“Emergency Care for America's Heroes”

Military Medical Student Information

 

Linda Katirji MD, Sameer Desai MD, Emily Hillman MD, Lucienne Lufty-Clayton MD, Gillian Schmitz MD

THE MILITARY BOUND MEDICAL STUDENT

The military match process for Emergency Medicine (EM) can be confusing and challenging to navigate. One can easily get lost in the maze of military jargon and service specific information. The military match impacts 1) students who join the Health Professional Scholarship Program (HPSP) or Health Services Collegiate Program (HSCP for Navy only), 2) students who attended a military service academy for undergraduate training and attend a private medical school and 3) students who attend the Uniformed Services University of the Health Sciences (USUHS). The purpose of this document is to serve as an overview of the military match process for both students and their advisors.

GENERAL OVERVIEW OF THE MILITARY SYSTEM

MSI and MSII years should be used to focus on doing well in classes, Step I and Step II. Basic officer training for HPSP students will be completed between first and second year.

The military application timeline is much EARLIER than civilian so it is important to be aware of the timeline early in medical school. Many students start in January of their third year setting up rotations at the military sites. The deadline for the initial application is usually in the second week of September and all final supporting documents are required no later than October 15. All applications are submitted through The Directorate of Medical Education Website known as “MODS”

Interviews are completed by November. It is the job of the Joint Service GME Selection board to rank and “match” everyone. They meet in late November / early December. The military match day is in December.

If you have a military obligation, you must apply to the military GME and the civilian match (ERAS). When you do this, there can be three different outcomes:
  1. A military residency is obtained
  2. A civilian residency is obtained, with military deferment (generally only in the Air Force)
  3. A military transitional internship is obtained
If you are selected for a military residency, you will serve as an active-duty physician. Time in residency does not count towards any service commitment.

THE MILITARY SELECTION PROCESS

Every military student MUST go through the formal military selection process. All medical students with a military obligation will be selected for training by their military service’s Program Directors (PDs), even if the student wants to go deferred to a civilian residency.

WARNING: It doesn’t matter what your medical school or civilian residency programs tell you. You could be the most competitive applicant and they could even unofficially offer you a spot to train. HOWEVER, if you do not speak with the PDs of the military residencies you will not be selected to train in Emergency Medicine anywhere. This includes all civilian deferments if they are offered by your branch of services. Every year, this step is missed by a few very good students who are disappointed when they do not get their choice of residency.

CIVILIAN DEFERRED SLOTS

Each year the services look at their manpower needs and then set the number of EM physicians that need to be trained. This usually remains fairly constant in the Army and the Navy, but the Air Force has been known to swing widely over the years. For example, in the Air Force, there are 20 military slots with some civilian deferred slots available. These civilian deferment slots can swing from zero to over 20 in a single year. Every year a few very good students get civilian slots by letting the PDs know their intentions up front. (Honesty is key, do not try and play the game of telling everyone that they are your number one selection. It will be found out very quickly.) In general, there are rarely civilian deferments for Emergency Medicine in the Army and Navy.

SCHEDULING INTERVIEWS

Since some military applicants will obtain military deferment and train in a civilian residency, it is important that those students also apply through the civilian match and schedule an adequate number of interviews. All residencies are aware of this issue, and understand that you will be withdrawn off their list if you match in the military.

In a perfect world, you could do civilian interviews all after military match is completed, however it could be very difficult to schedule enough interviews in that short of a time. One option is to arrange for lighter month in January and backload your civilian interviews for that time period. If you do train in a civilian residency, you will fulfill your military obligation after residency.

The interview at a military residency does not have to be face to face -- phone or Skype® are acceptable alternatives in many cases. The interview also does not mean that you must place the military residencies first on your preference ranking.

WHERE ARE THE AIR FORCE MILITARY RESIDENCY PROGRAMS LOCATED?

