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Throwback Thursday Classic Post – You Didn’t Make CDR. Now What?

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I receive questions all the time about what happens when you are passed over for promotion and are now “above-zone”. If you find yourself in this position, here is what you need to do:

  • Realize that it is not the end of the world. Based on the FY20 CDR promotion board statistics, 47% of in zone officers were passed over, but a large number of the officers selected were from the above zone group.
  • If you do nothing, you will continue to get looked at by promotion boards until you retire, resign, or are forced out of the Navy. There is no limit on the number of chances you get to promote and your record will be evaluated for promotion every year. That said…
  • You need to try to promote. At a minimum, you should consider sending a letter to the promotion board. What do you say in this letter? First, briefly state that you want to be promoted and to continue your career in the Navy. Second, explain what a promotion would allow you to do that you can’t do at your current rank. Answer the question, “Why should they promote you?” For example, if you want to be a Department Head at a large military treatment facility (MTF) or a Residency Director (or whatever you want to do), tell them that you need to be promoted to CDR to be competitive for these jobs. The Navy wants to promote leaders. Make it clear to them that you are a motivated future leader.
  • Try and get letters of support to attach to your letter. These letters should be from the most senior officers who can personally attest to your value to the Navy. In other words, it is probably better to get a letter from an O6 who knows you well than a 3 star who doesn’t. If you are not sure who to ask for letters, ask those more senior to you or your Detailer for advice. Your Specialty Leader is always someone to consider if he/she knows you well and can speak to your contributions to the specialty and Navy.
  • Have your record reviewed by your Detailer, Specialty Leader, other trusted senior advisor, or by me. Because of promotion board confidentiality, you will never know the reason(s) you did not promote, but most of the time experienced reviewers can come up with an educated guess. They’ll often find things that you were not even aware of, like potentially adverse fitreps, or information missing from your record. My promo prep document will help you as well.
  • Do everything you can to get “early promote” or “EP” fitreps. This is largely accomplished by continually striving for positions of increased leadership. You need to get a job that has historically led to a promotion. As a LCDR who got passed over for CDR, try to get one of these jobs and excel at it (this list is not exhaustive and these positions are not the only path to CDR, but they are a good start):
    • Medical Executive Committee (MEC) member
    • SMO on an amphibious platform
    • Regimental Surgeon
    • Member of a hospital committee or chair of a smaller committee
    • Department Head in a small MTF
    • Medical Director/Senior Medical Officer in a medium/large MTF
    • Detailer
  • Meet with your chain-of-command. After you’ve been passed over is not the time to be passive. You need to sit down with your leadership and get an honest assessment from them of how you’re doing and what they would recommend continuing to advance your career. You may not like what you hear, but it is better to find out early if they don’t think you’re doing a good job or that you are unlikely to break out on your fitreps. That way you can try and put yourself in a better situation by changing commands.

In addition to the above list of things you should do, there are a few things you should not do:

  • Do not lie in your letter to the board. In other words, don’t tell them you want to do Executive Medicine if you don’t really want to. Your record reads like a book, and if it tells a story that is contrary to what your letter says, this is unlikely to help you and may hurt you.
  • Do not send long correspondence. Promotion boards have to read everything sent to them, and a long letter may not be appreciated. Keep it brief and to the point.
  • Do not ask your current CO to write you a letter to the board if they’ve done an observed fitrep on you. His or her opinion about you should be reflected on that fitrep, so they don’t need to write you a letter. If they’ve never given you an observed fitrep or there is some new information not reflected on prior fitreps, they could either write you a letter or give you a special fitrep. Ultimately it is up to them whether they do either of these or none.
  • Do not discuss anything adverse unless you want the board to notice and discuss it. This issue comes up frequently and people will ask me for advice, but ultimately it is up to the individual officer. The one thing I can guarantee is that if you send a letter to the board and discuss something adverse, they will notice it because they will read your letter! If you think there is a chance the adverse matter will get overlooked, it is probably better not to mention it and keep your fingers crossed.

Those are my tips for those who find themselves above zone. Most importantly, if you want to promote, NEVER STOP TRYING. You can usually stay in as a LCDR for 20 years, and I personally know of people who got promoted their 4th look and have heard of people who succeeded on their 9th try!

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

Finance Friday Articles

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Here are this week’s best articles:

Rules For Asset Allocation Implementation

Staying Home – A Discussion of Foreign Stock Market Allocation

Why It’s Hard to Pick Stocks

 

Here are the rest of the articles:

5 Reasons I’m Not Joining the Drop Out of Medicine Club

Crowds are Crazy Like a Fox When it Comes to Investing

Everything You Need to Know About Recessions

Free credit monitoring now available for troops. Here’s where to get it.

