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I was going through a list of information online about the advantages/ disadvantages of pursuing a PhD if you are dead certain about entering the field of academic neurosurgery. A curious trend I observed is that, it is possible to receive a PhD in neurosurgery while doing your residency. One of the big examples I can think of is Dr Michael G. Fehlings who is the Krembil Chair in Neural Repair & Regeneration at U of T. More info: http://neurosurgery.utoronto.ca/faculty/list/fehlings.htm How would one compare/ contrast this with the more traditional MD/PhD curriculum in terms of duration of the program? I ask this because I am wondering if a post-doctral fellowship ensues after a residency or if one has substantial research experience during both med, residency, and fellowship the post-doc is not mandatory?