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Re BDE and BN surgeon billets. Do you get the bonus for your residency in which you trained? (Eg IM). And can you still qualify for MSP?
ISP/MSP etc for operational billets
- Thread starter chemist157
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Short answer yes, with the caveat that eligibility for MSP (or even ISP for that matter) requires that the physician
I would imagine that such a waiver could probably be obtained if you're taking an operational billet. It's the least they could do. (I know, doesn't mean they'll do it.)
And, "privileged and practicing" doesn't mention an hour/week requirement ... lots of 100% admin weenies collect ISP and MSP with just a token appearance in clinical spaces every so often.
Furthermore, this seems to be a pretty loosely enforced requirement. One of my fellow residents was doing a 2nd residency, and he collected ISP for his first specialty while a resident in the 2nd. If anything violates the spirit behind ISP, that's it, but no one batted an eye. For practical purposes, you get ISP (+/- MSP) for your specialty whatever you're doing after residency, until you hit flag rank, and then you're not really a doctor any more.
Details in the "FY14 MC-DC Special Pay Implementation Guidance (14Nov12)" doc. [That's the Navy doc ... I can't imagine Army or AF are functionally any different when it comes to pay.]
I would imagine that such a waiver could probably be obtained if you're taking an operational billet. It's the least they could do. (I know, doesn't mean they'll do it.)
And, "privileged and practicing" doesn't mention an hour/week requirement ... lots of 100% admin weenies collect ISP and MSP with just a token appearance in clinical spaces every so often.
Furthermore, this seems to be a pretty loosely enforced requirement. One of my fellow residents was doing a 2nd residency, and he collected ISP for his first specialty while a resident in the 2nd. If anything violates the spirit behind ISP, that's it, but no one batted an eye. For practical purposes, you get ISP (+/- MSP) for your specialty whatever you're doing after residency, until you hit flag rank, and then you're not really a doctor any more.
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The Army has started to enforce the "privileged and practicing" part of this a little more strictly in recent years, sort of, kind of, almost, not really. That is, they actually are requiring people to maintain privileges (a departure from previous policy), but the requirements to maintain those privileges are ridiculous. For my MTF and specialty, the minimum requirement to be privileged was to practice for no less than 12 hours per year. I say again, TWELVE HOURS A YEAR. That will vary between MTFs, but even if the requirement is tripled, it's still absurdly low.
If you're headed out to BN or BD surgeon land, then I believe part of the MOA between MEDCOM and FORSCOM is that a provider be given sufficient time to maintain his privileges in his specialty (and not just the operational AOC). That's not very much consolation if you're hoping to keep up your clinical skills, but it should be sufficient to make sure you're paid.
If you're headed out to BN or BD surgeon land, then I believe part of the MOA between MEDCOM and FORSCOM is that a provider be given sufficient time to maintain his privileges in his specialty (and not just the operational AOC). That's not very much consolation if you're hoping to keep up your clinical skills, but it should be sufficient to make sure you're paid.
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