Detailing

Video of Medical Corps Detailing Q&A Session with OMO/GME Detailer

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Here a link to the 1200 EST video (62 minutes):

Here’s the 1500 EST video which is a little shorter at 53 minutes:

Continuous MC Symposium Lecture Series – Q&A with the OMO/GME Detailer – Friday, FEB 4 at 1200 and 1500 EST

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Leaders,

Please join us for the next installment of the Continuous Medical Corps Symposium Lecture Series on Friday 04 Feb at EITHER 1200 or 1500 EST on MS Teams:

We will be having a Detailer Q&A session with our OMO/GME detailer LCDR Derek Chamberlain and our operational specialty leaders.  We strongly encourage anyone who is planning on doing an OMO tour in the coming year to attend and have your questions answered.  Please email questions for the session to CDR Robyn Treadwell (contact in the global) by Wednesday 02 Feb.  The session will be recorded and posted on our YouTube channel (https://www.youtube.com/channel/UCw_CJNfldCcO1sszYnSt9Cw) for anyone who is not able to make the live sessions.  Please disseminate widely throughout your communities and feel free to email me with any questions. 

Join Microsoft Teams Meeting

+1 410-874-6749   (Toll)

Conference ID: 477 739 301#

Very respectfully,

Jennifer Eng-Kulawy, MD, FAAP

CDR, MC, USN

Plans and Policy Officer

Office of the Medical Corps Chief

Updated Tour Lengths for Physicians

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The chapter of the Military Personnel Manual that sets tour lengths for various specialties and locations has been updated (medical stuff starts on page 22):

Per the Medical Corps Detailers, the following changes were made, largely to prevent skill degradation in certain areas:

  • Gynecologic Surgery & Obstetrics (GS&O or GSO, the new triservice name for OB/GYN) now stay only 1 year at 29 Palms
  • GSO, Anesthesiology, General Surgery, and Orthopedics now stay only 1 year at Lemoore
  • GSO and Anesthesiology now stay only 12 months unaccompanied or 18 months accompanied at Iwakuni (although it sounds like they were already doing that)

2021 Non-Specialty Specific Billet Opportunities

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Please see the note below from the Senior Detailer. Anyone who applied for XO, CO, OIC, CMO, or Senior Executive/Operational is highly encouraged to also apply for any positions on this list that interest them. Not everyone who applied for the jobs I slate will get one. There are not enough positions available:

Greetings from PERS,

Reaching out to invite your attention to a number of outstanding billet opportunities available to MC officers in 2021. Please see the attached documents for information regarding our “Non-Specialty Specific Billet” assignment process, including a PDF application, and a listing of available opportunities to include:

  • Operational Assignments (FST OICs/CATF Surgeons, Marine Regimental Surgeons, LHD SMOs, and others)
  • Administrative Assignments (BUMED, DHA, PERS, and others)
  • Research Assignments (NMRC, NMRU-San Antonio, and others)
  • Naval War College – JPME Phase II – Newport, RI

Please contact your detailer if you would like to discuss these options.

Applications are due to your detailer NLT 25 SEP.

VR/

Todd A. Gardner, MD, MPH, FAAFP

CAPT, MC, USN

Head, Medical Corps Assignments

Executive Medicine, Surgical Specialties

Navy Personnel Command, PERS-4415

5720 Integrity Drive

Millington, TN 38005

901-874-4094 DSN 94+ 312-882-4094

todd.a.gardner2 < at > navy.mil

Throwback Thursday Classic Post: Specialty Leader vs Detailer – What’s the Difference?

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Many Medical Corps officers don’t understand the difference between their Specialty Leader and their Detailer. After you read this post, this won’t be a problem.

DIFFERENCE #1 – WHO THEY WORK FOR

A Specialty Leader works for Navy Medicine (BUMED), the Surgeon General, and the Medical Corps Chief while a Detailer works for Navy Personnel Command (NPC or PERS). NPC/PERS is a line command, while BUMED is obviously medical. This difference is probably not of significance to the average Naval physician, but it can make a difference at times because these two commands (and people) will look at things from a different perspective.

For example, let’s say you are one of two subspecialists at NMC Camp Lejeune and you have a fairly light clinical load. You decide you want to leave early to get to your next command, Naval Medical Center Portsmouth (NMCP), because they are actually down one provider in your specialty due to the illness of another member of your community. Your Specialty Leader will probably endorse this early move because it makes sense. You are underemployed at Lejeune and there is a need at NMCP.