Fort Sam Houston – SAMMC (TX)
Nellis Air Force Base – Civilian led at University of Nevada - Las Vegas, NV
Travis Air Force Base – Civilian led at University of California - Davis, CA
Wright Patterson Air Force Base – Civilian led at Wright State University, OH

THE POINT SYSTEM

The military uses a structured point system to rank all applicants, but the process is different for each branch of the service. When the Joint Service GME Selection board meets, each applicant is evaluated and given a point score based on success in medical school (class rank and USMLE / COMLEX scores), suitability (based on clerkships, interviews, LORs), research (more points for peer reviewed and multiple publications), and prior military service. Every military applicant will be put in an order based on their points. Based on the needs of each service, which may change drastically every year, a cut off line is set.

SUCCESS IN THE MILITARY MATCH

The Emergency Medicine military match is becoming more competitive. Success in the military match is largely based on the same things as the civilian match: course and clerkship performance, class rank, standardized testing scores, letters of recommendation, and contributing to research and extracurricular activities. Although the point system is in place, there are subjective components such as interviews and “suitability”.

Much like the civilian match, if there is a particular place you hope to do your residency, you should try and schedule a 4th year clerkship there. All HPSP students should perform a rotation at a military hospital. This gives the staff a chance to get to know the potential applicants. Knowledge and interest in the military and the customs and courtesies associated with it can go a long way. Letters of recommendation and support from military physicians may carry more “weight” than civilian.

WHAT IF I DON’T MATCH?

Unfortunately due the way the match is set up, this can be a reality for some people. However, if you do not match into a military OR civilian spot, there are still options.
  1. Switch into a military residency in another field, if available
  2. Do a one year civilian or military internship (transitional PGY-1 year)
Afterwards, you may do one of the following:
  1. Reapply to for residency (with the opportunity to obtain more points)
  2. Serve as a General Medical Officer (GMO): GMOs (Flight Surgeon in the Air Force) provide care to active-duty personnel and gain military-specific medical training. Time as a GMO fulfills active-duty service obligation and may make your application more competitive when you reapply to the residency of your choice.
BOTTOM LINE

The military match is a difficult system to navigate and many aspects of it can change from year to year and is different for each branch of the military, it is very important to find a mentor in your own who is knowledgeable about the process to help guide you. The following is a list of a few key points:
  1. Focus on success during medical school following the same principles outlined in the CORD Student Advising Task Force (SATF).
  2. Start preparing early: find a mentor who is knowledgeable about the military match process to guide you. Consider reaching out to the military training programs to learn about timelines specific to their program. (Students may also sign up for a military resident mentor through EMRA. Mentorship application and information is available at https://www.emra.org/students/mentorship)
  3. Strongly consider an EM rotation at a military hospital in addition to a civilian program.
Plan for civilian interviews and, when possible, schedule them for late December or January of your 4th year.

Service Seals Each service has different requirements and timelines. This powerpoint has a great road map for students just starting out and planning their rotations in preparation for the military match.

Service Specific Military Map

Military Medical Student Information

Service Specific Military MapCheck out EMRA's information for military medical students

Visit EMRA's military student page

Emra Hangout

 

 

 

Did you miss the EMRA Hangout for the military match?  You an find the recording here.

EMRA Military Match Hangout


 

Service Seals

Each service has different requirements and timelines.  This powerpoint has a great road map for students just starting out and planning their rotations in preparation for the military match.

  Service Specific Military Map


 

Military Emergency Medicine (EM) Residency Guide:

Demystifying the Military Match and Application Process 

 

Linda Katirji MD, Sameer Desai MD, Emily Hillman MD, Lucienne Lufty-Clayton MD, Gillian Schmitz MD

THE MILITARY BOUND MEDICAL STUDENT

The military match process for Emergency Medicine (EM) can be confusing and challenging to navigate. One can easily get lost in the maze of military jargon and service specific information. The military match impacts 1) students who join the Health Professional Scholarship Program (HPSP) or Health Services Collegiate Program (HSCP for Navy only), 2) students who attended a military service academy for undergraduate training and attend a private medical school and 3) students who attend the Uniformed Services University of the Health Sciences (USUHS).  The purpose of this document is to serve as an overview of the military match process for both students and their advisors.  

