Authors: Keating, Edward G.¹; Brauner, Marygail K.¹; Galway, Lionel A.¹; Mele, Judith D.¹; Burks, James J.²; Saloner, Brendan³

Source: Military Medicine, Volume 174, Number 11, November 2009 , pp. 1155-1162(8)

Publisher: AMSUS - Association of Military Surgeons of the U.S.

Abstract:

ABSTRACT

The United States Air Force's Medical Corps has declined in size in recent years. Although the medical corps' attrition rate has been near historic lows, the trend in medical corps accessions dating back to the early 1990s has been negative. Multiyear special pay (MSP) provides supplemental annual payments to qualifying physicians who make 2-, 3-, or 4-year commitments to additional service. Our analysis shows the majority of eligible physicians have refused MSP, but there have been increases in MSP acceptance rates as MSP levels have increased. Physicians who receive residency training at military medical centers are much more likely to accept MSP than those who receive residency training at civilian medical centers. While further MSP increases might yet further reduce medical corps attrition, the corps will grow increasingly senior unless accessions are increased.

Document Type: Research article

Affiliations: 1: RAND Corporation, P.O. Box 2138, Santa Monica, CA 90407-2138. 2: OASD(HA) 1200 Defense, Pentagon 3D886, Washington, DC 20301. 3: Harvard University, Interfaculty Initiative in Health Policy, 14 Story Street, 4th Floor, Cambridge, MA 02138.

Publication date: 2009-11-01

More about this publication?

• Military Medicine is the Association's official monthly journal. The objective of the Journal is to promote awareness of Federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to Federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members' writings.
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