Posted on Mar 23, 2020
Nawap Klein
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I’m in medical school now (plan to become a family medicine physician) and I am interested in learning more about the role of a Special Forces Battalion Surgeon.

- Are there SF Battalion positions in the National Guard? Can a civilian physician go straight into a job as an SF Battalion Surgeon or do you have to be a non-SF battalion surgeon first?
- Can SF Battalion Surgeons attend SFQC and earn the Green Beret?
- Do SF Battalion Surgeons stay at the battalion aid station, or can they perform down range medical work similar to 18Ds? I realize they won’t send physicians into battle to do combat medic work, but do SF Battalion Surgeons participate in MEDCAPs?
Edited 4 y ago
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Responses: 7
SFC Retention Operations Nco
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A battalion surgeon is a doctor, not usually a surgeon, assigned to the unit. It's a position you fill and not a role. No, you will not be able to attend the Q Course, there is no MOS called SF Doctor. You would lose all your certifications in the one to two years it would take to become an SF Medic, Engineer, Commo or Weapons SGT, or SF Officer.
The BN surgeon doesn't do trauma medicine with the 18Ds they teach the 18Ds.

Again, it's only a position you fill and would only fill for 2-3 years till your next job
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LTC Consulting Associate Physician
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Greetings. I'm currently in a SF Battalion Surgeon position with 3SFG, so I'll give you my input if it's helpful.

I agree with most of what the others have said and will add the following:

1. Does Guard have SF? Yes, National Guard has SF. 20SFG is in Alabama and 19SFG is in Utah, for example. I don't know as much about them being active component and having few interactions with their personnel, but you can be SF in the Guard.

2. Can you go straight into SF as a battalion surgeon? In the guard, I don't know. But in the active military you can, yes. Typically, the docs that go into SF positions are family medicine and emergency medicine, and they do go right out of residency as their first assignment. One of my colleagues in a sister battalion went right out of FM residency, and one of the senior residents graduating from his FM program in JUN is going to 10SFG. That said, there are others who sometimes make their way in and come from other specialties (like me...as a neurologist). Unlike a conventional army battalion surgeon position that you might get assigned to, however, SF usually has to pick you. I was hand-picked by my predecessor, for example, and had to interview with the battalion commander, Group Surgeon and a few others. They want to make sure you're a good fit. My advice if you're going over as a doctor is to go over and BE their doctor. You're not going on a team, and frankly, they don't need or want you for that. You're there to help them with their health needs, and they have many. These guys tear themselves up and it makes a big difference to know they have a doc who is going to help them get what they need, and is not just trying to get an MFF slot along with a ton of other schools/opportunities. In fact, they generally don't like those folks. But take care of your guys and when you have an 18Z with 20+ years experience tell you they trust you and they've never gotten care they way you have provided it, that's a huge win.

3. Can you attend SFQC and earn the Green Beret? Some docs and many SF PAs have done this, but usually before they went to medical school. Otherwise, that's pretty uncommon. Think about it from a practical standpoint as a clinician. First, you'd have to convince the military to let you not to medicine for approximately year (which is why have you there to begin with) and they you being away from medical practice for a year is generally a bad idea. Your medical knowledge and skills will atrophy quickly. And again, most of the GBs don't want you to be their teammate. They want you to be their doc. If you're good at that, and you earn their trust and respect, you won't need a long tab as a physician.

4. Do you stay CONUS, or can you deploy, go to training, etc? Absolutely, you can. In fact, it's a waste of time to just go to an SF battalion and sit in the aid station. Your primary role will be the medical readiness of the battalion, and as an advisor to the commander on medical issues affecting the battalion. You'll also be responsible for the development of your unit PA, your 18Ds and any other med personnel you have (like 68W W1s). But to do that, go out and do things with them. Go to ranges and pull coverage occasionally. Cover jumps if you're not jumping yourself. Set up lanes for your soldiers. I took a few of my 18Ds to do Grand Rounds presentations with me at the hospital. Go to their AO and see the environments they're working in and help do medical threat assessments. You're not going to be kicking in doors, or finding HUMINT sources, but you can definitely deploy, and should if given the opportunity.

I hope this helpful.
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SFC Brian Osborn
SFC Brian Osborn
4 y
This guy doesn’t know what he’s talking about.

I was the beneficiary of his “care” or lack there of and I was an 18D that actually worked for him but more for his predecessors.