Your Detailer, however, will look at it differently. First, you haven’t served your full tour, so moving you early will require a waiver that may be denied by PERS. This largely has to do with money and PCS rules and has nothing to do with your specialty or the needs of the Navy. I’m not saying that Detailers don’t care about the needs of the Navy because they do, but they are constrained by the rules of PERS while a Specialty Leader is not.

DIFFERENCE #2 – WHAT THEY DO

A Specialty Leader serves as a liaison between you, BUMED, and your specialty as a whole. He or she also coordinates deployments, although the control they have over this was lessened by the return to platform-based deployments (deployments determined by what billet you are in or what unit/platform you are assigned to rather than whose turn it is to deploy). They also serve as a consultant both to you and your Detailer when it comes to career management and PCS moves.

A Detailer is your advocate to help you advance in your career, prepare for promotion boards by improving your officer service record, and negotiate orders for your next PCS. They will often speak with both you and your Specialty Leader while trying to balance your needs with the needs of the Navy. They also are the final approval authority for extension requests and actually write your PCS orders.

DIFFERENCE #3 – WHAT THEY DON’T DO

Specialty Leaders do not write orders. Many physicians think that the Specialty Leader is the one who decides what orders they get and where they PCS, but the reality is that Specialty Leaders can’t write orders. Only Detailers can, therefore it is the Detailer who makes the final decision in nearly all cases. If there is a good Specialty Leader-Detailer relationship, most of the time both are in agreement and there is no controversy, but about 5% of the time there is at least some level of disagreement that has to be worked out.

Detailers can write your orders to a command, but they do not influence who gets command-level leadership positions. For example, you may want to go to Jacksonville to be the Department Head of your specialty’s department. A Detailer can write you orders to Jacksonville, but which physician the command picks to be Department Head is up to them, not the Detailer (or the Specialty Leader).

Specialty Leaders will often talk to commands, but Detailers usually do not. The Detailer is SUPPOSED to talk to three people – you, the Specialty Leaders, and the Placement Officers. The Placement Officers are officers at PERS who represent the commands. You can think of them as the detailers for commands. They make sure that commands aren’t taking gapped billets, that the providers sent to the command meet the requirements of the billet they are entering, and weigh in on other issues like extension requests.

I say that a Detailer is SUPPOSED to talk to three people and USUALLY does not talk to commands, but the reality is that commands frequently call the Detailer instead of talking to their Placement Officers. This often happens because the Director at a command knows the Detailer but doesn’t know the Placement Officer. In addition, the Detailer is usually a physician (3 of 4 Medical Corps Detailers are physicians, the 4th is a MSC officer) and the Placement Officer is always a MSC officer. Physicians like talking to other physicians.

Finally, Specialty Leaders do not alter your officer service record. In fact, unless you send it to them, they can’t even see it or your FITREPs. Detailers, on the other hand, can see just about everything and can update/change some things, mostly additional qualification designators or AQDs.

WHY SHOULD I CARE ABOUT ANY OF THIS?

Because you must actively manage your career to get what you want. This means you should talk with both your Specialty Leader and Detailer 9-18 months ahead of your projected rotation date (PRD). You should discuss your short and long-term goals, whether you want to PCS or extend, whether you are planning a Naval career or want to resign or retire, your family situation, and your medical situation if applicable.

Most importantly, though, is to be honest with both your Detailer and Specialty Leader. Most Specialty Leaders get along well with the Detailer, so if there is any disagreement between the three of you make sure that you keep things professional and respectful at all times. It’s a small Navy and, to be honest, it will be readily apparent if you are playing one off against the other.

Throwback Thursday Classic Post – How to Manage Your PRD and Not Get Stuck with a Hotfill

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There are many important dates in your Navy career. One of the most important and neglected dates, though, is your projected rotation date or PRD. Your PRD is the month and year that your current orders will expire and you are scheduled to rotate to a new command. If you don’t manage your PRD and pay close attention to it, you can find yourself with few career options and in a situation you never thought you’d be in. With that in mind, here are my tips for managing your PRD.