Herding Isn’t Just for Lemmings

How I Built a Short-Term Rental Business with Dr. David Draghinas

Prenups, Trusts, and Beneficiary Designations – Friday Q&A Series

Principles to Consider When Doing Home Renovations

The Alphabet Soup of “Financial Advisors”

The Importance of Revocable Living Trusts

The Lucrative Side Hustles of a 7-Figure Urologist

The Pros and Cons of a Doctor Going Part-Time

Top 5 Reasons to Retire With Less Than 25 Years of Expenses

With ETFs, slow and steady wins the race

You Don’t Have to Wait to Live the Good Life

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

Vice Adm. C. Forrest Faison, III, Retires as Navy’s 38th Surgeon General

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Story by Angela Ciancio (original link here)

WASHINGTON (NNS) – Vice Adm. C. Forrest Faison, III, the Navy’s 38th Surgeon General, celebrated the culmination of 39 years of active duty service at a retirement ceremony at the Navy Yard in Washington, DC, Oct. 25, 2019.

Secretary of the Navy, Richard V. Spencer presided over the ceremony, and former Chief of Naval Operations Adm. John Richardson, USN (Ret.), gave remarks.

“I’m particularly grateful for the steady hand Admiral Faison provided in our military medical transformation efforts, strengthening readiness and increasing maneuverability. Thanks to his efforts and the hard work of all of our Navy medical professionals, the Department is better prepared to confront a complex world & respond wherever needed,” said Spencer.

The ceremony commemorated both Faison’s career as well as the role of Navy Medicine in the support to the daily readiness of the Fleet and Marine Corps.

“It has been the privilege of a lifetime to honor the trust placed in our hands by those we serve and their families,” said Faison. “The Navy Medicine team is ready and dedicated to doing everything within our power to provide those we serve with the best care our nation can offer so that each Sailor and Marine can return home safely and alive.”

A native of Norfolk, Virginia and Cleveland, Ohio, Faison graduated from Rocky River High School in Cleveland. He went on to earn his bachelor’s degree from Wake Forrest University in 1980 and received a commission as a Naval officer through the Uniformed Services University of the Health Sciences (USUHS) in 1980, completing his medical degree in 1984 at USUHS. He is also a board certified and a Distinguished Professor of Military Medicine and an associate clinical professor in pediatrics.

During his tenure as Surgeon General, Faison led the way as Navy Medicine redefined itself from a primarily military treatment facility-based care model to a readiness focused, critical wartime enterprise in support of operational medical platforms and enhanced Fleet and Marine Corps Operational unit integration.

Among his many contributions to improving Navy Medicine, Faison dedicated himself to ensuring Hospital Corpsmen were prepared to fight tonight as he directed a comprehensive review, rewrite and update of the Hospital Corpsman “A” school curriculum. His attention to the Hospital Corpsman trauma training curriculum leveraged civilian partnerships to augment the clinical and trauma training experiences to better prepare warrior caretakers for casualty responses.

He established the Navy’s Global Health Specialist Program to ensure professionals who have global health experience, skills and training receive specialized certifications to fill key positions across the Department of Defense, interagency and international communities. As part of this effort, Navy Medicine successfully conducted a trauma collaborative exchange with the government of Vietnam to provide emergency medicine services. The resulting effort strengthened allied medical trauma capacities and provided Navy medical teams the opportunity to sustain their trauma skills in an unfamiliar and resource-constrained environment.

Faison also led the first deployment of the Department of Defense’s $4.3 billion electronic health record system “MHS GENESIS” at Naval Hospital Bremerton and Naval Health Clinic Oak Harbor, Washington. The new computer system will be implemented at all military medical facilities to manage health information in a single health record across the continuum of care for service members, veterans, and their families.

As Faison retires, Rear Adm. Terry Moulton will serve as the Acting Navy Surgeon General until a new Surgeon General is confirmed.

“As I close this chapter of almost 40 years of service, I know our Navy and Marine Corps is in good hands because they are in your hands. I know you will continue to do what you have always done since the founding of our nation: honor the trust,” Faison said. “I wish each of you all life’s blessings ahead and please know that you go forward with my deepest thanks and admiration for all you do.”

Navy Medicine is a global health care network of 63,000 personnel that provide health care support to the U.S. Navy, Marine Corps, their families and veterans in high operational tempo environments, at expeditionary medical facilities, medical treatment facilities, hospitals, clinics, hospital ships and research units around the world.