Health Professions Scholarship Program (HPSP)

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Health Professions Scholarship Program (HPSP)

  1. 1. Health Professions Scholarship Program (HPSP) Sandra Yerkes, MD CAPT, MC, USN (ret.) Program Manager, Accessions Department Phone: 301-295-9950 [email_address] General Questions: OH@med.navy.mil Accessions Website: http://www.med.navy.mil/sites/navmedmpte/accessions/Pages/default.aspx February 2010
  2. 2. Background <ul><li>HPSP provides financial assistance to students pursuing doctoral degrees in medicine, dentistry, podiatry, clinical psychology and optometry and masters degrees as physician assistants </li></ul><ul><ul><li>Rolling Admissions – We take them anytime in the year! </li></ul></ul><ul><li>Primary source of physicians and dentists </li></ul><ul><ul><li>80% of Physicians </li></ul></ul><ul><ul><li>75% of Dentists </li></ul></ul>
  3. 3. Why should students participate? <ul><li>Leave school with minimal debt </li></ul><ul><ul><li>Typical Medical/Dental School cost $200K+ over 4 years </li></ul></ul><ul><li>Great Graduate Education </li></ul><ul><li>Opportunity to Serve </li></ul><ul><li>Exciting practice opportunities </li></ul><ul><li>Excellent benefits and long term retirement </li></ul>
  4. 4. Eligibility <ul><li>Must be a United States Citizen </li></ul><ul><li>Less than 38 years old or age 42 or less at the time of graduation (waiverable) </li></ul><ul><li>Must be medically qualified </li></ul><ul><ul><li>Many conditions can be waived </li></ul></ul><ul><ul><li>Must meet height/weight standards </li></ul></ul><ul><li>Must be able to pass a security background check </li></ul>
  5. 5. Eligibility (cont.) <ul><li>Must be accepted into an accredited school (AAMC or AACOM) in the United States, Canada, or Puerto Rico </li></ul><ul><li>Must be a full time student </li></ul><ul><li>Program does not pay for additional degrees such as in MD/PhD or masters programs </li></ul><ul><li>On line programs don’t count! </li></ul><ul><li>PA applicants must be in a Masters program for PA Studies, not a BS in PA with a masters in something else. </li></ul>
  6. 6. Benefit Start Date <ul><li>Benefits start on the later of the following three dates: </li></ul><ul><ul><li>Oath of Office </li></ul></ul><ul><ul><li>HPSP Contract </li></ul></ul><ul><ul><li>Academic Start Date </li></ul></ul><ul><li>Example: </li></ul><ul><ul><li>Oath of Office 21 May 2010 </li></ul></ul><ul><ul><li>HPSP Contract 21 May 2010 </li></ul></ul><ul><ul><li>Academic Start Date 14 August 2010 </li></ul></ul><ul><ul><li>Benefit Start Date is 14 August 2010 </li></ul></ul><ul><li>Tuition is back dated to the start of the semester the student is in. </li></ul><ul><li>Stipend starts on the Benefit Start Date. </li></ul><ul><li>Signing bonus and FAP grants are paid 4-6 weeks AFTER the benefit start date. </li></ul><ul><li>Academic Year Statement is the KEY to benefits! </li></ul>
  7. 7. Benefits <ul><li>Full Tuition paid via contract between Navy and school. </li></ul><ul><ul><li>No maximum limit </li></ul></ul><ul><ul><li>No prorating </li></ul></ul><ul><ul><ul><li>If the student is brought into the program prior to the last day of the term, we can pay tuition for the entire term </li></ul></ul></ul><ul><li>All required fees with some exceptions – we don’t pay for parking, cap and gown, student union fees, etc. </li></ul>
  8. 8. Benefits (cont.) <ul><li>All required books and equipment </li></ul><ul><ul><li>Books need to be on a book list or the student’s Dean must certify they are required </li></ul></ul><ul><ul><li>There are maximums for cost of equipment </li></ul></ul><ul><ul><li>Computers, pagers, cell phones, PDAs are NOT covered. Government can reimburse up to $500 per year to lease a computer. </li></ul></ul><ul><ul><li>State and local taxes are not paid consistent with TMA, AF and Army procedures. </li></ul></ul>
