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The same way you knew you wanted to go into medicine before you did.How do you know that?
The same way you knew you wanted to go into medicine before you did.How do you know that?
You shouldn’t feel safe to match into gen surg or EM. They’re highly competitive. If you have great scores, you should feel good about it. But not safe.
I agree that a civilian and a lot of active probably don't have any clue what a GMO tour is like, but I was able to work pretty closely with our GMO and have a pretty good idea what it's like. There are ways to shadow them and see what their day-to-day is like, but I agree that a civilian probably has no real idea what that means.
The same way you knew you wanted to go into medicine before you did.
wow wow wow, can you clarify on this. I know service is required so that's not a downside to me. Military family so I know how it works too. Now, if I know I want nothing to do with bucket II then what's the problem? Even if I simply don't match, I would have very little problem being a GMO for the entire 4 years. (<- this is predicated on the 4 years not having a significant negative impact on civilian residency chances, as I have gathered). SO, what's the issue for someone like me?
But if the military is pushing "military medicine" like EM, Surgery, FM, Psych, etc. and are straying away from all the higher radiology, IM subspecialties, radiation oncology, dermatology, pediatrics, etc. etc. then why would they be highly competitive fields. I guess my question is, what are they turning their doctors into if not for those?
Just because they’re not training dermatologists does not mean they’ll start training more general surgeons. I know what you’re thinking “what are they going to do with all of these extra med students?!? The answer is: they don’t know. I promise you they have not thought it out that far.But if the military is pushing "military medicine" like EM, Surgery, FM, Psych, etc. and are straying away from all the higher radiology, IM subspecialties, radiation oncology, dermatology, pediatrics, etc. etc. then why would they be highly competitive fields. I guess my question is, what are they turning their doctors into if not for those?
Or a civilian med student. Or a civilian pre-med, which is when they’re making that decision.I agree that a civilian and a lot of active probably don't have any clue what a GMO tour is like, but I was able to work pretty closely with our GMO and have a pretty good idea what it's like. There are ways to shadow them and see what their day-to-day is like, but I agree that a civilian probably has no real idea what that means.
Well ****, does that just mean more GMO's? TerrificJust because they’re not training dermatologists does not mean they’ll start training more general surgeons. I know what you’re thinking “what are they going to do with all of these extra med students?!? The answer is: they don’t know. I promise you they have not thought it out that far.
Well ****, does that just mean more GMO's? Terrific
Yeah, it’s almost as if the people on this thread are for some reason hardwired to try to give advice based upon experience and education to other people with less of those things when raw data is lacking. Maybe we don’t know as much as we think we know. That’s what my naturopath says.It is like groundhog day. We can't provide the information to help them make their own decision, then question their decision when they make it. At some point they have to choose their own destiny. Plus we are all just hypothesizing anyway.
Would you still not recommend if you're exclusively interested in bucket 1 specialties (ortho spine/trauma, gen surg w/sub specialty, EM, anesthesia are my picks in order). I ask this as a UG senior matriculating in the fall and have been in talks with a Navy recruiter for a while, planning on 4 year HPSP. Would it make a significant difference if I did 3 yr HPSP?
It is like groundhog day. We can't provide the information to help them make their own decision, then question their decision when they make it. At some point they have to choose their own destiny. Plus we are all just hypothesizing anyway.
Just because they’re not training dermatologists does not mean they’ll start training more general surgeons. I know what you’re thinking “what are they going to do with all of these extra med students?!? The answer is: they don’t know. I promise you they have not thought it out that far.
If they're out of residency (assuming it was the specialty they wanted) is it just the broken system that's a problem for the new 3?I'm a, "bucket 1", specialty, and I would NOT recommend HPSP/USUHS. Bucket 1 doesn't mean you get special treatment or more opportunities to be a doc. It means you won't be a hospital asset and will belong to a FORSCOM unit, which effectively makes you the ***** of some O3 commander who knows absolutely nothing about medicine or being a physician (Yes, even less than the MEDDAC people in charge). Surgical cases scheduled at the MTF that gets to, "borrow", you from the FORSCOM unit? Tough ****, your commander needs his surgeon to go with the unit on a FTX to do an endless amount of meaningless bull****.
Nobody knows how the next few years will play out. It may end up not being so bad. More likely, it'll be an epic cluster****. I wouldn't chance it.
I will tell you, I've been doing the initial mentoring for 3 docs who just arrived right out of residency or fellowship. I've been here for a few years and am on my way out of the Army. They've all been here less than 6 months and are completely miserable and already counting down the days of their ADSO. I do not envy them. Don't be them.
It's honestly so discouraging to hear all of this because I am very interested in military medicine. I know that I must obtain certain scores to be competitive for EM or general surgery which I know I will obtain, but seeing as it seems that these specialties are probably more competitive than civilian it worries me a lot. I just don't think I am willing to go into the military with the mindset of "military first medicine second". I still have wishes and desires and those seem to reside in either EM or general surgery so I don't want to be confined in that aspect. It's so frustrating.
If they're out of residency (assuming it was the specialty they wanted) is it just the broken system that's a problem for the new 3?
Lack of doing-what-they're-actually-trained-to-do?
Or a civilian med student. Or a civilian pre-med, which is when they’re making that decision.
