AMSUS Student Webinar: What's Up With Military Residencies? A general overview of Army, Navy and Air Force GME programs Tuesday, 12 January 2016 Moderator: Michael Cowan MD, VADM USN (Ret)
Michael R. Nelson, COL, MC, USA Director of the Medical Education Directorate for the US Army Office of the Surgeon General 703-681-8256 michael.r.nelson4.mil@mail.mil
Michael A. Forgione, MD, FACP, FIDSA Colonel, USAF, MC Chief, Physician Education (210) 565-0648 michael.forgione@us.af.mil
2016 AMSUS USAF GME Update Michael A. Forgione, MD, FACP, FIDSA Colonel, USAF, MC Chief, Physician Education
Overview USAF Background USAF GME USAF GME Process Health Professions Educational Requirements Board (HPERB) 2015 Joint Service GME Selection Board (JSGMESB) 2015 JSGMESB Results Way Forward
Active Duty USAF 2015 As of November 2015 Total USAF Officers- 60,244 AFMS Officers- 10,738 AFMS MC- 3338 Colonel 308 Lt Col 662 Major 1042 Captain 1326
Active Duty USAF 2015 As of November 2015 Total USAF Officers- 60,244 AFMS Officers- 10,738 AFMS MC- 3338 Colonel 308 Lt Col 662 Major 1042 Captain 1326 Medical School 1104 HPSP 210 USUHS USAF GME 815 AD Military 100 Civilian Sponsored Training 294 Deferred Civilian Training 34 Financial Assistance Program
Active Duty USAF 2015 As of November 2015 Total USAF Officers- 60,244 AFMS Officers- 10,738 AFMS MC- 3338 Colonel 308 Lt Col 662 Major 1042 Captain 1326 Summary: 2500 Staff Physicians 2500 In Training Medical School 1104 HPSP 210 USUHS USAF GME 815 AD Military 100 Civilian Sponsored Training 294 Deferred Civilian Training 34 Financial Assistance Program
USAF GME USAF GME programs develop the knowledge, skills and attitudes of highly qualified medical personnel to support the missions of the AFMS ensuring maximum wartime readiness and combat capability. Our training programs help ensure the competency and currency of USAF medical personnel maintaining the health of DOD personnel providing health care to deployed military personnel providing a peacetime system of health for all beneficiaries.
GME Program Quality Metrics Accreditation success 100% Air Force programs have full or initial accreditation by the Accreditation Council of Graduate Medical Education (ACGME) National average of US programs is 98%* Majority of our eligible programs are in Substantial Compliance Board Certification 24 /31specialties have a 100% first-time board pass rate All 31 specialties exceed the national average for first-time board pass rate in their specialty *Source: 2014-15ACGME Data Resource Book Program leaders, faculty and trainees serve in key national leadership positions in the American Board of Medical Specialties, the ACGME, and national specialty societies.
