US Army Match

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ironman05

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  1. Pre-Medical
Can someone WHO HAS COMPLETELY GONE THROUGH THE PROCESS AND MATCHED please explain specifically how the match works IN THE ARMY. I know that each service is a little different. I really want to do the HPSP in the US ARMY and look forward to being a military physician and do a military residency (understanding all of the positives and negatives posted). However, no one has yet to clearly explain how exactly the match works in the ARMY. I'd really appreciate the insight from someone who already went through it and matched. Do you apply to the ERAS for civilan too in case you do not match?

Are there typically a lot of Emergency Medicine or Orthopedic slots?

Thanks so much for providing this information.
 
ironman05 said:
Can someone WHO HAS COMPLETELY GONE THROUGH THE PROCESS AND MATCHED please explain specifically how the match works IN THE ARMY. I know that each service is a little different. I really want to do the HPSP in the US ARMY and look forward to being a military physician and do a military residency (understanding all of the positives and negatives posted). However, no one has yet to clearly explain how exactly the match works in the ARMY. I'd really appreciate the insight from someone who already went through it and matched. Do you apply to the ERAS for civilan too in case you do not match?

Are there typically a lot of Emergency Medicine or Orthopedic slots?

Thanks so much for providing this information.

The Army and civilian match processes are actually remarkably similar. You'll initially apply to both civilian and Army programs, which means you still have to submit to ERAS, register for the match, write a personal statement, obtain letters of recommendation, get a Dean's letter, etc., etc.

The most important difference is that the Army match is much earlier. October 15th is the deadline for everything to be submitted; the only exception is the Dean's letter which isn't released usually until November 1st. That means that everything, to include ERAS, personal statement, LORs, away rotations, Army interviews, step II CK, as well as several online forms specific to the Army (most importantly your rank-order list) are due no later than October 15th. In the civilian world, the absolutely earliest you can rank programs is January 15th, to give you some idea of the different timelines.

I would also mention that step II CK scores must be reported by October 15th, so allow 4-6 weeks for USMLE to get those scores to you. Effectively, you should probably take step II no later than September 15th, which can be problematic if you are also trying to schedule interviews and conduct away rotations.

All the while, you are still moving forward with the civilian match process. Programs, depending on the specialty, will begin scheduling interviews beginning in September and they run, typically, through the end of January.

The week after Thanksgiving, the military selection board meets in Washington D.C., and the match results from that board are released sometime on or around the 15th of December. If the board selects you to complete an Army residency, you are required to withdraw from the civlian match.

Now, if you've planned ahead, you could at this point save thousands of dollars in interviewing costs if you scheduled your civilian interviews in late December and January. Once you've matched with the Army, you can simply cancel your civilian interviews. However, some specialties interview early enough (November and December) that you won't be able to avoid interviewing at some civilian programs.

If you don't match with an Army Residency, then it probably means one of two things. Either 1) you've been selected to complete an Army internship after which you will become a general medical officer for several years before returning to complete residency training, or 2) you've been given a civilian deferment, in which case you continue with the match process as if the Army were never an issue.

I can't speak specifically about the competitiveness of either emergency medicine or orthopedics, but if you haven't even started medical school yet, I'd caution you that you are overwhelmingly likely to change your mind about your specialty in the absence of some sort of previous exposure to those fields. I do know, however, that there are 5 Army ortho and 3 Army EM programs, but I don't know how many residents they accept each year. Overall, in the Army, it's extremely difficult to predict competitiveness for a specialty because the small applicant pool means that small shifts in the pool's preferences results in a relatively large change in a specialty's competitiveness. In general, the program directors in the Army will be very honest with you about your likelihood of matching a) at all, and b) at your program of choice.

Most folks doing Army medicine get to train in the specialty of their choice, and nowadays, thanks to continuous contracts, most people get to complete their training without interruption. Making yourself a competitive applicant helps make sure you get what you want and when you want it. However, there is still the possibility that you will have to serve as a GMO, and if you're not prepared for the contingency, then I suggest you rethink doing HPSP. There are other options for joining the Army, albeit less fiscally attractive ones, like FAP, or the loan repayment program, if you desire to retain more control over your graduate medical education.

Sorry for the lengthy response, but I can sympathize with someone trying to construct this whole process while in the dark. Feel free to PM me with additional questions.
 
Thanks a lot for the response. I am not dead-set on any specialty at this point - as I realize that I will likely change my mind, and I am open to anything. Are there are lot of ARMY GMO Slots? I'd be OK doing a GMO if I had to; while not sounding glamorous, it could be personally rewarding working closely with a particular unit. I heard that the ARMY has fewer GMO's than the other 2 services, is that true?

Your explanation was clear, well written, easily understandable and makes a lot more sense than anything a recruiter or other students described. Thanks.
 
Agree almost completely with previous post. The description of the mechanics / timeline was right on the mark. I'll add a few more details.

