"Private Practice" doesn't mean practicing medicine out of your home, it just means practicing medicine through a non-academic organization, like doctors running their own businesses.
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Originally posted by smooth
I suspect that military medical staff enlist before they embark on their training, not after they "discover" they can't make it in "private practice."
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They don't enlist, but they do commit themselves to a certain period of service in exchange for scholarship money. They can opt out of service if they can come up with the cash to pay back the scholarships plus interest. They attend the same medical schools as other med students and the education is the same until residency, when they complete residencies in the military system as opposed to academic hospitals.
This is my understanding of how it works although I may be slightly off. I know that each of the services does things somewhat differently.