Ask an Air Force Dentist

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AFDDS

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Ask away. I'll do my best to answer. My background:

9 years enlisted in Army National Guard
2-years Private Practice as an Associate
Goodfellow AFB, TX - Clinical dentist and Assistant Director of Dental Services
2 year Comprehensive General Dentistry Residency
USAF Academy - Deputy Director, AEGD
Bolling AFB - Surgeon General's Office - Working on Federal Dental Service issues as well as AF Education
Elmendorf AFB, AK - AEGD Residency Director
Deployed for 6 months
Lackland AFB, TX - Associate Professor of Comprehensive Dentistry (Director, 1st year Resident Education and Training)

14+ years total in the AF

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Did you do hpsp through dental school? I'm thinking about that program. I've heard both good and bad things. Regardless, how do you like practicing in the AF? How do you think it would compare to Private Practice? Is life fairly balanced? you may not know, but how would doing a AEGD residency or going into a specialty impact those 4 years of payback for the scholarship?
 
I didn't do the HPSP. I am prior enlisted in the Army National Guard and the AF wasn't giving scholarships when I graduated. I did participate in the HPLRP and had 72% of my loans retired for me.

Practicing in the AF is great. I can offer my patients the best treatment and not worry if they can afford it or not. I've never been exposed to an amalgam line in the AF and I haven't heard of anyone complaining of one. Private practice was a decent experience for me. I worked for someone as an associate, but found out some things had been hidden from me that I felt were too important to stay on. I wanted a change and training. The AF was a change and I could get training while still being paid.

Life has been very balanced for me. I haven't deployed yet, but I'm sure I will. I haven't talked to anyone in the AF that has deployed that said it was a horrible experience.

The AEGD year would be a neutral year and does not count toward your payback. I think that is a small price for the type of training you get. I'm not 100% sure about the way a multi-year residency will affect you and your payback, but I'll find out and post an answer for you.
 
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I just clarified the rules. You cannot pay back education with education. So, if you go into any residency the time you are in is neutral. However, the ADSC for the residency runs concurrent with your HPSP payback. For example, If you start a 4-year OMS residency, you will start paying back your OMS training and your HPSP upon graduation and will pay them both back at the same time or at 8 years in the AF. If you go to a 2 year program, you'll pay them off at year 6.
 
Thanks for the great answers. How do you think an AEGD residency in the military would compare to civilian? Also, If you are going to be paying back those 4 years practicing dentistry anyhow with AF, do you think the AEGD residency is as beneficial, or would it just be basically speeding up your learning?
 
As a Residency Director, I may be a little biased, but I think the residencies are a must. Our residencies are fully staffed with specialists (we have 1 prosthodontist, orthodontist, periodontist, and endodontist. 2 Oral surgeons, and 3 AEGD - 2year trained General Dentists) for 4 residents.

You won't find many, if any, civilian programs with that student:staff ratio. This staff doesn't just look in every now and then. One of their main duties is to teach.

If you're coming in, do a residency, you won't be sorry.
 
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Some things I've read lead me to believe which base you are stationed at could have a large impact on the range of things you will do. For example, if you are at a base recruits are moved through, you're stuck doing exams and fillings most of the time, whereas, at maybe a larger base, you would be exposed to a wider variety of things. Is any of this true? Which bases would you recommend? When you are paying back the 4 years, I've read you will probably be relocated every 2 years, but I've also heard that if you are stationed overseas, there is a good chance they will not relocate you at all during the 4 years. Any truth to that?
 
Hi, I am applying for the HPSP AF scholarship. I was just wondering how many of the AF dentists are asian? I know there shouldn't be any, but is there any racial discrimination? Also, is it easy to get stationed in Korea? I think it'd be cool to serve in Korea since I speak Korean. Thanks!
 
Some things I've read lead me to believe which base you are stationed at could have a large impact on the range of things you will do. For example, if you are at a base recruits are moved through, you're stuck doing exams and fillings most of the time, whereas, at maybe a larger base, you would be exposed to a wider variety of things. Is any of this true? Which bases would you recommend? When you are paying back the 4 years, I've read you will probably be relocated every 2 years, but I've also heard that if you are stationed overseas, there is a good chance they will not relocate you at all during the 4 years. Any truth to that?

