One page, school to practice
The route into epidemiologist
Assembled backwards from the job: the degrees that lead there, the subjects those degrees require, the exams and when they are sat, and what the whole thing costs in years. Print it.
1. Subjects, chosen at fifteen or sixteen
Aggregated across every degree that leads here. Anything marked required closes the door if you skip it.
Saudi curriculum track
مسار الصحة والحياة— Health and Life Sciences · مسار علوم الحاسب والهندسة— Computer Science and Engineering · مسار علوم الحاسب والهندسةor مسار الصحة والحياة· مسار الصحة والحياةor مسار علوم الحاسب والهندسة· مسار الصحة والحياةor المسار العام· مسار علوم الحاسب والهندسة— Computer Science and Engineering, or مسار الصحة والحياةfor a biostatistics route
A-Level
- Biologyrequiredfor Biology and Biomedical Science, Clinical Laboratory Science, Earth Sciences and Geology, Environmental Science, Medicine, Nursing, Pharmacy, Physiotherapy and Rehabilitation Sciences, Psychology, Radiography and Medical Imaging, Statistics, Veterinary Medicine
- Chemistryrequiredfor Biology and Biomedical Science, Clinical Laboratory Science, Earth Sciences and Geology, Environmental Science, Medicine, Nursing, Pharmacy, Physiotherapy and Rehabilitation Sciences, Psychology, Radiography and Medical Imaging, Veterinary Medicine
- Mathematicsrequiredfor Biology and Biomedical Science, Clinical Laboratory Science, Data Science and Artificial Intelligence, Earth Sciences and Geology, Environmental Science, Medicine, Pharmacy, Psychology, Radiography and Medical Imaging, Statistics, Veterinary Medicine
- Physicshelpsfor Data Science and Artificial Intelligence, Earth Sciences and Geology, Environmental Science, Medicine, Pharmacy, Radiography and Medical Imaging, Veterinary Medicine
- Psychologyhelpsfor Biology and Biomedical Science, Nursing, Physiotherapy and Rehabilitation Sciences, Psychology
- Further Mathematicshelpsfor Data Science and Artificial Intelligence, Statistics
- Economicshelpsfor Data Science and Artificial Intelligence, Statistics
- Geographyhelpsfor Earth Sciences and Geology, Environmental Science
- Physical Educationhelpsfor Nursing, Physiotherapy and Rehabilitation Sciences
- Computer Sciencehelpsfor Data Science and Artificial Intelligence
IB Diploma
- Biology HLrequiredfor Biology and Biomedical Science, Clinical Laboratory Science, Environmental Science, Medicine, Pharmacy, Physiotherapy and Rehabilitation Sciences, Psychology, Statistics, Veterinary Medicine
- Chemistry HLrequiredfor Biology and Biomedical Science, Earth Sciences and Geology, Environmental Science, Medicine, Pharmacy, Veterinary Medicine
- Mathematics: Analysis and Approaches HLrequiredfor Data Science and Artificial Intelligence, Statistics
- Mathematics SL or abovehelpsfor Biology and Biomedical Science, Earth Sciences and Geology, Pharmacy, Psychology, Radiography and Medical Imaging, Veterinary Medicine
- Physics HLhelpsfor Data Science and Artificial Intelligence, Earth Sciences and Geology
- Economics HLhelpsfor Data Science and Artificial Intelligence, Statistics
- Geography HLhelpsfor Earth Sciences and Geology, Environmental Science
- Biology HL or SLhelpsfor Nursing, Radiography and Medical Imaging
- Psychologyhelpsfor Nursing, Physiotherapy and Rehabilitation Sciences
- Chemistry HL or SLhelpsfor Clinical Laboratory Science
- Mathematics SLhelpsfor Clinical Laboratory Science
- Computer Sciencehelpsfor Data Science and Artificial Intelligence
- Environmental Systems and Societieshelpsfor Environmental Science
- Mathematics: Analysis and Approaches SL or abovehelpsfor Medicine
- Chemistryhelpsfor Nursing
- Sports, Exercise and Health Sciencehelpsfor Physiotherapy and Rehabilitation Sciences
- Psychology HLhelpsfor Psychology
- Physics HL or SLhelpsfor Radiography and Medical Imaging
Advanced Placement
