SG’s Message – “Navy Medicine…Report to the Bridge!”

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Esteemed Colleagues,

“Anyone can hold the helm when the sea is calm. “ – Publilius Syrus.

For those of us who’ve had the privilege of getting underway in our great Navy can attest, the bridge attracts a lot of visitors when it is quiet at sea. It’s a much different scene however when situation get critical, as that is when the skilled, battle tested and steady hands are called to take over. But how did that “go to” team develop the proficiencies necessary to succeed in times of crisis? The answer can be found at the core of our Navy and Marine Corps team and the heart of what we do every day in Navy Medicine. It is the rare combination of being Brilliant on the Basics of our profession and at the same time, seeking those unique opportunities in our career to step out of our comfort zones, drawing confidence from our training, our mentors, our leaders and most importantly, ourselves to get the job done. Getting comfortable with being uncomfortable is a learned skill, and no one has set a better example of this principle in action than you…The amazing men and women of Navy Medicine.

We all have “comfort zones”; that behavioral space where our activities and behaviors fit a regular pattern. Routines can be stable and comforting, but they can also turn stale and confining over time. Doing something new and different helps stave off burnout and is good for our brains and bodies. Anyone who’s ever pushed themselves to get to the next level or accomplish something knows that when you really challenge yourself, you can achieve amazing results.

The idea of a comfort zone goes back to a classic experiment in psychology. In 1908, psychologists Robert Yerkes and John Dodson explained that a state of relative comfort created a steady level of performance. However, in order to maximize performance, one needs to reach a state where stress levels were slightly higher than normal. This space is called productive discomfort or optimal anxiety, and it exists just outside our comfort zone.

There are many examples of Navy Medicine personnel embracing the opportunity of operate outside their comfort zone to meet the challenge of the SARS-CoV-2 virus. For many it is overcoming the difficulties of continuing their demanding work remotely, without the proximate support of their co-workers. For others it is not just a change of venue, but of function. For example, our dental community, restricted from performing most of their operative procedures in order to limit spread of the virus, have contributed to the fight in ways they could not have imagined while they were in dental school. Here are just two of many examples:

  • LT Chris Wilde, NMRTC Yokosuka. A General Dentist, Chris stepped-up to orchestrate COVID-19 reporting for 223 commands across U.S. Forces Japan. He planned and executed multiple SWABEX evolutions and helped to test more than 6,000 people which prevented the spread a coronavirus outbreak on the base.
  • LCDR Geoffrey Ward, NMRTC San Diego. A prosthodontist, Geoff served as the command’s lead for COVID-19 operations and fleet testing. He helped to develop instructions for conducting drive-thru coronavirus testing, setting up tents for symptomatic and pre-operative testing, and co-authored standard operating procedures to provide consistent care and protect our Sailors and Marines.

One Navy Medicine’s willingness to move beyond our comfort zones remains a critical key to our success. Our ability to apply rapid-cycle feedback and lessons learned directly improves the quality, safety, and relevance in the care we provide.

For example, our experience in deploying Expeditionary Medical Facility (EMF)-Mike has taught us the value of smaller, rapid deployable units of highly skilled medical providers. This week 72 individuals attached to NMRTC Pensacola’s EMF-Lima (L) were sent to Texas as part of the newly established component platforms, the Acute Care Team (ACT) and Rapid Rural Response Teams (RRRT). The ACT is a 44-person team designed to support urban hospitals and RRRT’s are 7-person teams tailored to support patient surges. These Navy Medicine professionals are working on the front lines with the Federal Emergency Management Agency (FEMA) and local officials to serve as a relief valve for local hospital systems overburdened with COVID-19 cases. Rapidly and without hesitation they have selflessly stepped into the line of fire with local medical professionals to care for fellow Americans stricken by this relentless virus. In the coming weeks, we expect to provide additional aid to areas deeply impacted by the pandemic. Bravo Zulu to all who have and will answer this call. We are proud to call you our shipmates.

