FY16 Navy Medicine Professional Development Center Training Calendar Released

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Here is the FY16 Navy Medicine Professional Development Center course calendar.  The most popular course for physicians on this list is the Advanced Medical Department Officer Course (AMDOC), which is great not only because it is a service school and therefore buffs your Officer Summary Record (OSR) for promotion boards, but because it teaches you a ton of useful information.  (Disclaimer: I’m teaching at AMDOC this Tuesday.)  The Tricare Financial Management Executive Program is another worthwhile course for senior-ish officers.  It is a 3 day peek into the world of how Navy Medicine and Tricare are financed and I learned a lot of things when I attended it.

NMPDC Course Offerings for FY16

The POC for any questions about these courses is found in Appendix VI of my promotion prep document, updated yesterday and found in the tab at the top of this page and here:

Joel Schofer’s Promo Prep Guidance – 30 JUL 2015

 

 

OIC Application Deadline Extended to 8/31/15

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This NAVADMIN extended the deadline to apply for an Officer-in-Charge (OIC) position to 8/31/15:

NAVADMIN 175-15 – FY16 OIC Application

Here is the original BUMED Note that lists the positions available and gives you all the details:

BUMEDNOTE 1410

FY16 LCDR Promotion List Released

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Congratulations to the following officers who were selected for promotion to LCDR:

