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Pausing the Blog

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I apologize, but I have to hit the pause button on the blog while I try to comply with a BUMED instruction I was previously unaware of:

BUMEDINST 5721.3d – Approval Process for Public Release of Information (highlighted sections added by me as I was reading the document and highlighting the parts that affect the blog)

I wish I had another choice, but I don’t.

The Navy is Not Going to Let You Retire Early

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There have been recent discussions about cuts in military medicine and POM20, and some people found this recently signed policy about early retirements. They put 2 and 2 together and figured that they might be able to retire early.

The message from BUMED is that this was merely the required periodic update of the existing early retirement policy. It was unfortunate timing and there are no plans to use it that they know of.

If that changes, you’ll hear it here as soon as I can get it out there.

2019 Annual Blog Update

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At the beginning of every year I give a general update on how the blog is doing. Enjoy!

 

Profit

As during previous years, profit was negative $99. I make no money on this, and it costs me $99/year.

 

Blog Traffic

Here’s a graph of blog traffic since the blog was started in mid-2015:

Screen Shot 2019-01-01 at 11.38.32 AM

The light blue is page views and the dark blue is visitors:

  • 2015 – 3,705 visitors viewed 10,870 pages with 66 posts published
  • 2016 – 18,373 visitors viewed 43,673 pages with 133 posts published
  • 2017 – 32,569 visitors viewed 88,263 pages with 194 posts published
  • 2018 – 56,674 visitors viewed 151,044 pages with 212 posts published

 

10 Most Popular Blog Posts and Pages in 2018

Here are the 10 most popular pages and posts in 2018, excluding promotion board results (which always get high traffic):

  1. POM20 Navy Medicine Billet Reduction – 4,609 views
  2. Joel Schofer’s Promo Prep – 4,453 views
  3. Useful Documents – 2,600 views
  4. LCDR Fitreps – Language for Writing Your Block 41 – 2,425 views of this post from 2016
  5. Joel Schofer’s Fitrep Prep – 2,413 views
  6. CV, Military Bio, and Letter of Intent Templates – 2,158 views of this post from 2017
  7. Useful Links – 1,917 views
  8. What are AQDs and How Do You Get Them? – 1,555 views of this post from 2016
  9. Getting Retirement Credit for HPSP in the Reserves – 1,501 views
  10. Potential Problems if You’re Licensed to Practice Medicine in Nebraska – 1,408 views

 

5 Most Popular Videos of 2018

  1. Basic Anatomy of a Fitrep – 647 views
  2. FY20 Promotion Boards – What are They Looking At and How Can You Get Ready – 533 views
  3. Fitreps in 18 Minutes – 448 views
  4. How to Read Your Performance Summary Report (PSR) – 434 views
  5. The Quick and Dirty on Updating Your Record – 180 views

 

Thanks for all of your support. Everywhere I go people thank me for the blog, so I know a lot of you are benefiting from it. Because of that, I’ll keep doing it for as long as I can.

SOUTHCOM Surgeon Position – CAPT/CAPT(s)

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Here are the details:

  • Rank required: CAPT/CAPT(s)­
  • Additional skills: Fluency in Spanish is preferred.
  • Report date: March 2019

Interested parties should submit their packages to CAPT Christopher Quarles (contact info is in the global) as soon as possible because nominations are due NLT 17 DEC 2018.

Full details are available in this document, but all nominations MUST go through BUMED:

Request for Nomination – Command Surgeon, U.S. Southern Command

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.

POM20 Navy Medicine Billet Reduction

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Some of you may have heard that Navy Medicine just had a significant billet cut. This has been referred to as the “POM20” (Program Objective Memorandum 2020) or “divestiture” billet cut. To be honest, the details are all still being worked out, so there isn’t a whole lot of solid information available about this, which is why I haven’t addressed it yet. Here is the high-level overview of what I know right now cut/pasted from the BUMED guidance/messaging sent out to Specialty Leaders:

  • Recent decisions by the Department of Defense have resulted in a reduction of military medical department billets across all Services beginning FY 2021, but could occur as early as FY2020. All of the Services’ medical departments will manage their own reductions.
  • We expect many of the billet cuts to the Navy medical department will be re-invested in other Navy priorities and communities that increase lethality.
  • The Navy Medicine reductions to medical end strength will impact both the Active and Reserve Components. These cuts are NOT related to MedMACRE.
  • Currently (as of 7 November), we anticipate potential billet reductions will affect the entire enterprise.  The exact number of billets and locations have somewhat been identified but decisions for all of the cuts are still pending.  We are sharing the known cuts and are prepared to share specifics as soon as the additional decisions are made.
  • The reductions impact our operational medical capabilities (e.g. Expeditionary Medical Facilities), as well as the scope of services available at facilities across the military health system.
  • While the specifics of the additional divestiture by Navy Enlisted Classification (NEC) / Officer Specialty and rank / grade mix, have yet to be finalized, we understand some billet changes have already been programmed, which are impacting future assignments.
  • At this point, we expect reductions will impact graduate medical education (GME) and other training opportunities and adjustments will be necessary.
  • We will not be receiving replacement funding to address these billet reductions.
  • While we wait for decisions to be finalized, we’ve started formulating risk mitigation strategies and next steps to include:
    • Request partial restoral of POM20 issue cuts; especially Student / Training accounts.
    • Re-locate/reallocate platforms across the enterprise to ensure the most efficient and effective readiness placement/posture.
    • Working with the Regions to re-balance existing Operations & Maintenance (O&M) funding to ensure essential services are provided.
    • Work with the regions to conduct service reduction analysis.

The Best Education You Can Get in the Navy

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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:

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. 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.
  9. 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.
  10. 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.
  11. Joint Senior Medical Leader Course (JSMLC)
  12. 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.