RepublicanDr, wife, and all others,
Great post, wife of republicandr. You are absolutely right--this should be a decision that you don't jump into lightly, especially considering the payback. I also agree that recruiters can be hard to trust. In fact, most of the time when someone in the military starts a sentence with "My recruiter told me..." it usually ends up being a story about how they were lied to! I have been through the whole recruitment deal, and I know how frustrating it can be.
Let me give you some insights into the military medical lifestyle (I am an optometrist at Walter Reed, so I think I have a pretty good frame of reference for this). Yes, there are some paperwork hassles (both personal and in dealing with patients). However, insurance and medical malpractice don't keep your hands tied. Of course you have to be prudent, efficient, and give the best care possible, and there are consequences for screwing up. However, you don't have to deal with the non-sense that an insurance-driven and litigious patient base gives. You never seem to run out of patients, so there is some job security in that.
So what kind of person does well in a military environment? Well, I can tell you that I was probably the least likely to join the military, let alone consider making it a career. There is a mentality among the civilian community that the military brainwashes you and steals your identity and individuality. This is not true. Yes, the military works better when people are mission-focused and willing to make sacrifices for their team, their unit, their fellow soldiers, and their Country. But this rough-and-tumble mentality is not as prevalent among the medical community. Sure, you have to be tough. But then again, you have to be tough to be a physician anywhere (military or civilian).
Here are the benefits that I consider most important:
1. Guaranteed salary. You won't be a millionaire, but you can live decently and take care of your family.
2. Health care. It's one of the biggest benefits in the service. If you have a medical concern, cost and copay is the furthest thing from your mind. Plus, if you go to USUHS, you get to know the people that will be taking care of you and your family in the future.
3. Practice environment is stable. Like I said before, you are not dealing with rising malpractice premiums and decreasing insurance reimbursements while serving as a slave to your student debt. Plus, as a resident you make a decent salary (more than your civilian counterparts).
Here are the things you need to consider in a military career that you won't encounter in a civilian career (not necessarily drawbacks, if you have the right attitude):
1. Frequent moves. The frequency can depend upon different circumstances. In optometry, you typically get moved after 3-4 years. However, at Walter Reed there are some specialists that have been there for most of their career. If you look at this a different way, some of the places that you could end up include Hawaii, Germany, Japan, etc. Is civilian life going to give you the opportunity to pursue this kind of travelling?
2. Unaccompanied tours. There may be times when you are asked to go somewhere without your family, the most common example being a one year tour in Korea.
3. Risk of deployment. This happens to doctors, too. It could involve Kosovo, Bosnia, Afghanistan, etc. The likelihood of a doctor heading out with an M16 to get the enemy is very unlikely. But you still have to consider the risk of deployment and the impact on your family.
The bottom line: military life is not utopia. But with the right attitude of caring and service to Country, it can be a rewarding experience. I hope this helps.
Originally posted by republicandr
Hi- I'm "republicandr's wife", as it were. But we are going through the should we shouldn't we struggle that I see some others are going through. We think that going to USUHS would be a commitment to be "lifers", as it were. My husband has been accepted to our state school, where he'd just take loans and perhaps FAP it later on. But lately the pendulum seems to swing back to the military route. We live in WA state and so a move across country is icky, especially with 3 kids 🙁 but a medical career probably will involve a few moves, even in the civilian sector.
Anyway, I've found it helpful to realize that the posters that are super-negative toward military represent a small portion of the population, even if they make it sound like "everyone" just regrets their decision to sign up and can't wait to get out. Ultimately, if you research everything fully and understand as much as possible what you're getting into, at least you won't feel "tricked" as many bitter people do.
To help make the decision, my husband's going to go to Madigan, which is the nearest Army base/medical center, and will talk to people there and get a feel for it. As civilians, it is hard to understand a military career. Does anyone out there have any observations as to what kind of person really enjoys military? Are there any special characteristics or personalities?
Anyway, I think that since many of you are taking it seriously and considering and reconsidering, whatever decision is made in the end will at least be well-thought out and you'll have prevented the common mistake of just signing up for HPSP (or USUHS) because the recruiter made it sound like medical heaven!
BTW, if anyone is interested in doing fellowships, I found it neat to know that in the Army at least if you do a fellowship chances are you'll end up practicing at a large medical center, and as a rule, those places are very nice and don't have many of the typical problems found in other military medical clinics (such as shortage of docs...) Plus, if you're a lifer, incurring an extra commitment through a fellowship is no big deal...
Anyway, keep on commenting! I find it very helpful to read different thoughts and perspectives out there on this big decision!