GENERAL OVERVIEW OF THE MILITARY SYSTEM

MSI and MSII years should be used to focus on doing well in classes, Step I and Step II. Basic officer training for HPSP students will be completed between first and second year. 

The military application timeline is much EARLIER than civilian so it is important to be aware of the timeline early in medical school. Many students start in January of their third year setting up rotations at the military sites. The deadline for the initial application is usually in the second week of September and all final supporting documents are required no later than October 15. All applications are submitted through The Directorate of Medical Education Website known as “MODS” http://www.mods.army.mil/MedicalEducation/ 

Interviews are completed by November. It is the job of the Joint Service GME Selection board to rank and “match” everyone. They meet in late November / early December. The military match day is in December. 

If you have a military obligation, you must apply to the military GME and the civilian match (ERAS). When you do this, there can be three different outcomes:

  1. A military residency is obtained
  2. A civilian residency is obtained, with military deferment (generally only in the Air Force)
  3. A military transitional internship is obtained

If you are selected for a military residency, you will serve as an active-duty physician. Time in residency does not count towards any service commitment. 

THE MILITARY SELECTION PROCESS

Every military student MUST go through the formal military selection process. All medical students with a military obligation will be selected for training by their military service’s Program Directors (PDs), even if the student wants to go deferred to a civilian residency. 

WARNING: It doesn’t matter what your medical school or civilian residency programs tell you.  You could be the most competitive applicant and they could even unofficially offer you a spot to train. HOWEVER, if you do not speak with the PDs of the military residencies you will not be selected to train in Emergency Medicine anywhere. This includes all civilian deferments if they are offered by your branch of services.  Every year, this step is missed by a few very good students who are disappointed when they do not get their choice of residency.

CIVILIAN DEFERRED SLOTS

Each year the services look at their manpower needs and then set the number of EM physicians that need to be trained. This usually remains fairly constant in the Army and the Navy, but the Air Force has been known to swing widely over the years.  For example, in the Air Force, there are 20 military slots with some civilian deferred slots available.  These civilian deferment slots can swing from zero to over 20 in a single year.  Every year a few very good students get civilian slots by letting the PDs know their intentions up front.  (Honesty is key, do not try and play the game of telling everyone that they are your number one selection.  It will be found out very quickly.)  In general, there are rarely civilian deferments for Emergency Medicine in the Army and Navy.

SCHEDULING INTERVIEWS

Since some military applicants will obtain military deferment and train in a civilian residency, it is important that those students also apply through the civilian match and schedule an adequate number of interviews.  All residencies are aware of this issue, and understand that you will be withdrawn off their list if you match in the military.  

In a perfect world, you could do civilian interviews all after military match is completed, however it could be very difficult to schedule enough interviews in that short of a time.  One option is to arrange for lighter month in January and backload your civilian interviews for that time period.  If you do train in a civilian residency, you will fulfill your military obligation after residency.

The interview at a military residency does not have to be face to face -- phone or Skype® are acceptable alternatives in many cases.  The interview also does not mean that you must place the military residencies first on your preference ranking.  

WHERE ARE THE MILITARY RESIDENCY PROGRAMS LOCATED?

Army

Augusta University Medical Center (GA)

Fort Hood – Darnall (TX)

Fort Lewis – Madigan (WA)

Fort Sam Houston – SAMMC (TX)

Navy

Navy Medical Center Portsmouth (VA)

Balboa (San Diego)

Air Force

Fort Sam Houston – SAMMC (TX)

Nellis Air Force base (Civilian led) (NV)

Travis Air Force base (Civilian led) (CA)

Wright Patterson Air Force base (Civilian led) (OH)

THE POINT SYSTEM

The military uses a structured point system to rank all applicants, but the process is different for each branch of the service.  When the Joint Service GME Selection board meets, each applicant is evaluated and given a point score based on success in medical school (class rank and USMLE / COMLEX scores), suitability (based on clerkships, interviews, LORs), research (more points for peer reviewed and multiple publications), and prior military service.   Every military applicant will be put in an order based on their points. Based on the needs of each service, which may change drastically every year, a cut off line is set. 

