Author: Joel Schofer, MD, MBA, CPE

Help Us With HPSP Recruiting

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The Corps Chief’s Office is looking to identify Medical Officers who have a connection to any of the following undergraduate schools in order to facilitate high-yield Health Professions Scholarship Program (HPSP) recruiting. We are exploring options for funded TAD, but no promises can be made at this time. If you could please forward to your communities, asking anyone who would be willing to meet with pre-medical societies and recruit for HPSP to email CDR Brett Chamberlin at brett.m.chamberlin.mil < at > mail.mil, we will be compiling a master list of potential MC Officers for this initiative.

Please include Name, Rank, Current Duty Station, willingness to travel unfunded (with permissive TAD)

  1. University of Michigan
  2. Michigan State University
  3. University of Texas
  4. Texas A&M University
  5. The Ohio State University
  6. University of Georgia
  7. Emory
  8. University of Wisconsin
  9. Rutgers University
  10. Brigham Young University
  11. University of South Florida
  12. Washington University in St. Louis
  13. University of Arizona
  14. Arizona State University

Top Schools Proximal to NMRTCs:

  1. University of Florida
  2. UC San Diego
  3. UNC Chapel Hill
  4. University of Washington
  5. University of Virginia, Charlottesville
  6. Johns Hopkins
  7. Florida State University
  8. UC Irvine
  9. University of Maryland, College Park
  10. Duke

Save the Date – Medical Corps Ball (San Diego, 7 MAR) and Symposium (Portsmouth VA, 3 APR)

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This fiscal year we are going to move the Medical Corps Ball out of the DC area. It is tentatively scheduled to be held in San Diego on 7 MAR 2020. Further details are being finalized and will be disseminated once they are firmed up.

We are also going to join our MSC colleagues and start a one day Medical Corps Symposium, currently scheduled to occur at NMC Portsmouth on 3 APR 2020. There will be CME available to attendees, and this is a chance to get up to speed on Medical Corps issues such as graduate medical education (GME), professional development, and where we’re headed as an enterprise and a Corps. Here is a save the date graphic they created:

Medical Corps Symposium Save the Date

There is no central funding for either of these events, so you have to find your way there if you are not local. Because of this, the plan is to rotate these to various sites every year.

Day 1 Messages from the New SG, RADM Gillingham

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Esteemed Shipmates,

I am honored and privileged to serve as your 39th Surgeon General of the Navy. Attached you will see an outline of my priorities, and the course that we will sail together. Take a moment to review and discuss this information with your Shipmates, reflecting on how YOUR actions contribute to maritime superiority. As a high reliability organization, your active engagement and feedback will be critically important to our continued success. More detailed guidance will be forthcoming. As always, thank you for everything you do for our warfighters and their families.

I look forward to seeing you in the fleet!

SG Sends

 

Here also is a video from the SG:

RADM Bruce L Gillingham Introduction

Reader Question – Does the TSP G Fund Count as a Bond or Cash in my Asset Allocation?

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A reader wrote in and asked the following question:

Hi there. I thoroughly enjoy your website! When determining what my current asset allocation is, should I consider the TSP’s G Fund as “cash” or as a bond fund? I have a Vanguard account, and their website shows you these great “pie charts” reflecting one’s asset allocation. But what’s the best way to think of the G Fund in this context? Thanks a lot!

The Answer – It’s a Bond Fund

I can see why people might consider the G Fund a cash equivalent in their asset allocation, but I think it is best considered a bond because it is not liquid and is paying intermediate-term interest rates. Plus, Personal Capital agrees with me.

What is a cash equivalent? Here’s what Investopedia says:

Cash equivalents are one of the three main asset classes, along with stocks and bonds. These securities have a low-risk, low-return profile and include U.S. government Treasury bills, bank certificates of deposit, bankers’ acceptances, corporate commercial paper and other money market instruments.

The G Fund invests in “a nonmarketable short-term U.S. Treasury security that is specially issued to the TSP.” That makes it sound like a Treasury bill, which is listed as a cash equivalent above, but remember that the G Fund offers you a free lunch. It is a short term security but the interest rate it pays is:

based on the weighted average yield of all outstanding Treasury notes and bonds with 4 or more years to maturity. As a result, participants who invest in the G Fund are rewarded with a long-term rate on what is essentially a short-term security. Generally, long-term interest rates are higher than short-term rates.

