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Medical Scientist Training Programs (MSTPs) are extremely competitive MD/PhD training programs that streamline the education towards M.D. and Ph.D. graduate degree degrees. MSTPs are offered by a small number of United States medical schools with financial support from the National Institute of General Medical Sciences (NIGMS), a branch of the National Institutes of Health (NIH). The goal of these training programs is to produce physician scientists who have the unique ability to translate laboratory discoveries into effective treatments for patients. There are currently 45 participating institutions with MSTPs for a total of 933 trainees in all stages of the programs. MSTPs exist primarily at prominent medical schools, and, as of 2011, all top 20 medical school as ranked by the US News and Report had a MSTP. The most recent MSTP grant was awarded to The Ohio State University College of Medicine in 2011.
The program has its origins in the non-NIH funded MD/PhD training offered at the nation's research-centric medical schools. The first true dual-degree program began at Case Western Reserve University School of Medicine in 1956. Other prominent medical schools quickly followed this example and developed explicit MD/PhD training structures. In 1964 the NIH created Medical Scientist Training Program to begin funding this medical and research education. The first programs to receive funding were at Albert Einstein College of Medicine, Northwestern University Feinberg School of Medicine, and New York University School of Medicine. In the decades that followed, the MSTP saw a significant expansion in NIH funding and institutions with MSTP designation.
Admission to MSTPs is the most competitive of all graduate medical education programs, with only 170 NIH-funded positions available nationwide each year for 1,779 applicants (a 9.6% acceptance rate). In comparison MD-only programs had 42,742 applicants for 18,665 positions (a 44% acceptance rate). Applicants must have strong MCAT scores and GPAs to be considered for positions in MST programs. Reflecting this fact, from 2008 to 2010 the average GPA and MCAT for matriculants to MSTPs was 3.76 and 34.5, respectively. MSTP applicants will often have strong research experience as well. Interviews at MSTPs tend to focus on the applicant's past experiences in scientific research. These may include short research talks or presentations followed by rigorous questioning by an interviewer or interviewing committee. At some MSTPs, applicants may also have to interview with the MD-only program.
Financial Support 
MSTP matriculants receive substantial financial awards that make them financially competitive to their MD-only counterparts even with the longer training periods. These allowances cover all tuition expenses, provide travel and supply allowances, and accommodate living expenses through an annual stipend (ranging from $22,000 to $33,000). Together, these monetary awards compare to approximately $200,000 of pre-tax income.
While MSTP-designated schools have NIH grant funding, a considerable portion of the financial support comes from the institution itself. Furthermore, this grant funding for each student expires before the completion of the program. Therefore, the institution must provide 100% of the funding at that time. For clarification, even with these financial changes, a MSTP student never sees a loss of funding (tuition or stipend).
Since MSTP grants are a type of National Research Service Award, students must be nationals (citizens or noncitizens) of the United States or possess a I-151 or I-551 alien registration receipt. However many MSTPs offer non-MSTP grant funded positions, allowing for non-citizens and non-legalized nationals to be accepted into the MD/PhD program at that particular school. These programs are indistuishable between the students besides the funding source. Furthermore, many non-MSTP medical schools have MD/PhD programs that are not supported by the NIH but offer similar training opportunities and grant money.
Allied-Institution Programs 
Several MSTPs allow for the PhD portion of the MSTP to be completed outside the home university at an allied institution. These relationships provide additional and sometimes stronger research opportunities to students in these MSTPs.
Current Programs 
* Stipend amount increases at various times in the program
Non-MSTP MD/PhD and DO/PhD programs 
A number of medical and osteopathic medical schools without funded NIH MSTP grant slots maintain their own non-MSTP MD/PhD or DO/PhD combined degree programs, sometimes offering full or partial student financial support funded by the schools themselves. Currently, 75 institutions provide a means for non-MSTP MD/PhD education in the United States, along with 7 DO/PhD training programs. Internationally, there are 34 institutions that provide MD/PhD training.
Notes and references 
- "Medical Scientist Training Program (MSTP) Institutions - National Institute of General Medical Sciences". Publications.nigms.nih.gov. 2011-08-16. Retrieved 2012-06-15.
