Each year, there are stellar, high-performing, eye-wateringly impressive fully qualified candidates with nom(s) who are not offered appointments. There is just not enough room in the class. That is a fact in this process year in and year out.
If the end goal is to serve as a commissioned officer, they re-apply, or participate in ROTC or OTS/OCS until they attain that goal.
If they decide to move on to other paths after one cycle, with all that excellent potential, that is okay too. Either the desire to serve in that particular way runs deep enough to go through the process again and invest more time, or that desire to be useful or serve manifests in another way via another path of education and profession. It’s got to be a two-way fit.
P.S. The military gets most of its doctors, dentists, lawyers, nurses and many other staff professions through direct officer accession programs from medical school.
In my network of providers in the Johns Hopkins Healthcare system, I am blessed to be cared for by many who went to top-tier med schools, did their time in the Navy, Army or Air Force Medical Corps, and now practice and teach in the Johns Hopkins system. My derm doc, my ob-gyn, my optometrist, my ophthalmologist, DH’s PCM, his derm doc…
There are still doorways to uniformed service further down the road. And, the military medical school at the Walter Reed NMMC campus, at USUHS. Just tuck this knowledge away if military service is still in the dream locker.