•••quote:•••Originally posted by NYNOLE2:
•What little secrets are you talking about, what weaknesses do you see, are you in this program? What type of quesitons should I be asking?•••••I only have a few minutes so I'll give one of the big ones....
When you do HPSP, they tell you that your payback duration is the length of your scholarship. However, what they may not tell you is that you incur an additional payback obligation for any training that the military gives you. Residency counts as training. You must serve 1 year for each year of residency, not counting your internship. Now here's where it gets confusing: You can serve the obligations concurrently, but they are tracked separately. Some examples may help illustrate this:
Let's take me for example. I'm doing a three year Army HPSP scholarship (Hoo-ah). My scholarship obligation is three years. If god grants my wish, I'll be doing an ortho residency - internship plus four years. My training obligation would then be four years. Thus, after residency I serve three years active duty as an attending and have fulfilled my scholarship obligation, but still have a year left on my training obligation. If you do a four year scholarship, this shouldn't present too much of a problem unless you want to do neurosurgery.
But let's say I decided to join the Navy instead of the Army following in my paternal grandfather's footsteps instead of my maternal grandfather's. I still do a three year scholarship and ortho. After my internship, the Navy decides to send me out on a GMO tour (very common). At that point I owe three years on my scholarship obligation and have not incurred a training obligation. The Navy sends me out on an aircraft carrier for two years. I now owe only one year in scholarship obligation. I get sent to San Diego for ortho residency and four years later I become an attending. I now have incurred a four year training obligation. After one year as an attending, I have completed my scholarship obligation, but still have three years left on my training obligation. Once I've completed everything, I will have served AD for five years of residency and other years six years only having had a three year scholarship. A total of eleven years. Without the GMO tour its only nine
The Navy's GMO policy, in my opinion, is responsible for a great deal of the disatisfaction in their medical coprs. After doing a GMO tour, you are faced with the tough choice of incurring significant new obligation, or doing another year or two and leaving the Navy. Of course if you leave, you have to find a PGY-2 position, which is pretty tough for competitive specialties. Fortunately, the Army and Air Force have virtually eliminated the GMO tour, at least on a non-voluntary basis.
I'll add more later when I have some time.
Ed