- Joined
- Feb 6, 2008
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First, I want to say good luck to all of you who have applied to medical school and congratulations to those who have been accepted. I registered on this site (please excuse my misspelling of Radiologist) to offer a friendly warning to those of you who will be my future colleagues in the medical profession.
For those who have been or will be accepted to medical school, you will need to find a way to pay for it. Whatever you do, do not accept the HPSP (military) scholarship. Beg, borrow, or steal but dont join the military medical service. Like me and the vast majority of my fellow military physicians, by agreeing to join the military medical corps, you will be making the biggest professional mistake of your lives.
For those who dont heed my warning, here is what you can expect:
After an arduous journey lasting over a decade (including undergrad, med school, and residency) you are now a well-trained physician, the expert in your field, compassionate, caring, and ready to alleviate the suffering of many and cure others. You have endured long hours studying, slaving on the medical/surgical wards, and enduring an incredible amount of stress. You have learned from the masters in your field and have passed the multitude of exams including the MCAT, 3 parts of the USMLE, and your specialty board exams. Now YOU are the expert. YOU have the training and experience to alleviate suffering and to cure disease. YOU are at the top of your profession. Nurses, PAs, and medical/surgical techs follow YOUR expert guidance to successfully care for the sick. This is a team concept of patient care that works well in the civilian world.
Now you enter the world of military medicine (also called George Orwells medical corpse). Now, instead of the title Dr. Doe, you are now Captain Doe. You will have Major, Lt Colonel, and Colonel nurses, PAs, and other assorted non-physician types in charge, telling you how to run your clinic. You see, the military only recognizes rank, not competency or skill. You will point out in vain to these bureaucrats that you are the board certified physician and, for the patients sake, all medical related decisions should be yours to make. Your pleas will fall on deaf or hostile ears only in the military would nurses, PAs etc. wield so much power over physicians and have so much say in patient care. You do your best to provide the standard of care in such difficult circumstances but not without significant stress.
Another class of denizens with which you will have to deal are the former physicians who occupy the top floor offices. They dont see patients anymore. They are career, lifers, and for the most part losers who cant hack it any more (if they ever could). They sit on high, pouring over paperwork, looking at your fitness test, and try to bully/threaten their fellow practicing doctors about the latest bureaucratic rule or the box which was not checked on AF Form 119089832.e.3. They will berate you about attending the latest military training or your poor score on your fit test and then threaten you with an as sundry of punishments, including, Oh my God!, a bad letter in your FILE!!!
You will be appalled by the fact that, due to the severe shortage of physicians in the military, in too many instances nurses and PAs are primarily responsible for the care of patients including the type of sick patients that made your expert internal medicine preceptors sweat. You will see bad outcomes all preventable due to this situation. You see, the military doesnt care who sees/treats the patients, as long as someone does. I routinely get preliminary reports/opinions on chest xrays written by sergeants (i.e. high school graduates)!! In the real world this would be a criminal act practicing without a license. However, the military has its own standards which would not be acceptable in the civilian world. They can get away with this because there is no supervision and, by law, military members cannot sue for malpractice.
You will be deployed to the middle east for long periods of time away from your family where, if youre lucky, you can apply your skills to help the sick and wounded. Or, as happens way too often, you will be some Colonels or Generals lackey, arranging visits for other generals or dignitaries, getting coffee, or doing some other menial task better suited for a high school graduate.
Yes, you too can have all of this. All you have to do is sign on the dotted line. At least you cant say you werent warned. I wish I could say the same.
For additional perspective, see www.medicalcorpse.com
For those of you who believe this is all about money, think again. I earn more money now than I ever have. However, for the reasons stated above, no amount of money could keep me in the military beyond my commitment.
Dr Doe, MD, Maj, MC, USAF, MIL, Def, Dum, Shoot, Me, Now
Board Certified physician
For those who have been or will be accepted to medical school, you will need to find a way to pay for it. Whatever you do, do not accept the HPSP (military) scholarship. Beg, borrow, or steal but dont join the military medical service. Like me and the vast majority of my fellow military physicians, by agreeing to join the military medical corps, you will be making the biggest professional mistake of your lives.
For those who dont heed my warning, here is what you can expect:
After an arduous journey lasting over a decade (including undergrad, med school, and residency) you are now a well-trained physician, the expert in your field, compassionate, caring, and ready to alleviate the suffering of many and cure others. You have endured long hours studying, slaving on the medical/surgical wards, and enduring an incredible amount of stress. You have learned from the masters in your field and have passed the multitude of exams including the MCAT, 3 parts of the USMLE, and your specialty board exams. Now YOU are the expert. YOU have the training and experience to alleviate suffering and to cure disease. YOU are at the top of your profession. Nurses, PAs, and medical/surgical techs follow YOUR expert guidance to successfully care for the sick. This is a team concept of patient care that works well in the civilian world.
Now you enter the world of military medicine (also called George Orwells medical corpse). Now, instead of the title Dr. Doe, you are now Captain Doe. You will have Major, Lt Colonel, and Colonel nurses, PAs, and other assorted non-physician types in charge, telling you how to run your clinic. You see, the military only recognizes rank, not competency or skill. You will point out in vain to these bureaucrats that you are the board certified physician and, for the patients sake, all medical related decisions should be yours to make. Your pleas will fall on deaf or hostile ears only in the military would nurses, PAs etc. wield so much power over physicians and have so much say in patient care. You do your best to provide the standard of care in such difficult circumstances but not without significant stress.
Another class of denizens with which you will have to deal are the former physicians who occupy the top floor offices. They dont see patients anymore. They are career, lifers, and for the most part losers who cant hack it any more (if they ever could). They sit on high, pouring over paperwork, looking at your fitness test, and try to bully/threaten their fellow practicing doctors about the latest bureaucratic rule or the box which was not checked on AF Form 119089832.e.3. They will berate you about attending the latest military training or your poor score on your fit test and then threaten you with an as sundry of punishments, including, Oh my God!, a bad letter in your FILE!!!
You will be appalled by the fact that, due to the severe shortage of physicians in the military, in too many instances nurses and PAs are primarily responsible for the care of patients including the type of sick patients that made your expert internal medicine preceptors sweat. You will see bad outcomes all preventable due to this situation. You see, the military doesnt care who sees/treats the patients, as long as someone does. I routinely get preliminary reports/opinions on chest xrays written by sergeants (i.e. high school graduates)!! In the real world this would be a criminal act practicing without a license. However, the military has its own standards which would not be acceptable in the civilian world. They can get away with this because there is no supervision and, by law, military members cannot sue for malpractice.
You will be deployed to the middle east for long periods of time away from your family where, if youre lucky, you can apply your skills to help the sick and wounded. Or, as happens way too often, you will be some Colonels or Generals lackey, arranging visits for other generals or dignitaries, getting coffee, or doing some other menial task better suited for a high school graduate.
Yes, you too can have all of this. All you have to do is sign on the dotted line. At least you cant say you werent warned. I wish I could say the same.
For additional perspective, see www.medicalcorpse.com
For those of you who believe this is all about money, think again. I earn more money now than I ever have. However, for the reasons stated above, no amount of money could keep me in the military beyond my commitment.
Dr Doe, MD, Maj, MC, USAF, MIL, Def, Dum, Shoot, Me, Now
Board Certified physician