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This question is about what a medical director does and medical director.
Yes, you have to be an MD to be a medical director. Medical directors are required to be licensed medical doctors or doctors of osteopathic medicine.
A medical director is a highly senior position available only to those who have practiced as licensed doctors for many years. The responsibilities of a medical director are vast and require technical skills, training, and experience.
Medical directors must perform tasks involving management, scientific and mathematical research and knowledge, budgetary management, and extensive communications. In essence, medical directors perform the responsibilities of an executive with the added complications of a medical setting.
Because the responsibilities of a medical director are so rigorous, there are some professional certifications that may be required in addition to the necessary medical licenses and experience. These certifications often involve intensely difficult exams.

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