SUCCESS IN THE MILITARY MATCH

The Emergency Medicine military match is becoming more competitive.   Success in the military match is largely based on the same things as the civilian match:  course and clerkship performance, class rank, standardized testing scores, letters of recommendation, and contributing to research and extracurricular activities.  Although the point system is in place, there are subjective components such as interviews and “suitability”.  

Much like the civilian match, if there is a particular place you hope to do your residency, you should try and schedule a 4th year clerkship there.  All HPSP students should perform a rotation at a military hospital.  This gives the staff a chance to get to know the potential applicants. Knowledge and interest in the military and the customs and courtesies associated with it can go a long way.  Letters of recommendation and support from military physicians may carry more “weight” than civilian.

WHAT IF I DON’T MATCH?

Unfortunately due the way the match is set up, this can be a reality for some people. However, if you do not match into a military OR civilian spot, there are still options.

  1. Switch into a military residency in another field, if available
  2. Do a one year civilian or military internship (transitional PGY-1 year)

Afterwards, you may do one of the following:

  1. Reapply to for residency (with the opportunity to obtain more points)
  2. Serve as a General Medical Officer (GMO):  GMOs (Flight Surgeons and Undersea Medical Officers) provide care to active-duty personnel and gain military-specific medical training. Time as a GMO fulfills active-duty service obligation and may make your application more competitive when you reapply to the residency of your choice.

BOTTOM LINE

The military match is a difficult system to navigate and many aspects of it can change from year to year and is different for each branch of the military, it is very important to find a mentor in your own who is knowledgeable about the process to help guide you.  The following is a list of a few key points:

  1. Focus on success during medical school following the same principles outlined in the CORD Student Advising Task Force (SATF) EM Applicant’s Frequently Asked Questions and EM Applying Guide.
  2. Start preparing early:  find a mentor who is knowledgeable about the military match process to guide you. Consider reaching out to the military training programs to learn about timelines specific to their program. (Students may also sign up for a military resident mentor through EMRA. Mentorship application and information is available at https://www.emra.org/students/mentorship)
  3. Strongly consider an EM rotation at a military hospital in addition to a civilian program.
  4. with

Plan for civilian interviews and, when possible, schedule them for late December or January of your 4th year. 

 

 

 

Visit EMRA's military student page

Emra Hangout
Did you miss the EMRA Hangout for the military match? You an find the recording here.
EMRA Military Match Hangout
Linda Katirji MD, Sameer Desai MD, Emily Hillman MD, Lucienne Lufty-Clayton MD, Gillian Schmitz MD

THE MILITARY BOUND MEDICAL STUDENT

The military match process for Emergency Medicine (EM) can be confusing and challenging to navigate. One can easily get lost in the maze of military jargon and service specific information. The military match impacts 1) students who join the Health Professional Scholarship Program (HPSP) or Health Services Collegiate Program (HSCP for Navy only), 2) students who attended a military service academy for undergraduate training and attend a private medical school and 3) students who attend the Uniformed Services University of the Health Sciences (USUHS). The purpose of this document is to serve as an overview of the military match process for both students and their advisors.

GENERAL OVERVIEW OF THE MILITARY SYSTEM

MSI and MSII years should be used to focus on doing well in classes, Step I and Step II. Basic officer training for HPSP students will be completed between first and second year.

The military application timeline is much EARLIER than civilian so it is important to be aware of the timeline early in medical school. Many students start in January of their third year setting up rotations at the military sites. The deadline for the initial application is usually in the second week of September and all final supporting documents are required no later than October 15. All applications are submitted through The Directorate of Medical Education Website known as “MODS” http://www.mods.army.mil/MedicalEducation/

Interviews are completed by November. It is the job of the Joint Service GME Selection board to rank and “match” everyone. They meet in late November / early December. The military match day is in December.

