Is it more logical for an MD to go into the clinical field first and then research? Would one lose the clinical skills during a PhD?

 It's generally more logical for an MD to begin their career in the clinical field before pursuing research. This path allows them to gain hands-on experience in patient care, understand clinical challenges, and identify areas where research can make meaningful contributions. By starting in the clinical setting, MDs develop a solid foundation in medical practice and patient interaction, which can inform their research endeavors later on.

Transitioning into research after gaining clinical experience can provide valuable insights and motivations. Clinically-trained researchers often have a deeper understanding of real-world medical issues, which can guide their research questions and methodologies. Moreover, having prior clinical experience can enhance the relevance and impact of their research findings, as they are better equipped to address the practical needs of healthcare providers and patients.

While pursuing a PhD may involve a shift away from direct patient care, it doesn't necessarily mean losing clinical skills. Many MD-PhD programs offer opportunities for maintaining clinical involvement through elective rotations or part-time clinical work. Additionally, the critical thinking skills honed during clinical practice can be directly applicable to research, helping MDs to analyze data, design studies, and interpret findings effectively.

Overall, starting in the clinical field before transitioning into research allows MDs to build a strong foundation in medical practice while leveraging their insights to conduct meaningful research that addresses real-world healthcare challenges. While the focus may shift towards research during a PhD, opportunities exist to maintain and even enhance clinical skills, ensuring a well-rounded approach to advancing medical knowledge and patient care.