My recruiter told me that you can't get stationed overseas for the first 2 years you are in the military. So, I am assuming most of us will get relocated after 2 years.
 
Hi, I am considering the Air Force HPSP and have a few questions. What would a typical work day be like as an Air Force dentist during re-payment. Also, I don't know a ton about the AEGD program and would like to know what the benefits would be to doing an AEGD as opposed to starting the re-payment immediately upon graduation. Would the pay be higher if one has the AEGD training? Finally (this may seem like a dumb question), have you come accross many who, upon working as an Air Force dentist, regretted their decision to join the Air Force HPSP? Thanks for your help!
 
I just signed up with the AF. According to the contract I am obligated to apply to AEGD or GPR program. It seems like they really push those programs on new dentist. So at minimum if you go the AF you would have to do the repayment period and the period for AEGD and GPR if you get it. You are pretty much obligated to do it if you get accepted.
 
I just signed up with the AF. According to the contract I am obligated to apply to AEGD or GPR program. It seems like they really push those programs on new dentist. So at minimum if you go the AF you would have to do the repayment period and the period for AEGD and GPR if you get it. You are pretty much obligated to do it if you get accepted.

You need to do some homework before you start making false statements. Yes you are obgligated to apply for the AEGD/GPR residencies but you can still decline them if accepted. They can't make you accept an AEGD/GPR.
 
Hi guys I am from IUSD, and am also interested in applying for AF HPSP.
The scholarship just sounds sooooo good to be true, do you guys mind telling me what are the pros and cons for that?

also, I have some questions that I want to clarify...

1. I am confusing about the 3/4 years scholarship plan. Does it cover only 3 years tuition or all 4 years? (depends on their offer?) and how about that $20,000 bonus..?

2. Do I choose the location to complete my 4 years commitment after I graduate (e.g. LA base) or it is all randomly assigned? How likely can I transfer from one base to another?

3. How likely do I need to go out of country or deploy to other area during the 4 year commitment?

4. I am an out-of-state dental student (CA to IN), would that affect the amount of scholarship I am getting or if there is a max. amount we can get? (the estimate COA for my 4 yrs are ard $340,000 and the tuition by itself is ard $210,000 for 4 yrs)
 
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Herme,
The AF has several AEGD programs (13 to be exact). They are all very similar. The only real difference in them is that some have a pediatric dentist and some don't. The patient population at your base after a residency does have some bearing on what you do. I was at a training base for my first assignment and could do anything I wanted. My practice wasn't restricted at all. No matter what service you are in, however, there will be a time when the mission dictates you spend some time doing simple operative dentistry. I've never been involved in or heard of a true "amalgam line" in the AF

How often you relocate is based on where you are and what you want to do (in some cases). All overseas assignments are 2-3 years (except Korea - 1 year) depending on whether or not you go with or without dependents. Minimum time on station for most stateside bases is currently 4 years. So, if you go stateside after your residency, you will probably stay at that location until your payback is up. If you go overseas, it will depend on where you go and whether or not you have dependents.

KPPREDENT,
I can't give you numbers, but I know a 2 or 3 AF dentists of Asian descent, but I'm sure there are quite a few. Assignments to Korea are a pretty good deal. Those assignments are offered up to the residents before any others. The nice thing about Korea is that you get a guaranteed follow-on assignment from Korea. I have known some that choose to stay. If your recruiter told you that, he/she is mistaken. You most certainly can and I've known quite a few that have spent almost their whole career overseas.

SkySkier,
All 5 bases I've been at have worked 7:30 a.m. to 4:30 p.m. If you are in a residency, you may be there a little longer. AEGD programs have many benefits, but the main one is the expansion of your skill set and learning more about why we do what we do. For example, AF AEGD programs teach IV sedation and surgical removal of third molars. You will spend some time doing Perio surgeries, restoring implants and you will be involved in some community dentistry projects.

I have known 1 or 2 that did not enjoy their time in the service, not just the AF. Let's face it, Military service isn't for everyone. However, most (not all) of the people I know that didn't like their service had more to do with their dissatisfaction than anything else. If you don't try to get along, you probably won't. I haven't met anyone, even those that didn't like the military, that regreted the fact that they were debt free (or close to it) when they graduated.