If you have a military obligation, you must apply to the military GME and the civilian match (ERAS). When you do this, there can be three different outcomes:
  1. A military residency is obtained
  2. A civilian residency is obtained, with military deferment (generally only in the Air Force)
  3. A military transitional internship is obtained

If you are selected for a military residency, you will serve as an active-duty physician. Time in residency does not count towards any service commitment.

THE MILITARY SELECTION PROCESS

Every military student MUST go through the formal military selection process. All medical students with a military obligation will be selected for training by their military service’s Program Directors (PDs), even if the student wants to go deferred to a civilian residency.

WARNING: It doesn’t matter what your medical school or civilian residency programs tell you. You could be the most competitive applicant and they could even unofficially offer you a spot to train. HOWEVER, if you do not speak with the PDs of the military residencies you will not be selected to train in Emergency Medicine anywhere. This includes all civilian deferments if they are offered by your branch of services. Every year, this step is missed by a few very good students who are disappointed when they do not get their choice of residency.

CIVILIAN DEFERRED SLOTS

Each year the services look at their manpower needs and then set the number of EM physicians that need to be trained. This usually remains fairly constant in the Army and the Navy, but the Air Force has been known to swing widely over the years. For example, in the Air Force, there are 20 military slots with some civilian deferred slots available. These civilian deferment slots can swing from zero to over 20 in a single year. Every year a few very good students get civilian slots by letting the PDs know their intentions up front. (Honesty is key, do not try and play the game of telling everyone that they are your number one selection. It will be found out very quickly.) In general, there are rarely civilian deferments for Emergency Medicine in the Army and Navy.

SCHEDULING INTERVIEWS

Since some military applicants will obtain military deferment and train in a civilian residency, it is important that those students also apply through the civilian match and schedule an adequate number of interviews. All residencies are aware of this issue, and understand that you will be withdrawn off their list if you match in the military.

In a perfect world, you could do civilian interviews all after military match is completed, however it could be very difficult to schedule enough interviews in that short of a time. One option is to arrange for lighter month in January and backload your civilian interviews for that time period. If you do train in a civilian residency, you will fulfill your military obligation after residency.

The interview at a military residency does not have to be face to face -- phone or Skype® are acceptable alternatives in many cases. The interview also does not mean that you must place the military residencies first on your preference ranking.

WHERE ARE THE NAVY MILITARY RESIDENCY PROGRAMS LOCATED?

Navy Medical Center Portsmouth (VA)
Balboa (San Diego)

THE POINT SYSTEM

The military uses a structured point system to rank all applicants, but the process is different for each branch of the service. When the Joint Service GME Selection board meets, each applicant is evaluated and given a point score based on success in medical school (class rank and USMLE / COMLEX scores), suitability (based on clerkships, interviews, LORs), research (more points for peer reviewed and multiple publications), and prior military service. Every military applicant will be put in an order based on their points. Based on the needs of each service, which may change drastically every year, a cut off line is set.

SUCCESS IN THE MILITARY MATCH

The Emergency Medicine military match is becoming more competitive. Success in the military match is largely based on the same things as the civilian match: course and clerkship performance, class rank, standardized testing scores, letters of recommendation, and contributing to research and extracurricular activities. Although the point system is in place, there are subjective components such as interviews and “suitability”.

Much like the civilian match, if there is a particular place you hope to do your residency, you should try and schedule a 4th year clerkship there. All HPSP students should perform a rotation at a military hospital. This gives the staff a chance to get to know the potential applicants. Knowledge and interest in the military and the customs and courtesies associated with it can go a long way. Letters of recommendation and support from military physicians may carry more “weight” than civilian.

WHAT IF I DON’T MATCH?

