Question for Navy Dive Doc

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JA_Perez

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Dr:

I am a 4th year medical student with a 3 year HPSP commitment. I will start doing my transitional year in Bethesda and I am very interested in applying for DMO. I do have the academical credentials but I know that there are some other considerations in the selection process. What is the most important aspect the selection board evaluates? If possible, could you tell me how is a regular working day for a DMO? How hard is the PT? Where can you be stationed? Thank you in advance.
 
I've answered some of these questions on other threads, but I guess we'll consolidate.
1. Getting in: There are 20 spots per year for interns to apply for, 10 per class, one starting in January, one in July. You just apply for DMO, and get assigned a class later. Generally there are about 40 applicants for those spots, so you need to try to stand out. CAPT COhen, who runs the HPSP program, is a DMO who sat on many selection boards, and I'm basically going to reiterate what he told me...it works, everyone who's followed his rec's has gotten accepted.
He always said, everyone who applies is a good intern, and the scores don't matter all that much. They'll put you over the top all else being equal, and they won't accept a total bottom-feeder, but don't count on acedemics getting you in.
The Navy is largely about who you know and who remembers you. Stand out from the crowd. You said you're doing a transitional internship. I did mine at NMC Portsmouth, and at the time I convinced my program director to let me do a 2 week rotation in the fleet during one of my moonths of internship. I called the local submarine squadron and spent a week with that DMO (I ultimately got the job later out of NUMI), and I spent a week with the local SPECWAR (SEAL) DMO. This helped, because they knew people in this small community, and the SUb DOc wrote a letter for me. I also did a Diver PRT when I was there, and taught the Corpsmen on a small topic so he could say something about me being motivated and HOOYAH and all that. I would recommend this path to you. I had to fight for he time, now the transitionals are required to spend 2 weeks out there...I don't know Bethesda's policy.
Find DMOs in the Hospital...I talked to everyone I saw with the DMO pin on their uniform. DMOs love to talk about their time in the fleet, just ask. If you can't leave the hospital, hook up with one of these guys. Again, it's a small community, we all know each other.
Get yourself SCUBA qualified if you're not already. It doesn't mean much to the dive school folks, Navy diving is a lot different, but it does show that you can clear your ears and are water-compatible. I set up a SCUBA course at the hospital, the instructor came to us, and all of us interested in DMO took the class. Again, shows your interested.
Don't B*ll**** on your application. Say why you want it, what you've done to prove that and be done. 1/2 a page. Don't write a long poem about always wanting to meet Neptune while diving and saving someone's life and your longing for the sea...trust me, kiss of death in this community.
Get in shape, run the Diver PRT and have the results for the selection board. Even if you can't pass it before the board, it shows motivation. Find a DMO to give you the test, if you can't find someone PM me, I'll help out.

A DAy in the Life:
I'm on my second tour,and they've been very different.
Submarines: We were short one DMO so I was very busy. Department head, so lots of meetings, 13 subs each with an IDC so lots of patients (about 2000 people), lots of junior submariners regreting their decision so lots of disgruntled sailors with Psych issues, real or imagined/b*ll****ted. I went to work about 0700, PT 3 times a week which I organized and ran, with poor attendance because the CO didn't support it. Sometimes lunch, home by 0530. Chained to work by my Command cell phone, usually a call a night about something. Actually not as bad as the above sounds. I got underway for 30 days total, on several different boats, which was great. Quite an experience to be on a submarine. I was able to dive on the USS Monitor recovery, so 240 foot dives on heliox bringing up the turret...discovery channel stuff. I enjoyed the job but was ready to go.
Now at an EOD unit. Highly motivated group of people, the best I could hope to work with. I'm at work about 0645, PT everyday, command mandated from 0730 to 0900. Another Dept. Head job so meetings, etc. See sick call in AM and Physicals in the afternoon. I have some Independent duty Corpsmen who are great and see some of the more mundane sick-call. We do lots of field ops, so I take my turn covering Helo ops, jums, dives, etc. I recently covered an op with lots of live demolition, and we shot 4000 rounds in one day. I got to shoot the 9mm, full auto machine guns and a grenade launcher, so it was fun. Mainly, covering these ops means sittingin the ambulance in case someone blows themselves up, which they rarely do. Bring a book.
It's a great bunch of people, though, and as the Doc you are included. As a DMO, you are a fully trained Navy Diver, so you can actually do things with the dive teams. They'll give you a hard time, but they'll respect you if you go to work. I've had a blast...