- "Ohio State's College of Medicine Advances Medical Scientist Program". Medicalcenter.osu.edu. Retrieved 2012-06-15.
- "CWRU Medical Scientist Training Program (MSTP)". cwru.edu. Retrieved 2012-06-20.
- "Medical Scientist Training Program - National Institute of General Medical Sciences". Nigms.nih.gov. 2011-08-19. Retrieved 2012-06-15.
- "MSTP Study: The Careers and Professional Activities of Graduates of the NIGMS Medical Scientist Training Program". Publications.nigms.nih.gov. 2011-04-22. Retrieved 2012-06-15.
- "MSTP @ EINSTEIN - Features". aecom.yu.edu. Retrieved 2012-06-20.
- "CWRU Medical Scientist Training Program (MSTP)". cwru.edu. Retrieved 2012-06-20.
- "STUDENTS". cumc.columbia.edu. Retrieved 2012-06-24. Text " Columbia University MD/PhD Program " ignored (help)
- "Tri-Institutional MD-PhD Program". weill.cornell.edu. Retrieved 2012-06-24.
- "Duke Medical Scientist Training Program". Duke University School of Medicine. Retrieved 2013-03-24.
- "Funding". hopkinsmedicine.org. Retrieved 2012-07-23. Text " Johns Hopkins Medicine MD PhD Program " ignored (help)
- "Medical Scientist Training Program - Mayo Graduate School - Mayo Clinic". mayo.edu. Retrieved 2012-07-23.
- "Stipend and Benefits - Mayo Graduate School - Mayo Clinic". mayo.edu. Retrieved 2012-06-24.
- "Guide to Student Life". mcw.edu. Retrieved 2012-06-19.
- "Program". nyu.edu. Retrieved 2012-06-20. Text " NYU MSTP " ignored (help)
- "Financial Support". numstp.com. Retrieved 2012-06-20.
- "NIH Funds OSU Medical Scientist Training Program - College of Medicine News". Medicine.osu.edu. 2011-06-14. Retrieved 2012-06-15.
- "Finances". sackler.tufts.edu. Retrieved 2012-09-06. Text " Sackler " ignored (help)
- "UCI MSTP History". uci.edu. Retrieved 2012-06-18.
- "Physician Scientist Training Program Awarded NIH Designation". healthnews.uc.edu. 2002-07-10. Retrieved 2012-06-24.
- "Funding - UC MSTP". uc.edu. Retrieved 2012-10-09.
- "OVERVIEW - University of Illinois College of Medicine at Ch...". chicago.medicine.uic.edu. Retrieved 2012-06-19.
- "History — UNC MD-PhD Program - (UNC School of Medicine)". Med.unc.edu. Retrieved 2012-06-15.
- "Penn Medicine MD-PhD Medical Scientist Training Program - Admission". med.upenn.edu. Retrieved 2012-06-24. Text " Perelman School of Medicine " ignored (help); Text " University of Pennsylvania " ignored (help)
- "Support - Medical Scientist Training Program (MSTP)". urmc.rochester.edu. Retrieved 2012-06-24.
- "University of Washington MSTP". mstp.washington.edu. Retrieved 2012-06-24. Text " Medical Scientist Training Program " ignored (help)
- "Funding Throughout the Medical Scientist Training Program (MSTP, MD/PhD), University of Wisconsin School of Medicine and Public Health". med.wisc.edu. Retrieved 2012-06-20.
- "Medical Scientist Training Program". mstp.wustl.edu. Retrieved 2012-06-24.
- "Frequently Asked Questions > MD-PhD Program". http://medicine.yale.edu. Retrieved 2012-06-24. Text " Yale School of Medicine " ignored (help)
- "DO/PhD Programs". physicianscientists.org. Retrieved 2012-06-19. Text " APSA - American Physician Scientists Association " ignored (help)
- "DO/PhD Programs". Retrieved 2012-06-19. Text " MD/PhD Programs (List) " ignored (help); Text " APSA - American Physician Scientists Association " ignored (help)