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Application to Join Surgeon General’s Digital Vanguard Team – O4 and Below Only

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Here is a message from the Navy Surgeon General announcing this new techology initiative.  The application can be found here – Digital Vanguard Application Package.

 

From: Faison, C Forrest (Forrest) VADM USN BUMED FCH VA (US)

Sent: Tuesday, September 20, 2016 3:28 PM

Subject: DIGITAL VANGUARD

As you all well know, the technology landscape is rapidly advancing and fundamentally changing expectations and behaviors in all industries to include healthcare. As the military population rapidly adopts new innovations into their lives, there will be an expectation that their healthcare providers leverage these technologies in the delivery of care and as a means to improve health. Navy Medicine must look to enhance innovation and accelerate our velocity of learning if we are going to maximize health and readiness of a young and tech savvy population.

We need a sustained infusion of new ideas, experiences, and approaches from outside of the Military Health System and healthcare to meet our mission and build tomorrow’s leaders. To address this need, Navy Medicine is
establishing a “Digital Vanguard” of 75-100 junior enlisted and officer staff who will participate in various events to increase their situational awareness of emerging technology and how other industries are leveraging it and share their discoveries with the rest of our Enterprise. The expectation is that this cohort will serve as a distributed network of forward thinkers advising Navy Medicine leadership on how to capitalize on opportunities that new technologies can bring to improve health and readiness. I want to be sure you are aware and ask for your support as the group will be distributed throughout the enterprise and their participation will require a long term commitment across multiple commands. Expected participation is 10 hours a quarter as well as some TAD for training and education.

The BUMED Digital Health Office will liaison with you/your staffs and the Corps Chiefs to identify members for the group from across the various Corps. All applicants must have a command and Corps Chief endorsement. Costs for travel, lodging and fees associated with events will be funded centrally by the BUMED Digital Health Office. Travel logistic coordination will also be managed by the Digital Health Office to minimize any additional burden on our Commands. Applications are expected to be released in late September with final membership decisions completed by the end of November 2016.

My thanks in advance for your support in this endeavor.

Very respectfully,

C. Forrest Faison III, M.D.
VADM MC USN
Surgeon General, U.S. Navy
Chief, Bureau of Medicine and Surgery

How to Find Out Your Reporting Senior’s Fitrep Trait Average

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One of the most important markers of a good fitrep is that your trait average is above your reporting senior’s trait average.  Since most officers initially write their own fitrep and create their own trait average on the first draft, it is important to find out your reporting senior’s trait average so that you can try to be above it.  Here are a few ways to find out what it is.

First, in order to have a trait average, your reporting senior has to have served as the reporting senior for officers of your same rank from any corps.  If they have not done this, they’ll have no pre-existing average.  For example, if you are a LCDR, your reporting senior does not have to have ranked LCDR physicians.  If he/she has ever ranked a LCDR of any kind (nurse, Medical Service Corps, line officer, etc.), then they will have an average.

If they have an average, here are the ways I know of to find it:

  • If you’ve already received a fitrep from them in your current grade, then you can look at your Performance Summary Report or PSR, which you download from BUPERS On-Line.  The number in the lower right in the “AVERAGES” column (circled below) is their average for that rank.

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  • If you haven’t received a fitrep from them, maybe you have a friend in the same rank who has received a recent fitrep from them.  You can look at their PSR if they’ll let you.
  • You can ask your chain of command or command fitrep coordinator.  They often know because they are trying to make sure that all of the fitreps being done don’t change the reporting senior’s average in ways he/she doesn’t want.
  • You can ask the reporting senior.  They just may tell you.

The bottom line is that if you are drafting your fitrep, you want to try and find out the average and grade yourself above it.  In the end, the ranking process may move you below it, but by submitting the draft with an above average grade you may increase the chances you stay above it.

