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  1. #1
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    Default Military looking for a few good medics: $120,000 sign-on bonus

    Military looking for a few good medics
    By Michael Moran
    Senior correspondent
    MSNBC
    Updated: 7:09 a.m. ET June 10, 2005

    NEWARK, N.J. — Sirens wailing, Ed Wheat’s ambulance races through the streets of Newark en route to yet another GSW. In Wheat's world, that's shorthand for gun shot wound. Newark is a city so rough that no one but the state government is willing to take responsibility for emergency medical care. Wheat’s crew is often the first on the scene of traumatic accidents, stabbings and gun battles.
    This time, the initial report is wrong — not a gun shot victim, just a 300-pound diabetic, former professional boxer whose hypoglycemic state has him flailing at those who have come to his aid. Wheat, a 6’4” 250 pounds former military policeman, is the perfect candidate to step in and subdue the man. With several police and firefighters, he moves in and takes a hard punch in the eye before the man is loaded into the ambulance for treatment.

    “It’s like that some days,” Wheat says, showing off a burgeoning shiner. “It can be quiet sometimes, but a lot of times it’s run and gun, and you’re fighting to stay focused on your job, almost robotic, instead of thinking about what could happen around you.”
    Coolness under pressure and his experience with gun and knife wounds makes the 34-year-old the perfect candidate for another job, one the Army and Marine Corps are more and more desperate to fill these days. A few months ago, Wheat and several of his colleagues here were approached by a Navy recruiter who promised a “tax-free $120,000 bonus” if they agreed to sign on as medical consultants with a Marine Corps unit in Iraq.

    “I knew what they were asking, and don’t get me wrong, I was tempted,” says Wheat. “That’s a lot of money, and I really want to help. But I worried that I wouldn’t be accepted by the Marines, as an outsider, and I won’t kid you – I thought about getting killed or injured. And I decided. Hey, I’m already doing a job that’s dangerous that no one else wants right here. So I said no.”
    Luring trained veterans like Ed Wheat back into the medical corps is a full-time headache for the military, which even in peace time is compelled to offer bonuses and perks that would compare with those available in the private sector. These days, with conflicts in Iraq and Afghanistan and the military attempting to add more than 40,000 new soldiers over the next few years, the challenge is more acute than ever.

    “What’s happening with our combat medics is not so much a recruiting problem as it is keeping up with the Army’s expansion,” says Lt. Gen. Kevin Kiley, the Army’s surgeon general. “We’re standing up entirely new brigades, and that has added to requirements, so we’re having to hustle to continue to recruit highly qualified men and women who can make it through courses and get into the field.”

    More acute for specialties
    The decline in general Army recruiting in recent months has been precipitous. On Wednesday, for instance, the Army said that it had missed its recruitment goal for May by more than 25 percent – that after lowering its monthly target. It was the fourth month in a row that recruitment fell short. Perhaps more importantly, unlike February and March, which are traditionally slow periods for recruiters, May is usually a busy month as students begin to graduate or anticipate graduation from high school.

    While media reports have focused on the problems the Army and Marine Corps are having with recruitment, the retention of highly trained specialists is as serious, if not more so, for the long-term ability of the military to sustain operations around the globe. Kiley notes that some 36,000 medical staff – doctors, nurses, technicians — have deployed to southwest Asia from the Army alone in the past four years. That is not only time away from home, but in some cases an interruption of their training as internists or medical students.
    The bonuses offered to Wheat and others to work as private consultants are part of a series of strategies designed to bring in highly trained people and to hold on to those already in the service.
    “In my experience, in the Army since 1976, it has never been easy to hold on to people who can command high salaries in the outside world,” says Kiley. “But today we’re also feeding into the larger issue of recruiting for the Army altogether, and we’re having some issues of getting our total end strengths up to the maximums. And our ability to offer bonuses is key.”

    For instance, the Army is currently offering a $20,000 bonus to those who agree to re-enlist after their first four year tour is up. But that amount can grow depending on the skills involved and the military’s need for them.

    Paging Dr. Dogface
    Some of these specialties are perennially difficult to keep. For the most highly skilled — cardio-thoracic surgeons, neurological specialist, orthopedic surgeons -– bonuses can in some cases be up to $70,000 a year. As Wheat attests, for those who prefer to work as private consultants on the front lines in Iraq, the amount can be much higher.

    For the most part, the military’s medical system trains its own doctors, either through ROTC-like scholarship programs, which trade medical school tuition and some expenses for a seven year commitment to the military, or more directly by educating them at the Uniformed Services Universities of the Health Sciences just north of Washington.

    “We’ve been in a sustained deployment now and it has its impact on recruiting and retention,” says Virginia Stephanakis, an Army Medical Command spokesperson. “It’s something we’re keeping an eye on. But the long commitment after training helps ensure we always have enough people to fight a war and to take care of military family medical needs.”

