Purpose: MD/PhD or DO/PhD ("dual degree") holders represent approximately 3% of graduating medical students annually. Graduates from this pipeline have a higher likelihood of successfully obtaining research independence than single degree peers. Despite the long-term success, there is substantial concern in the physician-scientist community that the pipeline for these trainees is at risk. While career alignment in dual degree graduates has been previously assessed, data is limited on students. This study evaluates program leadership perceptions of student resources, mental health, reasons for non-completion, and next steps.