Originally posted by republicandr
Caffeinated- I thought there weren't any residency training programs at Tripler???
I'm not Caffeinated (or caffeinated
😛), but I do know for a fact that there are residency training programs at Tripler (a.k.a. TAMC, or among spouses, "Crippler"). Check out this website:
http://meded.amedd.army.mil/pages/gme-docs/armyresidency.doc
It is outdated (2000), but I assume that most of the info hasn't changed.
I have heard that the army programs in orthopedics are supposed to be especially good. Some of the OB/GYN residents complain about a lack of beds and experience.
Very likely. It was well known that Tripler had much higher C-section rates than civilian hospitals, which may or may not say something about the quality of the residency program.
Some surgery people complain about a lack of diversity in cases. Some people complain that the patients they serve are too healthy so they don't represent the real face of medicine.
But contrary to popular belief, members of the military aren't necessarily the large bulk of the patient population. At Tripler at least (my only military medicine exposure), the majority of patients appeared to be military dependents and retirees and their dependents. Not to say that there wasn't a large number of active duty patients, just not overwhelmingly so. And when there's a massive deployment (like around the time of the Gulf war), most of the patients definitely aren't active duty.
BTW- I was wondering if anyone knows if the recent increases in military budget (as opposed to Clinton's years of cutting the budget mercilessly) would help solve some of the most common complaints regarding military medicine? Any thought?
Part of the problem is the massive numbers of civilian contractors that have been brought in, and that's not just in the medical fields. And, of course, most of those civilian employees don't get nearly the compensation/benefits that similarly trained military personnel did. The only people that seem to win in that situation are the people running the contracting agencies...
That said, I doubt that the budget increases will be allocated properly to help relieve these problems. But I don't have the numbers to back it up, nor, quite frankly, do I really care enough to find out. So I'll leave that question to those with more experience in the military medical environment.
What I'd like to hear more about, in regards to military residencies, is how hard residents are worked, particularly in the surgical specialties. I think I've mentioned this before, but I've heard two things:
First, that many programs are understaffed, so residents are worked insanely hard.
Second, and more commonly, that strict regimentation allows for reasonable hours, and residents can expect to lead almost-normal lives in comparison with the insane existences of civilian surgery residents.
Anyone? Anyone! I'd love to get more feedback on this one without having to track down some resident halfway across the country...