2019 BLUF – AQDs don’t get you promoted. Competitive EP fitreps get you promoted. If you are looking to maximize your impact, spend your time getting JPME, the Executive Medicine AQD, and your respective warfare device and ignore the rest of the AQDs.
The Original Article
Additional Qualification Designation Codes or AQDs are 3 letter codes that:
- Identify special skills required by a billet.
- Identify a qualification awarded to an officer for serving in a specially coded billet.
In other words, they are tools used by Navy Personnel Command (PERS) to assign officers to billets.
They also serve another purpose, though, because they feed the “Special Qualifications” section in the lower left of your Officer Summary Record (OSR), which is seen by promotion boards. Here’s what mine looks like:
This is why officers sometimes try to get as many AQDs as they can. The more things are in your Special Qualifications section, the better it looks to a promotion board.
That said, I have to tell you that some officers can get a little carried away with AQDs. Get as many as you can that make sense for your specialty and career, but don’t chase AQDs because you think they’ll get you promoted. AQDs, in general, don’t get you promoted. Competitive EP fitreps get you promoted. The most impactful AQDs at promotion boards are the ones that are the hardest to get, including Executive Medicine, Joint Professional Military Education (JPME), and any that indicate a warfare qualification.
The full list of AQDs can be found here, and the list of medical AQDs can be found here, but I think a very useful list to have would be a list of all the AQDs that any physician can get irrespective of their specialty. That list is below, and if you qualify for any of them you’ll have to send your Detailer the proof that you qualify in order to get them added to your record.
If you want to make sure you have all the AQDs you can get, you have to do 4 things:
- Review the chart below and see which general AQDs you qualify for.
- Review the AQDs for your specialty in this document.
- If you had a prior career before you became a Medical Corps officer of any kind, you’re stuck reviewing the complete list of AQDs and seeing if there are any you qualify for that weren’t covered by #1 or #2 above.
- For any AQDs you qualify for, you send your Detailer the 3 letter code, the year you qualified, and the proof that you qualify (usually scanned copies of fitreps, certificates, etc.).
|CODE||TITLE||CRITERIA TO GET IT|
|BT1||Parachutist, Static-line Qualified||Qualified IAW MILPERSMAN 1220-030.|
|BT2||Parachutist, Freefall Qualified||Qualified IAW MILPERSMAN 1220-030.|
|BX2||Fleet Marine Force Warfare Officer||Qualified IAW current fleet instructions and SECNAVINST 1412.10A.|
|BX3||Expeditionary Warfare||Successfully completed at least 18 months in an operational expeditionary warfare billet within the Navy Expeditionary Combat Command Force.|
|JS7||Joint Professional Military Education (JPME) Phase I||Successfully completed JPME Phase I from schools defined by the Joint Staff:
(a) Naval War College for classes commencing March 1989 and beyond (to include the Distance Learning, Non- Resident curriculum), OR
(b) Other service colleges for classes commending August 1989 and beyond (to include the Distance Learning, Non- Resident curriculum), OR
(c) Selected Foreign War Colleges, OR
(d) Selected Fellowship programs.
|JS8||JPME Phase II||Successfully completed JPME Phase II from schools defined by the Joint Staff:
(a) Joint Forces Staff College, Joint & Combined Warfighting School, OR
(b) Senior Level Service War Colleges.
|J1M||Joint Staff Medical||Successfully completed assignment to an Individual Augmentation (Interservice Interagency Coalition) for a minimum period of 6 months.|
|J2M||Multinational HQ Medical||Successfully completed assignment to an Individual Augmentation (Interservice Interagency Coalition) for a minimum period of 6 months.|
|J3M||Combatant Commander Level Medical||Successfully completed assignment to an Individual Augmentation (Interservice Interagency Coalition) for a minimum period of 6 months.|
|J4M||Fleet/Division Staff Medical|
|J5M||Joint Task Force Medical|
|LA7||Qualified Medical Department||Officer who has qualified as a Surface Warfare Medical Department Officer IAW OPNAVINST 1412.8.|
|U1M||Joint Staff Medical||Successfully completed assignment to an Individual Augmentation (Intra Service) for a minimum period of 6 months.|
|U2M||Multinational HQ Medical||Successfully completed assignment to an Individual Augmentation (Intra Service) for a minimum period of 6 months.|
|U3M||Combatant Commander Level Medical||Successfully completed assignment to an Individual Augmentation (Intra Service) for a minimum period of 6 months.|
|U4M||Fleet/Division Staff Medical|
|U5M||Joint Task Force Medical|
|233||White House Fellowship||Participant in White House Fellowship Program.|
|2C1||Continuous Process Improvement (CPI) Green Belt Certified||Certified as a Green Belt per local command policy and recommended by the Commanding Officer via the local command’s Certified Black Belt/Master Black Belt. The command’s Certified Black Belt/Master Black Belt (NMSC CPI/LSS PMO for Navy Medicine Corps) will validate completion of the following requirements:
(a) Formal training (A-557-0003 or A-557-3100); AND
(b) The DON approved JQR standards have been met:
– Lead two LSS full DMAIC projects; OR
– Lead two KAIZENs/RIEs; OR
– Lead one full DMAIC project and one KAIZEN/RIE.
