- Joined
- Jan 23, 2003
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Come on? I am not SAD...when I'm drunk.... 
former military said:You can change me from Sad to Mad or if you can find a symbol of a guy with the middle finger up that would be most descriptive
Pemberley said:Navy Anesthesia and/or Critical Care
cool pgg with amplification
Legend:
content = more good things to say than bad
cool = both good & bad; wait&see approach to staying in past commitment
sad = more bad things to say than good; generally get out ASAP
mad = self-explanatory!
pgg said:It also might be more accurate to add some indicator of level next to each name (eg, student, intern, GMO, resident, staff, retired, got out early). The implication above is that I'm an anesthesiologist or s/p a critical care fellowship, neither of which are honorifics I'm entitled to.
I'm a humble CA-1. (Three days in, no sentinel events to my name yet.)
homeboy said:What are people's general opinion on military residencies vs civilian residencies? I've heard good and bad...
6 yrs enlisted Army, combat engineer; medic--8 yr service obligation already up.
Currently commissioned as a 2nd Lt in Nat'l Guard (3rd yr med student)...not sure if I want to do military residency or civilian...
or please PM me if you know if guardsmen can even go into military residencies unless they enter contractual obligation...
New reference list, with a more soldierly caveman and a madder former military! Newcomers and lurkers are welcome to post, and I'll add you to the list:
I betcha "he's" a guy-NURSE.
I am a guy nurse!! LOL This is very informative and answers a question I posted to Galo early this morning. At least I know who I am talking to.
1) Admin Question: I've read some posts here about admin, I have some military experience, and I completed a MHA and a MPH (minus internships I'm doing in a couple months) during the first two years of DO school. I have a question which might better go on another thread, but I'll introduce it here:
Most of the docs on military SDN threads don't want to be burdened with doing things that aren't medicine. Breaking up their training and preventing their regular practice of medicine seems to be a common complaint. Even if said docs did want to do admin, they'd get paid significantly less than doing what they're trained for: Medicine....much less mention job satisfaction.
This lack of interest, I theorize, is why Nurses, MSC's, and other non-physician types get plugged into powerful policy making positions much to the chagrin of the working class hero docs. For a non-physician type the opportunity to advance to a position where they can make changes that make sense to them as support staff...well, let's just say common sense can becoem an uncommon virtue.
My question is: What the hell else is the bureaucracy to do?
If you can't get regular docs who are solid achievers and earners to stay in and inherit the "apple-polishing," "desk-warming" jobs, how is the system supposed to change?
(Note: There was a time when I was enlisted...on about the 6-7th year... when I made a conscious decision to join the bureaucracy. I couldn't get out and make as much money to do the same work with the health benefits, education benefits, and shift flexibility. So, I started playing ball as best I could with the lifers...then I became one.)
2) Homonculus: Did I meet you at the NCC Peds meet and greet on 17FEB06?
This explains a lot.
Remind me to tell you about the postcard I saw while deployed to Turkey; it was prominently left out in the O.R. lounge at Incirlik's rinky-dink pseudo-hospital. Coincidentally, it was also addressed to a male O.R. nurse nicknamed "Sparky".
At the risk of betraying my caducity: This Explains A Lot.![]()
--
R
http://www.medicalcorpse.com
A more accurate legend:
Legend:
content = Will sing the praises of the military; referral for psych eval recommended.
cool = Realistic but an obvious optimist
sad = Realistic but not an optimist
mad = Disagrees with Pemberley's rosy outlook and is loud and verbal about it
OK, duly noted. I will revise my post. I was just afraid you were trying to malign those who speak openly and in an acerbic manner about military medicine.You should get together with USAFdoc... he tried to smear me with the "you and IgD" for months before finally either seeing reason or giving up, I'm not sure which. This is despite my having occasionally posted more critically of certain hyper-positive posts than I ever had of super-negative ones (although I'm frequently critical of both), and despite the fact that I've never actually taken a position on the health of military medicine. This is due to my (obviously rosy and over-optimistic) opinion that I am not (and never have been) a military physician and therefore my position would be of limited value.
Technically there should be 5 categories. I was using "cool" as the middle, being occupied by people who say good things and bad things in about equal numbers. The name of the category came from the fact that these people seem to me to be less obsessively fight-picking than the ones who inhabit both ends of the spectrum. I am quite happy to change it to something like "middle" if their lack of offensive spirit is considered to be inappropriate to the military forum.![]()
The next two, mad and content, are equal-and-opposite: more good things to say than bad, or more bad than good.
There would be two more on the outside; basically, those who can't stand to hear anything good said, and those who can't stand to hear anything bad said. However, nobody who would probably occupy the highest category has ever posted asking to be included. So it doesn't exist.
There's a symmetry to the system that even somebody spoiling for a fight should be able to see. It's pretty simple. Let me know if you still don't understand it.
You should get together with USAFdoc... he tried to smear me with the "you and IgD" for months before finally either seeing reason or giving up, I'm not sure which. .
well, I dont' give up on something on strongly believe in (which goes to say I no longer believe strongly in USAF Medicine). Reading more of your posts it appeared you were NOT on the same wavelength as IgD, and I believe I retracted that statement linking you two long ago. Having said that, IgD is no longer on the same IgD wavelength either; amazing.
lets also realize that e-mail/internet communications are not exactly the best way to get your points across the first time without any confusion, so it shouldn't be surprising that some peoples threads occassionaly get misinterpreted by people (like yours did by me). Please do not take it personally, and again I appologize for any lack of insight I had at that time.
as this site grows in the number of physicians, I have little doubt that there will be more and more support/evidence consistent with what myself and the other physicians (concerned enough/angry enough to Not look the other way) are stating. It seems like some of the military radiologist are the only ones that are "content" in general about military medicine.
