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Flexibility is a hallmark of the UCSD MSTP, and each student's program is individualized. By its nature, medical school education is quite broad, encompassing subjects from biochemistry to cultural anthropology. In contrast, graduate education provides a narrower focus and greater depth, both in terms of exposure to current thinking in a specific discipline and in the development and execution of a doctoral thesis problem. Since 1974, continuous funding by the National Institutes of Health has enabled the training of physician-scientists who, because of their multi-faceted and rigorous education, are equipped biomedical investigators. The Program culminates with the award of both medical (MD) and graduate (PhD) degrees, signifying skills in each of the three domains of an academic physician: research, teaching, and clinical care.