  9. 9. Benefits (cont.) <ul><li>Health Insurance </li></ul><ul><ul><li>Navy will pay up to the single rate of the policy if coverage is mandated by the school. </li></ul></ul><ul><li>Dental Insurance </li></ul><ul><ul><li>Only when on active duty. </li></ul></ul><ul><ul><li>Students can participate in the Reserve Dental Program, but it is costly. </li></ul></ul><ul><li>Stipend </li></ul><ul><ul><li>$1992 per month. </li></ul></ul>
  10. 10. Accession Bonus <ul><li>$20K signing bonus for all medical and dental HPSP students signed up in FY10. </li></ul><ul><li>Incurs a 4 year MSO, served concurrently with HPSP obligation. </li></ul><ul><li>Internship year counts toward the MSO. </li></ul><ul><li>Paid AFTER the Benefit Start Date. </li></ul><ul><li>Air Force isn’t offering an accession bonus to Dental Selectees!!! </li></ul>
  11. 11. Benefits (cont.) <ul><li>45 Days of Annual Training (AT) per year </li></ul><ul><ul><li>1 AT per year of sponsorship/fiscal year. </li></ul></ul><ul><ul><li>Paid as an O-1 under 2 years for the entire time in school (no accrued longevity) unless prior service. </li></ul></ul><ul><ul><li>Save Pay: Medical ( not Dental or MSC) HPSP students with prior service will be paid during their AT at their prior base pay rate if higher than 0-1 base pay. </li></ul></ul><ul><ul><li>BAH and Subsistence paid in addition to travel and per diem. </li></ul></ul>
  12. 12. Prior Service and AT Pay <ul><li>If the student has prior enlisted service, the student will be paid as an O-1E (if greater than 4 years) when on AT. </li></ul><ul><li>Save Pay: NDAA 08 provision to pay prior service medical (not Dental or MSC) students at their prior service base pay during AT if greater than O-1 pay. </li></ul><ul><li>DD-214 required for verification. </li></ul>
  13. 13. Recommended Schedule for Annual Training (AT) <ul><li>First AT – Officer Development School. Should be taken at the earliest possible time. </li></ul><ul><li>Second AT: </li></ul><ul><ul><li>Often “School Orders.” </li></ul></ul><ul><ul><li>May consider operational or research opportunities. </li></ul></ul><ul><li>Third and Fourth ATs – Clerkship Rotations if medical. School orders if DC or MSC. </li></ul>
  14. 14. Research Clerkships - MC <ul><li>Operational </li></ul><ul><ul><ul><li>Undersea Medicine </li></ul></ul></ul><ul><ul><ul><li>USMC Operational Medicine (Field Medicine School) </li></ul></ul></ul><ul><ul><ul><li>Flight Medicine </li></ul></ul></ul><ul><ul><ul><li>Locations- San Diego, Pensacola, Camp Lejeune, Norfolk </li></ul></ul></ul><ul><li>Research Institutes </li></ul><ul><ul><ul><li>AFRI, NMRI – Bethesda </li></ul></ul></ul><ul><ul><ul><li>NSMRL, NUMI – New London </li></ul></ul></ul><ul><ul><ul><li>NAMRI – Pensacola </li></ul></ul></ul><ul><ul><ul><li>Experimental Dive Unit – Panama City </li></ul></ul></ul>
  15. 15. MC Clerkships <ul><li>MS3 & MS4 – Clinical Clerkships </li></ul><ul><li>Military teaching hospitals only. </li></ul><ul><li>Goal is to be seen and evaluated for an internship/residency. </li></ul><ul><li>Students should choose hospital/specialty in which they have the most interest. </li></ul><ul><ul><li>Arrange as early as possible and confirm </li></ul></ul><ul><ul><li>Get interviews in person or by phone </li></ul></ul>
  16. 16. HPSP Obligated Service <ul><li>Obligation of 1 year for each year of sponsorship, served in a non-training status. </li></ul><ul><li>Minimum Service Obligation (MSO) of 3 years (impacts 1 and 2 year recipients). </li></ul><ul><ul><li>Intern year counts towards MSO </li></ul></ul><ul><li>Residency (not internship) incurs year for year training obligation served concurrently with remaining HPSP obligation </li></ul>
  17. 17. <ul><li>Pay back occurs when the member is not in training. </li></ul><ul><li>Time spent as a GMO, Flight Surgeon, or Undersea Medical Officer counts toward payback. </li></ul><ul><li>Residency obligation is paid back concurrently with HPSP obligation. </li></ul><ul><li>Accession Bonus results in 4 years of MSO. </li></ul>HPSP Obligated Service
