Navy GME internship changes!

[rotatores]

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Did anyone else notice that the following website had signifant changes to the internship positions. For example, it now lists ENT, Ortho, and Neuro surg as internships...and cut back on the number of Gen Surg internships.

http://nshs.med.navy.mil/gme/GME1CHT.HTM

 

[rotatores]

I'm guessing nobody cares then....

 

[Globus P]

I'm guessing nobody cares then....

I think it's pretty cool. Yet I still don't know what I want to do. I wonder how competitive those 11 ortho, 6 ENT internships will become.

 

[backrow]

I think it's pretty cool. Yet I still don't know what I want to do. I wonder how competitive those 11 ortho, 6 ENT internships will become.

Or better yet what the HPSP/USUHS battle for these spots will look like.

 

[DCM]

So that means that you are lined up for your specialty of choice, but doesn't mean you won't do a GMO tour right?

 

[rotatores]

Well..it wouldn't make sense for them accept you into a subspecialty and then send you on your way and make you reapply again. So my guess is that when you're accepted you may be going straight through. Or unless it is just like the prior Ortho-track gen surg internship but with now a ENT-track gen surg and Neuro surg track gen surg intership.

rotatores
USUHS 2006

 

[rotatores]

So a quick update from a friend who talked with a GME coordinator:
1. These are pre-select positions not just Tracks
2. You basically fulfill some pre-reqs for their department, like taking up to 3mo of ENT rotations during internship
3. You still attend GMOs after your internship
4. You re-apply to the program for the residency

So there you have it.

 

[backrow]

So a quick update from a friend who talked with a GME coordinator:
1. These are pre-select positions not just Tracks
2. You basically fulfill some pre-reqs for their department, like taking up to 3mo of ENT rotations during internship
3. You still attend GMOs after your internship
4. You re-apply to the program for the residency

So there you have it.

I'm missing something here, if these are pre-select positions doesn't that mean you are selected for that residency?

 

[rotatores]

Hey...don't kill the messanger...this is just what i was told...it doesn't really make sense to me either.

 

[backrow]

Hey...don't kill the messanger...this is just what i was told...it doesn't really make sense to me either.

but shooting the messenger is so much fun 😉 sorry if it came off wrong, didn't mean to, just wanted to see if anyone had any clarification on that.

 

[Spang]

Does anyone know what the footnote on the GME-1 Table means by "there is likely to be a redistribution of Navy GME-1 positions whereby there will be categorical internships in the different surgical subspecialties"?

Thanks!

Unlce Spang

I guess this is the answer to the above post I wrote months ago that no one knew the answer to.

Spang

 

[edmadison]

Does anyone know what the footnote on the GME-1 Table means by "there is likely to be a redistribution of Navy GME-1 positions whereby there will be categorical internships in the different surgical subspecialties"?

Thanks!

Unlce Spang

I guess this is the answer to the above post I wrote months ago that no one knew the answer to.

Spang

I cant say for the other specialties, but in Ortho, the AAOS now requires that ortho residents do a dedicated Ortho internship not transitional and not gen surg. This means that people must be chosen before PGY-1, not PGY-2 as was the former case.

Ed

 

[usnavdoc]

I cant say for the other specialties, but in Ortho, the AAOS now requires that ortho residents do a dedicated Ortho internship not transitional and not gen surg. This means that people must be chosen before PGY-1, not PGY-2 as was the former case.

Ed

People are chosen to be a dedicated subspecialty intern as a pgy1 only . Not as a resident. You would still have to reapply to go straight through without having a gmo committment. This has been hit or miss from what I have seen. In the past when the navy is needing subspecialists they tend to increase the numbers of full deferments rather than allowing more people to go straight through. This is due to the set number of gmos that the navy utilizes. More difficult but not impossible.

In my intern class at nmcp there were 2 people that went straight through. one ENT and one neurosurg at bethesda. Of course if you are career minded then doing a gmo is becoming a must due to the competition amongst your peers who have been deployed and have combat awards.

