An Unconventional Route through Military Medicine

It's not all that unconventional of a plan. It's colloquially referred to as "GMO and out" and it's utilized by people like you who want a short military sojourn (but not a career), those who get totally screwed in the military matching process, and those who realize early on that they despise the military and want out at the earliest opportunity. In response to your specific questions...

1. You could die in a training accident or in combat. If you have or accumulate a family before then, you could end up divorced due to the operational tempo of an operational physician. You will take a pretty significant paycut when you go back to residency (though government cheese in the form of the GI Bill may mitigate some of that). If you are extremely unlucky and cavalier as a GMO, you could feasibly make a catastrophic medical mistake that led to a bad outcome and superiors could decide to run it all the way up to a state licensing board which could impact your ability to ever get a residency (unlikely but possible).

2. You should do a transitional internship in preparation for GMO with no slack-off rotations like gas, rads, or path. Whether or not you have to repeat internship totally depends on what specialties you apply to in the future. Specialities like gas, rads, derm, etc. will almost certainly accept your internship. Primary care specialties may or may not require some remediation of internship. Surgical subs (and I include OB/GYN here) will almost certainly not accept an internship performed 3 years ago and will make you repeat.

3. Neurosurgery, Rad-Onc any of the highly competetive specialities that require a ton of research and networking as the price of admission. I'm not saying it would be impossible to match these specialties, just less likely as you won't be able to schmooze, complete audition rotations, or be an attending's research scut monkey while you're lancing pilonidal cysts and performing musculo-skeletal exams. In general though, a military hitch is a massive plus on a residency application.

4. Nothing is guaranteed. If you wash out during internship they may stash you in the medical service corps where you'll send reminders to soldiers to get their HIV test. In all likelihood, barring some type of force majeure event, you will be able to complete you plan. You can apply only for transitional internships under the guise that you haven't decided on a specialty. When you don't apply for a residency during internship the only place for you is GMO-land.

As was mentioned above, the widest variety of alpha-male operational stuff exists through the USN (operators, Marine infantry, flight, dive, etc.), though you will have to wear shirt-stays and buy white shoes.

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An Unconventional Route through Military Medicine