Medical Corps

Abitria Richard R            0003  Afuhleflore Chantal Na       0044            
Aleid Haydar Mohali          0034  Algert Daniel B              0104            
Algert Lesley Paz            0068  Anderson William Charl       0198            
Armstrong Cody Chance        0015  Aukstuolis Kestutis An       0139            
Aurigemma David F            0073  Aurigemma Kristen Dian       0097            
Bailey Mary Mercedes         0191  Baker Neal Jordan            0150            
Baquir Angelo B              0087  Bauer Matthew Paul Per       0148            
Bayly Terrence D             0083  Benjaminson Jeremy Eva       0178            
Bermudez Daniela Janel       0157  Bilbao Michelle Cifone       0170            
Boni Benjamin Daniel         0177  Boucher Jeromy Travis        0028            
Brandon Elise Cooper         0137  Brock Marie Elizabethn       0149            
Brown Taylor Adam            0055  Bruce Timothy Peter          0197            
Buckley Kerry L              0053  Buckley Ryan Thomas          0041            
Buckley Sarah Basha          0152  Bullard Susan Ashley         0036            
Burbanodelara Patrick        0138  Burgess Matthew Daniel       0037            
Butler Nathan Henry          0102  Butler William Jason         0029            
Buttolph Amelia Harris       0205  Bylund William E             0084            
Carter Kristopher Ever       0115  Cassleman Kristi Linne       0188            
Chang Allen Duanhsu          0162  Chi Benjamin B               0096            
Cochran Grant K              0063  Cole Geoffrey John           0057  
Corrado Richele Lynn         0027  Cripe Paul                   0079  
Cruz Chris Albert            0146  Darling Nicholas Andre       0200  
Davis Christopher Alan       0108  Dean Daniel Joseph Jr        0174            
Deboer Derek Lee             0082  Degeus John Benjamin         0094            
Delacruz Andrea Faye         0156  Derevianko Victoria Ma       0105            
Digeorge Nicholas Will       0169  Douglas Brigham Lee          0193            
Elek Steven IV               0172  Engkulawy Jennifer Kar       0163            
Evans John Keith II          0180  Faught Sara Kathryn          0144            
Fiaseu Kaycee Rose           0204  Filipescu Radu               0020            
Flowers Lynn Morrissey       0155  Fofi Stephanie Marie         0145            
Frasier Samuel Dennis        0208  Gage Michele M               0086            
Ganacias Karen Gayle         0192  Garciasalas Alejandro        0093            
Gaylord Bethany Kay          0117  Generoso Judith Cather       0130            
Gillespie John W             0075  Gilman Luke Anthony          0132            
Gower Jonathan Robert        0066  Graham Jennifer Nicole       0107            
Greene Tatiana Morales       0186  Gutweiler Alex August        0025            
Haight Sean Patrick          0175  Hall Kent Michael            0190            
Hamersley Erin Rae Spa       0206  Hastings Todd Glen           0154            
Hauck Heather Noelle         0095  Hauff Niels M                0050            
Healy Mae Wu                 0129  Hemerly Nathan James         0173            
Henebry Andrew D             0046  Henry Sadie Mar              0004            
Hodell Evan Mel              0014  Hoffman Marshall Mathe       0062            
Hogan Patricia Elisabe       0142  Holleman Kevin Troy          0168            
Holzhouser Jamon Aaron       0016  Jain Ankush Kumar            0171            
Jardonaites Michelle D       0090  Jaskiewicz Jennifer Ly       0185            
Jing Ling                    0006  Johns Michael Wayne          0045            
Karris Bianca Cabrera        0133  Khoo Di                      0052            
Kilimentmihaileanu Iul       0021  Kuckel Daniel P              0035            
Kunkel Scott Alan            0196  Lafferty Casey Elizabe       0176            
Lagrew Joseph Edward II      0099  Larsen Eric Christian        0012            
Lawson Scott Michael         0122  Le Joseph An                 0141            
Le Tuvien                    0195  Lee Blair C                  0120            
Lehmann Benjamin John        0143  Lewis William A              0030            
Lipscomb Kathryn Ann         0118  Lomeli Matthew Charles       0164            
Lopez Lance Anthony          0140  Lopreiato Joseph O           0128            
Love Christopher Scott       0010  Mak Heather Kimberly         0136            
Maliakel Paul G              0064  Mancusiungaro Andrew E       0043            
Manosalva Rodolfo Enri       0158  Marquardt Joseph Phili       0165            
Marshall Michael Thoma       0060  Maruszak Mary Brigid         0187            
Mathew Manoj                 0026  Mathurin Jean Gilnord        0024            
Mattingly John C             0072  McClure Robert Ian           0007            
McCullough Jeremy Davi       0189  McDonnell John Carroll       0167            
McPeak Lesley Armbrust       0061  Melzer Jonathan M            0089            
Meunier Nicole Jean          0069  Michel Eric Brian            0121            
Michel Shannon Scully        0127  Monson Michael James E       0166            
Munoz Beau Jeffrey           0031  Myles David Eric             0201            
Naff Jessica Lynn            0011  Navarro Carlos Alberto       0048            
Nelson Mikal John            0042  Nieves Maria Lizette         0005            
Obrien Brendan Stephen       0077  Oladipo Olamide Johnso       0135            
Olson Erik Joseph            0051  Osborne Todd Graham          0013            
Overbey Jamie Kathleen       0147  Owens Steffanie Michel       0100            
Pannier Aaron Granvill       0092  Partovi Christopher Re       0032            
Perrinez Phillip Rober       0113  Perry Alexandra V            0088            
Peterson Brandon Rober       0119  Powers Michael F             0159            
Prokop Michael Aaron         0184  Reynders William Josep       0116            
Roberson Nolen F             0080  Roden Christopher Dona       0183            
Ross Warren Leslie           0111  Russell Matthew Craig        0008  
Ruttenberg Todd Michae       0101  Santiago Gabriel F           0049  
Sardina Jonathan Micha       0181  Sasovetz Scott Joseph        0059  
Schonau Jesse Taylor         0207  Scully Stephenie Ashle       0058  
Seeger Daniel Bradley        0123  Shanahan Erik Edmond         0071  
Siebenaler Joseph Fran       0179  Siegel Joseph Aaron          0039  
Simmons Brett Patrick        0112  Singer Jacob Emerson         0040  
Skeehan Christopher Do       0134  Smith Jennifer Lauren        0085  
Snow Ryan William            0161  Solis Ana Lidia              0023  
Sone Peter Lee               0056  Songer Adam G                0081  
Speicher Matthew Vanst       0199  Staeheli Gregory R           0047  
Stange Christopher Jam       0203  Stanila Vlad Vasile          0022  
Stapleton Robert Edwar       0202  States Leith Jason           0182  
Steele Helen Marie           0194  Stein Loretta Lindsay        0125  
Stonegarza Kristi Kim        0009  Stratton Michael Slade       0151  
Stromberg Ines Haruni        0131  Talise Paul C                0076  
Taylor Jacob Marshall        0038  Toupin Brian                 0103  
Trevino Ruth Ann             0124  Uber Ian Chauncey            0067  
Valadao Jason Matteo         0018  Wagner Kari Lynn             0110  
Wagner Scott C               0106  Waite Kenneth Barry Jr       0126  
Wallace James D              0078  Walsh John C                 0074  
Waterman Adam Thomas         0070  Westbrook James Wesley       0017  
Wheelan Ann Victoria         0019  Wildi Jonathan Douglas       0160  
Wilson Jessica Ann           0098  Wilson Kevin F               0114  
Wolf Michael E               0054  Wooldridge Bryan Edmun       0109  
Zelinskas David John         0153            

Need Your Opinion on the Blog/Website

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The blog/website has been live for about 2 months now, and I’d love some direction on how things are going.  Do you like written posts or do you prefer audio/video?  Do you prefer pure audio or video podcasts?  Do you like shorter podcasts or are longer ones okay?  Are written comments essential or are audio/video podcasts alone sufficient?  Please send any comments you have to me with the “Contact Me” tab or by commenting on this post.  Please also take this poll:

Moonlighting in the Navy

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It’s July and a whole new crop of recent residency graduates can now moonlight for the first time in their Naval careers, so here is a video podcast and blog post that discusses some of the basics of moonlighting.

Should You Moonlight?