Blankguy,
Eric257 hit the nail on the head, you are required to apply, but not required to accept. I think you would be missing a great opportunity (military residents are the highest paid in the nation) if you turned the residency down. I'd recommend visiting a base with a residency before you make a decision.

Paulee1983,
I can't answer some of those questions, but your recruiter should be able to. If not, pm me and I'll try to get you in touch with someone that can.
 
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You need to do some homework before you start making false statements. Yes you are obgligated to apply for the AEGD/GPR residencies but you can still decline them if accepted. They can't make you accept an AEGD/GPR.

I didn't mean to say that it was a must to accept it but it seems to be an advantage to do it. I think it may leave you at a disadvantage in relation to your peers who do go with it especially when you consider that you are not paying for the training but in extra time in the military. Having talked to army and air force recruiters it seems they really want their dentist to at least have an AEGD under their belt.

Since it is recommended according to AFDDS you might as well factor that into the 'obligatory' time unless you really have a compelling reason not to do it.
 
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What are the general differences between a two year and one year AEGD?
Who tend to do the two year and the one year?
 
Since it is recommended according to AFDDS you might as well factor that into the 'obligatory' time unless you really have a compelling reason not to do it.

Blankguy,
It seems you misunderstood my recommendation. I recommended that while you are HPSP, visit a base with and AEGD before you make a decision whether or not to accept or decline. You'll get a chance to ask current residents what they think and you'll get to see the kind of training you'll get. Ask some of your faculty and get their opinions on the chance to do a residency. Make an informed decision. No one is going to treat you any different if you decide to decline a residency. In the grand scheme of things, one year is nothing, especially for the top-notch training you get.

By ADA standards the one-year AEGD programs are designed for graduates within 1 -year of graduation from dental school. They are very clinically oriented with some didactic courses. I can say that my program is set up to help increase your clinical skills.

The two-year programs are for anyone. Some will say it's for more experienced dentists, but I've known recent graduates that completed a 2-year and did so fantastically. A 2-year in the military will have more didactics than the 1-year and will also involve research. However, it is very clinically oriented.

I should also add that I haven't met anyone that completed a residency that thought it was a waste of time. I have met a few that felt they really missed out by not completing one.
 
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Okay. Got it. But I didn't mean to allude that a 2 year AEGD is a waste of time. I pretty much was assuming in my original response that the initial repayment period should include or plan on having extra time for the AEGD since they are obligating people to apply. I read this as really pushing people to do AEGD even though it is not a guarantee that I'll get it. I think it is a good deal especially since I am not paying for it only in extra time serving in the military. I did read the contract and remember seeing those statements before I signed it. I was glossing this detail in my response. I've been in touch with dental faculty and the ones that have gotten to know me have all pushed me to go the military route. I think they are doing this because as a graduate you are raw and green fresh out of school and this additional period with the military will give me extra time to build up my knowledge and experience without being exposed to the cold hard reality of private practice. Private practice is great especially if you have plenty of experience but I think for somebody fresh out of school it can get a bit dicey. That's my take on what they sort of were alluding.
 
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Blankguy,
As someone that went direct from dental school to private practice, I can tell you that unless you know something about business, you need to go another route until you gain some knowledge. I was an associate for someone that had practiced for 28 years, so I assumed he was successful. Once I started looking into buying the practice, I found out the practice wasn't doing so good until I got there and started working. You can definitely use some time in the military to learn more about dentistry and get more savy in business.

We push the AEGD programs hard because they are so valuable to you and frankly to us. Generally, you will be more productive if you have the extra year of training. You'll be doing IV sed and third molar extractions, all your own perio surgeries, all your own pros, restorative dentistry, treating orofacial pain, etc...

I spend the bulk of my time, by choice, treating orofacial pain patients. I have treated several pts that were the victim of IED blasts to the face. It's very satisfying to treat these pts and see them get better. I gained the knowledge and skill I needed for this in my residency. I'm also on the triage team for mass disasters for our hospital. I also function as the sole dental provider and triage officer for my deployment bucket. I have served on a forensic ID team. All of these skills were picked up in an AEGD.
 
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AFDDS,
That sounds so interesting. What is IED?

Forensics is something that I actually am interested in looking into. How much training does the AF provide in this area?
 
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IED is Improvised Explosive Device. Forensics is usually a 2-3 day course with a hands on exercise at the end. Then depending on where you go next you may be called upon to use those skills.
 
