Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Why this medical student joined the National Health Service Corps

Asaad Traina
Education
April 5, 2017
Share
Tweet
Share

Like many of my peers, I started medical school with idealistic dreams of providing compassionate care for poor patients. I thought being a physician was a noble profession and even discussing money, much less changing my career choices based on it seemed antithetical to that. A visit to the financial aid office quickly cured me of my naiveté. I was facing over $300,000 in debt and would be forgoing millions of dollars in income by choosing to practice primary care in an underserved setting. My dream suddenly felt like financial suicide.

Desperate for a way to keep my dream alive, I searched for scholarships. Even the most generous scholarships paled in comparison to the staggering cost of medical education. Eventually, I came across the National Health Service Corps (NHSC) Scholarship. The NHSC Scholarship is a federally funded program that covers tuition, living expenses and other academic costs (e.g., USMLE exams) of health professional students committed to primary care in underserved communities. Each year of scholarship funding results in an equivalent time commitment of serving in an underserved community so that a student who receives two years of scholarship funding has a two year commitment and someone who receives four years of funding has a four year commitment. Primary care is defined to include pediatrics, internal medicine, family medicine, psychiatry, and OB/GYN.

I was incredibly excited to learn about this program, but I was worried that the commitment might restrict my career choices in a way that would be a burden on me and my family. I did my research and discovered the following critical information:

1. The NHSC does not restrict choice of residency beyond requiring that the residency be in one of the five designated primary care specialties. Underserved sub-specialties (e.g., child and adolescent psychiatry) are permitted at the discretion of the NHSC.

2. NHSC-approved jobs are available in urban and rural settings. This was very important to me since I plan to practice in an urban setting and was concerned that only rural positions would be available. Eligible jobs are searchable online and I was relieved to see that many positions are available in virtually every major city in the country.

3. The service requirement must be carried out immediately after completion of residency and cannot be delayed for completion of any fellowships. This program is intended to increase the presence of primary care providers in underserved communities so although sub-specializing after completion of the service requirement is legal, it undermines the mission of the NHSC.

4. The scholarship program can be much more generous than the loan repayment program. For medical students, the loan repayment program may pay up to $120,000 in exchange for three years of service. Through the scholarship program, I receive over $80,000 per year; meaning that over a two year period I would receive over $160,000 in scholarship funding in exchange for two years of service.

5. I have a passion for public health, and I am currently pursuing a master of public health degree in health policy. I was ecstatic to discover that the NHSC service requirement may be carried out through the Public Health Service Commissioned Corps which allows opportunities for involvement in crisis response (e.g., Ebola, Zika), health policy and public health leadership in addition to primary care in underserved communities.

The NHSC allowed me to pursue my dreams without the debilitating burden of debt. I have met so many fellow medical students who faced the same situation I faced, but did not know about the NHSC or had misconceptions about it. Lack of visibility and misinformation about the program are serious problems, but lack of funding is clearly the greatest barrier.

In 2016 the NHSC received 2,275 applications to its scholarship program, but only gave out 213 awards; a 9.4 percent acceptance rate. They expect to give out even fewer scholarship awards in 2017. If we truly value the health of our nation’s poorest and most marginalized communities, we must provide a financially sustainable path for passionate health professionals to serve those communities. The NHSC is one of the most effective tools we have to increase access to healthcare for our nation’s underserved communities, and we cannot afford to shortchange it. A serious commitment to serving the underserved means expanding the NHSC and making it more visible so that our nation’s brightest and most dedicated health professionals can pursue their dreams without the threat of crushing debt.

Asaad Traina is a medical student.

Image credit: Shutterstock.com 

Prev

What are the best uses of rehabilitation medicine in patients with cancer?

April 5, 2017 Kevin 1
…
Next

The infantilization of medical students

April 6, 2017 Kevin 2
…

ADVERTISEMENT

Tagged as: Medical school

Post navigation

< Previous Post
What are the best uses of rehabilitation medicine in patients with cancer?
Next Post >
The infantilization of medical students

ADVERTISEMENT

More by Asaad Traina

  • “Are you in ISIS?” my patient asked

    Asaad Traina

Related Posts

  • What inspires this medical student

    Jamie Katuna
  • A medical student grew up without health insurance. Here’s why that matters.

    Yoo Jung Kim, MD
  • Why this medical student tutors

    Michelle Ikoma
  • Health care is not a service commodity

    Peter Spence, MD, MBA
  • A medical student finds a reason to dance

    Nikita Mittal
  • The medical student who cries

    Orly Farber

More in Education

  • How Filipino cultural values shape silence around mental health

    Victor Fu and Charmaigne Lopez
  • Why leadership training in medicine needs to start with self-awareness

    Amelie Oshikoya, MD, MHA
  • Learning medicine in the age of AI: Why future doctors need digital fluency

    Kelly D. França
  • Why health care must adopt a harm reduction model

    Dylan Angle
  • Gen Z’s DIY approach to health care

    Amanda Heidemann, MD
  • What street medicine taught me about healing

    Alina Kang
  • Most Popular

  • Past Week

    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • How denial of hypertension endangers lives and what doctors can do

      Dr. Aminat O. Akintola | Conditions
    • A powerful story of addiction, strength, and redemption

      Ryan McCarthy, MD | Physician
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Why doctors should rethink investing compared to the average U.S. investor [PODCAST]

      The Podcast by KevinMD | Podcast
    • How chronic stress harms the heart in minority communities

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • The dying man who gave me flowers changed how I see care

      Augusta Uwah, MD | Physician
    • Universities must tap endowments to sustain biomedical research

      Adeel Khan, MD | Conditions
    • Exploring the science behind burnout [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • How denial of hypertension endangers lives and what doctors can do

      Dr. Aminat O. Akintola | Conditions
    • A powerful story of addiction, strength, and redemption

      Ryan McCarthy, MD | Physician
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Why doctors should rethink investing compared to the average U.S. investor [PODCAST]

      The Podcast by KevinMD | Podcast
    • How chronic stress harms the heart in minority communities

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • The dying man who gave me flowers changed how I see care

      Augusta Uwah, MD | Physician
    • Universities must tap endowments to sustain biomedical research

      Adeel Khan, MD | Conditions
    • Exploring the science behind burnout [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...