@chlrbwls, please post here, vs discussing via PMs - unless you think that posting would expose you to identification and retaliation in some way.
The benefit of these forums is that they're forums that anyone can read and learn from.
Oh sure i assumed there was some personal questions so i directed that way but this was the response i gave and the question pertained to USUHS vs Civ program w/o scholarship
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Yeah, so then speaking to your concerns/cons (i will only talk to you about the path if you were to choose the USUHS path),
You are already fighting an uphill battle by picking a surgical specialty (having to be competitive) so whatever you decide a majority of your career depends on you to be able to perform well throughout med school. Regardless, with a surgical specialty, because the pay is so much significant than a typical primary care provider, you have better chance of paying off your debt sooner than those specialties so the scholarship free ride and paid medical training might not weigh much. (again given that you keep your mind about matching into the surgical specialty)
Then, talking to your possible route after med school:
1. Matched into Military Residency
- you will then concurrently payback your med school years but will accrue your payback time for your specialty training thus makes your military obligation that much longer.
- this will then after specialty training you will be sent to what the Navy requires of you to be at pending on your specialty training.
- Skill atrophy does exist but the Navy tries to minimize that by keeping you in those locations to 2 years. While that still may be considered long time, you can also now try to moonlight in those said locations at a civilian hospital to keep your skill maintained given that your chain of command (bosses) let you - this is the bureaucracy that you may have to fight and more state licensing to do for each state/credentialing at the hospital you may be in close proximity to.
- But the nice thing is that you are also the most paid resident/intern in the US (with full benefits) this can be a perk if you have family to take care of. PTO is definitely a plus.
2. Matched into civilian residency (Deferred status)
- same thing as the top applies. The Navy let you do a specialty training but with civilian deferment. then you are like everyone else in the match and will delay your payback to the navy for your medical school years and possibly your residency training so the payback is even much longer than Military match. But again the benefits kick in once you start as an attending and may not make as much as the civilian counter part.
Another downside is that if you get really interested in a fellowship, you may not get to do that right away because the needs of the Navy comes first. Ths is another reason people get out of the navy because there was not enough fellowship opportunities.
3. Didn't match and have to do GMO tour.
1. If you were not competitive and did not get to match, you will do 1 year of intern year first. And then will be asked to GMO - General Medical Officer tour (after intern year, you do a GMO tour to shave off your payback time may that be flight surgeon, underwater dive medicine, or simple primary care). The con with this is it delays your desire to start residency right away and defer your training so you may not favor that outcome. But it will pay back your time with the Navy and you will have the option to either stay in the Navy for your residency or to apply civilian programs to start your career debt free as a resident once matched.
Bottom line is in the medical corps (MD, DO trained providers), the pay difference creates much desire to be outside in the civilian sector as quickly as you can with surgical specialty. But if you have some patriotism and love the idea of serving, then many people opt to stay in. Also with any hospital enterprise entity, (same goes for military medicine), there will be some administrative duties to perform which takes you away from clinical duties. Now, there is a bit more than the civilian sector due to military duties as well but pending on the person they either appreciate or abhor the experience/requirement outside of clinics.
To add to this, I have also encountered EM trained docs being tightly attached to seal teams if that floats your boat, while youll get very low acuity from day to day (mainly sick calls and annual physicals,) but when **** goes south you are the go to person to patch/stabilize people up
Also No docs on Submarines if that was also a concern (just IDC). UMOs typically stay homeport as a liaison to subpac with boats out in sea