27 November 2008

Army Clinical Psychology Scholarships: ‘Tis the Season at Thanksgiving – ‘Tis too Late by Christmas

I am often asked “When is the best time to apply for Army Doctoral Scholarships in Clinical Psychology?” The short answer is that your whole application packet must be completed and submitted by Thanksgiving. There is some small amount of flexibility in this deadline, but Christmas is certainly too late.

It is important to understand why this deadline is so crucial to the application process. The most noticeable reason is because there is only one chance per year for clinical psychology doctoral students to apply for the Health Professions Scholarship Program (HPSP), as opposed to most other doctoral fields (dentistry, medicine, and veterinary medicine) for which the scholarship is available until the total annual pool is exhausted.

The HPSP application packet includes a considerable amount of documentation that will be reviewed by a selection board to determine who will be selected for that year’s scholarships. Although the Army Medical Department AMEDD has a greater number of available scholarships than the Navy or Air Force, the selection board is highly competitive, so the serious applicant would be wise to start working with a knowledgeable Army Healthcare Recruiter by August in their second year of graduate school. It takes time and expertise to collect the documents and information needed to apply for both a federal job and a 100% tuition scholarship at the same time, so it is essential to find the right person to guide you through the process, and you must get started early!

22 November 2007

Why Captain Rakow is Thankful for Sheepdogs this Thanksgiving… and Always!

I am eternally thankful for sheepdogs. If you have a few minutes to read the words of LTC (Ret) Dave Grossman below, I promise it will be well worth your time. I actually met LTC Grossman about seven years ago, and he was one of the most intelligent and moving speakers that I have ever witnessed. See if that feeling translates into the written word for you with this excerpt from his book “On Combat”:


On Sheep, Sheepdogs, and Wolves
By Dave Grossman

One Vietnam veteran, an old retired colonel, once said this to me: “Most of the people in our society are sheep. They are kind, gentle, productive creatures who can only hurt one another by accident.” This is true. Remember, the murder rate is six per 100,000 per year, and the aggravated assault rate is four per 1,000 per year. What this means is that the vast majority of Americans are not inclined to hurt one another.

Some estimates say that two million Americans are victims of violent crimes every year, a tragic, staggering number, perhaps an all-time record rate of violent crime. But there are almost 300 million Americans, which means that the odds of being a victim of violent crime is considerably less than one in a hundred on any given year. Furthermore, since many violent crimes are committed by repeat offenders, the actual number of violent citizens is considerably less than two million.

Thus there is a paradox, and we must grasp both ends of the situation: We may well be in the most violent times in history, but violence is still remarkably rare. This is because most citizens are kind, decent people who are not capable of hurting each other, except by accident or under extreme provocation. They are sheep.

I mean nothing negative by calling them sheep. To me it is like the pretty, blue robin’s egg. Inside it is soft and gooey but someday it will grow into something wonderful. But the egg cannot survive without its hard blue shell. Police officers, soldiers, and other warriors are like that shell, and someday the civilization they protect will grow into something wonderful. For now, though, they need warriors to protect them from the predators.

“Then there are the wolves,” the old war veteran said, “and the wolves feed on the sheep without mercy.” Do you believe there are wolves out there that will feed on the flock without mercy? You better believe it. There are evil men in this world and they are capable of evil deeds. The moment you forget that or pretend it is not so, you become a sheep. There is no safety in denial.

“Then there are sheepdogs,” he went on, “and I’m a sheepdog. I live to protect the flock and confront the wolf.”…

If you have no capacity for violence then you are a healthy productive citizen, a sheep. If you have a capacity for violence and no empathy for your fellow citizens, then you have defined an aggressive sociopath, a wolf. But what if you have a capacity for violence, and a deep love for your fellow citizens? What do you have then? A sheepdog, a warrior, someone who is walking the hero’s path. Someone who can walk into the heart of darkness, into the universal human phobia, and walk out unscathed.

Let me expand on this old soldier’s excellent model of the sheep, wolves, and sheepdogs. We know that the sheep live in denial, which is what makes them sheep. They do not want to believe that there is evil in the world. They can accept the fact that fires can happen, which is why they want fire extinguishers, fire sprinklers, fire alarms and fire exits throughout their kids’ schools.

