Retention survey

[narcusprince]

Military physicians lost the battle with CRNAs 20 years ago. Many of us sounded the alarm, but the ASA and VA
leadership didn't care, because it didn't affect their income in the slightest...and they thought that it would never happen
in the civilian/VA world...

What makes anyone think it will be any different with independent practice of NPs, PAs, APAs, AAPAs, AAAPAs, etc.?

Why not just cut out the middleman and tell the active duty troop in 2030: "OK, the AI says you have appendicitis.
Now, log on to the Joint Service Health Care Portal and click on 'self-serve appendectomy video'. You will need
a sharp knife and some alcohol, both to disinfect your belly and to drink as the sole anesthetic..."

Extra bonus: the service member can't sue themselves for malpractice! Plus, there will be more money to pay
DoD contractors and foreign countries if your active-duty headcount is "right-sized" a bit due to patient
empowerment, without the need for expensive, whiny physicians.

Hes baaacccckkkkk…..

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[pgg]

Diploma mill DO + HPSP scholarship + Navy intern year and off to fleet is frightening

Sailors and marines deserve better

Let's not split hairs ... PGY1 GMOs, regardless of where they went to school or where they were interns, shouldn't exist at all.

 

[Trajan]

Let's not split hairs ... PGY1 GMOs, regardless of where they went to school or where they were interns, shouldn't exist at all.

True. But they’re not all equally incompetent. A smart GMO who cares and follows up and has a supportive CoC can do well.

 

[pgg]

True. But they’re not all equally incompetent. A smart GMO who cares and follows up and has a supportive CoC can do well.

That's like saying interns who have a supportive program director don't need to round with the attending or get their notes cosigned.

They're just unqualified for independent practice per the standard in effect everywhere else in the USA except the military.

It's not a matter of how good the GMOs are or how hard they're trying.

 

[TheEarDoc]

I had never even considered this until once upon a time you posted something similar with this point of view. Looking at it through that lens I completely agree with you and totally makes sense as to why they haven’t changed things and retention is so poor. It’s cheaper for them to recruit HPSPers and pay young O3’s and O4’s instead of paying O5’s and O6’s for years and then paying the pension as well. Especially since the pipeline seems to be steadily full with students signing up as they are.

This is exactly why when they decided to go purple medicine and cut a ton of billets and fill them with DHA the higher ups weren't kicking and screaming. They know they always have young people looking to not pay for med school to fill the ranks for providers and if a major war breaks out they will just pull people from the reserves, guard, IRR, and then throw a bunch of cash and freebies at the civilian population to get people to sign up.

 

[Brouillet2017]

This is exactly why when they decided to go purple medicine and cut a ton of billets and fill them with DHA the higher ups weren't kicking and screaming. They know they always have young people looking to not pay for med school to fill the ranks for providers and if a major war breaks out they will just pull people from the reserves, guard, IRR, and then throw a bunch of cash and freebies at the civilian population to get people to sign up.

lmao how much cash will it take to lure civilian docs away from their practices? It's a big ask for early and mid-career docs.

 

[Gastrapathy]

The doctor draft aka HCPDS
is free.

 

[Baron Samedi]

That's like saying interns who have a supportive program director don't need to round with the attending or get their notes cosigned.

They're just unqualified for independent practice per the standard in effect everywhere else in the USA except the military.

It's not a matter of how good the GMOs are or how hard they're trying.

The other day I was surprised to find that DHA has allowed for "prescribing clinical psychologists." These folks require a whopping 400 clinical hours and can prescribe controlled substances (i.e. stimulants) without any oversight.