2019 GME BUMED Note and Application Procedures
Here is the 2019 GME note from BUMED. Good luck!
Finance Friday Articles
Here’s an article about why SGLI is cheaper now:
Here’s why you’re paying less for military life insurance
Here’s one written by me:
Here are the rest:
3 Ways to Decrease Your Portfolio’s Volatility
7-Day Free Real Estate Investing Course With Coach Carson
12 Steps That Will Make Your Productivity Soar
Cutting Corners – Principles for Frugal Living
Financial Guide For Residents by a Resident
How a Productivity System Can Decrease Burnout
4 Ways to Avoid Investing Self-Sabotage
Should I Invest in a Real Estate Syndication or Fund?
The Best Amusement Park Military Discounts
There’s No A for Effort in Investing
The Thing That’s Probably Blowing a Hole in Your Budget (hint: it’s got 4 wheels)
Throwback Thursday Classic Post – What Should You Do If You Didn’t Promote?
If you are particularly interested in this post, I’m sorry. You or someone you care about probably failed to promote. In reality, nowadays it is normal and expected to fail to promote to O5 and O6, so you have company. Here are my suggestions for those that fail to promote.
First, try to figure out why you didn’t promote. Because the promotion board members are not allowed to speak about your board, you’ll never actually find out why you failed to promote, but you can usually take a pretty educated guess if you talk to the right people (like me).
If any of these things happened to you, they are likely a main reason you didn’t promote:
- Any PFA/BCA failures.
- Legal issues, such as a DUI or any other legal trouble.
- Failure to become board certified.
There are other things that could happen to you that make it difficult but not impossible to promote. They include:
- Coming into zone while in you were in GME.
- Having non-observed (NOB) fitreps before the board, such as those in full-time outservice training.
- Spending too much time in the fleet as a GMO, Flight Surgeon, or UMO. This is mostly because it causes you to come into zone for O5 while you are still in GME, and is more of a problem if your residency is long.
- Never getting a competitive early promote (EP) fitrep. Many officers who fail to select have never had a competitive EP fitrep in their current rank. This can be because they were stationed places without competitive groups and they get 1/1 fitreps, or it can be because they were in a competitive group and did not break out and get an EP. To me this is the #1 ingredient to promote…competitive EP fitreps. If you don’t have them, you are really up against it.
- Receiving potentially adverse fitreps. This most commonly happens when you are at an operational command and your reporting senior is not someone who is used to ranking Medical Corps officers, although it could happen for other reasons (like your reporting senior felt you deserved this type of fitrep). The most common situation would be if there is a competitive group of 2 officers but both are given must promote (MP) fitreps instead of 1 getting an EP and the other the MP. When both get an MP, it reflects poorly on both officers unless the reason for this is CLEARLY explained in the fitrep narrative, which it often is not. The other thing that happens is that a reporting senior gives you a 1/1 MP instead of a 1/1 EP. If you are ever getting a 1/1 fitrep, make sure you get an EP. You should consider getting a 1/1 MP an adverse fitrep. If there is no way around this, often because the reporting senior has a policy that they don’t give newly promoted officers an EP, make sure that this policy is clear in the fitrep narrative.
- Having a declining fitrep. Mostly this happens when you go from getting an EP to an MP on your fitrep under the same reporting senior. If it is because you changed competitive groups, like you went from being a resident to a staff physician, that is understandable and not a negative. If you didn’t change competitive groups, though, make sure the reason you declined is explained.
- Making it obvious to the promotion board that you didn’t update your record. The most obvious ways a promotion board will know you didn’t update your record is if your Officer Summary Record (OSR) is missing degrees that you obviously have (like your MD or DO) or if many of the sections of your OSR are either completely blank or required updating by the board recorders. Remember that although promotion board recorders will correct your record for you, anything they do and any corrections they make are annotated to the board. While a few corrections are OK, you don’t want a blank record that the recorders had to fill in. It demonstrates that you didn’t update your record.
So who actually promotes to O5 and O6? In general, the officer who promotes is:
- Board certified.
- Has a demonstrated history of excellence as an officer. In other words, whenever they are in a competitive group, they successfully break out and get an EP fitrep. Being average is just not good enough anymore.
- They have no PFA failures, legal problems, declining fitreps, or potentially adverse fitreps.
- They have updated their record, and if they previously failed to select they reviewed their record with their Detailer and actively worked to improve it.
So what do you do if you were passed over and failed to promote?
