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- Pre-Medical
To all you current HPSP people out there: if you could go back in time, would you sign up for HPSP again? Is the complete payment of your medical education worth 4 years of military service? Why or why not?
To all you current HPSP people out there: if you could go back in time, would you sign up for HPSP again? Is the complete payment of your medical education worth 4 years of military service? Why or why not?
Don't entirely agree. My numbers, not even factoring in interest, have me coming out approximately even for lower paying non-primary care fields like path and EM, and way ahead for primary care.From a financial perspective alone, should you choose a non-primary care field, you will be several hundred thousand dollars behind where you would be in the civilian world. As a USUHS grad, I will probably be closer to $1 million in the hole (at a difference of about $150-200k per year).
Tough question. I honestly don't know. (useful post, I know)
I agree with Perrotfish about running your own numbers. I ran the numbers and found that going from a cheaper state school and into EM, HSPS would not have been cost effective. So run your own numbers with your own assumptions, as two people will get two very different answers depending on what their assumptions are.Don't entirely agree. My numbers, not even factoring in interest, have me coming out approximately even for lower paying non-primary care fields like path and EM, and way ahead for primary care.
Just want to point out that 25% of Army folks went into GMO tours as of the last match, according to the other thread on the subject. Granted, it's much better odds than Navy, where you're prety much guaranteed a GMO tour for competitive specialties. But 25% is nothing to dismiss, especially when it will obligate you to extra years of your life and a small fortune.Assuming:
1) No GMO (good reason to choose Army unless you feel really drawn to another service)
One of the pretty much universal pieces of advice you'll hear on SDN is do not take HPSP for the money.OK, the majority opinion seems to be no. So you all advocate that going into 200K+ worth of debt to pay for school is better than HPSP, if you're going into a non-primary care specialty?
OK, the majority opinion seems to be no. So you all advocate that going into 200K+ worth of debt to pay for school is better than HPSP, if you're going into a non-primary care specialty?
Here is my line of thinking. I am interested in HPSP in order to avoid all of that debt from school. The way I see it, if I do HPSP, I get paid approximately 25K per year in school (instead of going into 200K+ worth of debt), and spend 4 years in the AF after residency debt free. If I don't do HPSP, I would probably be spending at least 4+ years paying off the debt right? Tell me what you all think.
To all you current HPSP people out there: if you could go back in time, would you sign up for HPSP again? Is the complete payment of your medical education worth 4 years of military service? Why or why not?
Do to the negativity, I'll go into some of the positives that I've gotten from my experience.
The Good:
-I was at a state school in a state that I REALLY did not want to stay in for the rest of my career/life. There was no way that I could afford the cost of living shift from the fly-over state to a place like San Diego without the Navy housing allowance.
-I still feel that the residency program I was at (and will hopefully return to) is a great program with training as good as anybody elses in the field of pediatrics.
-I have several unique experiences that I wouldn't have had opportunity for otherwise.
-I got a pretty sweet GMO billet
The Not-So-Good:
-I'm doing an involuntary GMO tour and practicing medicine that is nothing like the career that I want.
-I want to sub-specialize in pediatric infectious disease - a fairly non-competitive fellowship. The Navy won't let me. They've only let 3 people do it in the last 18 years!
It's easy for me to rail against the bad. But I honestly can't picture what my life would be like if I hadn't signed up. My life all in all is pretty good, so the decision to sign up couldn't have been all bad.
My 2 cents.
To all you current HPSP people out there: if you could go back in time, would you sign up for HPSP again? Is the complete payment of your medical education worth 4 years of military service? Why or why not?
So it appears that the vast majority would not do MILITARY MEDICINE again...
That said, would you have chosen MEDICINE again as a career or something different (dentistry, real estate, intelligence officer, etc.) if you had the chance?
So it appears that the vast majority would not do MILITARY MEDICINE again...
That said, would you have chosen MEDICINE again as a career or something different (dentistry, real estate, intelligence officer, etc.) if you had the chance?
For purely financial reasons, Military Medicine is NOT a good option. But the reason I chose the military route is because I felt an overwhelming obligation to give back to this country...
hey you pre-meds out there thinking about military medicine:
Please don't get discouraged from the comments above. Look, life is all about how you frame things. Nothing is all that great . . .and nothing is all that bad.
If you really wanna know what military med is like, get off this forum and go talk to some actual military docs (in person!).
The ones who have positive things to say are probably not on this forum, b/c they're off doing great things. Unfortunatley, the disgruntled ones tend to b!tch the loudest (and that goes for all walks of life).
My bet is that most of the people complaining here have always been complainers . . you know the type . . .they're the ones who complained through high school, complained through college, complained through med school, complained through training . . . .
Now having said that, there are some valid reasons NOT to join the military (deploying, being in harms way, moving). Other than that, the rest of the complaints you see here are not unique to the military: military medicine is too bureaucratic (a civilian hospitla, HMO or PPO can also be a bureaucratic mess), skills atrophy (not necessarily true if you're at a large MTF, and may also be the case in a civilian hospital, especially if you're not practicing in a metropolitan part of the country), you get bossed around by non-physician officers b/c they outrank you (could also happen in the civilian world, where MBAs and JDs are taking over hospital operations!).
Anyway, in making your decision, focus on the military-specific qualities of life, that differentiate it from the civilian world. AND GET OFF THIS FORUM and talk to some real military docs in person . . . you'll be pleasantly surprised to find better experiences
If you really wanna know what military med is like, get off this forum and go talk to some actual military docs (in person!).
My bet is that most of the people complaining here have always been complainers . . you know the type . . .they're the ones who complained through high school, complained through college, complained through med school, complained through training . . . .
Now having said that, there are some valid reasons NOT to join the military (deploying, being in harms way, moving). Other than that, the rest of the complaints you see here are not unique to the military:
AND GET OFF THIS FORUM and talk to some real military docs in person . . . you'll be pleasantly surprised to find better experiences
I would be willing to bet that crazybrancato poster hasn't done a GMO.
i want out (of IRR)
"is afraid he doesn't pull rank enough"
1) CBTs - Many civilian hospitals are using CBTs now (computer-based training) for training on sexual harassment, safety, etc . It's just too easy. In fact, truth be told, the civilian world is way ahead of the military in its usage of CBTs!
2) Annual SARC training - not sure what SARC is, but I'll give this one to you.
3) Skill atrophy - hear this complaint from many civilian docs too (except it's about the respective towns they live in, or clinics they work at).
4) Poorly trained nurses - all over the country, aka the new stories you here about nurses shooting up kids with ridiculous doses of heparin
5) Supervision by nurses - seasoned nurse practitioners are starting to call the shots in a lot of clinics/hospitals across the country. They're cheaper than MDs
6) Recalls - You're right on this one. You're nevery gonna be deployed or sent in harms way if you're a civilian.
I assume you're just being facetious on 7-8, these things can happen in any work environment (civi or military)
7) 4 hour waits to get an ID card
8) Gas mask fit testers who are only open 4 hours a week
9) Squadron PT- (If getting my heart rate up to 90 is a work-out, then I understand why the AF has a weight problem.)
10) GMO tours and the military match - True here. If you really don't want to do a GMO (heaven forbid you do something memorable and cool, to tell your grandkids about), and if don't want a military residency, then don't join.


the majority of them seemed to be happy with their decision, all things considered. Now that's not to say they're bouncing off walls (they have their complaints, no doubt, and they're valid), but overall they said they'd do it again. I wish more of them would log on here.
Crazy is FOS. 😀😀
There is no comparison between MilMed and the civilian world. He is Troll.![]()