The PT is not that hard, though I was certainly in the best shape of my life. At NUMI, you PT 2 hours every morning getting ready to go to Dive School. You will be in excellent condition. I got up at 0430 for 3 months at the end of my internship to PT each morning before rounds, but it was a nice diversion from the pain of internship. Don't worry about the PT.

Any more questions, feel free. Good luck, enjoy the rest of 4th year, I hear internship is still painful even with the 80 hour a week limit.
DD
 
Doc: Thank you for sharing your knowledge. I will obviously follow your advice or contact you if I have any other doubt.

JAP
 
Hey Dive Doc,

Did a lot of your DMO buddies out on the west coast spend time at BUD/S? Lately, I'm thinking that getting dive training might be a possibility after residency. Who knows...

Anyway, I think spending time with the SEALs would be a real kick in the pants. A complete change from what one gets in internship might be welcomed. Can a DMO spend most of his/her time with the SEALs or are they often splitting time with the dolphin guys too?
 
bobbyseal said:
Hey Dive Doc,

Did a lot of your DMO buddies out on the west coast spend time at BUD/S? Lately, I'm thinking that getting dive training might be a possibility after residency. Who knows...

Anyway, I think spending time with the SEALs would be a real kick in the pants. A complete change from what one gets in internship might be welcomed. Can a DMO spend most of his/her time with the SEALs or are they often splitting time with the dolphin guys too?

During DMO training, you do both the Diving and the Radiation health/Submarine medicine, so all DMOs are qualified for either side of the house. When the billet list comes out, people go to a billet primarily involving one or the other. The Sub squadron guys (like me in my first tour) often do things with the SPECWAR types, because it's fun and a break from the bubbleheads. The dive types will come and ride the submarines from time to time, and a lot of the SEAL docs do sub time for dry deck shelter ops anyway. BUD/S has 3 billets for DMOs, 2 junior jobs and a senior medical officer. These jobs are in high demand, and will frequently be filled by 2nd tour DMOs. In fact, most of the SPECWAR jobs get filled with 2nd tour guys, though a couple per year are usually filled by new DMOs coming out of school. It varies year to year how many guys stick around for 2nd tours. This year there were very few, as 18 of 19 DMOs that applied to return to residency were selected.

I found DMO training to be the perfect antidote to internship. Honestly, I didn't plan to return to the hospital, ever, at the end of my internship. I was planning to leave medicine after my DMO time, I was that bitter. 6 months of hard PT, DIve training and a couple of good tours later, adn I'm headed back to the hospital, a year earlier than I had to go.

At any rate, you're at the mercy of the detailer toward the end of DMO training. There are clinic jobs, SUbmarine jobs, EOD/DIving/SEAL jobs. If there's a SEAL in your class, he'll get the SEAL billet. Otherwise, make your case and roll the dice. I had my orders to EOD, my first choice, in hand while in training. 2 days before I graduated, I received an order mod sending me to submarines, definitely lower on my list. Needs of the Navy...but I had a great tour with the SUbs, then stuck around for another shot at the EOD orders, where I'm finishing up my tour. You'll have a good time wherever you go.
 
Navy Dive Doc

Congratulations on your selection to NMCP Radiology. I heard that PD was relieved, is that true? Do you know the others in your class? Good luck on your first year.
 
Yes, the program director was relieved, and a bunch of the outsourced rotations are changing sites. My understanding is that the active duty Radiologist who is taking over as the dept. head is great. I have some reservations about the program, the growing pains have been a bit more severe than I hoped would be the case. I actually contemplated not starting in July and delaying a year, or getting out. Ultimately, I've decided to go after talking with the residents and some attendings. Maybe it's a deal with the devil to stay for training, but it was the best move after balancing all the factors.

The class should be pretty strong. I only know one other person well, she and I did internship together, I'm glad she's inbound. I've heard good things about the rest.

Bottom line, with family commitments and the cost of living at Bethesda and Balboa, Portsmouth was the only place that fit. I hope with more residents and a year under its belt, the residency will work out its problems. Thanks for the post, I hope all is well in DC.
 
Dive Doc,

What did you end up doing after your internship before Dive training? Did they essentially extend your intern year a month or were you graduated to a 2nd year resident for the month?

I hope all is well, and BTW, I'll be down in Portsmouth in about 11 months doing my Neurology rotation. I figured doing Neurology at the navy hospital will allow me to not have to take the shelf exam! Can't beat that...
 
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