First, know when it is because many physicians don’t know their PRD. If you are in this crowd, the easiest way to find your PRD is to login to BUPERS On-Line and look at block 14 of your Officer Data Card:

https://www.bol.navy.mil/

The other way to find your PRD is to contact your detailer because they can look it up in the detailing system. Many physicians don’t know their detailer, so here is a link to a page with “Contact Us” in the middle. That link will take you to your detailer’s contact info, but note that it is CAC protected:

https://www.public.navy.mil/bupers-npc/officer/Detailing/rlstaffcorps/medical/Pages/default.aspx

Once you know your PRD, the easiest way to manage it is with whatever calendar you use (an app, web calendar like Google Calendar, Outlook, a date book, etc.). Place reminders in your calendar to correspond with these time frames:

13-18 MONTHS BEFORE YOUR PRD – This is when you should start thinking about your next career move. Although the normal time period to request an extension (find a template here) at your current command is 9-12 months before your PRD, many physicians request an extension during this time period if they are sure they want to extend. This is also a great time to talk to the operational detailer about operational billets you might have interest in or the senior detailer about what I’ll call “alternative billets” like those at DHA/BUMED, BUPERS, global health engagement billets, NAVMEDWEST, NAVMEDEAST, etc. If you act on your PRD in this timeframe, you’ll be well ahead of the game.

9-12 MONTHS BEFORE YOUR PRD – This is the traditional detailing window where you contact your detailer and specialty leader to negotiate your next career move. This is when physicians normally submit an extension request as well as explore potential billets for their next set of orders. The one caveat is that the availability of billets is often contingent on the results of the Graduate Medical Education Selection Board or GMESB. Since these results are not finalized until January, people with summer PRDs will find that they may have to wait beyond this time period to find out what billets are available and get orders.

6-8 MONTHS BEFORE YOUR PRD – This is when the list of billets that are actually available will solidify and most physicians will get orders. If you want to extend at your current command and you haven’t submitted an extension request yet, you should do that ASAP.

1-5 MONTHS BEFORE YOUR PRD – Many physicians will get into this period without orders. If it is because you were waiting on the results of the GMESB, you are probably fine. If you are in this period for another reason, you should get nervous. The truth is that unanticipated things always happen. Commanding Officers don’t endorse extension requests. Unanticipated openings cause a detailer and specialty leader to have a “hotfill” billet. When things like this happen, a detailer goes looking for officers close to their PRD to fill the need. If you are in this window without orders, you are low lying fruit for filling these needs. And just so you know, most of these “hotfills” are not in Rota or San Diego.

AT YOUR PRD OR BEYOND – Physicians let their PRDs pass all the time. Sometimes it is because they submit an extension request that never gets approved because it gets lost somewhere in the process. Other times they don’t know when their PRD is. Realistically, there is often no consequence if your PRD “expires,” although some commands will pick up on this fact and get your attention by threatening to take away your computer access. The biggest threat, though, is the aforementioned “hotfills” that inevitably show up. If your PRD is expired, you are going to rise to the top of the list when the detailer goes looking for people to fill that need. Have fun wherever that “hotfill” is.

THE BOTTOM LINE – Know when your PRD is and manage it according to the above timeline. This will give you the maximum chance of getting what you want and reduce the chance that you are selected for a “hotfill” you don’t want.

Throwback Thursday Classic Post – How to Manage Your PRD and Not Get Stuck with a “Hotfill”

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(I’m going to start re-posting some of the better and more popular blog posts on the site on Throwback Thursday. Much of the content is evergreen or requires minimal updates, and the blog has a much larger readership than when many of these posts first ran.)

There are many important dates in your Navy career. One of the most important and neglected dates, though, is your projected rotation date or PRD. Your PRD is the month and year that your current orders will expire and you are scheduled to rotate to a new command. If you don’t manage your PRD and pay close attention to it, you can find yourself with few career options and in a situation you never thought you’d be in. With that in mind, here are my tips for managing your PRD.

Know Your PRD

First, know when it is because many physicians don’t know their PRD. If you are in this crowd, the easiest way to find your PRD is to login to BUPERS On-Line and look at block 14 of your Officer Data Card:

https://www.bol.navy.mil/

The other way to find your PRD is to contact your Detailer because they can look it up in the detailing system. Many physicians don’t know their Detailer, so here is a link to a page with “Contact Us” in the middle.

