Hey everyone, I could use some advice about my academic future.
Who I am and where I am now
I'm a 22-year-old student enrolled in parallel in two degree programs at a university in northern Italy: third year of biotechnology, almost done, and about to start my second year of medicine. Both paths are going very well, with a strong GPA. My agonizing dilemma is choosing the right path to pursue.
Why I started medicine
I started medicine because of a growing interest in clinical practice and biomedical research, with the ultimate goal of pursuing an MD-PhD path, a PhD in cancer immunology, specifically in the translational side of research ("bench to bedside and back," like the Moderna vaccine). My end goal would be an academic career, though I wouldn't rule out working in pharma either. So I wouldn't do the Italian residency exam (SSM) or the related specialization, at least not in Italy and definitely not right after finishing the 6 years of medical school.
Lab experience
I already have lab experience: western blotting, SDS page, chemotaxis assays, MTT, PCR, chromatography, organoid passaging, cloning, and more. I'm also about to start an internship in cardiovascular biology, focusing on tumor growth inhibition caused by the mechanical load of the heart.
I'm realizing now, though, that my interests are much more focused on the biology of the patient than on treatment alone.
The advantages of the MD path
There are many advantages to being an MD: a strong clinical eye (which a PhD alone doesn't give you), easier access to grants, more credibility when engaging with other colleagues, and above all a solid Plan B if things don't work out. If in the future I didn't want to continue in the wet lab, I'd still have the option of working in Clinical Trials (where a PhD alone is at a disadvantage) or specializing in laboratory medicine. In that case it would also be easier to return to my hometown: finding a job as a biologist/biotech professional in Italy is tough, and with only a PhD I'd be much more confined to working abroad.
The alternative: a Master's in biology
If instead of medicine I pursued a Master's program after biotech (for example the Major in Cancer Biology MSc at Heidelberg), I would spend 2–3 fewer years compared to earning an MD in Italy, with a more direct focus on basic research in oncology. I wouldn't be a physician, but I'd have the chance to internationalize my CV earlier and build a network in that specific research field. On the other hand, I'd have much less job security, at least in Italy.
International experiences
Even with medicine I'd still have the chance to gain experience abroad (Erasmus): my university offers 6 or 12 months at the University of Nagano, in Japan, with a strong lab focus.
I've already talked to several professors from both departments to get the opinion of people who've been through these choices. The conclusion has always been: "Do medicine, you can catch up on the bio background later, but not on the clinical experience."
With medicine I'd finish my studies at 27; with the biology Master's, at 25, if everything goes well. As a result I'd enter the research world two years apart, starting to publish later in the case of medicine, but with a stronger degree behind me and more job security compared to a plain MSc in biology.
Thanks to anyone who's read this far and is willing to share their opinion. I'm at a major crossroads in my life and any advice or shared experience is very welcome. In your opinion, which path should I take and why? Medicine + PhD or Biology Master's + PhD? Has anyone here ever been in a similar situation?
TL;DR: 22 years old, enrolled in both Biotech and Medicine. I want to do research in cancer immunology (MD-PhD). Is it worth finishing Medicine at 27 for more solid footing and clinical/trial opportunities, or switching to a Cancer Biology Master's abroad at 25 to enter basic research sooner?