Medical Scientists

• Most medical scientists need a Ph.D. in a biological science; some hold a medical degree.
• Epidemiologists typically need a masters degree in public health or, in some cases, a Ph.D. or medical degree.
• Competition is expected for most positions; however, those with both a Ph.D. and M.D. are likely to have very good opportunities.

Medical scientists research human diseases to improve human health. Most medical scientists conduct biomedical research and development to advance knowledge of life processes and living organisms, including viruses, bacteria, and other infectious agents. Past research has resulted in advances in diagnosis, treatment, and prevention of many diseases. Basic medical research continues to build the foundation for new vaccines, drugs, and treatment procedures. Medical scientists engage in laboratory research, clinical investigation, technical writing, drug application review, and related activities.

Medical scientists study biological systems to understand the causes of disease and other health problems. They develop treatments and design research tools and techniques that have medical applications. Some try to identify changes in cells or in chromosomes that signal the development of medical problems. For example, medical scientists involved in cancer research may formulate a combination of drugs that will lessen the effects of the disease. Medical scientists who are also physicians can administer these drugs to patients in clinical trials, monitor their reactions, and observe the results. They may draw blood, excise tissue, or perform other invasive procedures. Those who are not physicians normally collaborate with physicians who deal directly with patients. Medical scientists examine the results of clinical trials and adjust the dosage levels to reduce negative side effects or to induce better results. In addition to developing treatments for medical conditions, medical scientists attempt to discover ways to prevent health problems. For example, they may study the link between smoking and lung cancer or between alcoholism and liver disease.

Medical scientists who work in applied research or product development use knowledge discovered through basic research to develop new drugs and medical treatments. They usually have less autonomy than basic medical researchers do to choose the emphasis of their research. They spend more time working on marketable treatments to meet the business goals of their employers. Medical scientists doing applied research and product development in private industry may also be required to explain their research plans or results to nonscientists who are in a position to reject or approve their ideas. These scientists must consider the business effects of their work. Scientists increasingly work as part of teams, interacting with engineers, scientists of other disciplines, business managers, and technicians.

Swift advances in basic medical knowledge related to genetics and organic molecules have spurred growth in the field of biotechnology. Discovery of important drugs, including human insulin and growth hormone, is the result of research using biotechnology techniques, such as recombining DNA. Many other substances not previously available in large quantities are now produced by biotechnological means; some may one day be useful in treating diseases such as Parkinsons or Alzheimers. Today, many medical scientists are involved in the science of genetic engineering ¯isolating, identifying, and sequencing human genes to determine their functions. This work continues to lead to the discovery of genes associated with specific diseases and inherited health risks, such as sickle cell anemia. These advances in biotechnology have opened up research opportunities in almost all areas of medical science.

Some medical scientists specialize in epidemiology. This branch of medical science investigates and describes the causes and spread of disease and develops the means for prevention or control. Epidemiologists may study many different illnesses, often focusing on major infectious diseases such as influenza or cholera. Epidemiologists can be separated into two groups ¯research and clinical.

Research epidemiologists conduct research in an effort to eradicate or control infectious diseases. Many work on illnesses that affect the entire body, such as AIDS or typhus, while others focus on localized infections such as those of the brain, lungs, or digestive tract. Research epidemiologists work at colleges and universities, schools of public health, medical schools, and independent research firms. For example, Federal Government agencies, such as the U.S. Department of Defense, may contract with a research firm to evaluate the incidence of malaria in certain parts of the world. Other research epidemiologists may work as college and university faculty and are counted as postsecondary teachers.

Clinical epidemiologists work primarily in consulting roles at hospitals, informing the medical staff of infectious outbreaks and providing containment solutions. These epidemiologists sometimes are referred to as infection control professionals, and some of them are also physicians. Clinical epidemiologists who are not also physicians often collaborate with physicians to find ways to contain outbreaks of diseases. In addition to traditional duties of studying and controlling diseases, clinical epidemiologists also may be required to develop standards and guidelines for the treatment and control of communicable diseases. Some clinical epidemiologists may work in outpatient settings.

Work environment. Many medical scientists work independently in private industry, university, or government laboratories, exploring new areas of research or expanding on specialized research that they began in graduate school. Medical scientists working in colleges and universities, hospitals, and nonprofit medical research organizations typically submit grant proposals to obtain funding for their projects. Colleges and universities, private industry, and Federal Government agencies ¯particularly the National Institutes of Health and the National Science Foundation ¯provide the primary support for researchers whose proposals are determined to be financially feasible and to have the potential to advance new ideas or processes. Medical scientists who rely on grant money may be under pressure to meet deadlines and to conform to rigid grant-writing specifications when preparing proposals to seek new or extended funding.

Medical scientists who conduct research usually work in laboratories and use a wide variety of equipment. Some may work directly with individual patients or larger groups as they administer drugs and monitor patients during clinical trials. Often, these medical scientists also spend time working in clinics and hospitals.

Medical scientists usually are not exposed to unsafe or unhealthy conditions; however, those scientists who work with dangerous organisms or toxic substances must follow strict safety procedures to avoid contamination.

Medical scientists typically work regular hours in offices or laboratories, but longer hours are not uncommon. Researchers may be required to work odd hours in laboratories or other locations, depending on the nature of their research. On occasion, epidemiologists may be required to travel to meetings and hearings for medical investigations.