|2C2||CPI Black Belt Certified||Certified as a Black Belt per local command policy and recommended by the Commanding Officer via the local command’s Certified Black Belt/Master Black Belt. The command’s Certified Black Belt/Master Black Belt (NMSC CPI/LSS PMO for Navy Medicine Corps) will validate completion of the following requirements:
(a) Formal training (A-557-0009 or A-557-3005); AND
(b) The DON approved JQR standards have been met:
– Lead two LSS full DMAIC projects and one KAIZEN/RIE; AND
– Mentor two Green Belts through one full DMAIC project each or two KAIZENs/RIEs.
|234||Legislative Fellowship||Successfully completed at least 9 months in a Legislative Fellow assignment.|
|24F||SECDEF Corporate Fellow||Successfully participated in the Secretary of Defense Corporate Fellows program.|
|6AA||Aviation Medical Examiner||Medical Corps Officer from the Primary Care medical subspecialty codes who has successfully completed Aviation Medical Examiner training at the Naval Aerospace and Operational Medical Institute.|
|6AB||General Flight Officer||Medical Corps Officer who has successfully completed a formal flight surgeon training program and is a designated Naval Flight Surgeon.|
|6AC||Naval Aviator (Naval Flight Officer (NFO))/ Aeromedical Officer||Medical Corps Officer who is a designated Naval Flight Surgeon and NFO.|
|6AE||Naval Aviator (Pilot)/ Aeromedical Officer||Medical Corps Officer who is a designated Naval Flight Surgeon and Naval Aviator (Pilot).|
|6AG||Aerospace Medicine (Preventive Medicine)||Medical Corps Officer who has successfully completed:
a. formal Flight Surgeon Training program at NAMI;
b. a tour as a flight surgeon;
c. an approved Master’s degree program in public health;
d. an approved Aerospace Medicine residency program;
e. is eligible for the Aerospace Medicine specialty examination offered by the Board of Preventive Medicine.
|6FA||Marine Corps Medical Department Officer||Successfully completed a deployment of 90 or more consecutive days with the Marine Corps.|
|6FC||Fleet Marine Force Medical Logistics||(a) Successfully completed the USMC Ground Supply Officer School, AND
(b) Holds AQD 6FA.
|6FD||Surface Experienced Medical Officer||(a) Successfully completed an internship with sufficient primary care training to operate within the needs and operations of the fleet, AND
(b) Has successfully completed a tour of duty with the Surface Fleet.
|6FE||Senior Marine Corps Staff Officer||Successfully completed a senior Marine Corps staff position.
NOTE: Brigade, Group, Wing, Division and Force Surgeons, Force Preventive Medicine Officers, and the Headquarters Director for medical programs qualify.
|6OB||Shipboard Assignment||Successfully completed an assignment of 90 or more consecutive days aboard a ship (other than a hospital ship).|
|6OC||Hospital Ship Assignment||Successfully completed an assignment of 90 or more consecutive days aboard a hospital ship.|
|6OH||Humanitarian Assistance/ Disaster Response||(1) Served a minimum 90 days in one or more foreign or domestic HA/DR missions and demonstrated operational competence relevant to assigned position in the following HA/DR mission elements: mission leadership and planning (operations, manpower and logistics), international diplomacy, cultural awareness, host nation centered HA/DR health care, IT, communications and administration. AND
(2) Completed two of the following:
(a) Military Medical Humanitarian Assistance Course (MMHAC), (b) Combined Humanitarian Assistance Response Training (CHART), (c) Joint Humanitarian Operations Course (JHOC), (d) Joint Operations Medical Managers Course (JOMMC), (e) UM-CMCoord IMPACT Course, (f) NATO CIMIC Basic Course (NCBC), (g) Health Emergencies in Large Populations (H.E.L.P .), (h) Joint Planning Orientation Course (JPOC), (i) Joint Medical Planners Course (JMPC) , (j) Joint, Interagency, and Multinational Planner’s Course (JIMPC), (k) JTF Senior Medical Leader Seminar, (l) Asia-Pacific Orientation Course (APOC), (m) SWMI Humanitarian Assistance Course, (n) CATF Surgeons Course, (o) DMRTI Medical Stability Operations (MSO) Course, (p) Alternate course(s) deemed to have sufficient didactic content comparable with other qualifying courses by the Mission Commander, T-AH Commander, MTF Commanding Officer, CATF Surgeon, Navy Medical Mission Commander, or USMC Task Force/Group Surgeon or USMC Medical Element Commander.
