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What are KSAs?
KSAs are Knowledge, Skills, and Abilities that Naval personnel are supposed to possess in order to do their jobs well. In order to ensure Naval medical personnel meet and exceed their operationally-focused KSAs, Navy Medicine is developing standardized enterprise-wide Naval Medical Readiness Criteria (NMRC), in support of readiness performance metrics. I stole that from slide 2 of this 4 slide PPT deck, which you should read as it provides some background:
As you can see from this portion of slide 3, the NMRCs are a work in progress and are actively in development:

That said, the SG signed this memo on 14 JUL 2020 establishing the NMRCs in these 2 attachments:
Enclosure 1 – Combat Casualty Care Team
Enclosure 2 – Non-Combat Casualty Care Team
You should check out these attachments and see if your specialty has approved NMRCs.
How will people actually monitor and achieve these NMRCs? The Naval Medical Force Development Center (NMFDC), a part of BUMED, is developing dashboards to easily allow individuals and commands to see where they stand on their NMRCs. Once developed, it will be the Navy Medicine Readiness and Training Commands/Units (NMRTC/Us) that work to get their personnel ready and meeting their NMRCs.
If you look at the NMRCs, you’ll notice that they each have 3 categories:
- Category 1 – Core Practice/Clinical Currency – Fundamental training and skills, usually obtained through medical education and maintained through Medical Treatment Facility (MTF) experience and/or partnerships. This category of requirements links to the attainment of core practice, clinical currency, and KSA Threshold for medical personnel. ***Note that this is how KSAs fit into NMRCs, as part of category 1.***
- Category 2 – Expeditionary Skills for Readiness/Readiness Currency – Combat Specialty Knowledge – Individual skills specific to operating in an expeditionary environment. Category 2 Readiness Criteria ensures transference of Category 1 skills to the expeditionary environment, including patient care during combat operations. Category 2 Readiness Criteria also includes general platform training requirements for an individual specialty across the potential operating environment to which the individual would be assigned. This category of requirements links to the attainment of readiness currency.
- Category 3 – Platform Training for Readiness – Readiness Proficiency/Operational Platform – Team/Unit-level training specific to a platform or unit to which a Service member is assigned. This category of requirements links to the attainment of readiness proficiency and, as such, joint interoperability.
In other words, for me it isn’t just about being a competent Emergency Physician who meets his Emergency Medicine KSAs (Category 1) but also about applying that competence to the expeditionary setting (Category 2) and the specific platform I’m assigned to (Category 3).
If after reading this summary you have questions about KSAs, please ask your Specialty Leader. If they don’t know the answer, NMFDC is probably the next stop for answers (contact info is on page 2 of the SG’s memo) but the Corps Chief’s Office can certainly help with anything that is unresolved. CDR Wendy Arnold, Policy & Practice Officer, would be the first stop and her contact info is in the global address book. Lastly, you can always contact me.
ABC News – COVID-19 Diaries: Military physicians share inside look at efforts to save civilian patients in overburdened hospitals
Here’s a link to this article that discusses some Navy units deployed in CONUS in support of COVID-19:
Finance Friday Articles
Here are my favorites this week:
Earning Income in Multiple States
HOW REAL ESTATE AFFECTS YOUR TAXES
How Does the Fed “Prop Up” the Stock Market? (Interest Rates and Stock Prices)
Here are the rest of the articles:
6 Reasons Index Funds Remain King
8 Things Savvy Investors Understand
Asset Allocation (Part 2): The Risk / Growth Bucket
How to achieve investing success now and in the future
Lessons Driving an $800 Car Can Teach Your Kid
Risk Is Never as Simple as It Seems
Should You Use a Donor-Advised Fund?
Statistics Are Bloodless Things
The Flying V-Shaped Recoveries
Why Chasing Returns is a Sure Way to Lose: A Lesson From History
New Public Medical Corps Webpage
The Medical Corps (MC) has a new non-CAC enabled webpage that is now up and running. Initially, it will be a great resource to use for recruitment as it has information on the various scholarships (HPSP, HSCP), direct commissioning, and the Uniformed Service University. In addition, it contains the videos that many Specialty Leaders made about their experiences in the Navy as well as links to social media pages. It can be seen here:
https://www.med.navy.mil/Pages/MedicalCorps.aspx
If you have any feedback, send it to LCDR Jennifer Eng-Kulawy (contact info is in the global address book). We are going to slowly but surely try and add content and features, tying to put MCCareer.org out of business (which I doubt will actually happen).
Politico Articles About Military Health System Reform and SECDEF Comment
Just keeping you informed…
Over the last few days there have been two prominently featured articles about reforming the Military Health System (MHS). The first was this article:
Esper eyes $2.2 billion cut to military health care
But then the SECDEF put this message out on social media:

Then there was this second article:
Trump rejects Pentagon’s proposed cuts to military health care
In addition, Military Times put this out as well:
Trump shoots down Pentagon proposal to cut troops’ health care
SUPERB-SAFETY Framework for Attending-Resident Communication
This is a nice framework sent to me from the Chief Medical Officer of Naval Medical Forces Atlantic. “SUPERB” is the framework for attendings to set expectations for the resident regarding overnight communication. “SAFETY” is the framework for the resident regarding when to seek communication with their attending if it is not made clear in advance.
You can see the full framework here:
SUPERB_SAFETY (PPT Version)
SUPERB_SAFETY (PDF Version)