But many of them are outraged at the idea of putting an armed police officer in their kid’s school. Our children are thousands of times more likely to be killed or seriously injured by school violence than fire, but the sheep’s only response to the possibility of violence is denial. The idea of someone coming to kill or harm their child is just too hard, and so they chose the path of denial.

The sheep generally do not like the sheepdog. He looks a lot like the wolf. He has fangs and the capacity for violence. The difference, though, is that the sheepdog must not, cannot and will not ever harm the sheep. Any sheepdog who intentionally harms the lowliest little lamb will be punished and removed. The world cannot work any other way, at least not in a representative democracy or a republic such as ours.

Still, the sheepdog disturbs the sheep. He is a constant reminder that there are wolves in the land. They would prefer that he didn’t tell them where to go, or give them traffic tickets, or stand at the ready in our airports in camouflage fatigues holding an M-16. The sheep would much rather have the sheepdog cash in his fangs, spray paint himself white, and go, “Baa.”
Until the wolf shows up! Then the entire flock tries desperately to hide behind one lonely sheepdog.

The students, the victims, at Columbine High School were big, tough high school students, and under ordinary circumstances they would not have had the time of day for a police officer. They were not bad kids; they just had nothing to say to a cop. When the school was under attack, however, and SWAT teams were clearing the rooms and hallways, the officers had to physically peel those clinging, sobbing kids off of them. This is how the little lambs feel about their sheepdog when the wolf is at the door.

Look at what happened after September 11, 2001 when the wolf pounded hard on the door. Remember how America, more than ever before, felt differently about their law enforcement officers and military personnel? Remember how many times you heard the word hero?
Understand that there is nothing morally superior about being a sheepdog; it is just what you choose to be. Also understand that a sheepdog is a funny critter: He is always sniffing around out on the perimeter, checking the breeze, barking at things that go bump in the night, and yearning for a righteous battle. That is, the young sheepdogs yearn for a righteous battle. The old sheepdogs are a little older and wiser, but they move to the sound of the guns when needed right along with the young ones.

Here is how the sheep and the sheepdog think differently. The sheep pretend the wolf will never come, but the sheepdog lives for that day. After the attacks on September 11, 2001, most of the sheep, that is, most citizens in America said, “Thank God I wasn’t on one of those planes.” The sheepdogs, the warriors, said, “Dear God, I wish I could have been on one of those planes. Maybe I could have made a difference.” When you are truly transformed into a warrior and have truly invested yourself into warriorhood, you want to be there. You want to be able to make a difference.

There is nothing morally superior about the sheepdog, the warrior, but he does have one real advantage. Only one. And that is that he is able to survive and thrive in an environment that destroys 98 percent of the population.

There was research conducted a few years ago with individuals convicted of violent crimes. These cons were in prison for serious, predatory crimes of violence: assaults, murders and killing law enforcement officers. The vast majority said that they specifically targeted victims by body language: slumped walk, passive behavior and lack of awareness. They chose their victims like big cats do in Africa, when they select one out of the herd that is least able to protect itself.
Some people may be destined to be sheep and others might be genetically primed to be wolves or sheepdogs. But I believe that most people can choose which one they want to be, and I’m proud to say that more and more Americans are choosing to become sheepdogs.

Seven months after the attack on September 11, 2001, Todd Beamer was honored in his hometown of Cranbury, New Jersey. Todd, as you recall, was the man on Flight 93 over Pennsylvania who called on his cell phone to alert an operator from United Airlines about the hijacking. When he learned of the other three passenger planes that had been used as weapons, Todd dropped his phone and uttered the words, “Let’s roll,” which authorities believe was a signal to the other passengers to confront the terrorist hijackers. In one hour, a transformation occurred among the passengers - athletes, business people and parents. — From sheep to sheepdogs and together they fought the wolves, ultimately saving an unknown number of lives on the ground.

“Do you have any idea how hard it would be to live with yourself after that?”
“There is no safety for honest men except by believing all possible evil of evil men.” - Edmund Burke

Here is the point I like to emphasize; especially to the thousands of police officers and soldiers I speak to each year. In nature the sheep, real sheep, are born as sheep. Sheepdogs are born that way, and so are wolves. They didn’t have a choice. But you are not a critter. As a human being, you can be whatever you want to be. It is a conscious, moral decision.

