Author: Joel Schofer, MD, MBA, CPE

Aide de Camp for LTG Place (DHA) – O4

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LTG Place is looking for a new Aide de Camp.  This is open to an O-4 from any Corps; the PD is here.  Candidates must be PCS eligible to Falls Church, Virginia and report NLT Jan 1, 2021.  If Medical Corps, they should be post-residency training and preferably in an overmanned specialty.  Packages should be submitted to CAPT Anthony Keller NLT 1 July 2020 (contact is in the global) and should include CV, Bio and OSR/PSR (single PDF file) along with PERS’ concurrence for the move.

OPERATION BUSHMASTER: Faculty Application Link

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See the e-mail message below if you are interested in becoming faculty for OPERATION BUSHMASTER, the field exercise for USU students. I’ve done it before, and it is a great experience.

Good afternoon everyone,

I hope that you are all doing well – fighting the pandemic across the globe.  At USU, we have pivoted to distance learning.  While we learn how to continue to educate our students, we are also busy planning Operation Bushmaster 2020.
Every year, we have a few changes.  I am still working on the curriculum, but hope to include a pandemic preparation challenge for our students.  In addition this year, we are moving more of our faculty development/prep online.  I will need everyone to participate in online learning before coming to Ft Indiantown Gap.  This will be linked to awarding CME credits (still in progress….).  Also this year, SIM faculty members will be integrated into the platoon structure in order to have even more excellent medical cases.  Like last year, we will recruit platoon sergeants from the services – we met some amazing SNCOs last year and I am looking forward to it again this year.
You have all been a part of Bushmaster in the past.  Now is the time to block your clinical calendar in order to serve at Operation Bushmaster.  Here are the dates:
  • Iteration 1: 3-7 October 2020 (travel on 2 October)
  • Iteration 2: 12-16 October 2020 (travel on 11 October)
At this point in time, I am planning as if everything will occur on time.  At any point, if I learn that we will change the expected dates of Operation Bushmaster, I will notify all of you.
If you are interested in serving as a faculty member, please apply at this link:  https://forms.gle/4Y1z4sRk6MfpEtZc9
Please feel free to share this link with anyone who you feel would be a good faculty member at Bushmaster.  If you want to strongly endorse someone, send me an email so that I can look out for their name.
Timeline for applications:
  • Applications must be submitted by 1 July 2020
  • Notifications of acceptance will be sent by 15 July 2020
Please let me know if you have any questions.  And, thank you all for volunteering your time in order to help our students grow.  Operation Bushmaster is a pivotal experience for them all and their experience depends heavily on the faculty.  You all are contributing to the readiness and success of our students.
Wishing you all well,
Leslie
Leslie Vojta, MD, FACEP
Lt Col, USAF, MC
Emergency Medicine Clerkship Director
Operation Bushmaster (MFP202) Academic Director
Department of Military and Emergency Medicine
Uniformed Services University of the Health Sciences

FY21 Executive Medicine Application Process and Opportunities

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Below is a standardized e-mail regarding the FY21 Executive Medicine application process. The Milestone (CMO, OIC, etc.) note and opportunities should be out soon.

In brief, you need to:

  1. Read BUMEDINST 1412.1C.
  2. Take a look at the FY21 opportunities. Some of the larger commands that have a CO position rotating in FY21 like NMRTC Portsmouth/San Diego/Bethesda will be on the post-command slate, not the Executive Medicine slate.
  3. Decide if you are interested, noting that on page 3 of the instruction it states: “Expectation is that command screened officers will be universally assignable and able to meet permanent change of station parameters.” It also states, “Rare exceptions may be considered.” In this group I’d include EFMP, dual active-duty co-location, and other similar situations. In addition, page 9 states, “Applicants who successfully screen are considered eligible for assignment to any executive medicine position within Navy Medicine…and if slated, will be assigned based on the Needs of the Navy. Officers who apply for command screening should do so with this in mind, and be willing to accept an executive medicine position for which they are slated.” If you have questions about what is possible and what is not, you need to communicate with me.
  4. If you have not been command screened, you must submit the required documents to PERS-4415 by 15 JUN 2020. Instructions are in the instruction. If you pass the oral and screening boards, you will have to submit a Letter of Intent, CV, bio, and list of desired positions (Executive Medicine Candidate Input form) to me by a future date TBD (because the command screening board date is TBD).
  5. If you have already been command screened and you are a “banked officer” with AQD 2D1 (you probably know who you are) but you ARE NOT currently serving as a CO or XO, you need to make sure your officer record is up to date as your record will be reviewed at the command screening board (see page 9 of the instruction). You DO NOT have to submit an application to PERS, though. Just make sure your record is up-to-date. After the board, you will have to submit a Letter of Intent, CV, bio, CO endorsement, and list of desired positions (Executive Medicine Candidate Input form) to me by a future date TBD (because the command screening board date is TBD).
  6. If you have already been command screened and you are a “banked officer” with AQD 2D1 (you probably know who you are) and you ARE currently serving as a CO or XO, you just need to submit a Letter of Intent, CV, bio, CO endorsement, and list of desired positions (Executive Medicine Candidate Input form) to me by a future date TBD (because the command screening board date is TBD).

