Army medical officer – all you need to know

Dr Dave Triska explains what life is like as an army doctor, how to get into role and the – surprisingly competitive – pay
How do I get into the role (including necessary qualifications)?
The ‘classic’ route is via a Defence Undergraduate Cadetship, applying during medical school (typically after your second year). If you’re already qualified, you can apply to join as a direct entrant after your foundation years.
Joining as a reservist, you just need to contact your local recruiting office to see what medical units are in your local area.
You’ll need full GMC registration, a clean bill of health, and a willingness to trade hospital corridors for parade grounds (and, occasionally, the back of a helicopter or armoured vehicle). After selection, you’ll complete military training, then go on to specialist military medical courses. From there, you’re deployed as a junior doctor with the Royal Army Medical Services, working alongside regular GPs, consultants, and nurses, both in the UK and overseas.
In short: Med school, foundation years, a spell at Sandhurst, and you’re in as a fully trained officer.
How much does it pay?
The pay isn’t bad at all—basic pay for a direct entrant captain (post-foundation) is currently around £65k, with additional allowances for being deployed, living overseas, or qualifying as a GP. Add to that a pension scheme that’s actually worth something, subsidised accommodation, and generous leave.
If you join as a cadet, there’s even a bursary during your studies.
In summary: no one joins the army for the money, but it’s more competitive than you might think.
How much time do I need to devote to it?
Full-time service is, well, full-time. But there are plenty of options for reservists, who might give up a few weekends and annual camps in exchange for some camouflage time. Deployments can be anywhere from a few weeks to several months, but plenty of army doctors work part-time or take career breaks.
If you’re the sort who gets itchy feet in traditional practice, you’ll appreciate the variety – every year looks different.
What’s good about the job?
You’ll work in genuinely close-knit teams, with a camaraderie that’s hard to find elsewhere. You look after your people, and they look after you. You see medicine at its rawest and most rewarding – helping soldiers, running clinics in remote places, and sometimes, yes, a bit of adventure.
The leadership and resilience skills you pick up are unparalleled; you’ll never look at NHS management meetings the same way again.
What’s bad about the job?
Flexibility goes both ways: the army tells you where you’re needed. Sometimes that means missed birthdays, weddings, or – if you’re really unlucky – your favourite TV finales.
You’ll be expected to keep yourself physically fit, which is great for some, a pain for others.
Some postings can be tough, whether that’s the middle of nowhere or in challenging operational circumstances. It is not for the faint-hearted, but then, neither is general practice these days.
Advice from the MDDUS
Most military doctors are covered by state indemnity — but state indemnity only goes so far. We can ensure comprehensive protection, support and representation.
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