Reasons to Do a PhD
1. You Want a Career in Academic Medicine or Research
- If you’re aiming for a lectureship, professor role, or clinician-scientist career, a PhD is often essential.
- Specialties like oncology, neurology, cardiology, and genetics value research-heavy backgrounds.
Tip: If you’re interested in the Academic Foundation Programme (AFP) or NIHR Academic Clinical Fellowships (ACFs), a PhD can help but isn’t always required.
2. You’re Passionate About Research
- A PhD isn’t just a degree—it’s 3+ years of intense, independent research.
- If you love hypothesis-driven research, problem-solving, and publishing papers, it can be an incredibly rewarding experience.
- Some people love the intellectual freedom of a PhD compared to clinical medicine.
Tip: Try a BSc/MSc research project or intercalated degree first to see if you enjoy it.
3. Competitive Edge for Certain Specialties
- Some competitive specialties value research highly, including:
Neurosurgery
Academic Radiology
Medical Oncology
Cardiology
Gastroenterology
Genomics & Precision Medicine
- If you’re planning to apply for a Consultant/Professor post in an academic hospital, having a PhD can give you a strong advantage.
Tip: If you’re not sure which specialty you want, a PhD might delay your training without adding much benefit.
4. Potential for Higher Pay & Prestige
- Senior academic clinicians (Professors, Principal Investigators) often earn more than purely clinical consultants.
- A PhD can open doors to leadership roles in research, pharma, biotech, and global health.
But: A PhD won’t automatically make you richer—clinically focused consultants often earn more, sooner, without the extra years of training.
Reasons NOT to Do a PhD
1. Delays Your Clinical Career
- A PhD adds at least 3-4 years to your training before you become a consultant.
- If you love patient care and want to work as a doctor ASAP, a PhD might not be the best option.
Tip: If you just need research experience, consider an MSc, MRes, or clinical fellowship instead.
2. You Don’t Actually Enjoy Research
- Many medical students think they want a PhD because it sounds prestigious.
- But a PhD means writing grants, failing experiments, and long hours of solo research.
- If you prefer hands-on patient care over lab work, a PhD might feel frustrating.
Tip: Try a summer research project or intercalated BSc/MRes first to test if you enjoy it.
3. Financial Cost & Opportunity Cost
- No NHS salary during PhD (you may get a stipend, but it’s lower than an FY1/FY2 salary).
- You lose 3-4 years of clinical earnings—consultants often start earning £80K+ sooner if they skip a PhD.
Tip: Look for fully funded PhD programmes (NIHR, Wellcome Trust, MRC) to avoid financial burden.
4. A PhD Isn’t Always Necessary for Your Goals
- If you want to do some research but stay mostly clinical, an MD (Doctor of Medicine research degree), MSc, or research fellowship might be better.
- If you’re going into GP, emergency medicine, or psychiatry, a PhD usually isn’t needed.
Tip: Consider alternative research paths, like an NIHR Clinical Lectureship or part-time research alongside clinical work.