Pardon my ignorance... but what constitutes "medium format" in the digital age? I know that one of Canon's 35mm 1d series gives a resolution of 16 megapixels. Hasselblad has medium format digital backs that do 22 megapixels (probably even more now).
Format refers to the physical size of the image sensor. Is it 7mm across, 24mm acros or 60mm across? "medium format means what it always did an image that is between 60x45mm and 70x60cm in size.
Resolution means how many samples you take of the image. If you take 6MP or 22MP For the most part resolution is independent of image size. Some you could have a "crop body" Nikon DX camera with 22MP or a medium format (45mm x 60mm) camera with the same 22mp.
What yu gain with medium format is greater sensitivity and lower noise. In practice however the larger sensors do have more pixels not not in proportion to the increase in area of the sensor.