Completing a Residency

The military residency application process for aspiring military physicians is different than it is for civilian ones, specifically the application process, Match Day and, of course, the fact that you will be an officer with a military rank, not a civilian.

Choosing a Specialty

In the Military, all specialties are open, and you will never be forced to do a residency you don’t want to do. Even in the event that a desired residency is unavailable, you will still have the opportunity to become a general practitioner until that residency is available.

Military Residencies

Military medical students in the Health Professions Scholarship Program (HPSP) and the Uniformed Services University of Health Services (USU) must apply to the military Joint Service Graduate Medical Education Selection Board (JSGMESB). Many students, but not all, must also apply to the civilian Electronic Residency Application Service (ERAS), and they must rank their residencies by preference. All military residency programs are approved by the Accreditation Council for Graduate Medical Education (ACGME).

The military match takes place first in December of the fourth year of medical school, and students are most likely to be matched at that time. If you do not match into a military residency or postgraduate year one program, you will be authorized to participate in the civilian match.

If you are selected for a military residency, you will start working at a military healthcare facility as an active-duty physician, and you will be paid as a captain in the Army or the Air Force, or as a lieutenant in the Navy. Keep in mind that your time in a military residency will not count toward your service commitment, but will count toward your eventual promotion, pay longevity, retirement, and veteran benefits.

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The Military may allow you to attend a civilian residency if there are not enough military slots available in the specialty you want and the Military still has a need for physicians in that specialty. Even if you believe you will be allowed to participate in a civilian residency, you must apply to the JSGMESB and enter a civilian deferred residency as your first choice. You should plan on interviewing for military residencies just in case you are not selected for civilian training.

If you do become a civilian resident, you will work at a civilian healthcare facility, and the civilian facility will pay your salary. During your residency, you will still be an officer in the Individual Ready Reserve (IRR), which means your time in the civilian program will count toward promotion and pay longevity. However, it will not count toward active-duty retirement. As soon as you are finished with your residency and come on Active Duty, you must begin paying back your service commitment, and you will start receiving military benefits.

In some cases, the Service branches select medical students to a sponsored civilian residency training. When this occurs, the student is considered to be on Active Duty while working at a civilian hospital, and they will receive military pay and benefits. Note that this can extend the student’s service commitment period.

Emergency Medicine Residency Overnight Shift

Watch as the Air Force’s Dr. Trentini shares his experience during an overnight shift at a civilian hospital.

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Emergency Medicine Residency Overnight Shift

Watch as the Air Force’s Dr. Trentini shares his experience during an overnight shift at a civilian hospital.

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TRENTINI: The residency program here at Wright State and at Wright Patterson Air Force Base, it’s a kind of a combination program between civilian and Military. It’s 50/50. So we’re side-by-side with civilian residents, and we do the majority of our rotations down at civilian hospitals. So this month in particular I’m here at Good Sam, which is sort of our inner-city, urban hospital, sort of our underserved community. You see a lot of acuity here, a lot of very sick people. We do rotations here, we do rotations at Miami Valley, at the level-one trauma center. We do rotations at Kettering and at Sycamore, as well as rotations at the base as well.

Applying for Fellowships

Residents and staff physicians are authorized to apply for fellowships through the Joint Service Graduate Medical Education Selection Board (JSGMESB) utilizing the same application procedures to select residency training positions. The JSGMESB convenes in November every year to conduct the "Military Match” for fellowships. The number of Military Full-Time In Service (FTIS) and Civilian Full-Time Out Service (FTOS) fellowship opportunities are published based on the needs of the Army, Navy, and Air Force each year.

If the JSGMESB selects you for a Civilian Full-Time Out Service Fellowship, you will be authorized to apply for a civilian fellowship anywhere in the United States. As a military-sponsored fellow, you will receive your pay and benefits directly from the Military. As a result, most fellowship programs will consider accepting you as an extra fellow that they will train at no cost to the hospital. For this reason, many military physicians have the opportunity to train at some of the most competitive and prestigious fellowship programs throughout the country.

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