Unfortunately due the way the match is set up, this can be a reality for some people. However, if you do not match into a military OR civilian spot, there are still options.
  1. Switch into a military residency in another field, if available
  2. Do a one year civilian or military internship (transitional PGY-1 year)
Afterwards, you may do one of the following:
  1. Reapply to for residency (with the opportunity to obtain more points)
  2. Serve as a General Medical Officer (GMO): GMOs (Flight Surgeons and Undersea Medical Officers) provide care to active-duty personnel and gain military-specific medical training. Time as a GMO fulfills active-duty service obligation and may make your application more competitive when you reapply to the residency of your choice.
BOTTOM LINE

The military match is a difficult system to navigate and many aspects of it can change from year to year and is different for each branch of the military, it is very important to find a mentor in your own who is knowledgeable about the process to help guide you. The following is a list of a few key points:
  1. Focus on success during medical school following the same principles outlined in the CORD Student Advising Task Force (SATF).
  2. Start preparing early: find a mentor who is knowledgeable about the military match process to guide you. Consider reaching out to the military training programs to learn about timelines specific to their program. (Students may also sign up for a military resident mentor through EMRA. Mentorship application and information is available at https://www.emra.org/students/mentorship)
  3. Strongly consider an EM rotation at a military hospital in addition to a civilian program.
Plan for civilian interviews and, when possible, schedule them for late December or January of your 4th year.
Tim Porea CAPT, MC, USN (ret)

  • 12 or 13 blocks
  • Various internships with electives or not
  • Most have some rotations at civilian hospitals - local or distant
  • Some also go to local military - Langley, Ft hood, Belvoir, Wright Patterson
  • Duty hours: 80 hours per week for interns, max 16 hours with 10 off
    • Seniors 27 max -> Big change as PL-2
  • Many internships now 3 weeks days and one week nights
  • Primary care continuity clinics
  • Hospital staff is a mix of military and civilian
  • Patient care supervised by seniors and faculty. Some NP's, CRNA's, etc
  • Progressive increase in responsibility
    • Duty pager, deliveries, calling staff input
    • January of intern year. Earlier than civilian residencies
    • Procedures
  • Teaching opportunities even as intern: students, nurses, corpsmen
  • Research/poster opportunities to buff fellowship apps - need to have done by July of year you'd apply for fellowship
  • Some programs will require research or PI
  • Also leadership collaterals for fellowship
  • Fellowship opportunities and timing
  • Military issues: urinalysis, health stream (short notice), other training
  • PRT - promotion delays and PCS hold for failures
  • Make time for yourself and family
  • Fatigue mitigation - sleep in call room post call
  • Leave 30 days per year but Navy only 14 allows as intern (C4 takes your other time away)
  • Maternity/paternity leave
  • Promotion in six years
  • Inclement weather contingencies
  • Sim centers
  • Academic days
Tim Porea CAPT, MC, USN (ret)

  • No hours limitations. May be up late into night and have clinic/OR next day
  • Transports
  • Mandatory collaterals-may not be your choice. Consider getting involved with committees as a resident to gain exposure
    • Other duties: dept ones (ward director, joint commission), CMIO, Credentials, P&T, etc
  • 30 days leave, carry over 60
  • Department head, GME (med students, other residency collaterals). Japanese intern Program Director in Okinawa/Yokosuka
  • Peer review
  • Resident evals, mentorship
  • HM and RN teaching
  • Backfill tastings - Humanitarian assistance and disaster relief (HADR)
  • Deployments, people who stay behind work more
  • Stay in house for storms and typhoons
  • Research opportunities
  • Starting new programs (Abhik started NMCP PICU)
  • Mentoring juniors - resident advisor, writing awards
  • International leave - plan early for security brief/approval
  • Don't forget what it's like to be a trainee - "intern work" when not at MTF or even when at an MTF due to duty hours
  • Have to practice outside comfort zone at small duty station - no specialists
  • Sometimes have to work gen specialty rather than sub specialty (MGMA standards) part time
  • Get involved in local community - articles for base paper, etc
  • Take care at small duty stations about availability - see patients at NEX, commissary, movies
Tim Porea CAPT, MC, USN (ret)

