**Military residency typically ends up being longer than civilian residency.  This is because a large number of military residents are pulled after the first/intern year to fill GMO (General Medical Officer) billets/openings.  These tours are 2-3 years long.  A GMO serves as a "sick call" type doctor in a variety of locations.  The assignment can be unique and exciting, and some people choose military scholarships just so they can do one of these GMO tours.  One may be overseas, on an aircraft carrier, with a Marine unit, or with an air squadron, to name a few.  A "flight surgeon" is a GMO who attends to the basic primary care needs of pilots.  After special training, they learn to determine when a pilot shouldn’t fly (when they need to be "downed"), and the flight surgeons are able to fly as passengers in fighter jets.  This is a popular and competitive GMO tour.

**After the GMO tour, you continue residency starting with the second-year level.  The total length of residency, including internship, depends on the specialty.  Family practice is 3 years, Internal medicine 3 years, General Surgery 5 years, Ob/Gyn 5 years, etc.  The GMO years are subtracted from your commitment, but then there are special rules involving the accrual of additional obligation for the military residency.  Be sure to go over this carefully with the recruiter.

**Military residencies do provide sound, reliable, reputable training.  They are not, however, considered "elite" programs or among the very top rated programs in the country.  This may be important to you.  You may go to medical school and really excel:  honors student, over the 90^th percentile on the national boards, participate in published research, etc.  The top residency program in the nation may be drooling over you, but your contract is with the military. The military residency needs come first.  Furthermore, if you fall in love with a subspecialty that requires a highly competitive fellowship, it will be harder for you if you are not applying from an elite residency program.

**Whether you are doing a civilian deferred or military residency, if you want to further subspecialize by doing a fellowship…you must be given permission.  In this case, they often decline.  This does indeed affect your career.  If you want to do a cardiothoracic surgery fellowship, for example, they may say no.  Instead, you must serve your time as a general surgeon (in this example) for a number of years, and then ask permission again. Or, you can wait until your commitment has been fulfilled before pursuing the chosen subspecialty.  

**Unless you were allowed to go into a fellowship, your commitment/required years of active duty begin when you finish residency.  The Navy tries to make physician salaries closer to their civilian counterparts by awarding yearly specialty pay.  This is a lump sum of money awarded each year in addition to your officer pay.  The amount is determined by your specialty.  There are rules governing the special pays with one result that is important for planning purposes:  in order to receive your final specialty pay, you must stay 3 months beyond your actual commitment.  The details are available in the special pay brochures.

**The military serves a more mobile, forward-deployed role than it did during the days of the Cold War.  The end result is that one must expect to move a lot and to endure separations from home and family. Deployments are, by necessity, becoming longer and more frequent.

**You are typically in the Independent Ready Reserves for a certain number of years after finishing your active duty obligation.  Check with your recruiter regarding the details.

As I mentioned, these are all truths. I know, now, that this information is very important for premedical students who are considering military scholarships for medical school. I wish my pre-med advisor had known to recommend that I ask about these issues. I may have still chosen to accept the scholarship, but it would have been a more informed, personal decision...not just a financial one.

Thank you for your time, and if you are interested in working with me to provide some of this general info to students who visit your website, please let me know. I am absolutely not interested in any compensation. This is a personal mission to improve the information available to pre-med students.

Sincerely,