My husband attended dental school on the Army HSPS (2001-2005, active duty 2005-2009). As we both frequently say, "It was the best of times, it was the worst of times." Everyone will have their own unique experience. I will outline here the pros and cons for us
personally. Please consider that this is just one family's experience, although I can say that many dentists we knew felt similarly about their time in the military.
PROS
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The money: The reason anyone signs up for a scholarship - the money. They paid every penny of his dental school education - tuition, fees, books, etc. plus a monthly stipend. For 45 days of the year he was supposed to be doing active duty. However his school, like many dental schools now, did not have a 45-day break in the summer. He submitted documentation of this and was exempted from doing the active duty, although they still paid him as active duty for 45 days of the year. Because I was working during his time in dental school we were able to put most of the money he earned into savings. And at this stage it is so very nice to not be paying on student loans when you also add in the costs of purchasing and running a dental practice. Most of his classmates are still paying on student loans 11 years later.
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Additional training: He applied for and was awarded a 1-year AGD program (in hindsight we now refer to this as "deployment prep"!). At the time, this year of additional training working alongside specialists of every field counted as one of his four years of payback.
I've been told this is no longer the case. He received some wonderful training during this year. His first patients he was seeing out of dental school were Soldiers who didn't complain about how long it took and weren't paying out of pocket so no worries about how much it cost! He got much faster and also became very comfortable doing far more complicated procedures than dental school alone had prepared him for.
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Military Training: I think it would be difficult to replicate the physical and tactical training received in the military. I know many of the training exercises my husband participated in are not the type of thing he would have been out doing after work if he'd been a dentist working in a private or group practice.
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Adventure: After his residency we were sent to Germany. It was beautiful. We had a wonderful time traveling all over Europe. We flew Space A military flights to get back to the states on a few occasions (that's a whole separate discussion - it's always an adventure, but not always a good one!). When traveling in the US it was always so nice to drop in at the USO in the airports where we are always treated so kindly by the volunteers. Additionally, being in the military takes a lot of the headache out of living overseas. You can shop on base so you still have access to all of your American comforts. Military is exempt from paying the VAT (Value Added Tax) which is included in the prices you see in Europe. So when we went shopping we took a VAT form that gave us an automatic 17% (at the time) discount. We also had gas stations on post where we could fill up at the average US price per gallon, which is
way cheaper than buying gas at a German gas station. When traveling inside of Germany we had special cards that still gave us the discounted gas rate. Outside of Germany we had to pay the going rate. Ouch. We spent multiple weekends at the military resort in Garmisch. If he was there for a training or conference expenses were covered. When we went on our own it was very reasonably priced. Here are the descriptions of the four full-service military resorts
Armed Forces Resorts :: ArmyMWR.
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Medical benefits: All of our medical expenses were covered. I am not sure what the vision and dental coverage is in the US, but overseas we were seen on base at a clinic for almost all medical needs. The medical providers we saw were either active duty, reservists who had been called up, or civilian contractors. For medical services they didn't have on base we were sent to the local German hospital where we received excellent care, even though communication was rough at times. We did not pay one cent for any medical care during our time there. This included pre-natal care and an emergency c-section, stitches, a septoplasty, an emergency appendectomy, as well as routine visits and medical care for illnesses.
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Deployment: Most people would think I am crazy to list this. Five years ago I likely would have agreed. But now in hindsight, I can see how the deployment really helped shape and solidify many of my husband's dental skills. He was the only dentist on a base of 10,000 Soldiers and civilian contractors. If he could not fix the dental problem presented it likely meant the Soldier would be taking a helicopter to another base to see a specialist who may or may not be able to help. Additionally, we were paid extra during the deployment, exempt from taxes, and he accrued a crazy amount of leave.
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Friendships: We made strong friendships very quickly in the military environment. It is a very tight-nit group. I still consider many of our military friends to be our closest friends. There are lots of social events and ways to be involved, not to mention you will likely live in close proximity to other military.
If I thought harder and had more time I could probably come up with a half dozen other pros for our time in the Army, but I'll just leave it at that.
CONS
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Lack of control: This is prevalent in many aspects of military life. Just some examples from our experience: We were asked to rank our preferences for the AGD location. Out of 12 choices we were given our 10th (yes 10th!) choice, while a fellow classmate was given our 2nd choice even though he had ranked it 8 or 9. When we got to Germany the housing we were assigned was brand new and very nice, but was on a base that was 40 minutes from my husband's assigned base. They just hadn't planned well enough to have sufficient housing available and many of us had to suffer the consequences.
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The bureaucracy: This permeates every aspect of military life - filling out 20 pages of paperwork just to go away for the weekend (it was more when he was actually taking leave!), utilizing the medical system, trying to get a passport for my newborn son so we could fly home for a wedding, etc. It was exhausting. By the end we had become so acclimated to everything being so difficult and time-consuming that we were continually surprised by how NOT hard things are in the "real world".
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Deployment: I know the number and length of deployments is down significantly. However, during my husband's time on active duty he served a 15-month deployment to Iraq. I was in Germany with a 3-year-old and a 4-month old baby. The separation was excruciatingly difficult on everyone. And it's impossible to know when signing up for the HSPS what the global climate might look like during your active duty time. My husband commissioned in March 2001. At the time, the idea of deploying a dentist was unheard of. Fast forward six months and we have 9/11. By the time my husband graduated from dental school the military was heavily present in the middle east and dentist that
didn't deploy were the exception, not the norm.
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The money: Once the active duty payback years are complete, the pay and benefits that the military can offer just can't compare to the income potential in civilian life. Even if there are some things a dentist LOVES about working for the military, you can separate from active duty and come back as a contractor and make a lot more than on active duty.
These are just a few. My husband actually has a 75 page document called "Reasons I Got Out of the Army". Seriously. If you want a fairly cynical view of the negatives of the HSPS there is a thread on here called "37 reasons not to be a military dentist", some but not all of which I agree with.
If we had known at the time what we were getting ourselves into would he have applied for and accepted the HSPS? It's possible he wouldn't have. But he did, and we try to see the many positives, including invaluable personal and professional experiences, that came from the experience.
If you have any other specific questions we try to be as open and honest about our experiences with people who really want to know. We went into it kind of blind, and hope that sharing our experiences can at least help others make an informed decision and have a clearer idea what they are getting into if they accept the HSPS.
Hope this helps!