LCDR Fitreps – Language for Writing Your Block 41

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LCDRs all over Navy Medicine are busily writing their fitreps, so I wanted to offer some assistance.  Keep in mind that when you write your block 41, the narrative portion of your fitrep, you are writing it for the promotion board.  Many LCDRs struggle to find the right words to express all the things they’ve done, but it shouldn’t be that hard.  If you read the fiscal year 2017 promotion board precept and convening order, you’ll find the things promotion boards are looking for explained in the language they want to hear.  To facilitate your quest for the perfect block 41, here is some assistance:

  1. Here is the board precept: FY-17 AC RC PRECEPT
  2. Here is the board convening order: FY-17 AO5S CONVENING ORDER
  3. Here is a link to the video podcast that will help you write your entire fitrep: Basic Anatomy of a FITREP
  4. Here is a cheat sheet to use when drafting your block 41 on Word: Block 41 Word Template
  5. Here are all the relevant quotes pulled from these documents.  Take your accomplishments, read these quotes, and use this language to put your accomplishments into verbiage that will be easy to brief at your own O5 promotion board.  For example, maybe the opening line of your fitrep will borrow the first quote from the convening order below and read, “LCDR Smith is already performing his duties at the level of a seasoned Commander!”

From the precept:

“a broad spectrum of experience, background, perspective, innovative talent, and a depth and breadth of vision, drawn from every facet of the society it serves and understanding of the world within which it operates.  The Navy needs innovative and bold male and female leaders to lead, think creatively, challenge assumptions, and take well-calculated risks that maximize effectiveness.”

“rich diversity of experience, backgrounds, perspective, innovative talent, and depth and breadth of vision”

“demonstrated potential to lead large organizations in a complex world composed of men and women coming from widely varying backgrounds.”

From the convening order:

“capable of performing the duties of the next higher pay grade”

“leadership, professional skills, integrity, management acumen, grounding business practices, and resourcefulness in difficult and challenging assignments.”

“adaptability, intelligent risk-taking, critical thinking, innovation, adherence to Navy and DoD ethical standards, physical fitness, and loyalty to the Navy core values.”

“capable of leading personnel from widely varying backgrounds and mentoring a diverse workforce while executing the Navy’s strategic diversity initiatives.”

“Proven and sustained superior performance in command or other leadership positions in difficult or challenging assignments”

“successful performance and leadership in combat conditions”

“officers with relevant graduate education, experience in specialized areas, and Navy and Joint Professional Military Education (JPME).”

“completion of graduate education and development of a subspecialty.  Degrees from the Naval Postgraduate School, the Naval War College and equivalent Service institutions, and civilian education programs that result in assignment of a subspecialty code or award of Additional Qualification Designation (AQD) codes are desirable.  Proven expertise from an experience tour utilizing that subspecialty is fundamental to the development of Navy Leaders.”

“opportunities to broaden their cultural awareness through experiences and education and to enable better communication in a global operating environment.”

“innovation and efficiency to ensure that we retain an adaptive, flexible, and effective spectrum of conflict.”

“ability to successfully change and to manage for efficiency.”

“think creatively, develop new ideas, take prudent risks, and maximize capabilities through sound management practices.”

“demonstrating innovative thinking, efficient management skills, prudent risk taking, and effective business practices”

“ability to operate effectively with the other Services”

“leaders with knowledge and experience in a variety of settings including operational medicine, joint medical operations, and current peacetime health care delivery initiatives.”

“exceptionally high professional operational, clinical, and business competence and intellectual capacity who have the ability to think analytically and express themselves articulately.”

“energy to create and communicate the organization’s vision”

“build and motivate teams to accomplish that vision”

“calculated risk-takers, inclusive in decision-making, and trusted by subordinates.”

“courage to stand on principles and demonstrate a clear potential to lead the Navy of the future.”

“recognize talent, mentor, coach, and develop juniors, and build the environment in which they can thrive”

“understand and use the best clinical practices and business tools in managing our military population’s health.”

“clearly understand Navy Medicine’s obligation to support the fleet and Marine Corps and demonstrate the capacity to meet the challenges of our commitment to maritime superiority.”

“broad knowledge necessary to support the operating forces and are acknowledged leaders within their operational, clinical, scientific, and business specialties”

“demonstrated exceptional managerial skill and professional competence in executive and staff roles both in the support of the fleet and Marine Corps and within the naval shore establishment.”

“served in a broad spectrum of assignments requiring expertise in diverse functional areas.”

“broad military and medical perspectives beyond the Department of the Navy.”