And in terms of fairness. There are plenty of us who were forced to do time as a gmo and will be your competition after combat tours. I dont agree with the system but thats what it is.

That is one of the reasons I opted for doing two tours as a gmo then getting out and entering civilian residency. Well that combined with my perception of the quality of navy residencies compared to civilian ones. That is just my opinion though. to each his own.

 

[ABB]

People are chosen to be a dedicated subspecialty intern as a pgy1 only . Not as a resident. You would still have to reapply to go straight through without having a gmo committment. This has been hit or miss from what I have seen. In the past when the navy is needing subspecialists they tend to increase the numbers of full deferments rather than allowing more people to go straight through. This is due to the set number of gmos that the navy utilizes. More difficult but not impossible.

In my intern class at nmcp there were 2 people that went straight through. one ENT and one neurosurg at bethesda. Of course if you are career minded then doing a gmo is becoming a must due to the competition amongst your peers who have been deployed and have combat awards.

And in terms of fairness. There are plenty of us who were forced to do time as a gmo and will be your competition after combat tours. I dont agree with the system but thats what it is.

That is one of the reasons I opted for doing two tours as a gmo then getting out and entering civilian residency. Well that combined with my perception of the quality of navy residencies compared to civilian ones. That is just my opinion though. to each his own.

I have a question about that last thing you mentioned. I have seen a few other people in this forum elude to doing a second GMO tour, then leaving the military for civilian residency. I understand that if you did HPSP (4 years), then 4 total years (or slightly more i'm guessing) of GMO that you have paid back your active duty requirement. My quesiton is: are you not still required to apply for a military residency? or are you now freed from the obligation of listing miliatary res. options along with a potential civilian residency/deferment on the match? Sorry if this is a dumb question; first time posting and while i've been able to piece most of the details together from other threads this particular one has escaped me.

 

[usnavdoc]

I have a question about that last thing you mentioned. I have seen a few other people in this forum elude to doing a second GMO tour, then leaving the military for civilian residency. I understand that if you did HPSP (4 years), then 4 total years (or slightly more i'm guessing) of GMO that you have paid back your active duty requirement. My quesiton is: are you not still required to apply for a military residency? or are you now freed from the obligation of listing miliatary res. options along with a potential civilian residency/deferment on the match? Sorry if this is a dumb question; first time posting and while i've been able to piece most of the details together from other threads this particular one has escaped me.

No such thing as a dumb question. My situation was this: I had a 4 year HPSP scholarship then did my internship at Portsmouth NMC in gen surg. This as you know is a training year and doesnt count toward your payback time. Then I was assigned to 2nd Marine Div as a GMO for 2 years. Due to being extended in a combat zone I had orders canceled and was involuntarily held at 2nd MarDiv. Upon return to CONUS it was in my best interests to stay at 2nd MARDIV for a second tour prior to getting out. and starting civilian internship.

The 4 year scholarship madates that you do 4 years of AD payback not counting training time or additional time accrued during training. I made my decision early that Mil residency and subsequent additional AD time wasnt for me. So I never applied to come back to residency at the end of my first GMO tour.

However if that is what you want then of course it is an option. for that matter as I stated you can apply to go straight through during your internship. By the regs if you pcs for a gmo tour then you have to be at that command for at least a year before you will be granted orders to pcs back to residency. The rules are sometimes bent though as "needs of the navy" is the priority.

To answer your question after your 4 years are paid back you cna do whatever you want as long as they release you from AD. Which to my knowledge for GMO's this has never been an issue for those who applied on time.

obviously you have to time the start of residency with your release from AD. I have leave saved so I can use it as terminal leave to get to residency on time.

if you have any additional questions feel free

 

[ABB]

No such thing as a dumb question. My situation was this: I had a 4 year HPSP scholarship then did my internship at Portsmouth NMC in gen surg. This as you know is a training year and doesnt count toward your payback time. Then I was assigned to 2nd Marine Div as a GMO for 2 years. Due to being extended in a combat zone I had orders canceled and was involuntarily held at 2nd MarDiv. Upon return to CONUS it was in my best interests to stay at 2nd MARDIV for a second tour prior to getting out. and starting civilian internship.