Realize that it is not the end of the world. Based on the recent promotion board statistics (which you can get in the Promo Prep), most officers were passed over for O5 or O6, 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 to 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. 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 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
If you are a CDR who got passed over for CAPT, try to get one of these jobs and excel at it:
- Residency Director
- Department Head in a large MTF
- Associate Director or Director
- Officer-in-Charge (OIC)
- MEC President
- Division, Group, or Wing Surgeon
- CATF Surgeon
- Specialty Leader
- Chief Medical Officer (CMO)
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 9th look!
Fully Funded Occupational and Environmental Medicine Fundamentals Course – Portsmouth, VA – 9-13 SEPT 2019
The Navy and Marine Corps Public Health Center OEM Division is excited to announce the next offering of the Occupational and Environmental Medicine Fundamentals course September 9-13 2019 in Portsmouth, VA!
The course is intended for physicians, physician assistants, and nurse practitioners that do not have formal Occupational Medicine training (i.e. Occupational Medicine residency or experience) who will be practicing in an Occupational Medicine clinic or have significant Occupational Medicine-related workload. The course will cover history of Occupational Medicine, workplace hazards, risk communication, Navy Occupational Health programs, worksite visits, available resources, and will include clinical case break-out sessions.
Non-local students will be FULLY FUNDED BY NMCPHC for travel. There is no fee for the course itself.
We are applying for CME/CNE and anticipate the course will be approved for 31 credit hours as it has been in the past.
NMCPHC will coordinate with the Regional Program Managers & OEM Specialty Leader to ensure course seats are given to those according to clinic needs, responsibilities, and assigned job requirements.
Please visit the NMCPHC Occupational Medicine Fundamentals Course webpage
for more detailed information and student registration request:
For future planning purposes, we will be offering 2 OEM Fundamentals courses in FY20- dates TBD.
(Also, there will be an Occupational Health Nurse (OHN) Fundamentals Course in FY20- date TBD)
Please read the above webpage carefully to answer your questions.
Controversial Changes to GI Bill Transfer Rules Delayed Until Next Year
Here’s a link to this Military Times article:
Controversial Changes to GI Bill Transfer Rules Delayed Until Next Year
Senior O5/O6 Position in Medical Inspector General Office – Bethesda, MD
This is an opportunity to have enterprise-wide impact and see the world as part of the Office of the Medical Inspector General. A Captain is preferred, but a senior Commander will be considered. The desired report date is Fall of 2019. The position
description is here. The incumbent is CAPT Timothy Wilks (contact info in the global) if there are questions.
Applications are due (with Detailer/Specialty Leader concurrence) to the Corps Chief’s office NLT August 1, 2019. Please send to CDR Melissa Austin (contact info in the global).
Help Me Apply for Promotion at USUHS
Help a brother out. I’m working on my USUHS promotion package to try and get promoted from Associate Professor to Professor of Military & Emergency Medicine. In order to get promoted, you must have an Educator’s Portfolio, which includes a section on Mentoring and Advising. For that section, I must list people I’ve advised and mentored over the years.
If you feel that I have advised or mentored you, perhaps in person or via this blog, please give me the following information so I can include it in my portfolio. You can use the contact me page or e-mail me at jschofer <at> gmail <dot> com.
I need your:
- Name
- Rank, Corps, and service, if applicable (CDR, MC, USN, for example)
- Period of time I advised/mentored you (only the years is fine)
- Your role/position at the time I advised/mentored you
- The topic I advised/mentored you on
- Your current position
- A list of achievements that I helped you achieve through my advising/mentorship
This seems terribly self-serving, and for that I apologize, but I see no better or easier way to collect his information for my portfolio. Thanks for considering.
Navy Updates Mobilization Deferment Policy for Selected Reserve Affiliation
Here’s an important article for anyone looking to affiliate with the Reserves:
Navy Updates Mobilization Deferment Policy for Selected Reserve Affiliation
Finance Friday Articles
Here they are…
How to Avoid a Public Service Loan Forgiveness Catastrophe
How Should A Doctor Learn About Personal Finance and Money?
Interest Rate Chasing in Your Savings Account
Make Your Declaration of Financial Independence
On The Benefits of Being Average
Playing Nice – 8 Steps to Vet a Charitable Organization
That’s Enough – Settling for “Enough” Rather Than Striving for More
The Stretch IRA: The Best Inheritance
Why Hospital Administrators Should Eat Last
Why I Don’t Plan on Quitting Medicine Anytime Soon
Working teens and Roth IRAs: A perfect investing match
Your Professional Decline Is Coming (Much) Sooner Than You Think