    Kiley and other military medical commanders recently appeared before Congress to urge them to increase the flexibility of the current bonus system. Kiley says if he had the flexibility to offer special packages when they were needed to certain specialties, “I’d fill every slot, I believe. As it is under the current system, I have 4,347 physicians authorized, but only 4,220 on duty.”
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    Bonuses under the current system are set year-by-year by Congress, with little discretion exercised by military medical commanders.
    “For instance, this year all obstetricians may get $34,000, but that could drop next year to $29,000,” Kiley says. “A radiologist could get as high as $50,000. And others further down the list could be offered a “multiple specialty bonus” — meaning if you sign on for two years you get $20,000 over that period.”

    Steve Kosiak, an analyst with the Center for Strategic and Budgetary Assessments in Washington, notes that bonuses currently make up five percent of the total amount the Pentagon spends on military pay. “Most of that is in across the board bonuses, like the $20,000 being offered for reenlistment,” he says. “If it were structured to target specialists better, it could be a more effective program.”

    Where are the nurses?
    Other specialties in the medical and other fields also are experiencing serious shortfalls. These include information and internet specialists, as well as many mid-level officers who appear to be concluding that plotting a military career during wartime is not as attractive as it may have been during the 1990s.
    Others, like registered nurses, who rank as officers in the military, and non-commissioned physicians assistants and certain engineering positions, reflect shortages that extend into the civilian economy, as well.

    “We are having some problems retaining nurses,” Gen. Kiley says. “They are in great demand in the civilian sector. And we’re also having some trouble with physicians assistants, too. It’s not just a question of Iraq, it’s a question that there aren’t enough slots open in universities — military or civilian — to fill current demand.”

    “Unfortunately, the way the military’s pay and retirement and promotions system is structured creates a distortion,” says Cindy Williams, an MIT military analyst who for years specialized in personnel issues for the Congressional Budget Office. “They wind up keeping too many of the wrong people — cooks and clerks and unskilled laborers where the salaries and benefits in the civilian economy would not be so different — and not enough of the right people who can make far more by leaving.”

    The problem with that, Williams says, “is that serving 14 to 20 years as a medical specialist probably means that at the end of your career you are a stellar medical specialist. Where as, say, someone who has been cooking in a mess hall for 20 years is likely to be only marginally better, if at all.”

    Kiley recognizes the problem, but says he has to live in the “real world” if he is to mitigate the consequences.

    “You ask the doctors who are leaving where they’re going, and it is stunning, mind-boggling what the cardiologists, radiologists and orthopedic surgeons are getting,” Kiley says. “In a sustained way, we can’t keep up. We have to rely, at least in part, on patriotism and a sense of duty, and the obligation that some of these doctors and nurses and other people owe the military because we trained them.”


  2. #2
    Forum Member DaSharkie's Avatar
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    I am looking at potentially going back in as an officer as soon as PA school is done next year.

    I am picky though, I'll only do the Coast Guard or Navy. The Coasties have a great loan repayment program for my loans, plus I get to do what I am interested in.

    If I get in the Navy, I can serve with the Marines again, albeit in the Navy.

    The bonus has nothing to do with it.

    If freedom and liberty are worth having, then they are worth dying for.
    "Too many people spend money they haven't earned, to buy things they don't want, to impress people they don't like." Will Rogers

    The borrower is slave to the lender. Proverbs 22:7 - Debt free since 10/5/2009.

    "No man's life, liberty, or property are safe while the legislature is in session." - New York Judge Gideon Tucker

    "As Americans we must always remember that we all have a common enemy, an enemy that is dangerous, powerful and relentless. I refer, of course, to the federal government." - Dave Barry

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  3. #3
    Forum Member backsteprescue123's Avatar
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    Originally posted by DaSharkie
    If freedom and liberty are worth having, then they are worth dying for.
    I can't agree with you more. I hope to graduate high school, and attend the Naval Academy. Then from there I would like to be a SEAL. I know they are lofty goals but I am determined to get there.

    I swim on my schools swim team year round and since nov have swum the equivalent of NW Ohio to Halfway into florida, by the end of the summer I will be way past Cuba.
    ------------------------------------
    These opinions are mine and do not reflect the opinions of any organizations I am affiliated with.
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    RFRD - word of advise. Have a backup plan in case your dream of becoming a SEAL doesn't go the way you plan. (not that I wish you ill or anything) But the dropout rate is incredibly high, and once you get dropped from the program they reclass you to whatever they want. (cook, laundry, MP) At least that's the way it was 5 years ago. Just be smart and have a backup plan.