The 4 year scholarship madates that you do 4 years of AD payback not counting training time or additional time accrued during training. I made my decision early that Mil residency and subsequent additional AD time wasnt for me. So I never applied to come back to residency at the end of my first GMO tour.

However if that is what you want then of course it is an option. for that matter as I stated you can apply to go straight through during your internship. By the regs if you pcs for a gmo tour then you have to be at that command for at least a year before you will be granted orders to pcs back to residency. The rules are sometimes bent though as "needs of the navy" is the priority.

To answer your question after your 4 years are paid back you cna do whatever you want as long as they release you from AD. Which to my knowledge for GMO's this has never been an issue for those who applied on time.

obviously you have to time the start of residency with your release from AD. I have leave saved so I can use it as terminal leave to get to residency on time.

if you have any additional questions feel free

Thank you! I think i get it now: if you want to do residency at any time while you still have AD to payback, then you must either do a mil. residency or apply for a deferment to do a civilian residency, then come back after that to finish your AD payback. That brings up the following questions: I know that you accrue more payback if you do the mil. residency, but what about the latter option (civilian res.)? Do you accrue any more payback time, or you still just owe when you complete your res. and return to the navy whatever you had left "on the clock" when you deferred? Also, you still owe 4 years of reserve status, yes? (or 8 years minus however long your AD ended up being?) What is that commitment like while you are in residency? If you get called back up, will that be an issue as far as picking up where you left off/still having a slot at your resident hospital? Thanks again to you and the other veteran docs on this forum for taking time to answer questions; in making a major life decision like this its great to be able to so easily talk to people on the other end of it.

 

[usnavdoc]

Thank you! I think i get it now: if you want to do residency at any time while you still have AD to payback, then you must either do a mil. residency or apply for a deferment to do a civilian residency, then come back after that to finish your AD payback. That brings up the following questions: I know that you accrue more payback if you do the mil. residency, but what about the latter option (civilian res.)? Do you accrue any more payback time, or you still just owe when you complete your res. and return to the navy whatever you had left "on the clock" when you deferred? Also, you still owe 4 years of reserve status, yes? (or 8 years minus however long your AD ended up being?) What is that commitment like while you are in residency? If you get called back up, will that be an issue as far as picking up where you left off/still having a slot at your resident hospital? Thanks again to you and the other veteran docs on this forum for taking time to answer questions; in making a major life decision like this its great to be able to so easily talk to people on the other end of it.

depends on terminology. If you get a full deferment for residency right out of med school then you only owe your original time on your contract. no additional accrued time. If you come in the military for internship then go gmo and apply for FTOS(full time out service) then yes you accrue additional time but you get your residency at whatever civilian institutuion you can get into. A bonus is that the civ institution does not pay you. You will be paid by the military. ie..more money and benefits. Full deferment/FTOS is considered training time and does not count toward payback. You are basically just like an hpsp student without the AT time, plus a higher salary.

You are correct on the reserve time. me for example: one year internship plus 4 GMO payback years so I have 3 left as IRR. There is no drilling committment while on IRR. And as far as I know there hasnt been anyone activated from the IRR especially someone in a residency. If you did get called back to service while in residency(again highly unlikely. no shortage of GMOs), I would imagine that would be dependant on your residency as to whether they would let you pick up or start over or whatever. I just dont see that happening. Now once you graduate residency the navy could(much more likely) call you to AD as a specialist. Especially if they are hurting for whatever specialty that is. So it is important at that time to resign your commission if you so choose. Being Active reserve is even more risky. I just dont see why anyone would take that risk. But thats just me.