  18. 18. Entry Grade Credit (EGC) (OPNAVINST 1120.4) <ul><li>Entry Grade Credit determines Date of Rank. It does not impact pay. </li></ul><ul><li>Calculated by Accessions Office at the time information is sent to PERS for the superceding oath. </li></ul><ul><li>Prior commissioned service earns EGC at a rate of ½ year for every year of service </li></ul><ul><li>Students receive 4 years EGC for their Medical/Dental degree </li></ul><ul><li>Masters degrees in relevant areas can give up to 2 years if earned prior to commissioned service and doctoral degrees in relevant areas can give up to 3 years. </li></ul>
  19. 19. Entry Grade Credit (cont.) (OPNAVINST 1120.4) <ul><li>Time cannot be counted twice </li></ul><ul><ul><li>Commissioned service is counted first </li></ul></ul><ul><ul><li>Degrees counted second </li></ul></ul><ul><li>EGC is calculated by going back to the Ensign date of rank and calculating it forward, so the 4 years of EGC for medical/dental school gives a 4 year period equivalent of Ensign to LT. </li></ul>
  20. 20. Graduate Medical Education (GME1) - Internship <ul><li>Navy offers Internship training in: </li></ul><ul><li>Family Medicine </li></ul><ul><li>General Surgery </li></ul><ul><li>Internal Medicine </li></ul><ul><li>Orthopedic Surgery </li></ul><ul><li>Otolaryngology </li></ul><ul><li>OB/GYN </li></ul><ul><li>Pediatrics </li></ul><ul><li>Psychiatry </li></ul><ul><li>Transitional Year </li></ul>
  21. 21. Navy Internship Locations <ul><li>Family Medicine: </li></ul><ul><ul><li>Pensacola, Jacksonville, Camp Pendleton, Bremerton, Camp LeJeune </li></ul></ul><ul><li>All others: </li></ul><ul><ul><li>NCC (National Capital Consortium), Bethesda </li></ul></ul><ul><ul><li>Naval Medical Center, Portsmouth </li></ul></ul><ul><ul><li>Naval Medical Center, San Diego </li></ul></ul>
  22. 22. Internship (GME-1) <ul><li>Students must apply for a Navy internship (does not have to be their first choice) </li></ul><ul><ul><li>May request a full deferment </li></ul></ul><ul><ul><li>Numbers and types of deferments vary from year to year </li></ul></ul><ul><ul><li>ERAS and Navy applications required </li></ul></ul><ul><ul><li>No combined residencies </li></ul></ul>
  23. 23. Internship (GME-1) <ul><li>Application </li></ul><ul><ul><li>Application opens in July of the year prior to graduation, and closes Mid October </li></ul></ul><ul><ul><li>Intern Selection Board meets in Mid November </li></ul></ul><ul><ul><li>Results typically released by Mid December </li></ul></ul><ul><ul><li>Early results allow students given a full deferment to interview for the civilian match </li></ul></ul>
  24. 24. Internship Selection <ul><li>Students rank their choice of internship </li></ul><ul><li>Program Directors rank applicants </li></ul><ul><li>Order of merit lists matched together </li></ul><ul><li>Student preference is weighted </li></ul><ul><li>Intern program directors CANNOT offer individual acceptances!! </li></ul>
  25. 25. Civilian Deferments Navy Active Duty Delay for Specialists (NADDS) <ul><li>Definition: Permission to train in a civilian institution to complete a residency. </li></ul><ul><li>This time is neutral for payback. </li></ul><ul><li>Members gain time towards pay (i.e. longevity) and promotion, but not retirement. </li></ul><ul><li>Members are paid by the institution, not the Navy. </li></ul>
  26. 26. Civilian Deferments (cont.) <ul><li>Limited in number </li></ul><ul><li>Limited in specialty </li></ul><ul><li>Typically offered in </li></ul><ul><ul><li>Anesthesia </li></ul></ul><ul><ul><li>Emergency Medicine </li></ul></ul><ul><ul><li>General Surgery </li></ul></ul><ul><ul><li>Neurosurgery </li></ul></ul><ul><ul><li>Orthopedics </li></ul></ul><ul><ul><li>Radiology </li></ul></ul>