Blankguy,
As someone that went direct from dental school to private practice, I can tell you that unless you know something about business, you need to go another route until you gain some knowledge. I was an associate for someone that had practiced for 28 years, so I assumed he was successful. Once I started looking into buying the practice, I found out the practice wasn't doing so good until I got there and started working. You can definitely use some time in the military to learn more about dentistry and get more savy in business.

We push the AEGD programs hard because they are so valuable to you and frankly to us. Generally, you will be more productive if you have the extra year of training. You'll be doing IV sed and third molar extractions, all your own perio surgeries, all your own pros, restorative dentistry, treating orofacial pain, etc...

I spend the bulk of my time, by choice, treating orofacial pain patients. I have treated several pts that were the victim of IED blasts to the face. It's very satisfying to treat these pts and see them get better. I gained the knowledge and skill I needed for this in my residency. I'm also on the triage team for mass disasters for our hospital. I also function as the sole dental provider and triage officer for my deployment bucket. I have served on a forensic ID team. All of these skills were picked up in an AEGD.

You bring up another interesting point. I think for somebody fresh out of school it is better to focus on clinical skills rather than being saddled with the business aspect. People will have do know business aspect of it but I think for starters developing clinical skills is the way to go. I've seen people sneer at other dentist and say "they can't hack it in the real world that's why they are working in dental school". I suspect the military can have a whole set of pitfalls.

That's another reason why I joined the military. I am dealing with people who are by nature doing physically demanding work and putting their butts in harms way. I guess in this sense they can be a little bit more high maintenance compared to the general population hence you get more opportunity to build up interesting experiences.
 
My fiancee and I are in school right now on the HPSP. We'll be getting married between our third and 4th year. We want to do the AEGD together and then get stationed together after that. Most people we've talked to have stated that the Air Force does a good job of accomodating people in situations like this, but I wanted your take on the issue. Have you seen many couples practicing at the same base? Do you think that our top picks for bases and AEGD picks will be affected?
 
Natedizzle,
I know our assignments officer very well. The AF has always taken great pains to make sure you will be together. I know of several couples that have trained together and then moved on to their next assignment.

I don't think it will affect your AEGD choice that much. The only affect it would have on your top base is that they need a base with at least 2 openings. I think you'll find our assignments process pretty fair.
 
I am doing the 4 year HPSP scholarship. I am still wondering about making the AF a career after my 4 year obligation, any feelings on this matter? Frequency of relocation, salary compared to private practice, basically general pros/cons on the subject?
 
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BigLou,
Personally, I love being in the AF. I joined 10 years ago saying I was going to get some additional training and get out as soon as possible. Well, that time was about 4 years ago. I've already committed myself to 14 years, so I'll be staying on.

I think each person has to make a personal decision at some point. I enjoy my practice. I routinely offer the best treatment money can buy and don't have to worry if the pt has the money to buy it. I have access to top notch education and specialists that are tops in their field. The AF is one large group practice.

Let's talk money for a second. The amount of $$ you make in the military just went up by $6k per year in one bonus alone. You have the ability to participate in the Thrift Savings Plan ( sort of like a 401K) with pre-tax dollars. You can earn a retirement plan that is currently like having over $1 million in the bank. Staying longer means more money. You have comprehensive health insurance while on active duty. No malpractice insurance costs, no staff costs, no facility costs, no materials costs, etc.... If you specialize you qualify for larger bonuses.

The $$ may not be exactly equivalent to private practice, but I'll bet you most of your classmates won't have a retirement plan in 20 years like you will have. If you come on active duty when you are 26, you can retire at 46, draw a good retirement paycheck and continue practicing. At 46 you'll be ready to peak in what you can do.

Many people think you can go out into private practice and set the world on fire and start clearing $200k right away. Some will, most will not even come close. My recommendation is to make the most of your 4-years. Enjoy your practice, get involved with events/organizations on base and then make a decision. It's a very personal decision.
 
Is there an inactive retirement system in place (I'm sure there is) ...but what are the benefits or cons to doing your required years and then staying on inactively?

It would seem like a good idea since you could get out and have more freedom but also have some sort of retirement locked away?

Thanks
 
Mod,
please sticky this thread.

