Recruitment woes
Army misses recruiting goal by 15,000 soldiers
Officials said the Army brought in about 45,000 soldiers during the fiscal year that ended Friday. The goal was 60,000.
www.armytimes.com
The army missed it's recruitment goals by 25% (15K soldiers). This is obviously a huge number. The article implies that this number is only going to increase in subsequent years and that all services will be affected beginning next year. I wonder how long it will take our military to implode if this issue continues for 2, 3 4+ years (which it appears will happen) at ...
Source: Student Doctor Network - October 9, 2022 Category: Universities & Medical Training Authors: Chonal Atresia Tags: Military Medicine Source Type: forums
Difficult neonate case - what would you do?
6 week old with jejunal atresia, intermittent emesis, in house since birth, posted for urgent Broviac as 24g IV has failed and primary team is unable to get PICC or peripheral access. Child has been getting TPN and there is concern for hypoglycemia and dehydration. Pediatric surgeon, PICU and NICU attendings, unable/willing to perform awake femoral central line. Pediatric anesthesiologist attempts bedside u/s IV with no success. There are femoral vein targets.
Would you attempt awake...
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Source: Student Doctor Network - March 14, 2021 Category: Universities & Medical Training Authors: Slothtronaut Tags: Anesthesiology Source Type: forums
Tricare Rant
I few months ago I posted a thread about the sudden influx of Tricare patients into my practice. I solicited ideas as to why this happened and if anyone else was experiencing this phenomenon. This post is a follow-up to my previous post and a plea to all those active duty docs seeing Tricare.
DON'T DUMP PATIENTS! I can't tell you how many people I've seen in the last 2 months (retirees, dependents and active duty) who have been tossed to the "network" so the military doesn't have to deal...
Tricare Rant (Source: Student Doctor Network)
Source: Student Doctor Network - August 29, 2019 Category: Universities & Medical Training Authors: Chonal Atresia Tags: Military Medicine Source Type: forums
Tricare
Has anyone else seen an enormous influx of Tricare in their practices?
Over the last several weeks, our practice has noticed that the number of referrals increased almost 10-fold. We are within an hour of a major military post so there is a large local military population. It seems to me that (at least ENT) has stopped seeing all dependents and retirees. They are also now referring active duty with non-surgical issues (dizziness, globus, sleep apnea, etc). We severely limit the amount of...
Tricare (Source: Student Doctor Network)
Source: Student Doctor Network - May 23, 2019 Category: Universities & Medical Training Authors: Chonal Atresia Tags: Military Medicine Source Type: forums
Question: Role of ductus arteriosus in transposition of great vessels
In utero, the ductus ateriosus shunts oxygenated blood from the pulmonary trunk to the aorta to maintain systemic circulation. In transposition of great vessels, the aorta is exiting the right ventricle with oxygenated blood. What role does the ductus arteriosus perform in this situation?
The left heart+pulmonary circulation is at a higher pressure. Will this lead to atresia of the ductus arteriosus or do the circulating prostaglandins maintain it? (Source: Student Doctor Network)
Source: Student Doctor Network - February 17, 2018 Category: Universities & Medical Training Authors: drwatson1575 Source Type: forums
Case of treatment-resistant ADHD
I've been seeing an 8 year old boy for about the last year for treatment for ADHD, combined type. His history is pretty classic for hyperactivity as well as inattention, with Vanderbilt's completed by both mother and teacher, which are consistent and mostly 2's and 3's. He also has anxiety, which is now successfully controlled and asymptomatic after a course of play therapy with me. He has biliary atresia and is being followed by pediatric GI. I've discussed the case with them, and they want...
Case of treatment-resistant ADHD (Source: Student Doctor Network)
Source: Student Doctor Network - June 27, 2016 Category: Universities & Medical Training Authors: PistolPete Source Type: forums
Army Shenanigans
So my buddy is a fellowship-trained surgical subspecialist stationed at a major army MTF. He has two years left with his ADSO and has been stationed at the same MTF for the last 8 years. In the army's infinite wisdom, they are moving him to Bumblef#$%, AK unaccompanied (he is married with 2 children < 12 years of age) where he will not practice any of his skill set.
I know there are much worse stories out there, but the army is essentially killing his opportunity to get hired after he...
Army Shenanigans (Source: Student Doctor Network)
Source: Student Doctor Network - May 10, 2016 Category: Universities & Medical Training Authors: Chonal Atresia Source Type: forums