“demonstrated superior performance in the clinical, scientific, and/or operational settings.”

FY17 LCDR Promotion Board Stats by Specialty

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Here is an Excel file with all the stats:

MC FY17 LCDR SELECTS TABLE

And here are the tables:

FY17 MC LCDR SELECTIONS BY ZONE
# OF PEOPLE # SELECTED % SELECTED
ABOVE ZONE 7 3 42.86%
IN ZONE 249 219 87.95%
BELOW ZONE 504 24 4.76%

 

FY17 MEDICAL CORPS LIEUTENANT COMMANDER SELECTION BY SUBSPECIALTY
SELECTION OPPORTUNITY 100 %
# IZ #SEL IZ % SELECT IZ # AZ #SEL AZ % SELECT AZ # BZ #SEL BZ % SEL BZ
FLT SRG 42 24 57.14% 1 0 0.00% 117 3 2.56%
RAM 2 2 100.00% 0 0 N/A 0 0 N/A
ANESTH 11 10 90.91% 1 1 100.00% 4 0 0.00%
SURG 6 5 83.33% 1 0 0.00% 18 2 11.11%
NEURO SURG 0 0 N/A 0 0 N/A 2 0 0.00%
OB GYN 10 9 90.00% 0 0 N/A 13 1 7.69%
GMO 29 23 79.31% 2 1 50.00% 106 4 3.77%
OPHTH 3 3 100.00% 0 0 N/A 3 1 33.33%
ORTHO 5 5 100.00% 0 0 N/A 17 2 11.76%
OTO 1 1 100.00% 0 0 N/A 5 0 0.00%
URO 2 2 100.00% 0 0 N/A 2 0 0.00%
PREV MED 1 1 100.00% 0 0 N/A 0 0 N/A
OCC MED 0 0 N/A 0 0 N/A 0 0 N/A
PHYS MED 0 0 N/A 0 0 N/A 0 0 N/A
PATH 3 3 100.00% 0 0 N/A 6 0 0.00%
DERM 3 3 100.00% 0 0 N/A 1 0 0.00%
EMERG 14 14 100.00% 0 0 N/A 12 1 8.33%
FAM PRAC 38 38 100.00% 2 1 50.00% 60 6 10.00%
INT MED 24 23 95.83% 0 0 N/A 50 1 2.00%
NEURO 2 2 100.00% 0 0 N/A 1 0 0.00%
UMO 14 12 85.71% 0 0 N/A 48 2 4.17%
PEDS 18 18 100.00% 0 0 N/A 20 1 5.00%
NUC MED 0 0 N/A 0 0 N/A 0 0 N/A
PSYCH 14 14 100.00% 0 0 N/A 12 0 0.00%
DIAG RAD 7 7 100.00% 0 0 N/A 6 0 0.00%
RAD ONC 0 0 N/A 0 0 N/A 1 0 0.00%
TOTAL 249 219 87.95% 7 3 42.86% 504 24 4.76%

FY17 LCDR Medical Corps Promotion Board Statistics

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Here is a PDF of the FY17 Medical Corps LCDR promotion board statistics, summarized here:

Above Zone – 3 of 7 eligible officers selected – 43% selection rate

In Zone – 219 of 249 eligible officers selected – 88% selection rate

Below Zone – 24 of 503 eligible officers selected – 5%

OVERALL – 246 officers selected out of 249 possible – 99%

The last line might not make much sense, so let me explain it.  First, the according to page 2 of the board convening order the promotion opportunity was 100%.  You take the number of officers in zone (249 in this case) and multiply it by the promotion opportunity (100% in this case) to give you the number of officers the board can select for promotion (249).  The 99% overall selection rate incorporates the 3 they selected from above zone and the 24 they took from below zone and adds them to the 219 they took from in zone giving you 246 out of 249 possible or 99%.

Tips to Improve Your Concurrent FITREP

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Yesterday an officer e-mailed me and asked for tips on improving his concurrent FITREP, which I thought would make a nice blog post.

A concurrent FITREP is most often received when you are deployed.  It is “concurrent” because not only are you getting a FITREP from your deployed command/unit, but you are also getting one from your home/parent command.  For example, I just returned from a deployment.  I was gone from September 2015 to June 2016.  I received both a periodic FITREP from my parent/home command and a concurrent FITREP from my deployed command.

