ARMY ARMY ARMY ARMY Timothy Park Timothy Park Timothy Park - - PowerPoint PPT Presentation

ARMY ARMY ARMY ARMY

Timothy Park Timothy Park Timothy Park Timothy Park 2LT MC USAR 2LT MC USAR 2LT MC USAR 2LT MC USAR

Overview of Army Graduate Education

• Largest program in the military

– Majority of Army physicians train in Army GME programs – 1371 docs training in our in-house programs; 121 in Army- sponsored civilian training; 72 in educational delay

• 11 teaching hospitals
• 22 specialties and 57 fellowships
• All programs accredited by Accreditation Council for

Graduate Medical Education

• Mean first time board pass rate of 94%

Training sites

• Walter Reed

Walter Reed Walter Reed Walter Reed - Bethesda, MD

• Eisenhower

Eisenhower Eisenhower Eisenhower

• Augusta/Fort Gordon, GA
• William Beaumont

William Beaumont William Beaumont William Beaumont - El Paso/Fort Bliss, TX

• Womack

Womack Womack Womack - Fort Bragg, NC

• Martin

Martin Martin Martin - Fort Benning, GA

• Madigan

Madigan Madigan Madigan - Tacoma/Seattle, WA

• DeWitt

DeWitt DeWitt DeWitt - Fort Belvoir, VA

• Darnall

Darnall Darnall Darnall - Fort Hood, TX

• Tripler

Tripler Tripler Tripler - Honolulu, HI

• Keller

Keller Keller Keller - West Point, NY

• Brooke

Brooke Brooke Brooke - San Antonio/Fort Sam Houston, TX

Available residencies

• Internal Medicine
• Family Medicine
• Emergency Medicine
• Pediatrics
• Obstetrics/Gynecology
• General Surgery
• Neurosurgery
• Orthopaedics
• Urology
• Otolaryngology
• Preventive Medicine/

Occupational Medicine

• Dermatology
• Radiology
• Radiation Oncology
• Anesthesiology
• Aerospace Medicine
• Neurology and Child Neuro
• Pathology
• Psychiatry
• Psych/IM
• Physical Medicine and

Rehabilitation

• Ophthalmology

Categorical / "Straight through" Residencies

• Emergency

Medicine

• Family Medicine
• General Surgery
• Internal Medicine
• Neurology
• OB-GYN
• Orthopaedics
• Otolaryngology
• Pathology
• Pediatrics
• Psychiatry

Prelim / "Have to do a transitional year" Residencies

• Urology

– Prelim in Gen Surg

• Neurosurgery

– Prelim in Gen Surg

• Undesignated

transitional year

• Aerospace Medicine
• Anesthesiology
• Dermatology
• Ophthalmology
• Physical Medicine
• Preventive Medicine

/ Occupational Medicine

• Radiation Oncology
• Radiology

(Diagnostic)

Residencies for which you have to re-apply after your PGY-1 year

• General Surgery

– Each surgery training program accepts one more categorical applicant than will matriculate to the PGY-2 year.

• Aerospace Medicine

– Barring problems during internship, selectees should matriculate.

• Preventive Medicine / Occupational Medicine

– Barring problems during internship, selectees should matriculate.

Applied vs. Matched Stats

Applied vs. Matched Stats

Board score stats

Board score stats

Board score stats

For our T3's

• Rough timeline

– January to Feb/March January to Feb/March January to Feb/March January to Feb/March: Schedule your away rotations.

• You should have your Curriculum Vitae and Personal

Statement written and edited by the time you rotate.

– Feb - April: Feb - April: Feb - April: Feb - April: Apply for and schedule your Step II CK and CS.

• Step II CS fills up REALLY quickly, so apply early!

– May - October May - October May - October May - October: Accomplish your away rotations and take your Step exams.

• Our year, Step II CK scores had to be REPORTED by

October 15th. Step II CS has to be reported by February 15th; i.e. must take by early December.

For our T3's

• Rough timeline continued

– May - October May - October May - October May - October: Accomplish your away rotations apply, and take your Step exams.

• MyERAS opens on July 1st.

July 1st. July 1st. July 1st. FYGME (Army application) opens up on July 15th July 15th July 15th July 15th.

• Both MyERAS and FYGME must be completed in their

entirety by October 15th October 15th October 15th October 15th.

• Our year, Step II CK scores had to be REPORTED by

October 15th. Step II CS has to be reported by February 15th; i.e. must take by early December.

– Early November Early November Early November Early November: Most programs hold meetings to determine their rank lists. – December 15th December 15th December 15th December 15th @ 0001: Match!

For our T3's

• How do I schedule aways?

– First, email or call the residency program via the contact information on MODS.

• If that doesn't work, try the contact information on their

GME websites.

– If that doesn't work, email the program directors directly.

– Then (only for ADT's), apply for an ADT on MODS.

• You don't have to apply again on MODS for un-paid

away rotations.

– Once your orders are set, call Carlson Wagonlit and get your plane ticket. If authorized, they'll pay for a rental car in addition to your airfare.

For our T3's

• Can I split up my ADT's between more than

two places? Like, combine them, and do like 30 days, 15 days, and 45 days?

– No, you can only rotate at one AMC per ADT.

• Well, 45 days doesn't work out too well for

3rd year...

– You can, however, come home for the remained of an ADT.

• I did one month, came back to Tulane for month, and

then went back out. Those remaining days of those 45 were paid as time at Tulane.

