital IMO.
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  • Reply 16 of 46
    aries 1baries 1b Posts: 1,009member
    MDs, PhDs and MD/PhDs:

    My hat is totally off to you all.



    I wouldn't look at that sentence as arrogance. I'd look it as a view through one person's perspective. Maybe?



    Respectfully,

    Aries 1B

    BSME, BSEE, BSBA
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  • Reply 17 of 46
    Quote:

    Originally posted by Scott

    PhDs are medical researchers. Having that contact with clinical practice is vital IMO.



    eep. so not true. the first part not the second. nor should it be true,



    i am pursuing the dual degrees separately partly because of the perception that hard science has no place in the clinic. it definitely is a bias that exists, but i think an active geologist physician can provide as much insight as a cell biologist physician if not more. and the same goes in reverse.
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  • Reply 18 of 46
    torifiletorifile Posts: 4,024member
    Quote:

    Originally posted by Scott

    PhDs are medical researchers. Having that contact with clinical practice is vital IMO.



    Not always true. I'm (going to be) a PhD in a medical center but our research will not be strictly medical. We'll be working with MDs, obviously, and they have their place but we are not working on the same things. PhDs are better equipped to do some things. And the same goes for MDs. And that's the way it should be.
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  • Reply 19 of 46
    midwintermidwinter Posts: 10,060member
    I'm just curious...how long does it take to get *done* with an MD? I'm asking because I have several friends I graduated from HS with who were beginning their practice as MDs while I was *just* finishing my Ph.D (with two years in there for an MA). I guess it boils down to my simply not understanding how the process works. I know there's med school (4 years?) followed by what? Can someone explain? Is it different in the US from in Europe?



    Cheers

    Scott
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  • Reply 20 of 46
    yes, the us and each country in europe sort of have its own system (i know at least the system in GB is very different).



    In the us, its 4 years of "formal" training -- 2 years of which are course work and 2 years of which are clinical. After that there is the residency and intership(s) where training is obtained in specific fields and the time for these programs is field dependent. so yes, a 6 year phd and a 2 year ma could be finishing up at the same time as an md gets their wings.
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