It is like groundhog day. We can't provide the information to help them make their own decision, then question their decision when they make it. At some point they have to choose their own destiny. Plus we are all just hypothesizing anyway.
My point is: most people do not have a chance to shadow a GMO. I think that's a pretty rare opportunity. Anyone can shadow a civilian physician and get an idea of what it's like to do their job. They're all over the place, and all you have to do is find one who's not an @$$hole.Yes... a civilian. Which is what I said.
https://es.med.navy.mil/bumed/m00/m00c/M00C1/SiteAssets/SitePages/Home/GME Overview.pdf
CAC enabled. NOV2018 Navy GME overview and how it relates to DHA
My point is: most people do not have a chance to shadow a GMO. I think that's a pretty rare opportunity. Anyone can shadow a civilian physician and get an idea of what it's like to do their job. They're all over the place, and all you have to do is find one who's not an @$$hole.
No, my bad. I was under the false impression that you were saying that people could shadow a GMO and find out what that's like. Harder, but possible. I misread it.That was my point. I'm not sure why you felt like you needed to correct something I said when we are saying the same thing. Unless you were just agreeing with me and I misread the tone.
Too bad you can't. It answers all of the questions everyone has, just like every other DOD doc.It would be nice if I could actually open that lol.
No, my bad. I was under the false impression that you were saying that people could shadow a GMO and find out what that's like. Harder, but possible. I misread it.
Too bad you can't. It answers all of the questions everyone has, just like every other DOD doc.
See if you can find a Russian or Chinese guy. They know how to access it.Yeah, I'll have to try another computer. It won't accept my certificate on this laptop. Even if it's not super informative, I still would like to read it.
Oh but clearly you can. Only the people who disagree even slightly with the hive mind are hypothesizing. Everyone else KNOWS.
Well, the reality is that they DO know from personal experience. I would never discount anyone's personal opinions from direct experience.
BUT:
Problem #1 with SDN MilMed forum: Huge bias towards unhappy folks
Problem #2 with SDN MilMed forum: We (without direct intent) apply our personal biases towards everything related to MilMed
Problem #3 with SDN Milmed forum: We get defensive because we are talking about our own lives and people try to tell us we are wrong.
Problem #4 with SDN Milmed forum: Strong opinions require the last thought
I am as guilty as anyone on the above issues. There is no way to 100% avoid these problems either. We should just all be aware of them.
For interested premeds: Understand the above limitations of this forum. Seek out mentors or connections you trust locally or at the very least someone you have been in touch with online. Your decision is yours alone to make and don't rely on senior members to tell you what to do.
For Veteran SDN Contributors: Understand your inherent bias. Provide personal experience with as much specifics as possible to allow the premeds to apply it to their own situation and perceived current preferences. Do not make the decision for them. Provide the resources to make the decision.
Bones good. Diseases bad. Navy good.
Army Bad (except in football currently)
example of the mature defense of, "reaction formation",
Just remember that the pulsating red thing in the chest is there to push the Ancef around, and it's all good.It’s tough having this ortho brain.
The same way you knew you wanted to go into medicine before you did.
Meh. 2 out of 15 is still bad.
That chant of three-peat on the field Saturday must've meant something.... Hmm.. but, I'm clearly biased.
I don't think it's really all that negatively biased compared to the general opinion in the Army. Not 18 months ago anyway, and I can't imagine it's gotten better with the current potential change. I really did not know that many happy Army docs. 99% of them were in administrative positions. And it's not like I was a social recluse. I knew a reasonable number of people who just dealt with it but weren't vocally unhappy. But if you really talked to them, the best they could give you was "there are a lot of problems, but it'll be over soon." I mean, that's fine. Acceptable, even. But they weren't happy.
The GMESB results were released today. I haven't had the chance to really dissect it yet, but fellowship opportunities were thinner than usual, at least in my specialty. Looks like there was one FTOS fellowship (a 2020 pre-select for pediatric anesthesia). They filled the four inservice fellowship positions we have at San Diego, Portsmouth, and Bethesda (chronic pain management). Nothing else.
You are right. Happy or not happy I guess is relative. Acceptable or unacceptable as it pertains to the utility of their time in service, career, debt is the key factor. I believe that the majority of MilMed physicians who found their time acceptable (useful for what it was) do their time, get out and never look back at MilMed and don't contribute to SDN either. So I guess the bias is more related to those who found their time unacceptable and advocate that nobody ever does it under any circumstance. Thousands have gone before us and never got royally screwed but also never had it be majorly awesome for them. They likely found it acceptable. It served its purpose.
Again, with current situation I've been doing mainly EXTREME HIGH CAUTION discussions...but I would never say never to anyone so long as they have the right information to make their decision. MilMed can be acceptable to many people that sign up for the right reasons. There are far fewer members on here (maybe 1?) who will admit that...therefore there is inherent bias.
Our intent shouldn't be for us to convince the opposing view (ACCEPTABLE vs UNACCEPTALBE) that they are wrong because they have such an impression based on their personal experience. You can't change that. Just provide the objective information each of us brings to the table to Premeds when they ask. I think we do that...we just constantly veer off on trying to change people. That's a hopeless endeavor
plows the victoria's secret catalog on weekends