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Update about Army Aerospace Medicine Residency Training in Pensacola, FL.
Update about Army Aerospace Medicine Residency Training in Pensacola, FL.
These include rotations in Cardiology, Pulmonology,
If it is not already a requirement, RAMs should have to complete a real residency prior to aeromed.
An "astute" Internist actually gave an Army Aviator a clean bill of health, reported a completely normal physical and history and left out the fact of two pulmonary embolisms and that the Aviator was taking life long Coumadin.
I've seen cardiologists recommend that crew-members return to fly after two myocardial infarctions and an ejection fraction of 36%.
Then you did it the right way. Our pilots deserve good care. I'd rather see them get care by providers that first trained in a formal discipline of medicine (not doing just Aerospace medicine). I know some people don't wanna do IM/FM/Surgery etc residencies b/c of the difficulty in training/academics . . . but sometimes taking the path of most resistance can yield a better trained professional . . . I think that's very true in medicine, in my oh-so-humble opinion.For what it is worth to you, I am also an Internist.
What if you already have the MPH before the start of this training? Would the entire academic year need to be completed or just certain classes pertaining to aviation?
At Pensacola for training, we are up front with the instructor in the TH-57 (roughly 7 flights). Out in the fleet, I think it totally depends on the command, but it's not common practice for most squadrons. I was with an Osprey squadron previously, and I probably could have had a flight or 2 on the stick if it weren't for a crazy deployment cycle (and some crazy motion sickness problems).How do flight docs fare on the Navy side in terms of front seat time in the helos?
I'd like to focus on one aspect of being a RAM, the operational focus. I am a graduate of the Army program, and have not attended an additional residency. My reason for selecting this route was my desire to remain operationally focused for as much of my military career as possible. As a prior service paratrooper, I knew that I wanted to focus on deployment medicine, and I believe that being a RAM is the best way to find an career track that allows a physician to be an ARMY doctor. As discussed earlier, every other specialty I have worked with spends a short time in the field, but is quickly drawn back to fixed facilties to pay their dues in ther "parent" specialty. After specialization, I served as a Battalion Surgeon, Brigade Surgeon, and was given the opportunity to attend CGSG (the Army Masters level school for warfighting) in residence. While my FP and IM comrades rotate back to the hopital, I am on track to serve as a Division Surgeon, or possibly command a medical unit in the field.
Also, the vast MAJORITY of my practice is primary care and acute medicine, not the occupational paperwork that even flight surgeons dread. My residency more than prepared me for the task of managing the thousands of aviator and non aviator patients in my unit. Yes, most of my patients are non aviators, with all of the chronic disease of any MOS in the Army.
In general, for a medical student that wants to be an Army doctor, working with combat units for the majority of their career, I think the AM residency is a great fit.
Good for you. I felt the same way. Spent four years as an operational flight surgeon. I built incredible bonds with my aircrew. The RAM we had was awful, lazy and incompetent but he was an outlier considering the other ones I ran across.I have just about completed the first year of the Army combined Residency in Aerospace Medicine (RAM) and Occupational Medicine and now feel a bit more qualified to comment on some of the preceding posts I saw over the last year or so.
Why I chose Army Aerospace Medicine: I came from the line. My brothers kick in doors and do horrific things to people all over the world for the noblest reasons possible. Very few folks in this world are selfless enough to lift a finger for their neighbors much less give their lives for folks they do not know. These men and ladies wearing a uniform are for the most part who make the good parts of the world go 'round and drag this nation kicking and screaming in the right direction. Contrarily, some others (often specific civilians) make me wish to address them as "Mr and Ms Oxygen Thief."
Have you ever treated an ungrateful, jerk-of-a-person for an exacerbation of the exact same lifestyle-induced conditions you treated him for last month and the month before knowing your tax dollars paid for his food, his house, his gas voucher to get there, as well as his medical care? Did you ever wonder what you were accomplishing in the grand scheme of things? Good on you for doing so and bravo for those who continue to do so. I NEVER wonder that. I treat some of best folks on earth. I practice operational medicine. The most relevant residency to operational medicine by far is Aerospace Medicine.
I joined the Army to serve. Some days the bureaucracy is a bit intense, but it is a calling. Ask me what my career path will look like, where I will lay my head next year, what makes a RAM better than some other board certification, what is in it for me... I cannot answer those questions completely. Folks asking me that make me wonder in the back of my mind where their hearts are and if I they are the best folks to be treating my brothers.
If you are like me, this is probably the profession/residency for you. If not, good luck in your future plans. We need all kinds of good docs. -JH
Thank you. Yes, we have our share of poor-performers too. I am sorry you had to deal with one of those RAMs. It is somewhat curious that a position so integral to the business of training to fight and win a war relative to those solely treating the casualties would draw or accept such ineptitude. (That is not to talk down about any other specialty. I have great respect for those in casualty care specialties but find reactionary medicine less personally rewarding.) My hope would be to saturate the operational field with great docs and assure that your experience with that RAM becomes a very distant outlier. Our guys and gals still in the fight truly do (also) deserve our best. Thanks –JH
Gastrapathy,
Your posts are quite welcome and very useful. The theater is amusing and the message is useful to our recruiting goals.
