Date of Award
Open Access Thesis
Medical Doctor (MD)
Background: Over the past decade, the landscape of healthcare has changed
dramatically, demanding the close integration of business and management with the
delivery of clinical care. In response, there has been a continuation of the trend towards
additional training for physicians through an MBA program that has been seen over the
last thirty years. However, some medical students have encountered some negative
perceptions voiced by senior physicians about MD/MBA training. As most MD/MBA
joint-degree candidates consider clinical careers, it is vital to understand the views of
residency program directors who hold the gates to graduate medical education.
Purpose: Therefore in this paper, we will investigate the following hypotheses:
Completing an MBA as a medical student will be perceived positively by residency
directors, and the global opinion of MD/MBA candidates has changed over the last
Methods: An electronic survey was sent to residency directors in most major
specialties across the United States to ascertain their opinions of MD/MBA residency
candidates. A Likert score was tabulated corresponding to the level of MBA-favorability
of each program. Statistical correlations were performed based on medical specialty,
demographics, geographical region, the experience of the program director with an MBA
curriculum, faculty with an MBA, or residents with an MBA. Data were compared with
a similar survey by Lyssy et al performed in 2006.
Results: 578 residency program directors responded to our survey, a response rate
of 22.2%. No statistically significant difference was found in the calculated Likert score
of MBA candidate favorability across the medical specialties. A statistically significant
difference in the proportion of program directors with interactions with faculty and
residents with an MBA was found among the medical specialties; however, no
statistically significant difference in the proportion of program directors who personally
hold an MBA was found. Program directors who had direct experience working with
residents with an MBA reported higher Likert positivity scores compared to those who
did not. Additionally, departments with a higher number of faculty with an MBA were
positively correlated with a greater number of residents with an MBA in that program.
Residency program director age was negatively correlated with the Likert MBA
candidate favorability score. Compared to the 2006 dataset, there were minimal changes
in the Likert-type question scores in 2016.
Conclusions: Residency directors across multiple specialties positivity regard
MD/MBA candidates and the candidates’ training for their residency programs.
Moreover, this regard has remained generally stable over the past decade.
Patel, Jay Pravin, "The Md/mba Effect: A Study Of How Residency Directors Perceive Applicants With An Mba, A Ten-Year Comparison Study From 2006 To 2016" (2017). Yale Medicine Thesis Digital Library. 2161.