  27. 27. Civilian Deferments (cont.) <ul><li>Occasionally offered in </li></ul><ul><ul><li>Internal Medicine </li></ul></ul><ul><ul><li>Family Medicine </li></ul></ul><ul><ul><li>Pediatrics </li></ul></ul><ul><li>Deferments are purely based on needs of the Navy. </li></ul><ul><li>The Navy does not support or select for combined residency programs. </li></ul>
  28. 28. <ul><li>Assignments for MC, DC, and MSC are made through collaboration with selection board, detailer, specialty leader. </li></ul><ul><li>PERS 4415 writes the orders and sends directly to NRDs. Copies can be requested by the individual to go to their own e-mail. Accessions Department does not get a copy of orders. </li></ul><ul><li>Once orders are in hand, student can arrange HHG move. </li></ul><ul><li>Student dependency information must be on file with Accessions for it to show in the orders!! </li></ul><ul><li>Request for sponsor should go to the new command, not Accessions Department. </li></ul>Coming On Active Duty: Orders
  29. 29. <ul><li>Must pass Parts I and II (CK and CS) of COMLEX and USMLE/NBDE/NBEO </li></ul><ul><li>Supercede from ENS, IRR to LT, USN or LTjg (i.e. PAs). </li></ul><ul><li>Must sign a new Oath of Office which Recruiting Office must send to PERS and a copy given to the officer. </li></ul><ul><li>Health Records and hard copy Service Records maintained by Accessions Office, are sent to NRDs to be given to the students at the time they sign their new oath. </li></ul><ul><li>Newly graduated officers are not eligible for pay until they report to their first active duty assignment. </li></ul><ul><li>Templated supercession ceremony available from Accessions Department. </li></ul>Coming On Active Duty: Supercession
  30. 30. After Internship <ul><li>During internship members may: </li></ul><ul><ul><li>Apply for Residency </li></ul></ul><ul><ul><ul><li>In-service </li></ul></ul></ul><ul><ul><ul><li>Deferment </li></ul></ul></ul><ul><ul><li>Apply for Flight Surgery </li></ul></ul><ul><ul><li>Apply for Undersea Medicine </li></ul></ul><ul><ul><li>Request a General Medical Officer Tour </li></ul></ul>
  31. 31. General Medical Officers (GMO) <ul><li>Must have completed internship successfully. </li></ul><ul><li>Practice as a primary care physician. </li></ul><ul><li>Must obtain a license. </li></ul><ul><li>Assigned: </li></ul><ul><ul><li>Fleet Marines (usually 1-2 years) </li></ul></ul><ul><ul><li>Overseas Clinics (usually 2-3 years) </li></ul></ul><ul><ul><li>Ships (2 years) </li></ul></ul><ul><ul><li>Undersea Medical Officer </li></ul></ul><ul><ul><li>Flight Surgeon </li></ul></ul>
  32. 32. GMO Tour <ul><li>Navy Medicine is working to convert GMO billets to Primary Care billets. </li></ul><ul><li>Moving towards an all board eligible force. </li></ul><ul><li>By 2011 GMO/FS/UMO billets will be drastically reduced. </li></ul><ul><li>This will increase the opportunities for straight through training each year as the transition of billets occurs. </li></ul>
  33. 33. GMO Tour <ul><li>Frequently seen as a negative. </li></ul><ul><li>Students are focused on completion of training. </li></ul><ul><li>Positives </li></ul><ul><ul><li>Allows for a break after 5-9 years of intense schooling/training </li></ul></ul><ul><ul><li>Allows for maturing of skills </li></ul></ul><ul><ul><li>Provides opportunities not found elsewhere in Civilian world or other services (FS/UMO) </li></ul></ul><ul><ul><li>Increased pay (Additional Special Pay) </li></ul></ul>
  34. 34. Flight Surgery <ul><li>6 months training in Pensacola. </li></ul><ul><li>Perform basic flight training. </li></ul><ul><li>Study unique aspects of aerospace medicine. </li></ul><ul><li>Assigned as Squadron or Station FS. </li></ul><ul><li>2-3 year tour (24 month minimum). </li></ul><ul><li>Eligible to apply for Residency in Aerospace Medicine after first tour. </li></ul>
  35. 35. Undersea Medicine <ul><li>6 months training in Groton, CT and Panama City, FL. </li></ul><ul><li>Study the unique aspects of hyperbaric medicine. </li></ul><ul><li>Become a certified Navy diver. </li></ul><ul><li>2-3 year tour (24 month minimum). </li></ul><ul><li>Serve the needs of the submarine and diving communities. </li></ul>