1. You don't HAVE to have your Step 2CK scores in by October 15. They really WANT you to and give you a HUGE incentive to do so by putting you on LOA (i.e. no pay) if you don't have them in. Also, you can get a waiver if for some reason your school has a schedule that doesn't let you finish all your required rotations (and thus be fully prepared for the test) in time to have your scores in by the stated deadline. I also discovered a small loophole (and slipped through it myself) that allows you to not have a waiver, not have your scores in, and still get paid. (PM me if you want more info on that one.)

2. Definitely agree with the advice that you need to do everything you otherwise would to make yourself a competitive applicant, especially for EM and ortho. Both of those have high operational potential, and thus are pretty popular for us types that join the Army. So don't blow off grades / rotations just because you think you don't have to be as competitive because you're in the military match. And definitely go for those kick-a$$ letters of recommendation.

3. Also definitely agree that if you can, schedule any civilian interviews that require significant (and therefore expensive) travel in January. I didn't have that luxury as I got stuck with a Sub-I in January and ended up having to do almost all of my civilian interviews before the Army Match, spending lots of $$$$ just to match to the Army in the end.

4. Also, about GMO's: This year, the army had continuous contracts for most specialties. They're trying to phase out the GMO, to give the troops a level of care that the general public gets (i.e. a fully residency-trained doc). They're even bringing current GMO's back to residency to get them fully trained. (We'll have 3 coming in with my residency class in July.)

5. Finally Army Emergency Medicine: Here's the scoop. This year the Army had a total of 27-28 spots - 8 each at Brooke and Darnall, and 11 or 12 at Madigan.

Madigan was a little up in the air this year because they're a joint program with the University of Washington. Because of that, up until this incoming year, they would take 8 military and 4 civilian residents from UW. The past 3 or 4 years, though, they've been having some issues with UW, which had gone unresolved and had actually threatened the program's accreditation. So this year, they started breaking ties with UW, and did not accept any civilians, instead turning the additional spots over to military applicants. But they only took 3 additional military, not 4.

Anyway, for these 27-28 spots, I'm told that this year there were about 45 applicants.

Hope that helps, from someone who just went through it. Feel free to ask more questions.
 
ironman05 said:
Thanks a lot for the response. I am not dead-set on any specialty at this point - as I realize that I will likely change my mind, and I am open to anything. Are there are lot of ARMY GMO Slots? I'd be OK doing a GMO if I had to; while not sounding glamorous, it could be personally rewarding working closely with a particular unit. I heard that the ARMY has fewer GMO's than the other 2 services, is that true?

Your explanation was clear, well written, easily understandable and makes a lot more sense than anything a recruiter or other students described. Thanks.

To clarify, in theory the Army isn't making any new GMOs. Either you match into an Army residency or you get deferred to the civilian match. If you really wanted to do a GMO, then I suppose you could just decline your contract for an Army residency. They'd make you do an internship, then you've got your GMO tour.

Call me a pessimist, but I'd be very surprised if the Army ever completely gets rid of them. Specialty bonus pay for Army physicians hasn't increased in awhile; that, along with being deployed, means that board-certified docs are getting out at a higher rate. I would imagine that the Army will eventually start making folks become GMOs again the year they have 30 applicants for 1 neurosurgery slot. I don't seem them deferring 29 people into civilian neurosurgery, bam - you've got your GMOs. That's purely conjecture, though.

Funneling people into GMOs gives the Army a chance to get you going and coming by making you pay off part of your obligation as a GMO before "re-incurring" more obligation through an Army residency. Of course, you could just leave the Army after serving your time as a GMO, but some civilian programs (I'm thinking in particular of some at my own hospital) don't like to accept applicants who are "coming back" to residency.

Plus, nowadays, with not just military medicine, but our military as a whole, and especially the Army, being stretched so thin, I wouldn't underestimate the Army's need for warm bodies to more immediately start practicing medicine.

I'm not so sure the Army has fewer GMOs in absolute terms, but I do believe that a higher percentage of Navy and Air Force applicants end up doing a GMO tour. That, I believe, has more to do with the nearly 1:1 ratio between Army applicants and residency slots than it does with any overriding Army philosophy regarding the role of GMOs in the delivery of healthcare.

Some folks really enjoy their GMO years, but for my money, 9 years (4 school, 5 residency) is enough time to spend on the way to becoming board-certified. It is absolutely true that you're a lot less likely to do a GMO than you would have been a decade ago; just realize that it's still a possibility.
 
colbgw02 said:
To clarify, in theory the Army isn't making any new GMOs. Either you match into an Army residency or you get deferred to the civilian match.

This is not true at all!!!!! Not in theory, and especially not in reality. If you don't match into an Army residency, your chances of getting a civilian deferrment are low (this is different in navy and air force). Most likely you're only option will be a gmo tour.
 
Sledge2005 said:
This is not true at all!!!!! Not in theory, and especially not in reality. If you don't match into an Army residency, your chances of getting a civilian deferrment are low (this is different in navy and air force). Most likely you're only option will be a gmo tour.

My apologies; my information came from a recently retired program director from Brooke. Apparently, being retired has left him out of the loop a little, but I suppose that's the way it's supposed to be.
 
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