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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)
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, USADirector of the Medical Education Directorate for the US Army Office of the Surgeon General
Michael A. Forgione, MD, FACP, FIDSA Colonel, USAF, MC
Chief, Physician Education(210) 565-0648
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 GME815 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 GME815 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
Program leaders, faculty and trainees serve in key national leadership positions in the American Board of Medical Specialties, the ACGME, and national specialty societies.
*Source: 2014-15ACGME Data Resource Book
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 Cycle5. JSGMESB meets
Nov/Dec
1. HPERB opens for training requests
Feb-Mar
2. Medical Corps HPERB meets
May
3. HPERB results/ GME applications
releasedJune
4. GME application deadline
Mid September
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 220Staff 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 279USUHS 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 55Deferred 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 ResultsSelect Status
Choice Number Count Break Down Comments
Select 1 390 First Choice Specialty Matched into first choice
Select 2 25 Second Choice Specialty
Did not match first, got second choice
Select 3 9 Non Match to Second Choice
Did not match first or second choice, got PGY-1 only
Select 2 61 No Second Choice Did not match first choice, Selected PGY-1 only
Select All 490(5) 5 selected for Non-Traditional Fellowships
Non Select 95(4)
Pre Select 2017 1 32(2)
623(11)
Residency Applicants Selected AD/DEFUSMLE/COMLEX
Step 1
USMLE/COMLEX
Step2Anesthesia 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
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
WebsitesPhysician 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/
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Air Force Personnel Center
Q & A
For additional information and to join AMSUS, visit www.amsus.org.
For any other questions, please contact Mel Sirois at [email protected]
or 301-828-1584.
