New Process to Get Non-Specialty Specific Medical Corps Billets/Positions – Due 16 SEPT 2019
PERS has come up with a new process for Medical Corps Officers to apply for positions/billets that are not specific to any one specialty. Pay attention to this! These are the kind of senior leadership jobs that get you promoted.
The new process is described in this PDF:
MC Non-Specialty Specific Billets Booklet
These are the files that give details on the positions and the file you need to use to apply:
More Sailor-Friendly Options for PCS Moves
MILLINGTON, Tenn (NNS) — Navy Personnel Command (NPC) leaders announced today that they are expanding options and capabilities offered to further improve the Permanent Change of Station (PCS) move experience for Sailors and their families. This comes only a few weeks after the release of MyPCS Mobile and more capabilities are expected in the near future.
As part of the Navy’s ongoing pay and personnel transformation efforts, NAVADMIN 184/19 announces a new pilot program in which participating Sailors can use the Government Travel Charge Card (GTCC) for PCS move travel expenses. The initial pilot population includes Active Duty Sailors who are existing GTCC cardholders, executing CONUS-to-CONUS moves with less than 30 days of combined travel and Temporary Duty under Instruction, and who are single or traveling with accompanied dependents.
“We are providing Sailors with more choice and control during the PCS move process by providing them with the option to use their GTCC for PCS-related travel expenses,” said Rear Adm. Jeff Hughes, NPC commander.
“We want Sailors to have the funds necessary to support their move readily available either through use of a requested electronic funds transfer/direct deposit (EFT/DD) travel advance or by using the GTCC,” Hughes said, adding, “It’s their choice based on what works best for their particular situation.”
Participating Sailors may now choose to use either the GTCC or request an EFT/DD travel advance to support move related costs; however, both may not be used simultaneously.
Sailors who elect to participate in the pilot program may use the GTCC for temporary lodging at their old or new permanent duty station, fuel for privately owned vehicles (POVs) used as part of PCS travel, and for lodging and meals en route to their new duty station. Additionally, if the Sailor is entitled, the GTCC may be used for Dislocation Allowance (DLA) related expenses normally associated with the establishment of a new household.
This pilot period allows us time to evaluate the rollout through all phases of the PCS process, receive feedback from participating Sailors and commands, and fix any unknown issues prior to expansion to the widest possible population of Sailors in the near future.
Additionally, NAVADMIN 183/19 announces the release of Lean Orders and a PCS Entitlements Calculator. Lean orders is a streamlined, simplified, and plain language orders format, providing a Sailor and family everything they need to know to execute a move on a few screens on a mobile device. Lean Orders and the full text orders will both be available in MyPCS Mobile and on MyNavy Portal (MNP). A PCS Entitlements Calculator will also be available to provide Sailors a tool to easily determine their PCS travel entitlements. The intent is for a Sailor and their Command Pay and Personnel Administrator (CPPA) to use this tool during the initial PCS planning phase, which may influence what options the Sailor may pursue regarding advances or card use. It is also useful when a Sailor fills out their travel claim at their new permanent duty station to ensure the claim disbursement is the correct amount.
“Simplifying the PCS process for Sailors is a priority area of effort within the MyNavy HR Transformation effort,” said Ann Stewart, Director, NPC Pay and Personnel Management Department, adding, “All of these new services are a direct result of what we are hearing from Sailors and their families during numerous fleet engagements. We’re listening and rapidly improving processes and fielding capabilities to best resource our Sailors and reduce the administrative burden on them, so they can focus on readiness, lethality, and improving their life/work balance.”
It is vital that Sailors work with their CPPA and GTCC Agency Program Coordinator when pursuing available options for their PCS move planning and execution. The MyNavy Career Center (MNCC) Contact Center is also a 24/7 option and may be contacted via email: askmncc@navy.mil or by phone at (833) 330-MNCC (6622).
Get more information about the Navy from US Navy facebook or twitter.
For more news from Chief of Naval Personnel, visit www.navy.mil/local/cnp/.
FY20 LCDR Promotion Notes and Stats by Specialty
Here are the statistics for the recent LCDR promotion board and some notes from BUMED:
- 4 in zone individuals were auto-deferred due to having been on active duty less than a year.
- 90.5% of the in zone group were selected; the vast majority of those who were not selected had approved resignations.
- There were 6 above zone and 18 below zone selections. 7 of those 18 below zone selects were in General Medical Officer, Flight Surgery, or Undersea Medical Officer billets.
How to Get Published in Medical School and Boost Your CV
Here’s a link to this article for all the medical students out there:
Finance Friday Posts
Here are this week’s articles:
5 Attributes That Make You An Easy Financial Target
5 Money Lessons from Adrian Peterson
Answering the top 5 questions about ETFs
Double Checking Your Investment Portfolio
Early Retirement Checklist Part Two: Insurance, Family, and Social Considerations Prior to FIRE
Financial Planning for a Special-Needs Child
FIology – Lessons in Financial Independence
Getting out of the Market in Retirement?
How Locum Tenens Saved My Life
How Much Time Does It Take To Manage My Own Properties?
In Praise of the Renaissance Man
Investing in a Negative Interest Rate World
Our Experience Buying a Brand New Car
Stop Tax Return Fraud: Sign Up For IRS IP PIN Program
The 5 Benefits of Financial Freedom
What Physicians Need to Know about Investing Before Hiring a Financial Advisor
Why Paying Down Debt Aggressively Was the Worst Financial Decision I’ve Ever Made
Throwback Thursday Classic Post – Moonlighting in the Navy
It’s August 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 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. If your specialty makes complying with these guidelines hard, you can ask for a waiver from your command.