NOTE: Verification that member has met the above prerequisites must be provided via endorsement by the Mission Commander, T-AH Commander, MTF Commanding Officer, CATF Surgeon, Navy Medical Mission Commander, USMC Task Force/Group Surgeon, or USMC Medical Element Commander.
|6OR||CATF Surgeon||Any Medical Department Officer who has:
(a) Successfully completed CATF Surgeon course; OR
(b) Successfully completed a tour as CATF surgeon; OR
(c) Successfully completed:
1. Surface Warfare Medical Officer Indoctrination course or holds AQD 6OB or 6FA; AND
2. Medical Regulating course; AND
3. Landing Force Medical Staff Planning course; AND
4. Amphibious Indoctrination course.
|6OU||Fleet Hospital Assignment||Successfully completed an assignment of 90 or more consecutive days at a deployed fleet hospital/EMF.|
|6OW||Trauma Team Trained Officer||Completed formal Navy Trauma training at NHSH-SD (NTCC USC-LAC Hospital) or equivalent Army or Air Force course.|
|6UD||Diver||Qualified in Saturation Diving IAW MILPERSMAN 1210-140.|
|6UM||Submarine||Qualified in Undersea Medicine IAW MILPERSMAN 1210-130.|
|6ZA||Instructor||Medical Department Officer awarded the academic faculty position of instructor by an accredited U.S. University consistent with the officer’s field of training.|
|6ZB||Assistant Professor||Medical Department Officer awarded the academic faculty position of instructor by an accredited U.S. University consistent with the officer’s field of training.|
|6ZC||Associate Professor||Medical Department Officer awarded the academic faculty position of instructor by an accredited U.S. University consistent with the officer’s field of training.|
|6ZE||Medical Ethicist||Medical Department Officer who has successfully completed an officially approved program of training in Medical Ethics.|
|6ZF||Researcher||(a) Completed an IRB approved research project fully consistent with the guidelines as promulgated by HSETC; AND (b) Met the rigorous guidelines of their medical community for publication in a Peer-reviewed journal.|
|6ZG||Residency Program Director||Medical Department Officer who has met all the established criteria of the certifying agencies (i.e., Residency Review Committees for conducting an accredited training program for officers in training).|
|62D||Faculty Development||(a) Completed an ACGME approved residency, AND (b) Completed an accredited advanced residency in Faculty Development.|
|62L||Clinical Epidemiology||Established competence in biostatistics, epidemiology, and informatics. Preferably, a Masters in Public Health degree or comparable training/experience.|
|67A||Executive Medicine||Met all the competencies of the Joint Medical Executive Skills Program (JMESDP).|
|67B||Expeditionary Medicine||Completed the Expeditionary Medicine core operational training courses.|
|67H||Ambulatory Care Administration (ACA) Officer||A master’s degree and has successfully completed: (a) 18 months in an ACA officer related position; OR (b) 12 months in an ACA officer related position provided master’s degree obtained in concentration in ACA.|
|68H||Health Promotion Coordinator||Completed the Navy Environmental Health Center Health Promotion Director Course and one year experience as a coordinator.|
|68I||Health Care Management||Completed a Masters of Science in Health Care Management.|
|68J||Public Health Emergency Officer (PHEO)||(a) Completed an MPH degree or 4 years of public health experience as outlined by BUMEDINST 6200.17A;
AND(b) Successfully completed the following distance learning courses:- FEMA IS-100.A, Introduction to Incident Command System- FEMA IS-200.A, Incident Command System for Single Resource and Initial Action Incidents- FEMA IS-700.A, National Incident Management System, An Introduction
– FEMA IS-800.B, National Response Framework, An Introduction; OR
(c) Completed the Defense Medical Training Institute tri-service PHEO training course. AND
(d) Successfully performed as a PHEO for 12 months.