BTW what are the advantages and disadvantages of being stationed on large bases over small bases and vice versa?
 
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AFDDS,
I am currently on the 3 yr HPSP scholarship. I met my soon to be wife in dental school. She is going to practice with her father in central Kansas after graduation. I would like to stay somewhat close to her while in the service and was wondering if you might know how popular or what my chances would be of getting a residency at AF Acadamy or Offutt, then getting stationed at McConnell in Kansas would be. Also, what are the chances I would get deployed from McConnell if stationed there. I will happily serve my country regardless, just curious about these.
Another question is, how difficult is it to get accepted into an AF Endo specialty program?
Thanks!!
 
I'm curious about the whole credential aspect. If you do the AEGD, are you guaranteed to be able to perform more procedures vs. someone who did not do the residency? Or does what you will be able to do depend on where you are stationed, the size of the base, whose command you are under, etc.?
 
AFDDS,

I 2nd year dental student on a 3 year AF scholarship and really want to do a AEGD with the Air Force. What can I do to make sure I get a spot? Thank you so much your advice and service.
 
GT Dental,
I'm not aware of any kind of inactive retirement system. If you want a retirement with the military, it takes 20 years to get it. I saw some numbers today that the 20 year retirement is today's equivalent of having $1.8-2.4 Million in retirement accounts. Depends on your final rank and number of years served.

Blankguy,
Big bases tend to have the specialists. smaller bases will have General Dentists to provide the care. I've been at large clinics and small clinics and I have to say, my experience hasn't been too different at either one. I've been able to provide comprehensive care wherever I've been. Travel is a great opportunity in the military and I think you should take advantage of it.

MustangDDS,
Offut has a larger program than USAFA, so it may be easier to get in there, given your desire to stay close to Kansas. Be sure to let everyone know up front where you want to go when you graduate and why. Better yet, have your fiance join the AF.

Deployments can happen from any base. I really can't tell you how likely it would be from McConnell. Right now our system is consultant based for some deployments and dependent on where you are assigned for others.

Getting into one of the AF Endo programs can be tough. However, if you look at the number of people you are competing against in the AF vs civilian, the % works out better for the AF. Remember the Lackland and Keesler programs are top notch. You need to have good grades in dental school, have a decent class standing, and do well on the GRE. Completing a residency and doing well in hte Endo curriculum is a big plus.

Shamrock2006,
yes and no. completing a residency guarantees you certain types of credentials. By regulation, the only way to become IV sedation certified in the AF is to complete a residency where that is part of the curriculum, i.e. AEGD. Some of what you do will be dependent on the pt population where you are stationed and the needs of the AF. I won't say there won't be times that you are limited to restorative dentistry, but it should be limited amounts and only when the mission dictates it. Our General Dentistry staff provides every aspect of care here.

Mkillin44,
Thanks. Do well in dental school and get good recommendations from your clinical faculty. Doing well in class is a good thing, but if your clincal faculty says you have hands of stone, it doesn't help much. Get with your faculty and let them know what you want to do and ask their advice and help.
 
How does the Air Force look at applicants for residency programs who have gone to schools with pass/fail grading?? I'll be a D1 at UCLA starting in Sept, and they use pass/fail. I know it's early in the game for me to be thinking a lot about specializing, but I'm just curious how the AF looks at those applicants since they do not have a g.p.a. in dental school...
 
How many AF dentist are deployed? How many actually have deployment experience? Thanks for the previous info. You are a tremendous resource to have around SDN.
 
hattrack 04,
Not having a GPA does makes things a little more difficult. It makes us compare apples and oranges, so to speak. Not that there is anything wrong with Pass/fail, it's just unfamiliar to some and not as defineable on a board. I think it's important for you to get good recommendations from you clinical instructors if you want an AEGD. Good luck at UCLA.

blankguy,
Thanks. I don't have exact numbers for you, but both are lower than you would expect. Our deployment process is moving to a consultant based process. Previously all deployments were based at certain locations. In other words, if you were at certain bases you would deploy and if you were at others, there was no chance for you to deploy. In that system we had people going 2 or 3 times just because they were at a base with a heavy deployment mission. Now the deployments are being spread out and many of them are by volunteer only.
 
