Any Separation Nightmares?

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  1. Attending Physician
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So I am looking at separation from the Navy in 2011 but in a bit of a time "bind" as the programs I have interviewed with are "working out details". I realize that I should have applied to residency last year for a 2011 advanced start date. One program is looking at creating a spot for me but this would require ACGME approval and I have no idea how long this could take.

I have heard that you need to get your seperation letter in no later than 6 months before you get out but idealy 9-12 months beforehand. Has anyone had any nightmares with this...not allowed to separate, etc.

Anyway to streamline the process without jumping off the separation cliff in the event I need to extend a year to coorespond with a 2012 start date but be prepared to pull out?

Thanks.
 
So I am looking at separation from the Navy in 2011 but in a bit of a time "bind" as the programs I have interviewed with are "working out details". I realize that I should have applied to residency last year for a 2011 advanced start date. One program is looking at creating a spot for me but this would require ACGME approval and I have no idea how long this could take.

I have heard that you need to get your seperation letter in no later than 6 months before you get out but idealy 9-12 months beforehand. Has anyone had any nightmares with this...not allowed to separate, etc.

Anyway to streamline the process without jumping off the separation cliff in the event I need to extend a year to coorespond with a 2012 start date but be prepared to pull out?

Thanks.

I'm a bit confused - when do you separate? It's October, which means you still have some time. Do you have a spot at a program right now?

I'm not sure how extending a year would help, since you're basically just pushing the same problem down to next year.
 
I applied for a prestigious fellowship but I think being off cycle put me at a huge disadvantage. The program director wanted me to start in July but I didn't get out of the Navy until September. I didn't get the position but I learned a lot from the interview process.
 
I applied for a prestigious fellowship but I think being off cycle put me at a huge disadvantage. The program director wanted me to start in July but I didn't get out of the Navy until September. I didn't get the position but I learned a lot from the interview process.

I had the opposite experience with competitive fellowships after being faculty in the Navy and getting out. They all were happy to have me start August 1 vs July 1. I could have started in July, but I took a month off, they didn't exactly know all the details though.😉 Why are you stuck in through September? I didn't take the ISP bonus in my last year as I knew I would be going to a fellowship and didn't want any extra problems.
 
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I didn't take the ISP bonus in my last year as I knew I would be going to a fellowship and didn't want any extra problems.

How many extra months will the ISP bonus keep you in? It's a lot of money to turn down if it'll only cost you an extra month. Does MASP ever cause the same issues?
 
How many extra months will the ISP bonus keep you in? It's a lot of money to turn down if it'll only cost you an extra month. Does MASP ever cause the same issues?

As I recall, ISP commits you until October. That may not be an issue for some very large fellowship programs that can absorb a really late start, it will be a problem for most, and it will kill you for a smaller program. You can live without the money, but interfering with your career plans and limiting your options is not something that you want to worry about. You could do locums work, etc until the next year, but who wants to put off training another year?
 
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