NOTE: Per BUMEDINST 6200.17A, PHEOs must be clinicians, as defined as officers who can diagnose, treat, and prescribe treatment for illness and injury.
|68K||Alternate Public Health Emergency Officer (APHEO)||(a) Completed an MPH degree or 4 years of public health experience as outlined by BUMEDINST 6200.17A;
AND(b) Successfully complete the following distance learning courses:- FEMA IS-100.A, Introduction to Incident Command System- FEMA IS-200.A, Incident Command System for Single Resource and Initial Action Incidents- FEMA IS-700.A, National Incident Management System, An Introduction
– FEMA IS-800.B, National Response Framework, An Introduction; OR
(c) Completed the Defense Medical Training Institute tri-service PHEO training course. AND
(d) Successfully performed as an APHEO for 12 months.
|68L||Clinical Informatics||(1) Completed the corps appropriate certification exam or fellowship, OR
(2) Completed a certificate program or graduate degree in Informatics, or the AMIA 10X10, OR
(3) Worked >50% of their time in informatics for at least 12 months.
You have your Detailing colleagues to thank for the update below…
How to Get the Executive/Expeditionary Medicine and Managed Care AQDs
Please go to the website below and use the “sign up” link. The new JMESP website address is:
Please see “User Guidance” options at the website for instructions for both returning and new users available on the homepage. Under “All Users” is a PowerPoint presentation on how to add data. If you had an account in the old system (check maiden name if applicable), all you have to do to enter the site is reset your password. If did not have an account follow steps to establish an account.
Information on the other two Executive Medicine AQDs (67B Expeditionary and 67G Managed Care) is provided on the page, as well as a “Frequently Asked Questions.”
Now that you are on the website in your account follow these steps:
- Enter data.
- Courses (Check course for all services, e.g. “Combat Casualty Care” is an Army course and “MedXellence is a Joint-USUHS course)
- Education (Masters or higher required)
- Positions (by Corps)
- There is no need to send supporting documents unless requested.
- On the Competencies Attained if all boxes are checked, send us an e-mail: email@example.com. For MC, MSC and DC, provide your Detailer’s name; for NC your Planner’s name; if Reserve your Reserve Affairs Officer name. We will send verification for awarding. Member is copied on awarding e-mail.
- If boxes are not checked click on the lowercase letter ‘i” to see which competencies remain; you may satisfy remaining competencies (with the exception of Regulations) through Joint Medical Executive Skills online courses accessed through the following steps:
- Click Distance Learning
- Select courses associated with competency(ies) as listed on the chart (*If more than one module is indicated for the course, complete all modules).
- Courses generally take about an hour since they are not meant to make you an expert, but to provide you an overview of what to expect from your staff as CO/XO.
- Upon completion of online courses return to the website and add courses.
- Now if all boxes are checked, send us an e-mail: firstname.lastname@example.org. For MC, MSC and DC, provide your Detailer’s name; for NC your Planner’s name; if Reserve your Reserve Affairs Officer name. We will send verification for awarding. Member is copied on awarding e-mail.
General Program Information
The joint medical executive skills program formalizes the process designed to meet the congressional mandate which states in National Defense Authorization Act NDAA 1991, Sec. 8096. That “No appropriated funds used to fill the commander’s position at any MTF with a healthcare professional unless the candidate can demonstrate professional administrative skills.” This includes Commanding Officers, Executive Officers, and TRICARE Lead Agents prior to assignment.
JMESP is not a course, but a process through which officers are exposed to the congressionally mandated (through NDAA) 36 executive competencies through the following:
- Education: Master’s Degree or higher
- Approved Courses: Courses offered through Military Academic Institutions and Organizations, and service military medical departments’ sponsored courses. See Distance Learning for LEADS (formerly JMESI) courses located in Joint Knowledge Online.
- Experience: In both primary and certain collateral duties, executive and other board membership at military treatment facilities, operationally.
- Certification: Through medical and other health professional board certifying organizations and agencies.
If you have question not answered here, or at the website, contact email@example.com which includes both JMESP staff members for assistance.
For those of you trying to get your Executive Medicine Additional Qualification Designator (AQD) looking for the Joint Medical Executive Skills Program website, they changed the URL. It can be found here as well as on the Useful Links tab:
I’ve done a lot of courses and educational programs during my 17.5 years in the Navy. Here are the best ones I’ve done and why they are so good:
- Advanced Medical Department Officer Course (AMDOC) – This is tops on the list because it is the most useful and educational course with the widest applicability. Everyone should attend AMDOC as early as they can in their Naval career. This is where you’ll learn about BUMED, the Defense Health Agency (DHA), fitness reports, managing your career, and a whole host of other useful topics. While it was always hard to get into the course, it has recently become easier since they shortened it from 2 weeks down to 1 week, doubling the number of courses. You can find info on the course here.