- AP Statisticshelpsfor Biology and Biomedical Science, Clinical Laboratory Science, Data Science and Artificial Intelligence, Environmental Science, Medicine, Nursing, Pharmacy, Physiotherapy and Rehabilitation Sciences, Psychology, Radiography and Medical Imaging, Statistics, Veterinary Medicine
- AP Biologyhelpsfor Biology and Biomedical Science, Clinical Laboratory Science, Environmental Science, Medicine, Nursing, Pharmacy, Physiotherapy and Rehabilitation Sciences, Psychology, Radiography and Medical Imaging, Statistics, Veterinary Medicine
- AP Chemistryhelpsfor Biology and Biomedical Science, Clinical Laboratory Science, Earth Sciences and Geology, Environmental Science, Medicine, Nursing, Pharmacy, Veterinary Medicine
- AP Physics 1helpsfor Earth Sciences and Geology, Medicine, Physiotherapy and Rehabilitation Sciences, Radiography and Medical Imaging, Veterinary Medicine
- AP Psychologyhelpsfor Biology and Biomedical Science, Nursing, Physiotherapy and Rehabilitation Sciences, Psychology
- AP Calculus BChelpsfor Data Science and Artificial Intelligence, Statistics
- AP Environmental Sciencehelpsfor Earth Sciences and Geology, Environmental Science
- AP Calculus ABhelpsfor Earth Sciences and Geology, Pharmacy
- AP Human Geographyhelpsfor Earth Sciences and Geology, Environmental Science
- AP Computer Science Ahelpsfor Data Science and Artificial Intelligence
- AP Calculus AB or BChelpsfor Medicine
2. The degree
More than one route usually exists. They are not equivalent.
Disease at population scale, usually via a master's in public health — one of the strongest routes from this degree.
Three to four years, with a laboratory or research year common and worth taking.
Public health laboratory work and surveillance, a natural move via a public health master's.
Four years plus an internship year in the Saudi system; three to four years in the UK with accredited training.
Health data at population scale, usually via a master's.
Three to four years in the UK, four to five in the Kingdom and the US.
Not a direct route, and environmental exposure work sits between the two fields.
Three to four years, with fieldwork throughout and a mapping project that is often the defining piece of work.
Environmental health — exposure, air quality and their population consequences.
Three to four years, usually with fieldwork and often a placement.
A common move out of clinical practice and into disease at population scale.
Five to six years undergraduate outside North America; four years of medical school after a first degree in the US and Canada. Then residency, which is where the real length is.
A common route out of direct care, via a master's in public health.
Three to four years, roughly half of it spent on clinical placement rather than in lectures, plus an internship year in the Saudi system.
Pharmacoepidemiology — studying what medicines do across whole populations rather than one patient.
Four to six years depending on the country, plus a pre-registration or internship year before licensure.
Population rehabilitation and disability research, via a public health master's.
Four to five years plus an internship year in the Saudi system; three to four years in the UK. Some countries, notably the US, now require a doctoral-level qualification.
Mental health epidemiology and population research, via a public health master's.
Three to four years for the degree. Clinical practice requires postgraduate training on top, typically three or more further years and highly competitive.
Imaging-based screening programmes and population studies, usually via a public health master's.
Four years plus an internship year in the Saudi system; three to four years in the UK. Licensed practice follows immediately.
Biostatistics is the largest employer of statisticians and the most direct health route.
Three to four years for the bachelor's, plus a master's that is close to an entry requirement rather than an advantage.