If you want to be a sheep, then you can be a sheep and that is okay, but you must understand the price you pay. When the wolf comes, you and your loved ones are going to die if there is not a sheepdog there to protect you. If you want to be a wolf, you can be one, but the sheepdogs are going to hunt you down and you will never have rest, safety, trust, or love. But if you want to be a sheepdog and walk the warrior’s path, then you must make a conscious and moral decision every day to dedicate, equip and prepare yourself to thrive in that toxic, corrosive moment when the wolf comes knocking at the door.

For example, many officers carry their weapons in church. They are well concealed in ankle holsters, shoulder holsters or inside-the-belt holsters tucked into the small of their backs. Anytime you go to some form of religious service, there is a very good chance that a police officer in your congregation is carrying. You will never know if there is such an individual in your place of worship, until the wolf appears to massacre you and your loved ones.

I was training a group of police officers in Texas, and during the break, one officer asked his friend if he carried his weapon in church. The other cop replied, “I will never be caught without my gun in church.” I asked why he felt so strongly about this, and he told me about a cop he knew who was at a church massacre in Ft. Worth, Texas in 1999. In that incident, a mentally deranged individual came into the church and opened fire, gunning down fourteen people. He said that officer believed he could have saved every life that day if he had been carrying his gun. His own son was shot, and all he could do was throw himself on the boy’s body and wait to die. That cop looked me in the eye and said, “Do you have any idea how hard it would be to live with yourself after that?”

Some individuals would be horrified if they knew this police officer was carrying a weapon in church. They might call him paranoid and would probably scorn him. Yet these same individuals would be enraged and would call for “heads to roll” if they found out that the airbags in their cars were defective, or that the fire extinguisher and fire sprinklers in their kids’ school did not work. They can accept the fact that fires and traffic accidents can happen and that there must be safeguards against them.

Their only response to the wolf, though, is denial, and all too often their response to the sheepdog is scorn and disdain. But the sheepdog quietly asks himself, “Do you have any idea how hard it would be to live with yourself if your loved ones were attacked and killed, and you had to stand there helplessly because you were unprepared for that day?”

It is denial that turns people into sheep. Sheep are psychologically destroyed by combat because their only defense is denial, which is counterproductive and destructive, resulting in fear, helplessness and horror when the wolf shows up.

Denial kills you twice. It kills you once, at your moment of truth when you are not physically prepared: you didn’t bring your gun, you didn’t train. Your only defense was wishful thinking. Hope is not a strategy. Denial kills you a second time because even if you do physically survive, you are psychologically shattered by your fear, helplessness, and horror at your moment of truth.

Gavin de Becker puts it like this in “Fear Less,” his superb post-9/11 book, which should be required reading for anyone trying to come to terms with our current world situation: “…denial can be seductive, but it has an insidious side effect. For all the peace of mind deniers think they get by saying it isn’t so, the fall they take when faced with new violence is all the more unsettling.”

Denial is a save-now-pay-later scheme, a contract written entirely in small print, for in the long run, the denying person knows the truth on some level.

And so the warrior must strive to confront denial in all aspects of his life, and prepare himself for the day when evil comes.

If you are warrior who is legally authorized to carry a weapon and you step outside without that weapon, then you become a sheep, pretending that the bad man will not come today. No one can be “on” 24/7, for a lifetime. Everyone needs down time. But if you are authorized to carry a weapon, and you walk outside without it, just take a deep breath, and say this to yourself… “Baa.”

This business of being a sheep or a sheep dog is not a yes-no dichotomy. It is not an all-or-nothing, either-or choice. It is a matter of degrees, a continuum. On one end is an abject, head-in-the-sand-sheep and on the other end is the ultimate warrior. Few people exist completely on one end or the other. Most of us live somewhere in between. Since 9-11 almost everyone in America took a step up that continuum, away from denial. The sheep took a few steps toward accepting and appreciating their warriors, and the warriors started taking their job more seriously. The degree to which you move up that continuum, away from sheephood and denial, is the degree to which you and your loved ones will survive, physically and psychologically, at your moment of truth.

20 November 2007

All I Want for Christmas is an Army Career

What do you want for Christmas? How about an Army career? I already have one of those - got it back in '92, and have been getting the same thing every year since then. How's that for "re-gifting"... a lot better than a fruitcake!

It may be a little too late to hope to get an Army career handed to you on a Thanksgiving platter, but you may still be able to get one for Christmas or New Year's if you have a doctorate in a Health Care field, and you are really serious about getting all your letters to Santa (application documents) completed quickly.