Here's to the next year of threads on SDN, and to a brighter future for military medicine.![]()
Pemberly,
Just wanted to say thanks taking the time to put this list together.
I rather thought we understood each other better now -- just didn't want to speak for you for certain.![]()
thanks.......but I still don't like StarGate.![]()
Adding DaveB, although I wasn't quite sure how he wanted to be categorized. Let's see how this works.
Newcomers and lurkers are encouraged to post, so I can add you to the list:
Navy Anesthesia and/or Critical Care
mad militarymd
content pgg with amplification
Navy Family Practice
content NavyFP
Navy Flight Surgeon
cool Cathance
content chickendoc
cool-sad DaveB
cool medivac
sad orbitsurgMD
Navy GMO
mad i want out
cool NavMtnDoc with amplification
cool usnavdoc
Navy Internal Medicine
cool GMO_52
Navy Radiology
content ExNavyRad
content r90t
Navy Undersea Medicine
sad JA_Perez
Army GMO
sad GMO2003
content hosskp1
mad jacoby
Army Pediatrics
cool Homunculus
Air Force Anesthesia
cool-sad 7by11thenout
mad MedicalCorpse
Air Force Emergency Medicine
sad Desperado
Air Force Family Practice
mad USAFdoc
Air Force GMO
mad island doc
Air Force Radiology
content Milrad
content USAFGMODOC
Air Force Surgery
mad FliteSurgn
mad former military
mad Galo
sad mitchconnie
Legend:
ecstatic = self-explanatory and currently unoccupied
content = more good things to say than bad
cool = both good & bad; wait&see approach to staying in past commitment
sad = more bad things to say than good; generally get out ASAP
mad = self-explanatory!
Interesting interservice distribution; lots more Navy and AF people here than Army. Anyone have any thoughts on that?
Possible conclusions:
Army docs are busier and have less time to post
Army docs are all in the sandbox
Army docs are less computer literate
Navy and AF docs more pissed off because they were more likely to do GMO tours
And of course . . .
Army medicine is in great shape with no reason for anyone to complain
Anyway, you can color me cool when I went in, sad shading to mad by the time I got out.
X-RMD, now very much ecstatic!
Interesting interservice distribution; lots more Navy and AF people here than Army. Anyone have any thoughts on that?
Possible conclusions:
Army docs are busier and have less time to post
Army docs are all in the sandbox
Army docs are less computer literate
I'm not sure of the numbers, but I didn't think AF were any more likely than Army to do GMO tours. Most AF docs didn't do a GMO tour.
I'm not bitter but in retrospect wish I had taken the loans and done my own thing. I count myself lucky that I got my specialty of choice and didn't have to do a gmo/flight med tour.
Air Force ROTC (2 years)
Air Force line officer 7 years active duty, 2 active reserve
AF HPSP 4 years
Civilian deferred residency (urology) finished 2005
solo AF urologist at my second base since July 2005
My practice is OK as far as cases go, could have a few more major open cases but they are not common for many private practice urologists. Don't have the support system (good ICU/critical care help) to do very major cases (like cystectomies) but don't really want to do those kind of cases anyway.
I'm ok with the military, but will get out ASAP. I want to practice the way I want to not the way a HMO makes me. Also, don't have enough staff/support at work, but being a specialist I can slow things down and don't kill myself. I show up at 7:00, usually out the door by 4-5:00. Finally, pay is just too far off the civilian sector to put up with all the coffee drinking meeting attending strap hangers running the show, in addition to all the AF headaches like mandatory computer training courses (can you say trafficking in human training) and random crap.
I'm not bitter but in retrospect wish I had taken the loans and done my own thing. I count myself lucky that I got my specialty of choice and didn't have to do a gmo/flight med tour.
Don't know the criteria for the who's who, but here's my info if I were to ever qualify.
3 yr HPSP, commissioned 1996
Civilian General Surgery Internship finished 1999
Civilian ENT residency finished 2004
Serving the last 254 days of a 3-yr ADSC, solo ENT at USAF base
Would do everything possible to avoid doing it again knowing what I know now![]()
There seems to be a trend here; allow me to posit an equation:
Air Force + Surgical Specialty (General Surgeon, Surgical Specialist, Anesthesiologist [lumped together by military, so what the heck]) + Out of residency + Smaller Base (vs. "Major Medical Centers" like, um...the remaining Navy and Army Med Centers) + Being one of one or two actual working docs in one's specialty (and thus on call 24/7/365, qod, or tid, with no extra pay [vs. civilian experience]) = profound dissatisfaction/disgust/demoralization leading to ZERO% retention.
Imagine that. The military ought to pay for a study to figure out why. Maybe they could come up with 16 ways to fix military medicine? http://www.medicalcorpse.com/editorials.html
Nah. That's asking way too much, I know.
--
R
Since this thread was created as a reference, could it be made into a sticky?
Be careful which faith you defend. Some have resulted in some rather vermillion sequelae.
http://en.wikipedia.org/wiki/Fidei_defensor
--
R