Enter HPSP for non-financial reasons: Advice needed

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zgarriso

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I'm in a bit of a peculiar and unique position with regards to thinking about joining Navy HPSP. I am aware of the hoards of negative experiences and the financial cost that comes with it. I don't need a reminder on these fronts. Here is the situation:

My wife is already in the HPSP program and about to enter her first year of residency (pediatrics). She will owe four years at the end of her three year residency assuming she elects not to try a flight surgeon position (which she is considering). If she goes straight through, she's facing the very likely possibility of getting shipped somewhere like Japan or Guam as a pediatrician based on common need. I however am beginning second year of med school and am considering surgical specialties (like Urology) with 5-6 years of residency. If I go civilian, i'm staring down the barrel of us being apart for:
- the next two years of school
- possibly the last year of her residency (depending on where i would get into residency)
- her four service years

If I do HPSP, we could try to leverage the wacky order of transition year/intern year reapplications, possible flight surgeon/tour locations, transition year, and the limited number of sites for Navy residencies to be in the same location for most if not all of the time after I finish school and her service obligation. Additionally, the thinking would be that us being married and both in the Navy would incentivize them to station us together. While I would definitely take a financial hit from this approach, the monetary difference doesn't matter as much to me as possibility of us being together during this time period. However, I would potentially be looking at a 5 year service requirement which is a long time to be stuck in the military (not saying I wouldn't do it to keep the family together but it's a big ask). The possibility of 7 years apart (5 of those being timeframes where we would likely not be able to see each other at all given grueling scheduling and military restrictions) are daunting to consider and me joining HPSP seems like a potential way to minimize that time frame.

What are people's perspectives on this approach? Am I expecting too much out of the Navy's efforts to keep a married couple together in which both are in the military? Am I foolish to think that the changing locations throughout the residency and service time can be leveraged to try and move us together in the event of a misaligned assignment? Does having children change the equation?

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Lots of factors but I will say this. Your leverage is better as a residency trained urologist joining the military. Also I would advise your partner pick the worst duty station to maximize certainty in destination.
 
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Colocation is a bit tricky to answer questions with certainty. While in training the navy does not have to honor colocation requests. They will probably try at the gme selection board to accommodate if they can but sometimes it’s not feasible.

A lot of advice hinges on the specific location you are trying to colocate to and the manning situation for the specialty. Is she already starting intern year near your med school? Assuming she gets selected to go straight through she’s probably more likely to continue residency at the same location than switch coasts. (Though it does happen)

As for colocation after that she would be a first year attending when you are starting intern year. Colocation may be a consideration to keep her in the states but again not a requirement so if they need to send her to Guam they can.

After that once you are both not in training anymore (this is assuming you are doing a GMO and out path) colocation becomes more of a mandate. However the Navy is a little better about keeping you collocated than they are about cutting new orders to colocate you. So if she’s already in Guam you might be able to get a GMO position there but they are less likely to send her home early, (and if you are doing flight or dive it wouldn’t be for another six months after intern year anyway)

Navy doesn’t officially care about your kids for orders unless they are EFMP. They again will try to make consideration for life events like not moving a kid before senior year of high school but it’s not a rule or anything. I definitely know people with kids who are dual mil and still has to gro bach for extended periods.
 
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It’s possible this all works out as you suggest. It’s also possible you sign up, fail to match urology, are stationed apart the entire time and can’t visit each other due to inane leave policies.

It’s a tough situation. When you say she’s about to start residency, that’s a little confusing in August.
 
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Sorry for some of the confusing points. She starts ped's intern year next summer (pace moves fast so it feels like she's just about to start but in reality its not until next July). Seems like she's more likely to match in San Diego. No we would not be close in terms of where my school is and San Diego. She is currently planning to opt out of a straight through so locking into a single site wouldn't be a concern here. Yes i could fail to match Urology but then I would do a TY (ideally also in san diego) and then reapply. I recognize that it could all blow up and not work out but seems like thats about the same as the alternative so i'm more just trying to play the better odds in this situation.
 
This may be outdated info but in the past, peds was competitive in the military due to the lack of slots and her not wanting to go straight through could impact her perceived commitment to the specialty. I would definitely not assume that she is going to match for a Peds internship and particularly with any confidence that she's going to end up in SD. I'm really not clear why she wouldn't take a straight through contract if its offered. Peds is going to want to use their relatively small number of internship slots for people who will stay for residency.

You want a highly competitive surgical subspecialty. The reality is that this could easily lead to a separation without the military.
 
This may be outdated info but in the past, peds was competitive in the military due to the lack of slots and her not wanting to go straight through could impact her perceived commitment to the specialty. I would definitely not assume that she is going to match for a Peds internship and particularly with any confidence that she's going to end up in SD. I'm really not clear why she wouldn't take a straight through contract if its offered. Peds is going to want to use their relatively small number of internship slots for people who will stay for residency.

You want a highly competitive surgical subspecialty. The reality is that this could easily lead to a separation without the military.

I would disagree that this would be an issue for Peds (or most specialty) right now. They (Navy GME) have specific positions allotted for this “pilot program” whereby people are selected for internship and then a GMO tour and then re-entry to residency without having to re-apply.
 
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