FM to Anst

[azq]

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Is it possible for FP's to do another residency like Rad or Ortho after 4 or 5 years of service? My choice of specialities are Rad and Anes. but I am just wondering which route is best to get in to Rad or Anst? GMO first then apply to Ortho or Rad vs. Do FP first and apply to Rad or Ans after 4/5 yrs after residency. I am just afraid that both Rad and Ans are still difficult to get in to even after GMO, so I am just thinking an alternative.

Thank you for your input

 

[SPQR]

I am not sure how far along you are in your medical training. But I think the best way is to do a clinical internship (PGY-1) then do a GMO tour(s) and apply for "GME2+" in Residency of your choice. Finishing an FP and then coming back to do another residency maybe difficult (once you complete a residency, it is time for DoD to "get money back on its investment")

Another thing to consider is that coming back to do another residency after 4-5 years as a staff (attending) FP maybe difficult to adjust.(being on the bottom of the totem pole, again). [and yes, i know of a former staff FPs who was accepted into his 2nd residency (rads) only to quit after 1 year and go back to practice family medicine.]

 

[azq]

Thank you SPQR for your respone. I am applying right now/4th yr. I understand what you said but the thing is what if I didn't get Rad or Ans after I did GMO? My stat is Ok but what if it doesn't workout?

Thank you

 

[USAFGMODOC]

The military is one of the few places you can do a second residency, but it is much less common than it was 15 years ago. They (sic) will let you do a second residency, but only after you finish your 3 or 4 year term for your 1st residency.

I agree with the other post, if you are considering a more competitive residency then you should do 2 years as a GMO or FS and apply. Then you can reapply at your 3rd or 4th years and if you don't military match into something - then you have the option to get out and finish residency as a civilian or apply for FP at that time.

The choice is difficult, but choose carefully as this could affect you for many years to come!

Good luck!

 

[Flanker]

I'm in a very similar situation, and I'm an M4 applying right now. Do you know if it is possible with the military application to rank an intern/transitional year above a second choice specialty?

For example, I would like to rank General Surgery first, then be considered for a Transitional year or Intern year second, and Family Med third.

 

[bogatyr]

Is it possible for FP's to do another residency like Rad or Ortho after 4 or 5 years of service? My choice of specialities are Rad and Anes. but I am just wondering which route is best to get in to Rad or Anst? GMO first then apply to Ortho or Rad vs. Do FP first and apply to Rad or Ans after 4/5 yrs after residency. I am just afraid that both Rad and Ans are still difficult to get in to even after GMO, so I am just thinking an alternative.

Thank you for your input

Yes, it is possible and still quite normal. In my residency we have at least 1 and sometimes up to 3 or 4 residents per class who are board certified in another field (IM, peds, FP). Why would you choose to do that? It bothers me that you are in your 4th year and haven't decided what you want to do yet. Pick one and go for it. If you don't get accepted, then you will get an internship and a GMO tour and can reapply in the future.

 

[BOHICA-FIGMO]

I am not sure how far along you are in your medical training. But I think the best way is to do a clinical internship (PGY-1) then do a GMO tour(s) and apply for "GME2+" in Residency of your choice. Finishing an FP and then coming back to do another residency maybe difficult (once you complete a residency, it is time for DoD to "get money back on its investment")

Another thing to consider is that coming back to do another residency after 4-5 years as a staff (attending) FP maybe difficult to adjust.(being on the bottom of the totem pole, again). [and yes, i know of a former staff FPs who was accepted into his 2nd residency (rads) only to quit after 1 year and go back to practice family medicine.]

Well, pluses and minuses:
-plus: BC in anything gives you a huge leg up when applying for a 2nd residency, I know several former FP who are doing well in their second residency (anes, rads).
-minus: you would have to convince your specialty leader to release you to apply for a second residency. How difficult this can be varies from year to year based on manning and requirements.

I would imagine you would have to do at least 3yr payback tour as an FM attending before they would even entertain a request to apply to a second residency.

 

[chemist157]

Well, pluses and minuses:
-plus: BC in anything gives you a huge leg up when applying for a 2nd residency, I know several former FP who are doing well in their second residency (anes, rads).
-minus: you would have to convince your specialty leader to release you to apply for a second residency. How difficult this can be varies from year to year based on manning and requirements.

I would imagine you would have to do at least 3yr payback tour as an FM attending before they would even entertain a request to apply to a second residency.

I'm confused by this because the GME instructions they sent out this year state that only in special circumstances are BC docs allowed to do a second residency. It sounds like they are lower on the list than pgy1 and gmo.

 

[NavyFP]

I'm confused by this because the GME instructions they sent out this year state that only in special circumstances are BC docs allowed to do a second residency. It sounds like they are lower on the list than pgy1 and gmo.

Not really, but if you are leaving a critical specialty, it can be difficult. FP is currently about 85% manned and we need every member of our community. That in itself could make it difficult. Now if you are an eye doc (100+% manned) they might be willing to let you change. Not many ask though.