Zoonotic disease and population health, where veterinary training is genuinely valued and under-supplied.
Five to six years undergraduate outside North America; four years after a first degree in the US and Canada.
3. Exams, and when to sit them
Registration deadlines fall weeks or months before the exam. That is what people miss, not the exam.
- ESATOctober
Cambridge natural sciences; most universities require no test for biology.
- July to SeptemberUCAT testing window, sat at a test centre.
- September to JanuaryLNAT testing window for most law courses.
- OctoberMost Oxford and Cambridge subject tests — TMUA, ESAT, PAT, TSA.
- JuneSTEP, sat alongside A-Levels as a condition of a Cambridge or Warwick offer rather than for shortlisting.
- Qudurat and TahsiliGrade 11 and 12
The Saudi admission composite for science and health colleges.
- Several periods across the yearQudurat (General Aptitude Test), open from Grade 11. Computer-based and paper sittings both run.
- Final months of the school yearTahsili (Scholastic Achievement Test), sat near the end of Grade 12 once the syllabus is covered.
- Spring and summer of Grade 12University applications through the unified admission portals and each university's own portal.
- SCFHS classificationAfter the internship year
The licence to practise, with the classification level following your qualification and setting both your scope and your pay.
- Programme accreditationBefore you enrol
Not a test, and the thing most likely to go wrong. A biology or biomedical science degree that is not accredited for clinical practice will not license you — check this before enrolling, because it cannot be fixed afterwards.
- TMUAOctober
Required or advantageous at several UK universities for mathematical computing and economics courses.
- July to SeptemberUCAT testing window, sat at a test centre.
- September to JanuaryLNAT testing window for most law courses.
- OctoberMost Oxford and Cambridge subject tests — TMUA, ESAT, PAT, TSA.
- JuneSTEP, sat alongside A-Levels as a condition of a Cambridge or Warwick offer rather than for shortlisting.
- SAT or ACTGrade 11 to early Grade 12
For US applications; the mathematics section is read specifically for quantitative majors.
- March, May, JuneSpring sittings. The standard first attempt, in Grade 11.
- August, October, November, DecemberAutumn sittings. The second attempt, and the last one that reaches early US deadlines is usually the October or November date.
- Two to four weeks after each sittingScores released; sending them to universities is a separate step with its own timing.
- No admissions test for most coursesNot applicable
Environmental science rarely requires a subject admissions test anywhere, which makes this one of the least administratively demanding science applications.
- UCATJuly–September of the application year
Required by most UK medical and dental schools, and several rank applicants on it directly. Booking closes in September, weeks before the mid-October application deadline.
- July to SeptemberUCAT testing window, sat at a test centre.
- September to JanuaryLNAT testing window for most law courses.
- OctoberMost Oxford and Cambridge subject tests — TMUA, ESAT, PAT, TSA.
- JuneSTEP, sat alongside A-Levels as a condition of a Cambridge or Warwick offer rather than for shortlisting.
- Tahsili (science)End of Grade 12
Frequently the heaviest single component of the Saudi health-college admission composite.
- Several periods across the yearQudurat (General Aptitude Test), open from Grade 11. Computer-based and paper sittings both run.
- Final months of the school yearTahsili (Scholastic Achievement Test), sat near the end of Grade 12 once the syllabus is covered.
- Spring and summer of Grade 12University applications through the unified admission portals and each university's own portal.
- QuduratFrom Grade 11
Sit it early; the best score counts and an early attempt is diagnostic.
- Several periods across the yearQudurat (General Aptitude Test), open from Grade 11. Computer-based and paper sittings both run.
- Final months of the school yearTahsili (Scholastic Achievement Test), sat near the end of Grade 12 once the syllabus is covered.
- Spring and summer of Grade 12University applications through the unified admission portals and each university's own portal.
- MCATAfter two or three years of a US bachelor's
The US graduate-entry route. Nothing you do at seventeen prepares for it directly, and it is worth knowing the road has this on it.
