Army FTOS for residency?

[Slevin]

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Does anyone know if the army would approve FTOS for residency and if so how would I go about getting that set up?

 

[Gastrapathy]

You don't set it up. The Army decides to select a FTOS individual prior to the board. If selected, you then have to find a slot either thru the civilian match or outside the match via personal connections (the latter happens more for fellowships).

The Army has the most robust inservice programs and they will want to fill those first. I'm not sure about Army FTOS but the Navy has usually had spots in GS, EM, some surgical subs. I've seen FTOS in Anesthesia, Medicine, Rads but it feels less common.

 

[pgg]

This year's GME selection board for the Navy had three FTOS residents selected - one general surgery, two occupational medicine.

Every other FTOS select this year was for fellowships.

 

[j4pac]

 

[Gastrapathy]

Well that's bad. Did they give out a bunch of 1 year GMO Makers?

 

[DrMetal]

This year's GME selection board for the Navy had three FTOS residents selected - one general surgery, two occupational medicine.

Every other FTOS select this year was for fellowships.

So....with the plethora of alternates that we saw on the last cycle....and it seems (in the Navy) we're very fat in the O-3/O-4 ranks.....how does the Navy plan on getting everyone trained, if they only allow 3 FTOS slots, and given that they can't "create" more Navy GME spots? Are they just banking on people GMO-ing their time out? What if they don't want to get out, what if they're not willing to compromise on their choice of specialty? (I guess something's gotta give).

 

[pgg]

So....with the plethora of alternates that we saw on the last cycle....and it seems (in the Navy) we're very fat in the O-3/O-4 ranks.....how does the Navy plan on getting everyone trained, if they only allow 3 FTOS slots, and given that they can't "create" more Navy GME spots? Are they just banking on people GMO-ing their time out? What if they don't want to get out, what if they're not willing to compromise on their choice of specialty? (I guess something's gotta give).

I have no idea what they intend or plan.

For anesthesia at least, there were fewer ALTs than usual, only 24. It's been 30+ most years since I started paying attention in 2002, when I first applied.

I'm not sure the large number of ALTs is really a new problem.

I just (finally) got selected for fellowship. The navy hasn't trained anyone in this subspecialty in 3 years, because we were judged to be appropriately manned and there was no predicted need.

My hospital is billeted for 3. We have 1. He's getting out in 6 months. Then this hospital will have 0. In January 2017 we're supposed to get 1. And presumably I'll come back as #2 in July 2017. This shortage was visible and obviously inevitable to most of us several years ago.

I don't fully understand where the numbers come from, but my guess is that there are years' worth of inertia to the process and change require a lot of people to give the OK. How long have we been hearing about MEDMACRE now? Got to be 5 or 6 years.

 

[Gastrapathy]

These swings are worse in small communities. You can't count a person as leaving until he's gone because...business rules.

That said, the same thing is true in my new practice. No one says when they are done until the last minute.