Anyone considering Aerospace Medicine and subsequently dissuaded by your posts shouldn't apply. This is an unequivocally correct decision for the Officer and the Army. I am forever indebted if you successfully deterred any applicants.
Most physicians recognize that every specialty has some significant downsides. These perceived downsides all depend on an individual's point of view. Downsides may be higher depression, divorce, burnout, and suicide rates found in the surgical and psychiatry fields. For pediatricians it may be pay. It may be working in a small town with no relief from call. It may be the patient population. Or, it may be the under discussed but significant challenges of choosing to serve in a high demand/low density field with little available back up. Some people thrive in these circumstances and some burnout. This is not to suggest that Aerospace Medicine is without challenges. The challenges are just a little different and operationally focused.
Balch, et, al "There is no single formula for achieving a satisfying professional career. Each of us will have to deal with stressful times in our personal and professional lives; we must cultivate habits of personal renewal, emotional self-awareness, and connection with colleagues and support systems and must find genuine meaning in work to combat these challenges." I encourage the readers to review the infrequently discussed downsides presented in the linked article.
In reference your posted concerns about my feelings and your intent --- The two of us have simply chosen different paths, have potentially different values and obviously different opinions. I respect your posts and your apparent passion. Let's let the readers decide if you respect ours. Many thanks.
idq1i -
Currently, no one is "siphoned." GMOs only exist for three reasons. 1. They didn't apply for residency (personal choice). 2. They didn't successfully match (lack of competitiveness for the desired speciality). 3. They either resigned or were terminated from GME (lifestyle or competency). 4. Finally, and probably more telling, I wouldn't be posting here if I had a siphon, LOLZ. Does any one know where I can find a new doctor siphon?
Ladies and Gentlemen,
If you are eligible for the JSGMESB match you should be applying!
And, I don't mean you should be applying for aerospace medicine. We would love to have you but that isn't my message. I telling to apply to the speciality of your choice, NOW.
Every year, in the Army we have a standby board to fill any vacant GME positions. The Army would be perfectly happy without GMOs and wants to fill every residency to authorized capacity. Directors with unfilled positions review the un-matched pool to select and make offers. As needed, Army AM offered positions to un-matched applicants. For many years we've picked up great people.
Every year, I've had non-applicants calling as asking for positions when they hear about standby matches getting positions. But, to be eligible for the standby board you must have applied! There are no positions for non-applicants. You will be a GMO. Program Directors cannot accept standbys who didn't apply.
It might also help if the alternate specialty's program director knows about you, too. If you are fellow applying for cardiology but willing to do GI, you should think about giving that PD a call. Some may perceive a risk with this method. Like all investment opportunities, weight the perceived risks versus potential rewards.
My experience is that IM, FP, PEDs typically don't fill. Also, their PDs really want to fill.
Also, if you match and want to change to a different program with open positions at the same MTF you may be able to make it happen after you arrive. IAW AR 351-3 6–15. Program change. "Local MTF commanders do not require GME approval to switch any student in their FYGME specialty program." Typically, I've seen Transitionals switch to IM or PEDs but the regulation doesn't limit program changes to those specialties.
If your not sure you want to apply, apply anyway. You can always withdrawal the application or decline the offer. But, you can't undo the history of not applying.
Best wishes!
If you are eligible for the JSGMESB match you should be applying!
That's the power that decides the results of the military match.
Yeah, I was. Thank you.(maybe youre thinking NRMP)
ERAS isn't involved in selection (maybe youre thinking NRMP)...its just a common electronic application platrorm for the civilian match...the military doesn't use it. We use a paper application submitted to all the program directors and consultants who meet annually and match us to our programs. The mikitary mach occurs months before the civilian matches.
Here is a link to the 2013 Army GME Message "SUBJECT: Graduate Medical Education (GME) Residency and Fellowship Training Opportunities (School Year 2014)" which covers the necessary information to complete the applications.
It is worth noting that Electronic Residency Application Service isn't mentioned in the message. However, it may [emphasis on may] be required if applications are seeking deferred (unfunded civilian) training or a full time out service program (fully funded civilian). I encourage the readers to contact their Army MTF GME office or GME at OTSG to get these questions answered.
It's also worth noting that the link you posted is specifically for GME PGY-2 or later positions (i.e. fellowships).
Here is the link to the latest FYGME letter of instruction that I could find, which is the relevant one for medical students applying to internships +/- continuous contracts. In it, you will find extensive information information about how the Army requires its applicants to submit to ERAS.
http://www.mods.army.mil/medicaleducation/userlogon/PublicLOI_2012.htm
Army FYGME applicants cannot request a civilian deferment, although one can be granted irrespective of their wishes.