Manage Your PRD

Once you know your PRD, the easiest way to manage it is with whatever calendar you use (an app, web calendar like Google Calendar, Outlook, a date book, etc.). Place reminders in your calendar to correspond with these time frames:

13-18 Months Before Your PRD – This is when you should start thinking about your next career move. Although the normal time period to request an extension (find a template here) at your current command is 9-12 months before your PRD, many physicians request an extension during this time period if they are sure they want to extend. This is also a great time to talk to the Operational Detailer about operational billets you might have interest in or the Senior Detailer about what I’ll call “alternative billets” like those at DHA/BUMED, BUPERS, global health engagement billets, NAVMEDWEST, NAVMEDEAST, etc. If you act on your PRD in this timeframe, you’ll be well ahead of the game.

9-12 Months Before Your PRD – This is the traditional detailing window where you contact your Detailer and Specialty Leader to negotiate your next career move. This is when physicians normally submit an extension request as well as explore potential billets for their next set of orders. The one caveat is that the availability of billets is often contingent on the results of the Graduate Medical Education Selection Board or GMESB. Since these results are not finalized until January, people with summer PRDs will find that they may have to wait beyond this time period to find out what billets are available and get orders.

6-8 Months Before Your PRD – This is when the list of billets that are actually available will solidify and most physicians will get orders. If you want to extend at your current command and you haven’t submitted an extension request yet, you should do that ASAP.

1-5 Months Before Your PRD – Many physicians will get into this period without orders. If it is because you were waiting on the results of the GMESB, you are probably fine. If you are in this period for another reason, you should get nervous. The truth is that unanticipated things always happen. Commanding Officers don’t endorse extension requests. Unanticipated openings cause a Detailer and Specialty Leader to have a “hotfill” billet. When things like this happen, a Detailer goes looking for officers close to their PRD to fill the need. If you are in this window without orders, you are low lying fruit for filling these needs. And just so you know, most of these “hotfills” are not in Rota or San Diego.

At Your PRD or Beyond – Physicians let their PRDs “expire” all the time. Sometimes it is because they submit an extension request that never gets approved because it gets lost somewhere in the process. Other times they don’t know when their PRD is. Realistically, there is often no consequence if your PRD expires, although some commands will pick up on this fact and get your attention by threatening to take away your computer access. The biggest threat, though, is the aforementioned “hotfills” that inevitably show up. If your PRD is expired, you are going to rise to the top of the list when the Detailer goes looking for people to fill that need. Have fun wherever that “hotfill” is.

The Bottom Line – Know when your PRD is and manage it according to the above timeline. This will give you the maximum chance of getting what you want and reduce the chance that you are selected for a “hotfill” you don’t want.

Powerpoints from Last Week’s Specialty Leader Business Meeting

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Last week was the Specialty Leader Business Meeting, which is always held in conjunction with the GME Selection Board. If you want to see the following Powerpoint decks, they are available on the Medical Corps Sharepoint Site (pick your e-mail CAC certificate or it won’t open for you):

  • DHA Organizational Update
  • Finding Joy in Work
  • GME Interdependency Brief
  • GME Overview
  • Military Unique Curriculum
  • PERS Pearls

I would post them, but the one about DHA is labelled “for internal use only” and there are too many authors of the other ones to get permission to post them on the blog. Because of all the change going on, I wanted to call attention to their availability.

Latest Guidance on Extension Requests from the MC Detailers

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Here is the latest update we were sent on extension requests:

As always, the MILPERSMAN is our guidance for billet assignments. Here is our current interpretation of the MILPERSMAN regarding extensions:

Extensions will be considered on a case-by-case basis when the following conditions have been met in the specialty:

  1. Operational billets are all filled
  2. OCONUS/remote duty stations are filled with appropriate medical officers (can’t all be new-residency graduates)
  3. All CONUS billets are filled (no gaps)
  4. Desirable billets have been considered for members coming from undesirable commands
  5. Egregious Time On Stations will be viewed critically

Multiyear extensions will be considered in the minority of cases. Scenarios where they may be considered include:

  1. Two-year extensions for newly named directors or department heads for large departments
  2. Program directors per ACGME requirements
  3. Co-locations for the above two
  4. Small communities where no one wants to move
  5. Statutory retirement in 2 years

If you have any questions, contact your Detailer.