I haven't seen this question answered, in this particular thread at least, so I'll ask it. What are the advantages either way? It seems like a lot can change in 5 years from now and I would like to know how much the freedom to choose my direction after graduation will cost me...
Thanks
 
Paca444,
To me, it's no contest, if you are planning on joining anyway. Signing on now for a full ride is better than joining later.

If you're on the fence about joining, I still think its no contest. 4-5 years out of your career are nothing. You can do that standing on your head. What do you get for that??? 4 year full tuition to dental school, books and a stipend. No worries about paying off your student loans. (My classmates and I had a pool to see who would pay their loans off first. I'm at 12 years and will be one of the first). An opportunity to go to a first class AEGD program at be paid for doing it. (Remember, some civilian programs have a tuition fee and you don't typically get the one on one with specialists like you do in the military). 4 years to pick up your speed and increase your confidence and skill level. Mentorship from some very good dentists. The chance to serve your country and provide care to some of the most deserving patients in the world. Very good opportunities to go to a specialty program and get paid while doing it. If you decide to get out after 4-5 years what have you lost? In my mind, nothing. You'll be more experienced and ready to set the world on fire. You'll still have 30 years in private practice if you want.


I didn't have the option of an HPSP scholarship. I did take advantage of HPLRP (Health Professions Loan Repayment Program). It's a great program, but it only pays 72% of student loans. That left me with about $30K in loans to pay. So again, I say take a scholarship and let someone else worry about how you're going to pay for dental school.
 
I honestly think you don't miss much in the early going. You don't have much 'freedom' in the sense that you will be saddled with debt and you sorely lacking in experience fresh out of dental school if you didn't go the military route. I think the military does provide you great resources to help you get going. This is why I decided on the military route the fact they cover your dental expenses is a tremendous perk and bonus. If I were not convinced that the military was going to be good experience fresh out of dental school even if they had offered to cover my expenses I wouldn't join.
 
If you're coming into the military with a DDS/DMD and obviously going to be placed as such, do you even have to take the AFOQT? If you do, is there any benefit in getting an above average mark?
 
Paca444,
I didn't have to take the AFOQT when I came in and I don't think you have to since you would be getting a direct commission.
 
First of all thanks a lot for doing this. Now, what can you tell me about the AEGD? Are all of the locations equivalent? Could you possibly get a better experience at one base over another? How many students are in each one? etc...
 
natedizzle,
The programs are very similar. Due to location, etc... some have a pediatric dentist and some don't. We don't have one this year, but will next year. However, all the programs have representatives of the other specialties. The differences will be more in location and what the community projects are. Your experience will be about the same no matter which on you attend.

Our residencies have anywhere from 3 to 10 residents each depending on location. Some of the larger locations have the bigger number of residents. They will also have more specialists to cover the residents.
 
MustangDDS,
Offut has a larger program than USAFA, so it may be easier to get in there, given your desire to stay close to Kansas. Be sure to let everyone know up front where you want to go when you graduate and why. Better yet, have your fiance join the AF.

AFDDS,
You mentioned to let everyone know where you want to go and why, who is everyone? Through my 3 years of HPSP I have had absolutely no guidance from anyone in the Air Force. I am on my 4th year, I did my base selection and there are bases I want to go to primarily. Who can I talk to about this? I feel so clueless. Thanks!
 
DR Dentist 09,
The everyone in that particular answer would be the people he interviewed with and his residency directors, etc...

Feel free to PM me about your base selection and I'll help as much a possible.
 
Do you have any idea about how many people apply to different specialties?
 
Thanks!
You are a tremendous resource.

Ahem! Could the mod please sticky this thread.
I hear that the Air Force is considering a sign up bonus. Is there any truth to that?
 
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blankguy,
If you look at the http://airforcemedicine.afms.mil/usafdental website under dental education information and scroll down to board results you can look at the numbers up to 2006. They are about the same each year.

Thanks AFDDS for the link! I noticed GRE score is listed for most residencies. Is that a requirement for applying to specialty training?
 
Thanks AFDDS for the link! I noticed GRE score is listed for most residencies. Is that a requirement for applying to specialty training?

Yes, with the exception of GPR and AEGD.
 
blankguy,
I know a sign-up bonus has been discussed, but I don't know the current status.

bass for less,
Yes. Many of the residency programs offer a masters program or we send some people out to places that offer a masters and therefore require a GRE score.
 
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