What basic documents are required to be considered for an Army Health Care career opportunity?
  • CV or Resume
  • Professional License (if your field requires one)
  • Birth Certificate
  • Transcripts from all schools attended
  • CME's (Continuing Medical Education) - if applicable
  • Board Certification - if applicable
  • Prior Military Service Records (DD 214 minimum)- if applicable

If you are currently practicing in your field, that's all Santa needs to determine what new career may be under your tree this Christmas. Some career opportunities also come with student loan repayment and/or signing bonuses, depending on your specialty. All doctorate-level health care providers who are hired by the Army will begin their career as an Army officer with rank determined based on experience and qualifications.

I know a lot of people who were employed in the subprime mortgage business, and most of them have been unemployed for at least part of the last year. I also know many struggling clinicians who aren't making the kind of money that their medical or dental programs boasted they would supposedly be making - some have even seen their businesses fail. That's why a career as an Army Health Care officer is ideal in our present economy. The job is secure, the pay is competitive, the prestige is twofold as an officer and a doctor, the leadership opportunities are unparalleled... and perhaps most importantly, you spend your time actually treating patients instead of losing hair trying deal with marketing, staffing, accounting codes, and payrolls!

For me, my Army career is the best gift I have ever gotten, and it has helped me to eliminate debt instead of multiplying dbt the way most gifts do.

12 November 2007

Veteran's Day Thank You

Today I just want to take a moment away from all the business of the day to say thanks to all our men and women who have served bravely in our armed forces. For more than two centuries Americans have willingly done the hard work of protecting us against all enemies both abroad and at home. Today they protect us from an unseen enemy who hides in the shadows and strikes at innocent civilians.

My cincere gratitude to all of those who keep my family safe each day. Fortunately we can go on about our business traveling to and from our jobs, eating at restaurants, visiting malls, and leading a life without fear because our troops are keeping terrorists on the run and in decades past our troops fought to keep this country and our allies free and secure. We owe a tremendous debt for this daily comfort, and I am eternally grateful.

08 November 2007

How to Get 100% of Your Graduate School Tuition Paid in a Health Care Profession

Why are there so few 100% scholarships out there for grad school in health care, when everybody knows that we are facing a critical shortage of health care providers as the baby boomers reach retirement?

I wish I had the whole answer to that question, but I suspect that there are still many health care organizations that are in denial about the shortage hitting them. They insist on continuing to think they they will stay competitive and just keep hiring as they always have. Unfortunately the supply of qualified new health care professionals is not limitless, and most health care organizations are not willing to sheel out many thousands of dollars to put new employees through the many years of education that they require.

For some people the Army is not an option that they had ever considered when dreaming of attending medical school, dental school, optometry school, veterinary school, or a clinical psychology PsyD or PhD program. Why not?

It's definitely not for everybody - you do have to be in decent physical condition, have a bachelor's degree, be free of any significant run-ins with the law, and be a US citizen. You also have to be ready to serve your country and fellow soldiers (for several months if necessary) in some parts of the world that you might not see at the top of your travel agent's brochures. OK, so that's about it. If you are cool with those things and have put off going back for one of these advanced degrees, why haven't you considered the Army?

It's really a no-brainer when you consider that the scholarships (know as HPSP) pay 100% of tuition, books, fees, and instruments, plus a monthly stipend of over $1,600/month. The number of years covered and the variety of career opportunities vary according to specialty, but in all of these fields the Army health care professional practice their specialty without the overhead cost and admin time associated with civilian private practice. If treating patients is why you want to be in your career of choice, then the Army is the place to do more of that.

Ok, so I'm positively biased after 15 years of service, but my experiences are real, and so are the career opportunities. I have worked in the civilian sector as well, for many years, and there is nothing that compares to the internal intangible rewards of serving soldiers who really need you and rely on you to keep them healthy and strong.

I am always happy to chat with anyone who wants to get the full info on Army Health Care careers and how to apply for scholarships. You can reach me at michael.rakow@usarec.army.mil any time.

I have nothing to gain from "convincing" anyone that the Army is right for them - I only aim to be a source for reliable information to make informed career decisions. In fact, "convincing" someone who doesn't really feel that it's a good fit would be doing myself and the Army a disservice. Beware of anyone (civilian or military) who tries to make you come to their organization against your better judgement.