Fellowship

[Perrotfish]

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What is the effect of a fellowship on your obligation?

 

[Gastrapathy]

What is the effect of a fellowship on your obligation?

It depends on the length of your obligation prior to starting fellowship and on whether its an inservice or outservice fellowship. But, essentially, it is the same as if the time spent in fellowship as time spent in residency. The same rules apply.

For example...lets say you owe 4 years and complete IM residency...you still owe 4 years after that. If you go straight into fellowship (lucky), you'll finish owing 5 years due to the length of your GME2+ training.

What specialty are you thinking about? That would help to clarify your likely scenario.

 

[Perrotfish]

Not thinking of any in particular (still want Ortho right now) just general curiosity. Thank you, though, that did answer my question.

 

[IgD]

Remember you will likely have to complete a "utilization tour" prior to being accepted for a fellowship. The result is that your obligation will increase.

 

[pgg]

But, essentially, it is the same as if the time spent in fellowship as time spent in residency. The same rules apply.

Are you sure about this?

I've been told that fellowship-incurred obligations are different from residency-incurred obligations in that they are not served concurrently with medschool-incurred obligations.

Specifically, here's my situation:

After my post-GMO-tour anesthesia residency (3 years) I'll still owe 5 years from USUHS.

If I do no fellowship, I'll owe 5 years (as the 3 from residency are served concurrently).

I've thought of doing a one year FTOS fellowship, which incurs an additional two year obligation.

Scenario 1: fellowship time is treated like residency and is served concurrently with med school obligation (5 year USUHS and 3 + 2 year residency/fellowship obligations served concurrently for 5 years of post-fellowship payback).

Scenario 2: fellowship time is NOT treated like residency, and is not served concurrently with med school obligation (5 year USUHS + 2 year fellowship = 7 years of payback).

You're saying scenario 1 is the case; most people I've talked to say they don't really know, but suspect that scenario 2 is the case.

Do you have some reference or firsthand experience with this? Thanks.

 

[narcusprince]

Hey PGG
Can you comment on the Navy's Pain management fellowship pm me if you can.
Thanks

 

[Gastrapathy]

Are you sure about this?

I've been told that fellowship-incurred obligations are different from residency-incurred obligations in that they are not served concurrently with medschool-incurred obligations.

Specifically, here's my situation:

After my post-GMO-tour anesthesia residency (3 years) I'll still owe 5 years from USUHS.

If I do no fellowship, I'll owe 5 years (as the 3 from residency are served concurrently).

I've thought of doing a one year FTOS fellowship, which incurs an additional two year obligation.

Scenario 1: fellowship time is treated like residency and is served concurrently with med school obligation (5 year USUHS and 3 + 2 year residency/fellowship obligations served concurrently for 5 years of post-fellowship payback).

Scenario 2: fellowship time is NOT treated like residency, and is not served concurrently with med school obligation (5 year USUHS + 2 year fellowship = 7 years of payback).

You're saying scenario 1 is the case; most people I've talked to say they don't really know, but suspect that scenario 2 is the case.

Do you have some reference or firsthand experience with this? Thanks.

I can only speak firsthand about inservice fellowships. For my inservice fellowship, scenario 1 applied. Not sure about the rules for FTOS training.

 

[Heeed!]

Scenario 2: fellowship time is NOT treated like residency, and is not served concurrently with med school obligation (5 year USUHS + 2 year fellowship = 7 years of payback).

Pretty sure this is the scenario in the AF. I've spoken with the Pain Fellowship guys and this is the reason they have trouble filling the spots...you get 2 years added to your commitment, served consecutively not concurrently.👎

 

[IgD]

I believe inservice is concurrent where outservice is not

 

[NavyFP]

I believe inservice is concurrent where outservice is not

You are correct. Inservice fellowship is year for year and served concurrently with med school. Full time outservice is year for year and served consecutively. One oh by the way, if you have no committment and do a one year fellowship, you will owe two years.