I think the answer to this question depends on a lot of things. First, do you envision yourself working clinically when you leave the Navy? For most physicians, the answer to this question is yes, and depending on your specialty you may need to moonlight to maintain your clinical skills. We don’t always get exposed to the full scope of our specialty in the Navy. My wife is a pediatrician, and when she was on active duty I thought she had a full scope pediatric practice and did not need to moonlight to maintain her skills. As an emergency physician, though, it is rare to get exposed to the full breadth of emergency medicine in a Navy emergency department. You have to make an honest assessment of your specialty, the breadth of your Naval practice, and whether you need to moonlight to maintain your skills.

In addition, you need to figure out your motivation for moonlighting. A common motivation is to earn extra money, and that is a fine motivation, but you never want to make decisions that make you dependent on the money. You may deploy, your CO could take away your moonlighting privileges, or you could PCS somewhere where you can’t moonlight. You don’t want to be the bankrupt doctor because you bought a house you can’t afford without moonlighting.

The Navy’s Moonlighting Rules

In order to moonlight you have to get permission from your command. It is a privilege, not a right, and you can lose this privilege if you fail a PFA, don’t stay up-to-date on your training/readiness requirements, or don’t produce academically when required.

If you are going to moonlight somewhere outside of a 2 hour drive, you need to take leave. If you are flying anywhere, no matter the distance, you need to take leave. You can’t moonlight more than 16 hours/week and you need to have 6 hours of time off between clinical periods for your moonlighting job and your Naval duties. You’ll need to complete an annual attestation that says you are aware of these policies and compliant with them.

Where Should You Moonlight?

If you moonlight locally you don’t need to take leave. If you can find a clinical setting you think you’d like after your time in the Navy is complete, you can even start working toward partnership.

If you work locum tenens, you can travel and sometimes chase “the big money.” If you work enough, the locum companies will cover all of your expenses, DEA, state licenses, travel, hotel, expenses, and malpractice insurance. Because you are likely traveling to a location more than a 2 hour drive away, you’ll need to take leave.

Basic Financial Planning for Moonlighters

Moonlighting allows you to put more money in tax advantaged retirement accounts. If you’re a non-moonlighter, you’d be limited to putting $18,000/year in the TSP and $5,500/year in your IRA (based on 2015 limits). If you moonlight and get paid on a 1099 as an independent contractor, you can fund a SEP IRA or solo 401k up to $53,000/year. It is rare that you’ll hit this maximum because you can’t moonlight enough to earn the amount required to do it, but you will be able to put more away than a non-moonlighter. A SEP IRA is easier to set up than a solo 401k, but a Solo 401k allows more money to be contributed at an equivalent salary. For a great discussion on these two options, go to:

http://whitecoatinvestor.com/sep-ira-vs-solo-401k/

Finally, moonlighters often want to incorporate because they think it provides malpractice protection, but that is a myth. Although there may be some tax advantages to incorporating, it doesn’t protect you from professional liability or malpractice.

Contract Pitfalls

If you are going to sign a contract, you are going to need to get some professional help. You should hire a healthcare or contract attorney to review any contract you are considering. There are many issues you need to understand, including:

  • Due process or termination clauses – For what reasons can they terminate you? Are you entitled to a hearing with the medical staff before your privileges are removed or restricted?
  • Tail coverage – Does your malpractice insurance require tail coverage? If so, who is paying for it? Tail coverage is malpractice insurance that covers you after you stop working for that employer, and it can be VERY EXPENSIVE so you will want to know who is paying for it.
  • TRICARE or VA eligible patients – You can’t bill these patients as they are already entitled to your services.  This is spelled out very well in the moonlighting paperwork you will file with your command, but make sure your employer understands this.

Here are the Powerpoint slides for the video podcast below:

Moonlighting

Basic Anatomy of a FITREP

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There is a HUGE knowledge deficit in the Medical Corps about FITREPs, which is sad when you consider that they are probably the most important document in our Naval careers.  To address this deficit I created this video podcast.  In 43 minutes you’ll know just about everything that you need to know about FITREPs.  This material is based on about 10 lectures I collected over the years and is consistent with the 2015 update of the FITREP instruction that was just released a few months ago.

Grab a FITREP to look at or start up NAVFIT98a and write your FITREP as you watch the video because it will be much easier to follow along this way.  In addition, here are the slides to download and view and the FITREP instruction:

Basic Anatomy of a FITREP

BUPERSINST 1610.10D – Navy Performance Evaluation System

O5/O6 Opportunities – USUHS Brigade Commander and SECDEF Corporate Fellowship

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Here are two opportunities for senior physicians.  If you are interested in one, contact your Detailer:

O6 Only – Brigade Commander Position at USUHS

O5/O6 – SECDEF Corporate Fellowship NAVADMIN*

*NOTE: The first two programs mentioned in this NAVADMIN are for line officers and  physicians are not eligible.  The last program, the SECDEF Corporate Fellowship, is the one physicians are eligible for.