I offer this in the interests of maintaining what I see as a useful, if difficult, discussion, not to be antagonistic: http://www.jclinepi.com/article/S0895-43

I offer this in the interests of maintaining what I see as a useful, if difficult, discussion, not to be antagonistic: http://www.jclinepi.com/article/S0895-4356(16)00147-5/abstract http://www.jclinepi.com/article/S0895-4356(16)00147-5/abstra... What the OP is referring to isn't unique to MDs, it's endemic to much biomedical research today. I blame it on lack of tenure protections and science-as-university-income, which in many cases ultimately stems from indirect costs charged to federal grants, or the current grant system. For me, the concerns mentioned in this thread about scientific research and MD training in particular, bring up bigger issues pertaining to the culture of hierarchy in medicine and its implications for quality of care and competition in service provision and training models.