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I agree you're probably stuck-after all, you'd throw off all the good AF numbers if they had to put you in another graduating year. Think of the paperwork.........
All I can say is to try if it's that important to you. If you get a "no", keep politely climbing up the chain--never take a no answer from the first person you talk to in the military. You may even try a congressional complaint to see if that works. Just remember that they may remember you when it comes time for the residency match-the military generally doesn't like people who make waves.
Also, if you need this year off due to stress/burnout or something similar, then let them know. All I have to say is if you need time off now for something like that you may need to re-look at being a doctor. It isn't going to get any better as a resident or even a young attending though.
I doubt they'd really force you onto active duty-they are trying to cut the force by tens of thousands right now. I'm sure that they will threaten you with active duty if you drop out of the program, but I think it's an empty threat.
It's a guess, but I'd say after only two years of paying, they would probably just take the repayment in the end.
actually i AM needing time off because of burnout, but it's not at all something that concerns me for the future. my burnout is due to two straight years of rote memorization, i feel completely brain dead. although i know more now than i did when i started, i don't remember the last time i actually engaged myself in critical thought. i am not worried about burnout in 3rd/4th year or residency because my clinical time is the only thing keeping me motivated. i also had a phenomenal experience over the summer with a surgical team working 70 hr wks and i have never felt more passionate about medicine. i want to take time off before 3rd yr because i am excited about beginning my clinical years and i don't want to go into them bitter and burnt out (we literally have 1 wk summer vacation before clerkships start).
this is not the question, however. my question is, if i discontinue my medical education (without permission), will i more likely a) just lose my scholarship and be forced to pay up or b) also be sent into active service as an officer?