The Process for GME Selection The Health Professions Education Requirements Board (HPERB) The Joint Service Graduate Medical Education Selection Board (JSGMESB)
Goals of the HPERB & JSGMESB Process 1. Meet the current and future requirements of the Air Force Medical Service Part 1- Health Professions Educational Requirements Board (HPERB) Part 2- Joint Service GME Selection Board (JSGMESB) 2. Provide professional development opportunities for the applicants 3. Maintain the academic quality of our Air Force GME programs
The Air Force GME Cycle 5. JSGMESB meets Nov/Dec 4. GME application deadline Mid September 1. HPERB opens for training requests Feb-Mar 3. HPERB results/ GME applications released June 2. Medical Corps HPERB meets May
Application Trends 2015 2014 2013 2012 2011 2010 2009 2008 AF Applicants 623 621 535 544 525 518 542 555 Active Duty 234 206 175 196 186 198 229 220 Staff Physicians 141 131 114 119 126 126 150 140 Current PGY1 only 36 20 21 18 16 13 23 21 Current Residents 57 55 40 59 44 59 56 59 Medical Students 344 361 322 305 308 289 266 279 USUHS 56 50 52 53 51 49 50 50 HPSP 287 310 268 251 257 239 214 227 ROTC 1 2 2 1 0 1 2 2 Deferred 45 53 38 43 28 28 45 55 Deferred HPSP 11 16 16 9 5 8 20 22 FAP 3 0 2 1 3 4 3 7 Current PGY1 only 31 37 20 32 20 16 22 26
2015 USAF JSGMESB Preliminary Results Select Status Choice Number Select 1 390 Select 2 25 Select 3 9 Count Break Down Comments First Choice Specialty Second Choice Specialty Non Match to Second Choice Select 2 61 No Second Choice Select All 490(5) Non Select 95(4) Pre Select 2017 1 32(2) 623(11) Matched into first choice Did not match first, got second choice Did not match first or second choice, got PGY-1 only Did not match first choice, Selected PGY-1 only 5 selected for Non-Traditional Fellowships
Residency Applicants Selected AD/DEF USMLE/ COMLEX Step 1 Anesthesia 25 16 ( 64 %) 6/0/10 233 / 550 245 / 583 Dermatology 6 2 ( 33 %) 1/0/1 267 270 Emergency Medicine 67 38 ( 56 %) 18/0/20 237 / 568 251 / 618 Family Medicine 60 53 ( 88 %) 52/0/1 215 / 515 232 / 534 General Surgery 45 25 ( 55 %) 15/0/10 233 / 610 243 / 620 Vascular Surgery 2 2 ( 100 %) 1/0/1 Internal Medicine 38 35 (92 %) 35/0/0 240 / 508 250 / 553 Neurology 8 7 ( 87 %) 3/0/4 230 / 530 232 / 541 Neurosurgery 1 1 (100%) 0/0/1 OB/GYN 26 20 ( 77 %) 19/1/10 220 / 543 242 / 570 Ophthalmology 5 3 ( 60 %) 3/0/0 248 251 Orthopedics 27 15 ( 55 %) 3/2/10 245 / 690 257 / 640 Otolaryngology 9 7 ( 77 %) 2/2/3 242 250 Pathology 16 8 ( 50 %) 3/0/5 236 242 Pediatrics 51 45 ( 88 %) 26/0/19 221 / 534 245 / 561 USMLE/ COMLEX Step2 Psychiatry 24 21 ( 87 %) 14/0/7 214 / 566 241 / 595 Radiology 15 12 ( 80 %) 7/0/5 239 / 556 250 / 550 Urology 7 6 ( 85 %) 2/1/3 240 / 609 238 / 586
How to be successful at the JSGMESB Timely communication with my office Keep us informed of phone number/email/address changes Websites provide information and deadlines, don t hesitate to contact us with questions Medical school performance predicts future success! Perform your best on the Steps and rotations Dean s letter defines where you rank in your medical school class even if your school doesn t rank. Talk to the USAF Consultant for your specialty of interest about the career field, practice opportunities, research, etc. Show the programs your best work ethic on clerkship rotations Interview by phone at all the programs you do not rotate at Consider a second choice specialty
Websites Physician Education Websites AFPC mypers: https://mypers.af.mil/app/answers/detail/a_id/25393/ Military: https://kx2.afms.mil/kj/kx4/afphysicianeducation/pages/home.aspx Public: http://www.airforcemedicine.af.mil/about/organizations/physician- Education-Branch AF Recruiting: http://www.airforce.com/opportunities/healthcare/education/
Air Force Personnel Center 19
Elizabeth A. McGuigan, CAPT, MC, USN Director, Navy Graduate Medical Education 301-319-4513 elizabeth.a.mcguigan.mil@mail.mil
Q & A
For additional information and to join AMSUS, visit www.amsus.org. For any other questions, please contact Mel Sirois at mel.sirois@amsus.org or 301-828-1584.