Scope of Practice in the military?

[skatertudoroga]

Hello, who gets more training in the following procedures in the military: colonoscopy, interpreting ekg, exercise stress tests, IM or FM residents? I read in previous threads that it was FM, but it seems counterintuitive. So how would it work on a base where they compete for patients, like Hawaii?
How about post-residency in the military. Do either FM or IM get to do exercise stress tests in their office? Or it is reserved for specialists?
Also, are there more billets for IM or FM to go to Germany?

Also a question for navy: are there any assignments post-residency for FM or IM that are unique to navy? Can either of them spend an entire tour on a ship?
Thanks!

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[NavyFP]

Hello, who gets more training in the following procedures in the military: colonoscopy, interpreting ekg, exercise stress tests, IM or FM residents? I read in previous threads that it was FM, but it seems counterintuitive. So how would it work on a base where they compete for patients, like Hawaii?
How about post-residency in the military. Do either FM or IM get to do exercise stress tests in their office? Or it is reserved for specialists?
Also, are there more billets for IM or FM to go to Germany?

Also a question for navy: are there any assignments post-residency for FM or IM that are unique to navy? Can either of them spend an entire tour on a ship?
Thanks!

Colonoscopy - neither, most do not do full colons.
ECGs - FM by volume of patients (we typically see more per day), IM sicker.
treadmills - depends on the hospital. I don't like doing them, so I don't.

Any other procedure - FM.

SMO on a ship is unique to the Navy. Those are done post residency.

 

[skatertudoroga]

Colonoscopy - neither, most do not do full colons.
ECGs - FM by volume of patients (we typically see more per day), IM sicker.
treadmills - depends on the hospital. I don't like doing them, so I don't.

Any other procedure - FM.

SMO on a ship is unique to the Navy. Those are done post residency.

Thank you! Do FM see more patients in general or they just do more ECGs than IM? Do IM's get more training in ECGs during residency to make them more comfortable with more complex ECGs?
Is it common for navy FM or IM to get position as SMO (perhaps not on a carrier but a smaller ship) straight out of residency? Or more common to first work inpatient at some hospital or outpatient at some clinic on a smaller base? How about flight surgeon training and work as a board certified FM/IM, is it common to do it straight out of residency if you request it, or you first do a "utilization tour"?

 

[a1qwerty55]

Colonoscopy - neither, most do not do full colons.
ECGs - FM by volume of patients (we typically see more per day), IM sicker.
treadmills - depends on the hospital. I don't like doing them, so I don't.

Any other procedure - FM.

ECG's - while FP may look at more healthy 18 year olds ECG's - IM physicians have more training and are in general much better equipped to pick up subtle fidings. They also do more medical preops on high risk patients than FP.

Procedures - depends on the procedure.

Central lines, throracentesis, paracentesis (medicine procedures), few graduating FP residents now feel comfortable with any of the above or even pursue priviledges for these.

pap smears, colpos, skin bx's, vasectomy, FP do more.

 

[skatertudoroga]

Which military FM residency (doesnt matter army or navy) teaches the most procedures: including paracentecis, lumbar puncture, and obstetrics? Which ones would most prepare someone if he wanted to work in a rural er and/or wanted to do more advanced procedures in an outpatient setting when he becomes a private physician later in his career?
Thanks.