  • Planned and unplanned. Combat or Humanitarian assistance and disaster relief (HADR). Also backfills
  • Planned might give you several months notice. Unplanned maybe 48 hours (i.e. Haiti earthquake)
  • Tasker from BUMED/NAVMEDEAST, etc. Your dept head will pick. Volunteers first then voluntold. During war, may keep running list so you know you're next on the list. Department head likely will take into consideration who's already been but may also have to look at specialty mix - Dr. Strunc could never go as solo neurologist. Deployments typically filled from larger MTF unless big war.
  • OCONUS will not deploy. Solo duty station will not deploy.
  • Usually will do general specialty care - you'll do general pediatrics even if PHO, IM clinic and sick call even if dermatology.
  • Primary care likely do sick call, etc as well as staffing ward/ICU and dealing with post op patients to let surgeons stay in OR. May also be at BAS or STP. Adult specialists may have to take care of kids too. Kandahar ICU had 2 adult and 1 peds ICU doc on every third. Presence of >1 doc will depend on where you go. Closer to front lines more likely to have single. At Role 3 you'd be in a hospital.
  • Frequency of deployment depends on world climate and your specialty. Currently pretty infrequent. Even during height of OEF/OIF primary care staff from NMCP might have just gone once because there we so many of us to pick from. Surgery, EM much more frequent. ICU likely also more often.
  • When you're a GMO, deployment will be based on your unit's schedule - ship might be 2 times in three years. Marines similar.
  • Length of deployment varies - 6-12 months
  • Training - depends on lead time you're given. PICU at Kandahar did one month small arms, field medicine, humvee evacuation, etc.
  • Deployments hard on people at home too - department need to take care of family of deployed sailor. Those left behind will do extra call, clinic, etc. At MTF can't shirk on teaching either - residents can't lose out because staff deployed
Tim Porea CAPT, MC, USN (ret)

  • Be nice to program coordinator
  • Reply to PD emails - congrats on selection, schedule requests.
  • Answer pages
  • Professionalism issues and issues with equity among peers if one person is not doing things they should
  • Excessive vacation/holiday or dream day requests. Give chief your spouse's call schedule and expect chief to work around that.
  • Don't be a shift counter
  • Prepare for conferences/group discussions
  • Don't text during morning report, lectures, etc
  • Get administrative things done on time - healthstream, log duty hours/procedures, schedule requests
  • Wear uniform properly, be physically fit. You represent military and medical corps and are role model for all enlisted, etc. When on away rotation adhere to grooming standards
  • Be on time to activities - conferences, sign out, etc. Go to conferences (unfair to those who DO go and speaker who prepared)
  • Read email from leadership
  • Close out notes in AHLTA in a timely manner - 48 hours for NMCP Peds
  • Don't fail the PRT
  • Legal problems - DUI, etc - TELL LEADERSHIP ASAP. DUI could be grounds for separation from military.
  • Getting drunk as medical student at a weekend program event during your rotation
  • Fraternization with enlisted, patients, Facebook. Also no commentary about workplace issues/policies, patients, etc on social media
  • If you're on convalescent leave then adhere to that - don't be out of bed, at Target!
  • Complain about things with no suggestion for improvement
  • Take your education seriously - don't expect to be spoon fed
  • If program arranges coverage for a night for residency activity go to that, not somewhere else.
From Chris Kuzniewski:
  • Don't leave post call without checking out with staff or upper level
  • Don't be the guy who always says "no". Be a team player
  • Don't lack the drive or desire to be successful. Remind residents this is the profession and specialty of their choosing. No one is forcing you to be there. Work hard, as you only have these 3-5 years to train for the rest of your life.
From Rhett:
  • Dishonesty - faculty lose trust in you. Don't lie about where you were, why something wasn't done, etc. Don't lie about a lab result - just say you don't have it.
From Joe Sposato
  • Don't lie in documentation - patient asked for copy of note after visit and documented physical exam was never done
  • Look at medical records when unauthorized
  • Returning GMO had never obtained license. Multiple reminders but still never obtained by mid PL-2 Year. Taken to admiral's mast, recoup all ASP bonuses, terminated from residency and separated from navy.
  • Prior service or GMO time - don't come back with imperious attitude. One version of turnover: leave a blank piece of paper for interns to fill out and I'll pick up later. When reapplied for residency was not accepted to come back to IM despite high scores due to professionalism issues.
From Rod Borgie
  • Student missed interview meeting despite being in same building. No excuse, just forgot. Rod offers phone interview makeup, student pushes for face to face. Board scores were average. Student asked why Rod didn't ask about why his low scores were discordant from his outstanding GPA. Don't be an asshole.
  • Voice mail left for scheduled phone interview. Student later called back "sorry dude I was at a concert"
  • Entitlement and lack of humility
  • Professionalism is a 24 hour entity, not just when the right people are looking.
Consequences: extra duty, dept remediation, command probation, termination
Tim Porea CAPT, MC, USN (ret)

