EM FAP Questions

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

TarHeelEMT

Converted Truck Surfer
10+ Year Member
15+ Year Member
Joined
Feb 1, 2008
Messages
457
Reaction score
25
I'm an MS4 preparing to match in EM this year, and I have some questions about the FAP. I appreciate any guidance you guys can give.

I did several forum searches and have read several threads, including the FAP thread, as well as air force em, EM -where did you serve, Navy EM and others in their entirety. I will try not to ask for information that has been covered elsewhere.

Background about me: MD/MPH, I speak Arabic and have lived in the Middle East, was rejected for an ROTC scholarship out of HS because of poor eyesight (correctable to better than 20/20). Have been active with my school's military medicine interest group, so I've been to the hospital at Lejeune and have a general familiarity with how the FAP and other programs work. I expect to come out slightly behind financially if I do military medicine and am OK with that.

1) Acuity of Patient Do EDs for any one branch typically see higher acuity patients?

Obviously, specific post is going to be the bigger factor than branch, but one of my biggest concerns is acuity of patient. I want to be the best EM doctor I can be, and the idea of spending my first few years out of residency seeing mostly urgent care-level patients is terrifying, because of how important that period is for solidifying your skills. On the other hand, I've spoken with people who served in Balad or on CCAT teams and can only imagine how much I'd learn in that position. With the war in Iraq over and plans to leave Afghanistan in place, though, I worry about languishing.


2) Deployment Schedules. What are deployment schedules like for EM folks in each branch?

The reason I ask is that while deploying and caring for soldiers and marines wounded in combat is the primary reason I am interested in military medicine, the prospect of a 12 month deployment is daunting, especially considering that I might be starting a family around the time I finish residency. All other things being equal, I think I would prefer a branch that has shorter, but more frequent deployments over longer but fewer deployments.


3) Leave/Time off - Is 30 days off/year a false promise?

always see "30 days off per year" advertised as being part of military medicine, which in the civilian world would be a lot. How does that actually work out in practice? I hear lots of EM postings are understaffed, so am I right to worry that this may be a false promise? Anything else I should consider here?


4) Academics and the Military - Some really cool medical research comes out of the military. How hard is it to get involved with that?

At SAEM in 2010 and last year at the WMS meeting, the research I found most interesting came from military presenters. I definitely want to have academics be a part of my career, but I have no idea how that works in the military. Is it possible to have a good EM posting and work on research (hypothetically, let's say altitude physiology or trauma research)?




Thanks in advance for any help or advice.
 
Last edited:
Oh, I forgot. Any advice for finding a good recruiter?
 
1) Acuity will be low in most EDs. There will occasionally be some excitement, but most of it will be primary care that they did not want to go to a clinic for.

2) Hard to say with the slowing of the operational needs.

3) You can take 30 days per year, but it does count weekends, not just missing 30 days of work.

4) Not hard to get into research, if you want to.

5) Depends on where you are and what the needs of the community are.
 
1)
2) Hard to say with the slowing of the operational needs.
.


I was afraid of that. Is there not much use looking back at how things were recently and projecting it forward? (asked from the perspective of knowing very little about how each branch managed medical deployments during OIF)
 
I was afraid of that. Is there not much use looking back at how things were recently and projecting it forward? (asked from the perspective of knowing very little about how each branch managed medical deployments during OIF)

If you are not ok with deploying then why bother joining? Its the military you should expect to deploy at least once before you get out. Sure that could change with the draw down, but you should NEVER count on it especially with what just happened to our ambassador...we could be in another theater if certain politicians have their way.
 
If you are not ok with deploying then why bother joining? Its the military you should expect to deploy at least once before you get out. Sure that could change with the draw down, but you should NEVER count on it especially with what just happened to our ambassador...we could be in another theater if certain politicians have their way.

Perhaps you should re-read my post. Deploying is the reason I'm considering signing up.

Given that all things being equal, I'd rather have more frequent shorter duration deployments than less frequent longer ones, it seems prudent to ask how the typical deployment schedules vary between branches instead of blindly choosing one.
 
Perhaps you should re-read my post. Deploying is the reason I'm considering signing up.

Given that all things being equal, I'd rather have more frequent shorter duration deployments than less frequent longer ones, it seems prudent to ask how the typical deployment schedules vary between branches instead of blindly choosing one.

Seems like Air Force has the shortest deployments (at 6 months). I think Navy tend to be around there and Army could be up to 12 months. When I asked around the Army, they said they were trying to shorten it to 6 months, but that may be like the Navy trying to get rid of GMOs. Take it as you will.

In terms of acuity, overall seems pretty low. There is only one level 1 trauma center in the military, which is in San Antonio. It's at an Army/Air Force dual hospital, so if you are aiming for acuity, you may look there. Not really which branch would be better to choose to try and get assigned there. And it's very likely you may end up in a place with low acuity anyway, since both the Army and AF definitely have some.
 
Seems like Air Force has the shortest deployments (at 6 months). I think Navy tend to be around there and Army could be up to 12 months. When I asked around the Army, they said they were trying to shorten it to 6 months, but that may be like the Navy trying to get rid of GMOs. Take it as you will.

In terms of acuity, overall seems pretty low. There is only one level 1 trauma center in the military, which is in San Antonio. It's at an Army/Air Force dual hospital, so if you are aiming for acuity, you may look there. Not really which branch would be better to choose to try and get assigned there. And it's very likely you may end up in a place with low acuity anyway, since both the Army and AF definitely have some.

For the first part, that was the impression I had, but I was hoping to confirm it with someone who knew. I didn't know the army was trying to shorten theirs.

Good to know about San Antonio. I have a friend doing residency there. I'm a bit surprised that there's only one level 1 trauma center.
 
For the first part, that was the impression I had, but I was hoping to confirm it with someone who knew. I didn't know the army was trying to shorten theirs.

Good to know about San Antonio. I have a friend doing residency there. I'm a bit surprised that there's only one level 1 trauma center.

Again, that "trying to shorten" was from a recruiter...so...yeah. We'll see about that.
 
Top