I have spoken directly with both the NHSC and the Indian Health Service
(they are completely seperate organizations). Unless the policy has
changed in the past 6 mos., some of the above info is incorrect. For
loan repayment the NHSC pays $25,000/yr and the IHS pays $30,000/yr.
The amount DOES NOT increase after 2 or more years. The NHSC would not
give me a salary quote, other than to say they were "competitive". The
IHS quoted $80,000-$120,000 depending on specialty and location. The
NHSC considers primary care applicants only (FM, peds, IM, OB/GYN, psych).
The IHS recruits all specialities, however, they obviously have a greater
need for family docs than neurosurgeons, so if you are highly specialized
you might end up in Alaska! Location, regardless of specialization, is
also an issue. The IHS allows you more flexibility in where you end up
(based of course on their current needs). I got the impression that the
NHSC is less flexible in that regard (it works somewhat like the residency
match). Because the IHS is less well known and therefore has fewer
applicants they are able to basically give you a list of locations and you
tell them where you want to go. Also, with either organization, it is not
a matter of just openning a practice in an underserved location. You practice
in the clinic or hospital they choose and treat the patients they send.
Lastly, I'm not excited about the prospect of prison service with the NHSC
(although they did say that they "try" to fill those positions with males...
sorry guys). As you can probably tell, I have decided to go with the IHS.
I was told to contact them and order the paperwork at the beginning of my
last year of residency. Hope this info helps.
[This message has been edited by Deb (edited 01-30-99).]