There are abbreviated programs to get SF docs through some semblance on the q course and to earn the Green Beret...but...the rest of us know the deal so don’t say or act like you paid the same price as us :)
BTW, I was awarded over 600% disability for numerous spine and shoulder injuries as well as depression and trouble dealing with some of my experiences and my body falling apart all at once. This guy gave me about 5 minutes of quality, sincere care and then I was lost in the shuffle. To be fair, I had a lot of issues and there were many overburdened specialties trying to help me. At the end of the day, I received a lot of diagnosis’s but very little actual care.

Instead of being familiar with these problems, he chose to treat me as the enemy and tried to deny me care and not support my entrance into programs that could be immensely helpful after leaving SF and the Army. Everyone, with the only exception being this brilliant doctor, looked at my lumbar MRIs and had immense concerns for me like how was I even walking. Not this guy, “I’ve seen worse”.

I’m talking about physical therapist docs IN OUR COMMUNITY looking at these things everyday, nurse practitioners, PA, pain docs, ortho docs...to the point I’ve been recommended for double fusions (lumbar and cervical) by an Army doctor and a civilian doctor know for telling the absolute truth and avoiding these surgeries if possible.

So :) trying to be an SF doc has a lot of requirements and temptations to have your plate full with other exciting opportunities and not really know anything about the health of your guys. I’ve seen a LOT OF THIS...and not just from this guy who may have tried hard to correct this.

I’ve seen things you wouldn’t believe...severe TBI kept around to feel purposeful and have zero documentation in his military medical records of several brain surgeries and evidence of severe deficiencies.

BTW, you can, if you try hard enough, go on “medcaps” but we don’t call them that anymore. Opportunities in Afghanistan are decreasing...Africa was hot for a minute but also not as active right now.

If you really want to be an SF doc, that is awesome! Put the guys and their families first and you’ll get to meet the weirdest and amazing American heroes and spend a lot of time with them and get a front row seat for some very unique training and most likely, designing medical training iterations to fit in with operational training. Just always put the guys first.
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LTC Consulting Associate Physician
LTC (Join to see)
4 y
Thank you for your service, SFC Osborn.
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John Smith
John Smith
>1 y
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SFC Brian Osborn - This guy is an 18D? Probably better off listening to him on how to get drunk and arrested then it is taking his career advice.
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SFC Brian Osborn
SFC Brian Osborn
>1 y
John Smith We all make mistakes in life and that includes numerous Green Berets that push the boundaries of just about any situation and unfortunately, sometimes that can have negative consequences. I could give several reasons why that happened to me at that point in my life but ultimately, I’m solely responsible for my poor decisions that night (also, NFCU website was down so I couldn’t transfer money from savings to the account I use for daily expenses which was the reason a non violent altercation occurred) and saying some particularly mean things to an officer that may have been a little on the Liberal/anti military side. In no way does that absolve me from my mistakes, I should have returned to a more respectful or “peace maker” as I have numerous times out with fraternity brothers, (athletic) teammates, work colleagues, and definitely with my Green Beret brothers and teammates where I’ve always had the instinct to “sober up” or see potential negative consequences and successfully de escalate a situation to get everyone home safe.

I purposely chose not to that night...I know some definite reasons and I’m working through therapy to understand what some of the deeper motivators to seek self destruction could be.

But you know....using “John Smith” is a real novel concept so the person that chose that handle must be a real genius and a person without the integrity to give their real name. Our community eats its young and are very rough on each other...but a lot of that is in the open...there are definitely some back stabbers and two-faced individuals, but I like to think they’re in the vast minority.

Point being, a real man will address you directly, not hide behind a non de plume which is a kind way to summarize this action.

So I’m confused if this is one of my SF brothers, MAJ Van Wyck, or one of our enablers
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CW2 Bde Ew Tech
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If you attend the SFQC you would become an 18A, no longer serving as a medical practitioner. To become an 18D you would need to enlist as an 18X or a different MOS first then attend SFAS.
MEDCAPs aren't that common for SF any more either, as we have the Civil Affairs branch to conduct Civic Action Programs.
The BN surgeon in a SOF BN provides the license for all of the SOCM qualified medics to operate under, as well as the direct supporting advice and oversee all training, medical readiness, qualifications, and mainly speeds up the process for surgeries and medical procedures due to the Operational needs, maturity level, and speed needed, since the normal Army systems are much slower and based on a majority of lower ranking, immature, Soldiers, that there are many more to cover down on. SOF BNs don't have the manpower to allow someone to remain injured, so each one gets a surgeon/MD.
To enter directly as physician/surgeon you need to contact the Guard/Army Medical Recruiters (AMEDD for Army/Army Reserve), as they deal with all medical professionals and direct commissions, if you wish to enlist for 18X then you need the Guard or Active Army Recruiter - there's no SF in the Reserve but there is Civil Affairs, which also has an Active SOF component.
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