As our nation faces this generational crisis, it is OUR team that has been called to the bridge and I have never been more confident that the ship is in the best hands possible. Everyone who has stepped out of their comfort zone to respond to the pandemic understands the meaning of the quote: “a ship in a harbor is safe but that is not what ships are designed for”. Thank you for courageously sailing away from your personal safe harbor to strengthen our response to COVID-19.

You are making a positive difference in a world that has never needed you more.


Bruce L. Gillingham, MD, CPE, FAOA


Surgeon General, U.S. Navy

Chief, Bureau of Medicine and Surgery

MOAA – NDAA Update: Where We’ve Been, Where We Are, and What’s Next

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Here’s a link to the article:

NDAA Update: Where We’ve Been, Where We Are, and What’s Next

Here’s the portion about military medicine:

Military Health Care

Despite the success of MOAA’s Virtual Storming the Hill, efforts to include a halt to military medical end strength cuts and the realignment of military treatment facilities (MTFs) in the NDAA remain at risk. While the House version has language supporting these provisions, the Senate version does not.

MOAA is pivoting its focus to the Senate to ensure the House provisions make it through conference. Contact your senator today to express your support for the House provisions.

Even though the Defense Health Agency has announced a delay to all MTF restructuring and billet cuts, we believe legislation is needed to not only slow the process but also bolster reporting requirements and oversight mechanisms at every possible juncture to ensure DHA conducts qualified analysis and planning for any patient care moved out of MTFs.

Throwback Thursday Classic Post – How Long Do You Have to Stay in the Navy if Executing PCS Orders?

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Question: If I execute PCS orders, how long do I have to stay in the Navy before I can retire or resign?

Answer: This is something called “retainability” and is detailed in paragraph 9 (on page 6) of OPNAVINST 1300.15B – Navy Military Personnel Assignment Policy. Here’s the quick and dirty version.

It all depends on where you’re coming from and going to:

  • Coming from OCONUS to CONUS = You must wait 1 year before you can get out of the Navy.
  • Going to a CONUS operational billet = also 1 year.
  • Coming from CONUS to a shore/non-operational billet = 2 years.
  • Going OCONUS anywhere = You must serve the full tour length, which depends on your specialty and where you’re going. I could try to explain tour lengths, but it can get complicated. If you’re not sure what your tour length is, ask your Detailer.

2 Educational Programs – SECDEF Executive Fellows and Low-Residency Graduate Education Program

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These are two educational programs that Staff Corps Officers are eligible for and would seem to meet the mark on the new emphasis on advanced education:

  • SECDEF Executive Fellows – This program provides a venue for exceptional officers to experience innovative business practices within the nation’s leading business enterprises. Military fellows from each of the Services are paired with senior executives in various companies known for their willingness to challenge and adapt their business practices. All O5-O6 officers are eligible. Details can be found in this NAVADMIN.
  • Low-Residency Graduate Education Program (LGEP) – LGEP provides naval officers in paygrades O-2 to O-5 with a Navy-funded graduate degree opportunity in strategy, management and international relations through a low-residency delivery model at selected regionally accredited partner universities or colleges. The LGEP pilot program will offer studies that are designed to fit into shore duty tours, allowing officers with compressed career paths to stay close to the waterfront or flight line while earning a Master’s degree. LGEP study programs range from 10-24 months at partner universities that may include Old Dominion University, William and Mary, American University, Johns Hopkins University, University of California Los Angeles, University of California San Diego, University of Washington, and the Naval Postgraduate School. Participants will remain at their duty stations and spend limited time on campus, completing the remainder of the course material online or via phone. More details can be found in this NAVADMIN or this PPT slide deck.

SECDEF’s National Defense Strategy First Year Accomplishments

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This is exactly the kind of high-level document you should read so that you have a perspective on DoD policy. These kind of things tend to come up in interviews for big jobs that will often get you promoted. Here it is…