Tips to improve your concurrent FITREP include:

  1. Realize that operational commanders often know very little about medical/Navy FITREPs, so you want to do everything you can to make sure that none of these critical FITREP mistakes happen to you.
  2. Try to get a strong soft breakout where the commander compares you to all officers of the same grade under his/her command either now or during his/her entire career.  For example, “In the top 10% of over 200 O4 officers I’ve rated in my entire career.”
  3. Make sure your most important title/duty is in the box in the upper left of block 29.  For example, don’t put “PHYSICIAN” but “OIC” or “SMO”.  You can often score some titles that sound very important on a deployment, like “MEU SURGEON” or “GROUP SURGEON”.  You don’t want to waste them.

Otherwise, general FITREP advice can be found in the Basic Anatomy of a FITREP.

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 FY 17 CDR promotion board statistics, 56% 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 need to send 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):
    • Assistant/Associate Residency Director
    • Department Head at a small/medium sized MTF
    • Senior Medical Officer or Medical Director
    • Chair of a hospital committee
    • MEC member
  • 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 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!

You Made CDR! Now What?

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If you are one of the lucky people who made CDR, I have some things for you to consider:

  • The next 2-3 years of fitreps may mean very little to your overall career.  First, you are soon going to be in the most competitive group in the Medical Corps, Commanders scratching and clawing to make Captain.  If you are at a medium to large command, no matter what you do as a junior Commander, you are likely to get promotable on your fitreps.  That is just how it works for most commands.
  • This first bullet means that now is the PERFECT time to do something “alternative” (off the usual career path for a physician) or take a position that you know will get you 1/1 fitreps or be part of a very small competitive group.  Go to the War College.  Take a senior operational job where you’ll get a 1/1 fitrep.  Become a Detailer.  Apply for fellowship because the NOB fitreps won’t hurt you as a junior Commander or Commander Select.  Now is the time to do these type of things.  You don’t want to wait until you are a few years below zone for Captain.  When you reach this stage you’ll need competitive EP fitreps.
  • After you are selected for your next rank is also a great time to move/PCS.  Have you ever been OCONUS?  If not, now would be a great time to go.  You can PCS somewhere for 2-3 years and then PCS to the command where you are going to set up shop and try to make Captain.  At OCONUS commands there is more turnover of staff, so major leadership jobs like MEC President, Department Head, and director positions open up more frequently, setting you up to get a senior position when you return to CONUS.
  • You may think I’m crazy, but it is time to start thinking about how you are going to make Captain.  As I mentioned in the first bullet, getting a job that will make you a Captain is tough and competitive.  Now is the time to do the things that will make you an excellent candidate for one of those jobs.  Want to be a residency director?  Maybe you should get a degree in adult or medical education.  Want to be a director?  Maybe you should get a management degree like a Masters in Medical Management or an MBA.  Want to be a senior operational leader?  Now is the time to do Joint Professional Military Education I and/or II.
  • Here is a list of the jobs that I think will make you a Captain.  Read the list…figure out which of these jobs you are going to use to make Captain…and get busy preparing yourself to get them:
    • Residency Director
    • Department Head in a large MTF
    • Associate Professor at USUHS
    • Director
    • Officer-in-Charge
    • Major committee chair
    • Medical Executive Committee President
    • BUMED staff
    • Specialty Leader
    • Deployment requiring an O-5
    • Detailer
    • Senior operational leader
      • Division/Group/Wing Surgeon
      • CATF Surgeon
      • Amphib or CVN Senior Medical Officer

Optimally you’ll have the time when you are an O5 to do multiple jobs on the preceding list.  For example, as an O5 I have been a Detailer, a Specialty Leader, and CO of a deployed unit.  My next step is to become a director at a major MTF, and while I was a senior LCDR and CDR I obtained a Naval Postgraduate School MBA as well as achieved certification as a Certified Physician Executive to try and make myself a competitive candidate for a director position.

Congratulations on making Commander…take a deep breath…and start thinking about some of the things I mentioned in this post.  Before you know it you’ll be in zone for Captain.