MDS vs. Fellowship: The Dilemma We Don’t Talk About Enough

The moment you finish BDS, a big question stares you in the face— MDS or a job?

I found myself torn between:

  • Jumping into the real world – gaining hands-on experience, financial independence, and understanding the industry outside textbooks.
  • Going back to college for MDS – structured learning, specialization, and a defined academic path.

But there’s also a middle ground— Fellowships.

While I weighed my options, these were my key deciding factors:

Ps : there is nothing right or wrong , these were just those factors which made me decide my path and goal.
Below are the points that mattered to me the most –

1️⃣ The Learning Curve: Depth vs. Breadth

  • MDS: A deep dive into a specific specialty, but it comes with research, case papers, and thesis work alongside clinical training.
  • Fellowship: Purely clinical, hands-on experience without the added academic requirements. The focus is cases, not research.

2️⃣ Time Commitment: Specializing in One vs. Exploring Multiple Areas

  • MDS: A 3-year journey, primarily working on the patient pool available in a hospital or college setting.
  • Fellowship: Typically 1-2 years, meaning in the same time frame, I could explore multiple fellowships across different specialties.

3️⃣ Real-World Application: The Practical Angle

  • MDS: You work on hospital-based cases, which may not fully prepare you for private practice challenges.
  • Fellowship + Job: My plan was to do a fellowship and then work alongside to apply that knowledge in real-world scenarios.

4️⃣ The End Goal: Practice vs. Job Security

  • If you’re looking for long-term jobs, MDS holds weight. Hospitals and institutions value the title.
  • But for my own clinic? Patients care about results, not just degrees. Instead of spending three years in MDS, I could focus on clinical skills + learn how to run a practice.

5️⃣ Business & Management: Beyond Just Dentistry

  • MDS colleges are structured like BDS—clinical-heavy with little exposure to business aspects.
  • I wanted to diversify and understand practice management, which led me to consider exploring an MBA-like experience for the future.

6️⃣ Hiring Experts vs. Being the Expert

  • In my own practice, I can always hire MDS specialists for complex cases while focusing on building a well-rounded clinic.
  • For me, learning to run a practice efficiently was just as important as mastering clinical skills.

5️⃣ Personal Growth – Sometimes, stepping into the field teaches more than sitting in a classroom.

At the end of the day, MDS and fellowship both have their place—what matters is what fits your career vision.