  36. 36. Residency (GME-2+) <ul><li>Who may apply? </li></ul><ul><ul><li>Any intern associated with the Navy </li></ul></ul><ul><ul><li>Operation Medical Officers (GMO, FS, UMO) </li></ul></ul><ul><ul><li>Staff physicians </li></ul></ul>
  37. 37. Residency (GME2+) <ul><li>Interns may apply for Flight Surgery and Undersea Medicine during internship as well as residency </li></ul><ul><li>Some interns may go “straight through” </li></ul><ul><ul><li>Family Medicine </li></ul></ul><ul><ul><li>Internal Medicine </li></ul></ul><ul><ul><li>OB/GYN </li></ul></ul><ul><ul><li>Pediatrics </li></ul></ul><ul><ul><li>Psychiatry </li></ul></ul>
  38. 38. Residency (GME-2) <ul><li>Competitiveness of Navy residencies mirror civilian programs </li></ul><ul><li>Selection for program of choice is NOT automatic </li></ul><ul><li>Navy residencies have board certification passage rates at or above the national average in all specialties </li></ul>
  39. 39. Graduate Dental Education (GDE) <ul><li>Post Graduate Year–1 </li></ul><ul><ul><li>Advanced Education in General Dentistry (AEGD) validates and expands general dental skills in a clinic based program. </li></ul></ul><ul><ul><li>General Practice Residency (GPR) provides an increase in hospital based care to prepare for more procedure based dentistry (i.e. Oral Surgery, periodontics and pediatric dentistry). </li></ul></ul><ul><ul><li>These programs are time neutral. Payback of the HPSP obligation begins AFTER completion of the AEGD/GPR year. </li></ul></ul>
  40. 40. GDE – PGY1 <ul><li>PGY-1 year is not required but strongly encouraged. </li></ul><ul><li>It is neutral for obligation payback. </li></ul><ul><li>A great opportunity to add and improve skills prior to more independent practice. </li></ul><ul><li>Applications are due in August of the year prior to graduation. </li></ul>
  41. 41. GDE PGY-1 Sites <ul><li>GPR </li></ul><ul><ul><li>Camp Pendleton </li></ul></ul><ul><ul><li>San Diego </li></ul></ul><ul><ul><li>Portsmouth </li></ul></ul><ul><ul><li>Bethesda </li></ul></ul><ul><li>AEGD </li></ul><ul><ul><li>Camp LeJeune </li></ul></ul><ul><ul><li>Camp Pendleton </li></ul></ul><ul><ul><li>Great Lakes </li></ul></ul><ul><ul><li>Portsmouth </li></ul></ul><ul><ul><li>San Diego </li></ul></ul><ul><ul><li>Okinawa, Japan </li></ul></ul>
  42. 42. Miscellaneous <ul><li>Website and Handbook have the most up to date info: http://www.med.navy.mil/sites/navmedmpte/accessions/Pages/default.aspx </li></ul><ul><li>NADDS cannot be SELRES. They are IRR and are not recall eligible. </li></ul><ul><li>HPSP/FAP students cannot apply for ADSW, because they are in a training status and are authorized only 45/14 days of AT by law. </li></ul><ul><li>HPSP AT time does not count toward an active duty retirement but can count toward a reserve retirement. </li></ul><ul><li>Communication with students through mass e-mails, phone, website, Fast Facts. </li></ul>
  43. 43. Program Contacts <ul><li>NAVMED MPT&E Accessions Department Code OH </li></ul><ul><li>Program Manager: CAPT(ret.) Dr. Yerkes (301)295-9950 </li></ul><ul><li>Student Programs: CDR Dr. Sanchez (301) 295-1217 </li></ul><ul><li>Registrar: CDR(ret.) Fran Smith (301) 319-4526 </li></ul><ul><li>Deputy Prog Mgmr: LT Yolanda Adams (301) 319-4531 </li></ul><ul><li>Tuition: PS1(ret.) Mr. Dion Woodard (301)295-9977 </li></ul><ul><li>Travel: PS1 (ret.) Mr. Jon Green (301) 319-4538 </li></ul><ul><li>Personnel Support: PS1 (ret.) Mr. Sean Hughes: (301) 319-4529 </li></ul><ul><li>Reimbursements: Ms. Fundersburg:(301) 295-9978 </li></ul><ul><li>Medical Internship: HMC(ret.) Pelot (301)319-4517 </li></ul><ul><li>Dental HPSP: Ms. Sampson (301) 295-1594 </li></ul><ul><li>E-mail: [email_address] </li></ul><ul><li>Website: http://www.med.navy.mil/sites/navmedmpte/accessions/Pages/default.aspx </li></ul>

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