In other words, it is really a hybrid between a short and long-term Treasury.

The other aspect of the G Fund that makes it a bond and not a cash equivalent is that it is not liquid. In other words, because it is in a retirement account you can’t sell it and use the proceeds to buy a car, deal with an emergency, or whatever else you need it for. Cash equivalents like CDs, money market accounts/funds, checking/savings accounts, or cold hard cash are all accessible and could be used for these purposes. Unless you are retirement age and withdrawing from your TSP account, the only way to get to the G Fund would be to take out a TSP loan, which I would not recommend.

Just to double check myself, I went to my favorite tool to automatically track my asset allocation, Personal Capital, to see what they considered my G Fund holdings. Personal Capital is also considering the G Fund a U.S. Bond holding.

October Message from the Assistant Secretary of Defense for Health Affairs

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MHS Team:

As the Defense Health Agency formally assumes responsibility for management
of MTFs across the United States, I commend your continued commitment and
hard work across all levels of the MHS to ensure our warfighters maintain
the military medical combat support capabilities we provide, our patients
see no disruption of quality or access to the healthcare delivery services
they depend on, and our collective efforts to deliver on an implementation
plan to make this transition a success. You are part of an historic
transformation in military medicine – thank you for your service to the
nation during this pivotal period of change. While we have accomplished much
to date, much work remains, and I know you will continue to deliver at the
same high level as this work continues.

In addition to business reform, the MHS continues to build critical
partnerships to advance readiness and operational support. Recently, I
joined Acting Commissioner Dr. Ned Sharpless and his staff at the Food and
Drug Administration for the FDA-DoD semi-annual meeting to discuss our
continued, close partnership to ensure delivery of critical battlefield
medicine to our service members downrange. Over the past two years of
enhanced collaboration between the DoD and FDA, we’ve achieved a number of
successes to advance warfighter readiness and improve overall battlefield
trauma response. We’ve established Emergency Use Authorization for
freeze-dried plasma in initial hemorrhage control efforts as part of
battlefield trauma care, approved drugs for battlefield pain control and
infectious disease threats, and increased the Department’s access to
platelets for injured warfighters in theater. These successes are already
yielding dividends in building a better prepared, better protected, and
better cared for force, equipping the U.S. warfighter with the best possible
military medical support. A special thanks to Dr. Terry Rauch and the DoD
team for your hard work on this critical partnership – including LTC
Colacicco-Mayhugh, RADM (Ret) Carmen Maher, Ms. Kathy Berst, Mr. Nathan
Pawlicki, COL Jennifer Kishimori, Mr. Jeremiah Kelly, Ms. Emily
Badraslioglu, and Ms. Jennifer Dabisch.

Our partnership efforts within the MHS continue to develop as well. I had
the opportunity to join the National Intrepid Center of Excellence (NICoE),
the 10 Intrepid Spirit Centers (ISC), and the Center for the Intrepid (CFI)
to discuss progress and areas of focus as the MHS continues to develop the
best care and treatment for the more than 172,000 patient encounters – seen
this year alone – related to traumatic brain injury and associated health
conditions. With new improvements for treatment and care, including NICoE’s
TBI Portal – which, in collaboration with the Defense Health Agency and the
ISCs, consolidates TBI patient data to better inform clinical decision
making and treatment – the MHS is building a collaborative network of TBI
research, education, and care to enhance warfighter readiness. Special
thanks to NICoE Director CAPT Walter Greenhalgh, NCR Director Brig. Gen.
Anita Fligge, Intrepid Fallen Heroes Fund Honorary Chairman Mr. Arnold
Fisher, Walter Reed National Military Medical Center Director COL Andrew
Barr, and our talented colleagues across the University and the Defense and
Veterans Brain Injury Center for advancing the MHS’s partnership and best
practices that are putting military medicine at the global forefront to
prevent and respond to TBI.

On a final note, we bid farewell to Vice Adm. Forrest Faison as the 38th
surgeon general of the Navy, as he retires after 39 years of service to the
Nation. On behalf of the entire MHS, thank you for your passionate
commitment to the military medical enterprise and to the soldiers, sailors,
airmen, Marines, Coast Guard members and the families who the MHS supports
and cares for.

Tom