If there are any questions, contact me. If you need guidance updating your record for the screening board, go to the Promo Prep page.

Here’s the standard e-mail…

Leaders,

Greetings.  We hope that everyone is staying safe during these unprecedented times.  Even so, we are still tracking the impending FY21 rotation of our Naval Medicine Leadership.

Attached are the FY21 CO/XO opportunities.  To provide some clarifying information in regards to the Command Screening Notice, BUMEDNOTE 1412 will not be published this year. Rather, you can see the current notice on the Executive Medicine SharePoint Site. To locate this notice as well as the application procedure, please see current BUMEDINST 1412.1C which can be found at:

https://esportal.med.navy.mil/bumed/m00/m00c/Shared%20Documents/ExecutiveMedicine/BUMEDNOTE%201412%20-%2017%20Apr%202019.pdf

Additional information can be found on our Executive Medicine site:

https://esportal.med.navy.mil/bumed/m00/m00c/pages/executive-medicine.aspx

Packages are due NLT 15 June 2020.

For any questions, please reach out to LT Karen Maldarelli or your Deputy Corps Chief.

V/R,

CAPT Kimberly Ferland, MSC, USN

Deputy Director, Medical Service Corps

Bureau of Medicine & Surgery

SG’s Message – Of These Things Miracles Are Made

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Dear Esteemed Navy Medicine Colleagues,

Naval superiority means fighting and winning against enemies on the sea, on land, and as is the case with COVID-19, even in the Biosphere.   This is where we truly see the real Power of Navy Medicine in action and the impact our incredible high-performing teams are having in combating this invisible adversary.   Because of YOUR significant, selfless and incredible efforts, we are having dramatic effects on mitigating the spread of this disease, protecting our Navy and Marine Corps team, and maintaining mission readiness.  Together, WE have deployed the largest force of medical personnel since Operations DESERT SHIELD/DESERT STORM, nearly 30 years ago.  WE have deployed almost 4,000 Sailors on our hospital ships and in civilian medical facilities around the country, working shoulder-to-shoulder with local health care providers during this crisis, and we remain committed to sustaining this effort for as long as our nation requires.  WE are flat out making a difference!

Last week the Chief of Naval Operations commended our speed and professionalism when a Sailor suffering respiratory issues was medically evacuated off the USS KIDD (DDG 100).  Within hours of the Sailor’s test coming back positive for COVID-19, NMRTC Jacksonville deployed a special seven person medical team to conduct contact tracing, do onsite testing aboard the ship and to support the Independent Duty Corpsman in caring for his patients.  Although the medical team didn’t expect to find themselves on a DDG in the Eastern Pacific when they went to work that morning, their rapid response provided critical support to the ship and demonstrates why we all need to maintain a high state of personal and unit readiness.

USS MAKIN ISLAND (LHD 8) rendezvoused with KIDD to establish a COVID-19 afloat medical response.  MAKIN ISLAND embarked a fleet surgical team to provide intensive care unit capability, ventilators, and additional testing.  Together, providers from the KIDD and MAKIN ISLAND worked tirelessly to test and care for patients who tested positive.  The KIDD is now in San Diego where NEPMU-5, NHRC, and NMRTC San Diego are fully supporting her return with pier side testing and follow on health surveillance screening services for Sailors placed in quarantine or isolation. Fortunately, none of the sailors are currently hospitalized.

The coronavirus is a new pathogen and we are rapidly implementing lessons learned through operationalized mitigation and prevention efforts.  Sailors and Marines aboard the DDG and LHD have directly benefited from the logistical and medical experiences we have gained in our support of the USS THEODORE ROOSEVELT (CVN-71).  From our research scientists and public health experts, to our medical professionals deployed forward and serving at home, we are collecting, analyzing, and leveraging data to prepare our warfighters to operate in this new warfighting domain.

Our staff at U.S. Naval Hospital Guam has been doing much of the “heavy lifting” in providing twice daily health surveillance screenings, administering nasal swab testing, and delivering daily medical support and care to those in need.  Importantly, they continue to collaborate with other medical assets on Guam (3rd Medical Battalion, USAF’s 36th Medical Group, a SPRINT from NMRTC San Diego, and TR’s medical department) to ensure the TR is ready to execute its mission.  Similarly, I know commands across Navy Medicine are working hard each day to provide nasal swab testing and health surveillance support to units across enterprise, including Carrier Strike Groups and Marine Corps Recruit Depots.