- IELTS or equivalentBefore applying abroad, and again for registration
Nursing regulators in the UK, Australia and the Gulf often require a higher English score than the university did — check the regulator's requirement, not just the university's.
- Weekly, year-roundIELTS and TOEFL both run frequently at centres across the Kingdom; Duolingo and PTE can be sat at very short notice.
- 3 to 13 days after the testResults, depending on the test. IELTS computer-delivered is among the fastest; paper-based is slower.
- Autumn of Grade 12 at the latestWhen to have sat it by, leaving room for one repeat before offers are decided.
- PCAT or programme-specific testsDuring a US bachelor's
Requirements vary by PharmD programme and several have dropped standardised testing.
- Physical capabilityThroughout
Not a formal test at most programmes, and a genuine requirement of the work — this is a physically demanding profession and the placement year makes that clear quickly.
- Relevant experienceDuring and after the degree
Not a test, and the real gate for clinical training. Assistant psychologist and support work posts are what competitive applicants have, and they take years to accumulate.
- Postgraduate admissionFinal year of the bachelor's
The real gate for this profession. Around seven in ten statisticians hold a master's or doctorate, so plan the bachelor's with that in mind.
- Documented animal work experienceTwo years before applying, continuously
Not a test, and a harder requirement than any test on this page. Most veterinary schools want weeks of experience across more than one setting — practice, farm, kennels, stables — and will not consider an application without it. It cannot be acquired in the month before the deadline.
- InterviewAfter shortlisting
Frequently multiple mini-interviews, and heavily weighted.
4. After the degree
Training, licensing and the years between graduating and practising independently.
Saudi Arabia
- schoolSecondary school, science track (علمي)3 yr
- undergraduateBachelor's in public health, medicine, or a life science4–6 yrs
- postgraduateMaster's in public health or epidemiology2 yr
- practiceEpidemiologist0 yr
LicensingNo licence is required for non-clinical epidemiology. Clinically qualified epidemiologists additionally hold SCFHS registration for their medical qualification.
United States
- schoolHigh school with sciences4 yr
- undergraduateBachelor's in a science, public health or statistics4 yr
- postgraduateMaster of Public Health or MSc Epidemiology2 yr
- postgraduateDoctorate, for research and academic roles3–5 yrs
- practiceEpidemiologist0 yr
LicensingNone for non-clinical roles.
5. What the route costs
Not tuition — time. The years spent training are years not spent earning, and that is the largest cost of a long route by a wide margin.
Saudi Arabia
School-leaving to independent practice: 6–8 years.
The shortest route needing no degree written up on this site is air traffic controller at 4 years. Someone taking that route has been earning for 4 years by the time this one starts. At their entry pay of SAR 140,000–220,000, that is roughly SAR 560,000–880,000 of earnings deferred.
United States
School-leaving to independent practice: 6–11 years.
The shortest route needing no degree written up on this site is aircraft maintenance engineer at 4 years. Someone taking that route has been earning for 7 years by the time this one starts. At their entry pay of $48,780–62,630, that is roughly $341,460–438,410 of earnings deferred.
How that figure was reached, and what it leaves out
It is arithmetic on the sourced figures elsewhere on this site — training years multiplied by the shortest route’s entry pay — not a measurement of anything. It ignores what trainees earn while training, which in medicine and several other routes is a real salary. It ignores the pay you reach afterwards, which for long routes is usually higher and can overtake the gap entirely. And it excludes tuition, deliberately: Saudi public universities charge nationals no tuition, and fees abroad vary so widely by country and university that any single figure would be misleading. Treat it as a sense of scale for the years, not as a calculation of whether a career is worth it.
Everything on this page is assembled from the career page, the majors that lead to it and the exams those majors require, so it cannot say something they do not. Entry requirements change every year — confirm on the course page for the year you apply.