Unlike civilians, military physicians must apply for PGY2 residency and fellowship training positions through the JSGMESB. This military matching process is conducted every fall.

Types of Training:

1. Full-Time Inservice (FTIS) or Other Federal Institution (OFI) program
2. Full-Time Outservice (FTOS)
3. In a Civilian Facility in a Deferred Status or Navy Active 4. Duty Delay for Specialists (NADDS)
5. Financial Assistance Program (FAP)

Typically applications are submitted during internship, the last year of a GMO tour or when seeking a fellowship.

One of the most important factors in the application is time in service. This system appears to be set up in such a way so that time in service trumps many other considerations. Some residency positions are very competitive and require completion of a GMO tour after graduation of internship.

The needs of the military influence what training positions are available each year. For example, only a small number of pediatric dermatologists might be needed. Thus, the military exerts as selection pressure as to what type of training one can receive.