  5. #5
    Forum Member DaSharkie's Avatar
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    If I were 13 years younger and just getting out of high school, knowing what I know now - I would have busted my *** for Air Force Pararescue. Not that I am not glad to have served as a Marine, but a PJ is warrior, diver, jumper, and Paramedic all in one. It is THE toughest most physically and mentally demanding training that we have in the military today - there are less than 700 PJs in the Air Force, Air Force Reserve, or National Guard, and greater than 80% of prospective PJs do not complete the training. This is not chest thumping, testosterone poisoning, or anything else other than it is the way it needs to be.

    "That Others May Live."

    As for our SEAL boy - best wishes to you. Remember it is a mental mind game. The training is tough because the mind is the weakest part of the body, and you must find the limits of your mind - and exceed it. Like I said, best wishes.

    And just so people know, the article that George posted only highlights a problem that the Navy has had for years. It is just tough to get enough people to want to serve with The Corps. Many don't want to be Marines, that is why they joined the Navy, but a Hospital Corpsman with the FMF (Fleet Marine Force) is a Marine in all but name. Our Corpsmen ate, slept, trained, deployed, and did everything that we did. The only difference? They not attend recruit training at Parris Island or San Diego. It is a tough sell to get people to fill the billets, especially since you will see combat eventually. I imagine the Army has the same issues filling their Combat Medic billets. For this very reason I only call people I know that were Corpsmen with Marines "Doc." I don't call physicians "Docs" since they haven't earned that right.

    The trade off to serving with the Marines as a Corpsman? You are treated as well as God Himself would be. You are the saving grace of Marines, and we know it. Marines will die so that their Corpsman can work on their buddy. They are an integral part of our combat team. From a few that I have talked to, we have lost a lot of Corpsman in Iraq and Afghanistan.

    We have a few Corpsmen lurking on these boards, and all I wish to say to them is a simple "Thanks Doc."

    Semper Fi!
    Last edited by DaSharkie; 06-11-2005 at 08:46 AM.
    "Too many people spend money they haven't earned, to buy things they don't want, to impress people they don't like." Will Rogers

    The borrower is slave to the lender. Proverbs 22:7 - Debt free since 10/5/2009.

    "No man's life, liberty, or property are safe while the legislature is in session." - New York Judge Gideon Tucker

    "As Americans we must always remember that we all have a common enemy, an enemy that is dangerous, powerful and relentless. I refer, of course, to the federal government." - Dave Barry

    www.daveramsey.com www.clarkhoward.com www.heritage.org

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    Default "Doc"

    DaSharkie


    From a former Navy Corpsman, I would like to say "Thanks" for your kind words and sentiments. I served during the first trip to the sand box, and have been thinking about rejoining and serving again ....

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    "I am looking at potentially going back in as an officer as soon as PA school is done next year."

    Hey Mr. Sharkie- If I remember correctly, weren't you laid off from your previous position as a full time FF about a year or 2 ago? And now you're in PA school and looking to serve your country (Again!). Most people I know would have been quite bitter after being laid off- not many would have the motivation to take on a task like PA school.

    This is totally off the topic of the thread, but I wish you the best, and hope that someday I can show half the dedication you do.

  8. #8
    Forum Member DaSharkie's Avatar
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    IAfireMedic:

    Just call it like I see Doc. Corpsmen are right there next to us Jarheads everywhere we go. Just remember, in the picture of the flag raising on Mt. Suribachi, on Iwo Jima (http://iwojima.com/raising/raisingb.htm) there were 5 Marines and 1 Navy Corpsman. There are numerous Medals of Honor awarded to Corpsment who braved everything the enemy threw at them to save their Marines, many dying in the process.

    Every Marine knows it, and every Marines loves them for it, that is why Corpsmen are the only squids......errrr I mean Navy folks allowed to join the Marine Corps League as full members.

    Semper Fidelis, Doc.

    Hippo:

    I was laid off in June of 2002. Part of the Big Plan I guess. I had been toying with idea pretty seriously about PA school and being laid off presented the opportunity to step up the efforts to get there. I am no optimist by any stretch of the imagination, but you have to just roll with the punches and move forward, 'cuz there isn't a damn thing you can do about the past. Thanks for the support. I am half way through and in 5 weeks I start my clinical year. Woo HOOOOOOO!!!!!!!
    "Too many people spend money they haven't earned, to buy things they don't want, to impress people they don't like." Will Rogers

    The borrower is slave to the lender. Proverbs 22:7 - Debt free since 10/5/2009.

    "No man's life, liberty, or property are safe while the legislature is in session." - New York Judge Gideon Tucker

    "As Americans we must always remember that we all have a common enemy, an enemy that is dangerous, powerful and relentless. I refer, of course, to the federal government." - Dave Barry

    www.daveramsey.com www.clarkhoward.com www.heritage.org

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