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Can you elaborate on MD/PhD? What positions are these exactly and what qualifies as "insane" pay?

"Insane" pay is, in my experience, not actually insane. Really good, solid six-figures, but not insane.

Most MD/PhD positions are doing research directly applicable to medical treatments and/or clinical trials. And it's definitely possible to be an MD/PhD and not be paid a tremendous amount.

Duke has an MD/PHD medical scientist degree - http://mstp.duke.edu/

So do most medical schools in the US.

Eg, http://en.wikipedia.org/wiki/Medical_Scientist_Training_Prog...

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