More "Operational"? (PBD 712 revisited)

[DocWilky]

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There's a string from almost two years ago on Program Budget Decision 712 (http://forums.studentdoctor.net/showthread.php?t=104149&page=1&pp=25), which supposedly will convert a number of the non-deployed active duty docs to civilians. Is there any feedback so far on how PBD 712 has impacted training and GME? Previous posts said it was uncertain how PBD 712 would affect things in the future- is anything more certain now, particularly for a potential Navy HPSPer to start in fall 2006?

 

[Informer]

There has been a decrease in the number of IM, Peds and OB slots overall for the US Air Force

At Travis AFB, they have stopped the above mentioned residencies
Keesler AFB - there are no more IM residencies (katrina played a role too)
Andrews AFB has stopped the combined Psych/FP residency

The number of IM specialist slots offered has also decreased

The overall number of FP residencies has slighty increased. Current numbers per a family practice PD shows FP is manned near 60% at non-residency locations, and less than 50% manned SME Flight Med slots

This is for Air Force, I'm sure the US Navy has seen similar changes

 

[USAFGMODOC]

To piggyback on the above; sometime in the next 5-10 years, there is likely going to be a requirment for all FP docs to become also Flight Surgeon qualified (as long as medically qualified for flying class 2 exam). This too is USAF specific. The push behind this is the shortage of flight docs and FP's (and I almost wonder if they will not use and abuse the FP's even more to take on their FP role + Flight Medicine part time).
This could make FP even more stressfull.

The USAF hasn't allowed PA's to become helpfull in Flight Medicine, I actually am for this and would like to see that change sometime. The Army uses PA's in flight med and they seem to do just fine....

 

[BOHICA-FIGMO]

To piggyback on the above; sometime in the next 5-10 years, there is likely going to be a requirment for all FP docs to become also Flight Surgeon qualified (as long as medically qualified for flying class 2 exam). This too is USAF specific. The push behind this is the shortage of flight docs and FP's (and I almost wonder if they will not use and abuse the FP's even more to take on their FP role + Flight Medicine part time).
This could make FP even more stressfull.

The USAF hasn't allowed PA's to become helpfull in Flight Medicine, I actually am for this and would like to see that change sometime. The Army uses PA's in flight med and they seem to do just fine....

PAs could help with a lot of day-to-day work in the clinics, but for true aerospace related issues (which the Army doesn't have, except for some HALO jumpers) you really need an MD/DO (IMO.) And I agree with your point that the FP:Flight Surgeon duty ratio would be >>>>>>>>>> 1!

 

[militarymd]

bump to top for the person asking about future of GME...


Bottom line....military GME will probably always to present....but at the same time...constantly unstable.

 

[st0rmin]

There's a string from almost two years ago on Program Budget Decision 712 (http://forums.studentdoctor.net/showthread.php?t=104149&page=1&pp=25), which supposedly will convert a number of the non-deployed active duty docs to civilians. Is there any feedback so far on how PBD 712 has impacted training and GME? Previous posts said it was uncertain how PBD 712 would affect things in the future- is anything more certain now, particularly for a potential Navy HPSPer to start in fall 2006?

Here is an article about the suspected future of military GME.

http://www.findarticles.com/p/articles/mi_qa3912/is_200603/ai_n16111513/