Although we are far from defeating this virus, the Navy is aggressively applying COVID-19 lessons learned.  As a prudent measure, every Sailor deploying in our next Carrier Strike Group aboard the USS NIMITZ (CVN 68) was placed in a pre-underway restriction of movement and to further ensure they deploy COVID-free, testing of more than 7,000-plus Sailors is presently underway.  Similar plans are being conducted for future deploying ships and subs; including SSBNs. The coordination performed by Navy Medicine assets in both fleet and medical treatment facilities to make this happen reflects the continued value and importance of operating as a ONE NAVY MEDICINE team.

Finally, as DoD shifts into a “stabilization” phase in the COVID-19 fight, we will soon welcome back the COMFORT to Norfolk.  The hospital ship served as a powerful symbol of hope and resilience during this crisis.  The men and women of the COMFORT did a commendable job bravely going into harm’s way to serve at the epicenter of the virus, treating severely ill New Yorkers.  They shall return to “Ready 5” status and remain ready for future tasking.

Thank you for your continued collaboration, coordination, communication and most importantly, the care you bring to your work and to the well-being of your families, co-workers and yourself. We are in the early stages of this marathon. A steady, sustained pace, recharging ourselves physically and mentally along the way, will continue to be a key factor in our ability to project the full force of our Navy Medical Power.

It has been said that an individual can make a difference, but that only a team can make a miracle. Whether you are contributing by holding the fort at your MTF; teleworking from your kitchen table while grading your child’s homework or caring for your family members; deploying to one of our nation’s community hospitals to link arms with and relieve exhausted civilian medical staff or underway on the vanguard of freedom YOU are a critically important part of the Navy Medicine team. We are a team that is remaining steadfast in its resolve to protect and defend our shipmates and our fellow citizens. Of such sustained dedication and commitment miracles are made.

With my continued respect and admiration,

SG

 

Bruce L. Gillingham, MD, CPE, FAOA

RADM, MC, USN

Surgeon General, U.S. Navy

Chief, Bureau of Medicine and Surgery

Throwback Thursday Classic Post – MCCareer.org – “The Book”

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The Navy does an okay job helping physicians plan their careers, but in my opinion this preparation can be a lot better. This is why I created Joel Schofer’s Promo Prep and subsequently MCCareer.org. By the time you progress in your Naval career and learn everything you need to know, it is often too late. Therefore it is the responsibility of those who are senior and have already learned this information to teach it to the next generation of Naval physicians before it is too late.

The modern adult learner has more educational methods at his/her disposal than ever before. Whether you like social media, such as Twitter or Facebook, prefer to listen to podcasts in your car while you are driving, or like traditional methods of learning, such as reading articles, you can find one of these sources to learn about almost any topic you can imagine. Yet even though traditional books seem to have fallen out of favor during the rise of social media, there is still something reassuring about reading a book. Putting information in a book validates it and provides some degree of credibility. So, despite the fact that blogs have partially replaced books and the MCCareer.org blog has taken off, I think a book that discusses Navy Medical Corps career planning will still be well received and a valuable resource, which is why I’m creating one. I hope you enjoy it, benefit from it, and, frankly, help me create it. Here’s how I see this going down…

Take a look at the chapter list on this page. If there is something on it that you feel particularly qualified to write, let me know. Just in case I get a lot of interest, make sure to tell me what makes you qualified. Together we’ll use anything that is already on this site and we’ll turn it into a chapter, posting it on the site so others can read and use it.

If you think there is something we’re missing, let me know.

No one will make any money on this. It’ll just be a useful resource for anyone who wants to use it, and we’ll have it available on the blog. Maybe once it is all done we’ll create a real book in print or e-book, but for now I’m planning just putting it on the blog for free.

Navy MWR Digital Library Always Open

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From Commander, Navy Installations Command Public Affairs

WASHINGTON (NNS) — Base libraries may be closed, but the Navy Morale, Welfare and Recreation (MWR) Digital Library remains open as the nation and Navy address the ongoing pandemic.

Managed by Commander, Navy Installations Command (CNIC), the MWR Digital Library offers access to thousands of books and resources for authorized patrons to use for recreational purposes, professional development and academic support.

“The digital library has something for everyone,” said Erika Hoagland, MWR systems librarian for CNIC. “Whether it is picking up a new skill or reinforcing an old one. Finding a new movie to watch. Listening to music and learning the lyrics. Taking up a new language. Thinking about the next step in your career development or losing yourself in a book for a few hours. Our digital library has you covered.”

