HPSP and Navy Neurology Training Spots

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Thomas Kuhn

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Hi all,

I am a Navy HPSP med student with interest in both Neurology and Psychiatry. I don't want my decision to be determined purely by likelihood of straight through matching (and if I have to GMO, so be it- I'm prior enlisted Marines so a greenside GMO tour could be an interesting blast from the past) but I would certainly prefer to match straight through. Given a desire to match straight through, would the advice be (assuming I am looking for something like a tie-breaker between Psych and Neuro) as simple as just telling me to pursue psych? On the surface, it seems like Psych has more straight through training billets than any other specialty in the Navy given the latest BUMED selection note. In comparison, Neuro has only one spot at Walter Reed. ***(BTW for context I'm not a 4th year, so I am not applying for this years match specifically- nonetheless I am trying to gauge some of this realistically.)

Where I am curious though is that I know some years Walter Reed has more Navy neuro training spots, and a relatively recent residency/student discussion panel indicated (from the Neuro PD himself) that the Navy is quite understaffed for Neuro in terms of clinicians. They list NADDS opportunities as available, and as far as I can tell in the selection note, there are even 2 FTOS spots for neuro residency training that indicate med students would be eligible for in terms of possible selection. If my understanding of that is correct, does that imply more like a potential 4-5 total neuro training spots? (counting 1 WR/NCC, 2 FTOS, and maybe 1-2 NADDS). If there are maybe 4-5 total opportunities, I feel like that is far less of a complete crapshoot in terms of matching and I might consider neuro more seriously. The lone in-service training spot just makes me uncertain about gambling on a military match that is already very luck-dependent in terms of available spots year to year, and it doesn't help that there is absolutely no publicly available info regarding applicant numbers year to year and/or the likelihood of something like NADDS actually being granted either.

I probably like Neuro as a specialty somewhat more than Psych, but they are close enough interest wise that straight-through likelihood is becoming more of a factor for me.
 
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I can't speak to military neurology in specific, but clinically...neurology and psychiatry are extremely different. Really think about what you want to be doing for the rest of your life. Ideally it outlasts your military career.
 
I can't speak to military neurology in specific, but clinically...neurology and psychiatry are extremely different.

Quite true. Psychiatrists will straight up tell a patient that's there's nothing medically wrong with them, that their issues are solely mental and that needs attention. I love Psych for this.
 
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