HPSP • • 80% of all active duty physicians • Available to: physicians, dentists, veterinarians, clinical psychologists, pharmacists and optometrists • Reasons to take scholarship Full assistance (tuition, books, equipment and monthly stipend of $2,088) Debt free after med school (avg. debt is $160,000) GME opportunities and subspecialty training Unlimited practice opportunites in 1 Reasons to Apply for HPSP • Debt free after Medical school+ $20k bonus Median education debt is $160,000 • Outstanding GME opportunities in Army programs and subspecialty training • Unlimited practice opportunities in academic, operational, clinical medicine and research • Excellent benefits while on AD and retirement* • Selfless service 2 HPSP Changes • MAC (Minimal Acceptance Criteria): GPA >/= 3.2 undergrad MCATs >/= 24 with no score <8 • AAC (Automatic Acceptance Criteria): NO LONGER • Average MCAT for HPSP matriculants is 29.3 and average GPA is 3.62 • Waivers: 103 requests, 19 approved Virtually all approved were for combined programs 3 More HPSP Notes • Residency Competition for Army will peak in 2012-2013 • Most scholarships are 4 years 3-year scholarships mostly rollovers • HPSP students expected to take BOLC after 1st year medical school 2nd year prepare for part 1 of boards 3rd and 4th years to ADT at Army hospitals 4 HPSP Plan of Attack • New Approach USAREC and MEDCOM working together Adjustments in requirements Improvement in Quality 5 Attrition Rates Year Overall Academic 2007 5.4% 1.7% 2008 4.6% 3.3% 2009 6.4% 4.7% 2010 4.0% 3.1% 2011 3.2% 1.2% National 4.0% 1.4% 6 HPSP Plan • Target: Undergraduate universities Universities with large number of medical school matriculants Universities with large number of matriculants to out-of-state and private medical schools Pre-health clubs, Medical Honor societies, advisors & ROTC Target financial aid advisors at medical schools and staff with access to accepted students • Provide SME at all events involving at least major universities (Top 65) • Provide regular training to recruiters from GME and deliver readily available POC • Provide visibility to leaders and AARs 7 Army Unique Medical Professional Career Tracks • • • Clinical Academic Research Same for Civilian and Army** •Operational •Multiple Levels of Hooah! •Command – Leadership •Corporate Level Management 8 Life Cycle Model Is: • Integration of Professional Medical Education and Professional Military Education as the three pillars of leader development: -Military training/GME -Self development -Operational assignments • Designed to provide guidelines for completion of courses, career integration at specific ranks and career points • http://www.army.mil/usapa/epubs/xml_pubs/p600_4/he ad.xml 9 Medical Corps Officer Career Progression YEARS 0 Rank 6 CPT BOLC Professional Military Education Additional Training CCC FYGME MAJ COL LTC INTERMEDIATE LEVEL ED RESIDENCY 30 18 12 SENIOR SVC. COLLEGE FELLOWSHIP CBRNE SHORT COURSES EXECUTIVE SKILLS COURSE ADV. TRAUMA MANAGEMENT, ADV. TRAUMA LIFE SUPPORT, COMBAT CASUALTY MGT MPH MBA TWI ADVANCED SCIENCE DEGREE DEVELOPMENTAL & UTILIZATION ASSIGNMENTS Typical Assignments Successful Completion of Internship and Residency Utilization Tour Clinician Self Development Successful Completion of Fellowship TOE/TDA Physician Company Commander Clinic OIC Teaching Staff Research Assistant Clinician BN/BDE/DIV Surgeon MEDCOM Staff DCCS MEDCEN Staff MEDDAC Staff Residency Director Product Line Mgr Division Chief Clinician Corps/MACOM Surgeon Commander Joint Assignments DCCS MECEN Staff Deputy Chief Dir Med Ed USUHS Faculty Department Chair Research Area Dir. Continuing Medical Education / Board Recertification License by yr. 2 Board Certification Subspecialty Board Certification 10 Leadership Opportunities • • An Army Officer Training and mentoring junior soldiers/physicians in your specialty. • Opportunities to lead sooner than civilian practices • Your professional recommendations are more valued, and you have the autonomy within your practice without thirdparty interference • Full-spectrum of leadership opportunities from service/department chief to Surgeon General 11 Retention • MC Retention Issues Deployment / Family Length of deployment – Down to 4.5 months for physicians AHLTA/admin issues • Initial ADSO Retention FY11=70% FY10 = 63% FY09 = 59% 57% - 65% over the past 5 years • Continuation rate beyond initial ADSO > 90% 12 OEF/OIF: Rapid Integration of Lessons Learned • Force Health Protection Behavioral Health – Interventions to Enhance Psychological Resilience and Prevent Psychiatric Casualties. – Pentagon Post-Disaster Health Assessment – PTSD Immunizations – Vaccine Healthcare Centers Network (VHC) – Myocarditis and Oral Vaccine with Smallpox Vaccine • Battlefield Medicine Training of Medics: 91W Use of Blood Transfusions, Whole Blood, Factor VII Hemostasis: Tourniquets and HemCon Bandages Pain Control & Regional Anesthesia: pain pumps • Home Station/Garrison Care Amputee Care & Rehabilitation: Intrepid Center Deployment Health Practice Guideline Community Based Warrior Transition Unit: CBWTU Traumatic Brain Injury (TBI) 13 Battlefield Survival • Forward surgical/resuscitation capabilities • Advanced evacuation capabilities • Body Armor • Advanced surgical techniques • Advances in antibiotic tx Transforming for Success Survivability (%) 100 90 93 87.1 80 78.2 70 70.7 76 60 50 40 30 20 10 0 WW II WWII Korea ODS Vietnam SOMALIA OEF OEF Survivability = 100% - (KIA% + DOW%) OIF OIF 15 15 Army Medicine Serving the nation since 1775 China 1944 44th MASH, Korea 1954 Radiology residents 1968 16 The Army’s Home for Health… Saving Lives and Fostering Healthy and Resilient People ~ Partnerships Built on Trust 17