The digital library, which can be accessed at www.navymwrdigitallibrary.org, is open to Sailors, Reservists, retirees, Navy civilian personnel and their families as well as eligible contractors with MWR privileges. Personnel assigned to the Marine Corps and Coast Guard are able to join.

The MWR Digital Library provides users with more than 30 free online services that cater to all age groups and preferences.

For leisure purposes, try Freegal Music and Kanopy streaming video. Both can be used through apps after registering. Freegal Music has every genre of music. Listeners can download three songs a week and have unlimited, ad-free streaming access. Besides movies and documentaries for adults, Kanopy has a large selection of children’s video, including story time books.

Whether for fun or professional development, OverDrive has nearly 90,000 audiobooks and ebooks, including the CNO Professional Reading Program titles and the latest bestsellers for children, teens and adults. RBdigital has thousands of audiobook titles with no waitlists as well as magazines and Great Courses videos.

For those who require academic support, the MWR Digital Library provides access to Gale, which is an online research and education publishing service. Through September, Gale users have expanded access to thousands of new full-text academic journals. The digital library also offers research investment and personal finance options with Morningstar Investment Research Center and Weiss Ratings.

For those who are preparing for various examinations and standardized tests, such as the ASVAB, ACT and GRE, the digital library provides access to EBSCO Learning Express, which prepares users to take over 100 exams.

Finally, to support military children, including those who have been impacted by COVID-19, the digital library provides access to Scholastic Pre-K through 12th grade collections, featuring nonfiction ebooks, lesson plans, printable handouts and more for learning at home.

Reading Challenge

The MWR Library program has a Spring Reading Challenge online at dodvirtualsrp.beanstack.org/reader365 now through May 16. Readers who log at least an hour of reading time during the week are automatically entered into weekly e-gift card drawings. The reading challenge is open to MWR-services eligible readers of all ages. Participants can read from any book, newspaper or magazine, listen to audiobooks, or read to a child. Readers are encouraged to checkout ebooks and audiobooks from the MWR Digital Library collections.

Check Out Tutor.com

Through funding from the Department of Defense (DOD) and as a service of the DOD MWR Library System, Tutor.com provides one-to-one academic tutoring and on-demand homework assistance at no cost to students in the Navy, Army, Air Force and Marine Corps. To help alleviate the academic stress due to COVID-19, access eligibility has been temporarily expanded to family members of service members, wounded warriors and DOD civilians. Active duty personnel, civilians and families can receive academic support around-the-clock in more than 100 subjects for grades kindergarten through college.

Sign Up Today

Sponsors and spouses can sign up at home for access to the Digital Library portal with DS Logon, a service of the Defense Manpower Data Center that verifies the user is eligible for Navy MWR services. Personnel can use their Common Access Cards to sign into the digital library.

For more information on the Navy MWR Digital Library, go to www.navymwrdigitallibrary.org or visit the Facebook page at www.facebook.com/USNavyGeneralLibraryProgram.

Reassess Your Emergency Fund Due to COVID-19

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Experts often recommend keeping three-to-six months of living expenses as an emergency fund. About to get out of the military? You should probably hold more cash than you do now. While I doubt anyone in the military lost their job or paycheck as a result of COVID-19, there were many civilians who did, including some people who thought they were in recession proof professions, like medical providers. In the end, everyone should reassess their emergency fund due to COVID-19.

There are a few things to take into account when it comes to your emergency fund. First, it is for real emergencies. It is not for when your Playstation 4 breaks, but for when you have a significant and unexpected expense. Things that would qualify would include an insurance claim that requires you pay a substantial deductible (like an earthquake or flood), medical expenses, legal expenses, or loss of a job that reduces your income.

Second, you may have a larger emergency fund than you realize. You can withdraw any contributions (not earnings) you’ve made to a Roth IRA without tax or penalty. You can sell any taxable investments you’ve made. You’d have to pay taxes on any capital gains you have, but if it really is an emergency this might be a reasonable way to deal with it.

You can also use credit. If you have home equity, you may have already set up a home equity line of credit you could tap. Finally, you have credit cards you could use to fund any emergencies on a short-term basis. I wouldn’t recommend that you pay credit card interest because it could be a very high interest rate, but if it is truly an emergency this is always an option.

Third, if you are in the military you have a few significant advantages others don’t have. While you could always get yourself in trouble and get kicked out, you probably won’t lose your job. Being a TRICARE beneficiary limits the amount of out-of-pocket medical expenses you’d be exposed to. Both of these may limit the amount of emergency money you need to keep in reserve. For me, what I call my “emergency fund” is really just extra money I keep accessible for home improvements and repairs, automobile purchases, and vacations.

If you’d like to read my take on the emergency fund, go to 1st Step to Financial Freedom – Establishing an Emergency Fund.