For our T3's

• Ok, so I have my aways scheduled, now what?

– Between about a month to a two weeks before the start of your rotation you should receive your

• rders, and you should also receive an email from

your rotating site with everything that they need from you. – Along that line of thought, most sites need:

• A current immunization record.
• HIPAA and bloodborne pathogens training certificates.
• BLS card.
• A letter of good standing, and authorization to rotate.
• An Tulane away rotation evaluation form.

For our T3's

• Can I do more rotations that those ADT's?

– Yes, absolutely, but they will be on your own

• dime. Scheduling these non-paid rotations ismuch

easier, and you can do them for pretty much any time span you would like.

• What timespan for a non-ADT away would

you recommend?

– Two weeks is a minimum. Anything shorter than that, and you won't even get computer access by the time you have to leave.

For our T3's

• How do I schedule these unpaid, non-ADT

away rotations?

– Just get in touch with the program through the aforementioned channels, and let them know your intent and planned dates. Once accepted, you just have to let Rondel know. – Just to note, you will not be on orders, so you will likely not be able to stay in military housing.

For our T3's

• What is the point of rotating?

– These away rotation are extended interviews. They observe you carefully from start till finish, and then formally interview you at the end of each rotation.

• It's a great opportunity to show your stuff, and they

really do care about you as a person.

• Well, I don't have enough time to do anything

but those ADTs, what about interviews?

– All you have to do is email or call a program director and ask for a meeting. It can be through the phone, or in person.

For our T3's

• ...and how about those interviews...?

– Each place has their own way of interviewing you. At some places you'll have a schedule of multiple people, at others you'll schedule them yourself.

• What were you asked?

– Why Surgery? Why the Army? What can you contribute to our program? What is your strength? What is your weakness? Was their any salient event that drew you towards Surgery? Tell me about yourself? What questions do you have about our program?

For our T3's

• How does the match process work in general?

– Simply put, the programs rank you, then you rank them, and then a computer matches you up. Based upon many conversations with program directors, it's really that straight forward; and mimics the NRMP in that regard. – How the programs rank you is where the various

• bjective and subjective measures come in. You

should be a competetive applicant. If you are, and you are a natural fit for the culture of a program, you'll likely be high on their rank list.

For our T3's

• What about letters of recommendation?

– This applies fairly generally, but when you do your big ADT's, you should be performing at a level suitable for, and actively pursuing a good letter of recommendation. Army medicine is a small world, and a good letter of recommendation from an Army physician in your field of choosing will go a long way.

For our T3's

• Anything else?

– At every place I rotated at, I was expected to give a

• PRESENTATION. It was stressed to me again, and again

how important these presentations were. Why? Well, because you won't have the chance to work with every resident, or every staff member; this is their chance for everyone to see what you're made of.

• Hmmm...big deal then, eh? So, what are they

looking for?

– Generally, I've been told that they're looking to see that you can communicate academically, effectively and efficient while carrying yourself professionally.

Things to do as a T1 and/or a T2

• Investigate your field of choice, and prepare

yourself.

– Use the NRMP match data to get a feel for how you need to perform academically and otherwise. – Touch base with your program of choice. The chairman and others want to know you, and help you. – If your research is in your sights for your given field, try to get it started as soon as you can.

Brooke Army Medical Center

• Where is it? San Antonio, TX.
• Where will I stay during an ADT? At a hotel

literally two blocks away from the hospital.

• Tell me about it?

– It's a busy Level I Trauma Center that is combining with the Air Force to form a joint

• hospital. The associated Fort Sam trains medics

who rotate through most aspects of the hospital. The Army's Burn Center, the Center for the Intrepid, and the Institute for Surgical Research is also located here. – In my experience, the overall atmosphere is incredibly collegial and professional, and bustling.

Madigan Army Medical Center

• Where is it? Near Tacoma/Seattle, WA.
• Where will I stay during an ADT? At a really

nice hotel about 15 minutes drive from the

• hospital. There is a shuttle, but it doesn't run

before 6am I think.

• Tell me about it?

– It's located in a really beautiful area, and is staffed by very pleasant people. I haven't had experience so many "Good morning!" greetings since being in

• Montana. The nurses here are really exceptional.

– The weather can be pretty gray a lot of the time, so bring appropriate clothing.

Walter Reed Army Medical Center

• Where is it? Bethesda, MD
• Tell me about it?

– This is a physically large, and historically storied hospital, and it is currently are one of the primary stops for the critically injured from OIF/OEF after stabilization in Germany. It is combining with the nearby Navy hospital to form the National Capital

• Consortium. This hospital has a large population
• f civilian contracted workers which adds a

different dynamic to the workplace.

William Beaumont AMC

• Where is it? El Paso, TX.
• Where will I stay during an ADT or away?

They have student housing in the hospital that is free!

• Tell me about it?

– William Beaumont has a very similar feel to Madigan, but is a bit smaller, and less busy. The associated base, however, is slated to grow to be

• ne of the Army's largest. As a result, the hospital

is expected to move and expand in a few years.

Eisenhower Army Medical Center

• Where is it? August, GA.
• Tell me about it?

– Eisenhower feels like a large community hospital. The nurses and staff are commonly locally-raised. It is also associated with a training base (AIT), so the greater degree level of military-centric professionalism is prevalent.

MODS is your friend.

Google "MODS Army Education"

Questions?

tpark1@tulane.edu or tim.park.mt@gmail.com Also, 406.370.4772.