- Naval War College Fleet Seminar Program – This is how I did my Joint Professional Military Education I (which incidentally is one of the best AQDs you can get). I tried to do the on-line Air Force version that everyone said was easier, but I’ve never been less motivated to do anything in my life. When I did the Fleet Seminar Program it was a lot easier because I had a class I had to show up to and classmates I had projects we were working on. It was also a lot more interesting to have discussions with folks of all backgrounds than doing it by myself on-line. You can read about it on their website.
- Naval Postgraduate School Executive MBA Program – This allows you to get a defense focused MBA in 2 years. The commitment is 3 years from the time you finish or quit, and it doesn’t interfere with your medical special pays. It is accredited as a standard MBA program, so you get all the usual MBA content you’d expect (finance, accounting, etc.), but there is a defense focus. This means that you take a class on funding the DoD and 2 semesters about how to purchase weapons programs. The weapons acquisition class was the least fun part of the degree for me, but I was warned ahead of time so I knew it was coming. I combined this non-medical MBA with the Certified Physician Executive courses to learn medical related leadership principles in addition to standard business principles. The work isn’t hard, but it is time consuming and about 10-20 hours per week. Overall, I’d highly recommend this program as you get a quality MBA for only the cost of books.
- Interagency Institute for Federal Health Care Executives (IFFHCE) – This is a very senior level course that is filled with O6 and the equivalent personnel from all branches and governmental agencies. When I attended I was a senior O5 and was the among the most junior in the class. You get exposed to all sorts of very influential speakers who are experts on their high-level strategic topics. It is tough to get into this class, but if you can go I’d highly recommend it.
- MHS Medical Executive Skills Capstone Course – This is similar to the IFFHCE (#4 above). It is senior and strategic. The course topics overlap, but both are excellent.
- MedXellence – This is a course run by the Uniformed Services University that they take on the road. You can often find that the course is coming to your area and sign up when it is local. This course is senior and more operational/tactical than the last 2 courses. It is for those interested in the business aspects of Navy Medicine, like clinic managers, department heads, OICs, Directors, etc. It is similar to an advanced clinic management course.
- Naval Justice School Senior Officer Legal Course – This course is for anyone who has Executive Medicine in their future. You will learn about legal challenges that senior leaders face in a case-based and enjoyable format. I was able to get into the course pretty easily as an O5. You don’t have to be slated to be an XO.
- Lean Six Sigma – If you are at a medium-large command, you should have someone somewhere that is the command’s Lean Six Sigma black belt. You may even have an entire office dedicated to it. I’ve done the green belt certification and taken the black belt course but never completed the full black belt certification. If you want an introduction to process improvement, start taking LSS classes available to you at your command.
- Medical Management of Chemical and Biological Casualties Course – I took this course a long time ago when I was a GMO, but it was great then and probably is still great. You get to go to the U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID). This is probably of even greater relevance lately due to all of the Ebola outbreaks.
- TRICARE Financial Management Executive’s Program (TFMEP) – This is another road show similar to MedXellence. You can find the course info here. I’d highly recommend this to anyone who is looking to rise to the senior levels of leadership at any MTF.
- Joint Senior Medical Leader Course (JSMLC)
- Joint Medical Operations Course – I did these last 2 courses back-to-back at DHA before I was deployed as a Joint Task Force Surgeon. They were a good introduction to the world of joint operations, but not among my favorites, which is why they are at the bottom of the list. If you want to be introduced to the world of joint publications and find out if “joint” really means “Army” have at it!
I’m sure there are other great courses available in the Navy, but these are the ones I’ve done that I found useful. If you have others you’d suggest, post them in the comments section.
Those transitioning to the Reserves or already in the Reserves may want to read this new instruction on subspecialty codes and additional qualification designators (AQDs):
The Joint Medical Executive Skills Program website is currently unavailable, making it difficult to get the Executive Medicine (67A) Additional Qualification Designator (AQD). As a temporary fix, they can manually create your profile in their database and update any information such as: education, experience, certifications, etc.
To create your account, they will require your:
- Name (First, MI, Last, Suffix)
- Current Duty Station report date
- Projected Rotation Date
Also, here is a matrix containing information on which competencies you are required to obtain the AQD. It also contains information on how they can be fulfilled.
If you have any questions/concerns, I’d e-mail them here:
I’ve received a few questions in the last 1-2 weeks about how to get the 67A Executive Medicine Additional Qualification Designator. After tracking down the latest info, it appears that for now the website is down. They are working on revamping the criteria to achieve the AQD and working the issue, but for now there is no way to get the AQD.
Once I have further info I’ll post it.