General
  • Advisor to CO about all things medical. Includes occupational health and safety. Recommendation to change unit movement. Malaria prophylaxis for your unit (and consequences if non compliant), STD prevention/treatment, ages 18-50's, immunization and other preventive health. Supervision, education, Mentoring/evals/discipline of corpsmen/IDC. "On your island" with backup from MTF - phone, email, DINPACS (bandwidth issues). Smiley CF patient.
  • Deploy with your unit (could join them underway or go to a ship in the yards right out of internship). Potential to see patients in clinic/MTF depending on where stationed in preparation to return to training. Maintain connections to your specialty, try for CME conferences, etc.
  • All residencies will have GMO day in August to explain options (Mandatory attendance). Orders scramble on Match Day in DEC. Separate GMO detailer. Return to training usually off cycle and takes a little time to acclimate. Each specialty does it differently. Have more life experience than straight through PL-2 residents (when/how to push back, not letting others walk all over you - even senior people)
Flight
  • 6 months in Pensacola, three different start months.
  • Stash process if September or November class.
  • Orders after Pensacola - total three years. Fly in Pensacola.
  • Navy or Marine units, fixed wing or helo, worldwide. Navy units not assigned to - CVN's full time, only for cruise
  • Doc for squadron
  • Flight physicals, clearance
  • Sometimes end up seeing squadron dependents
  • Air mishap evaluations
  • Short term dets (Kes stationed in Norfolk, supervising two squadrons, occasional trip to Oman, etc)
UMO
  • 6 mos Groton, three different start months (July, September, January).
  • Stash process.
  • Sounds like most physically demanding from O'Meara, best shape to be accepted
  • Typically three years total.
  • Orders to sub commands, salvage, hyperbaric medicine, SEALs/NSW, Sea Bees, EOD, clinics
  • Preventive med - primary/emergency care, radiation health, sub medicine, admin/leadership
  • No docs on subs - would supervise IDC's for a squadron with occasional underways
  • Resource for boats when underway, medevacs
  • Duty stations - Bangor, King's Bay, Hawaii
Ship
  • Start in July with SWMDO course then right to ship
  • Large decks (CVN, Amphibs) will have SMO then GMO. Augmented by flight or Green side docs when underway.
  • Small decks just GMO and HM's.
  • Small deck GMO has more admin responsibilities that SMO does on large decks. - Better to get a ship with a deployment than in the yards to get full experience, goes faster, etc.
  • Duty stations wherever home ports - Norfolk, San Diego, Washington, Hawaii, Yokosuka, Okinawa, JAX, Rota
  • Length of tour likely 2-3 years. Potential to cut for return to GME
Green side
  • FMSS type school
  • Duty stations wherever there are Marines or they are deployed - Lejeune, Pendleton, Parris Island, 29 Palms, Lemoore, Okinawa.
  • USMC PT if you want to fit in - Marines take great care of you
  • Marine corpsmen called "doc." Confusing for patients.
Clinic based
  • Sick call, processing
  • More likely to fill taskers
  • Varied duty station locations
  • Medicine is fairly dull (Lang) - mostly sick call. Lots of MSK. Urgent things uncommon. Trauma when deployed - ATLS then helos are there

Service Seals Each service has different requirements and timelines. This powerpoint has a great road map for students just starting out and planning their rotations in preparation for the military match.

Service Specific Military Map