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 $19,000/year in the TSP and $6,000/year in your IRA (based on 2019 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 $56,000/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. Plus, a SEP IRA messes up your backdoor Roth IRA contribution. For a great discussion on these two options, go to this article, but the bottom line is you’ll likely want to set up a Solo 401k and not use a SEP IRA:
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. You could also consider using a company that specializes in reviewing physician contracts like Contract Diagnostics. 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:
FY-20 Active-Duty LCDR Staff Corps Promotion List
UNCLASSIFIED//
ROUTINE
R 071400Z AUG 19
FM SECNAV WASHINGTON DC
TO ALNAV
INFO SECNAV WASHINGTON DC
CNO WASHINGTON DC
CMC WASHINGTON DC
BT
UNCLAS
ALNAV 058/19
MSGID/GENADMIN/SECNAV WASHINGTON DC/-/AUG//
SUBJ/FY-20 ACTIVE-DUTY NAVY LIEUTENANT COMMANDER STAFF SELECTIONS//
REF/A/DOC/SECNAV/11JAN19//
AMPN/REF A IS THE FY-20 ACTIVE-DUTY NAVY LIEUTENANT COMMANDER STAFF PROMOTION
SELECTION BOARD CONVENING ORDER.//
RMKS/1. I am pleased to announce the following Staff Officers on the Active-
Duty List selected for permanent promotion to the grade of Lieutenant
Commander.
2. This message is not authority to deliver appointments. Authority to
effect promotion will normally be issued by future NAVADMINS requiring
NAVPERS 1421/7 preparation and forwarding of the document to PERS-806.
3. Frocking is not authorized for any officer listed below until specific
authorization is received per SECNAVINST 1420.2B.
4. For proper alphabetical order read from left to right on each line.
The numbers following each name to the right indicate the relative seniority
among selectees within each competitive category. Note: An (*) by the name
indicates the selectee was merit reordered to the top of the promotion list
in accordance with reference (a). Members are directed to verify their
select status via BUPERS Online.
Medical Corps
Algiers Timothy James 0129 Allan Elizabeth Jean 0135
Anderson Christine Lee 0127 Anderson Erik Lundberg 0054
Annis Heather 0040 Awodele Elizabeth Ann 0018
Baldeshwiler Mark J 0089 Banaag Shanley Hughes 0209
Barnett Patrick M 0137 Barrett Laura Danielle 0200
Beale Peter Alexander 0061 Beck Justin Lee 0210
Beckmann Robert C 0053 Beer Joshua Robert 0217
Berner Sara Beth 0012 Bessolo Andrew Michael 0132
Beyer Patrick Thomas 0172 Bianchi William David 0227
Biberston Jeffrey D 0138 Bond Emily Alison 0214
Booth Gregory James 0184 Bowen Michael Patrick 0058
Bradley Anthony S Jr 0023 Brawner Christopher M 0056
Brown Gary Orian 0192 Buel Katie Lauren 0190
Cannon Kathleen Ann 0083 Cayce Thomas Elliott 0049
Chauvin Meagan G 0201 Checchi Kyle Douglas 0047
Chece John Thomas 0006 Childers Benjamin Alan 0150
Clerc Jacqueline Gail 0078 Cole Jacob Henry 0252
Collins Jeannette R 0204 Cooper Ryan Thomas 0149
Cordes Mitchel F 0032 Costantoth Camille B 0097
Dear Thomas Augustus 0105 Decicco Joseph Daniel 0033
Desantis Kristin Marie 0126 Devore Charlotte E 0029
Deyoung Tracey H 0242 Dimond Leilani Lee 0088
Dombroski Eric Frank 0101 Donoughe John Scott 0008
Doudt Alexander Daniel 0087 Drayer Sara Marie 0240
Dugar Brandon Campbell 0072 Earley James Patrick 0151
Elliott Emily Jerniga 0243 Erdle Nicholas James 0106
Ernstsignore Elizabeth 0102 Eubanks Joshua David 0080
Ewing Christopher Kane 0017 Fang Ashley Lynn 0216
Fayos Zane Allyn 0142 Fehringer Adam Joseph 0236
Fenton Ronald C 0146 Fernicola Stephen D 0177
Fiore Benjamin Dylan 0130 Ford Alexandra Laine 0090
Fortner Grady A 0107 Freund Brin Etan 0016
Gambrell Justin Blake 0229 Garrett Andrew Robert 0235
Geddes Cody Michael 0231 Geurin Joel Preston 0206
Goold Michael Prince 0093 Gorman John Dunham 0232
Gosselin Michelle M 0024 Gosztyla Carolyn Emma 0114
Gould Allison Anne 0164 Grady Derek William 0144
Graf Andrew Clifford 0118 Granda Christopher S 0228
Gray Carrie Nicole 0073 Greenwald John Addison 0156
Griffis Clare Ellen 0128 Grim Andrew Ward 0079
Grounds Benjamin Eric 0179 Gurley Jessica Anne 0185
Gutierrez Lino A III 0022 Hamilton Ross Michael 0094
Harris Christopher W 0159 Harrison Kathryn Mary 0125
Hasson Ryan James 0136 Heig Todd W 0007
Held Jenny Michelle 0062 Heller Johnathan M 0034
Hendy Dylan Michael 0021 Hildreth Amy Follmer 0020
Hill Steven Michael 0085 Hill Susan Elena 0140
Hornacek Michael W 0123 House Tyler Bernard 0178
Houskamp Daniel John 0043 Hru Jessica Mahela 0113
Hughes Charlotte K 0121 Hughes Chase Andrew 0239
Hurdiss Sean Michael 0041 Hyman Leslie Jared 0213
James William F III 0038 James Kay Louise 0152
Johnson Andrew Steven 0050 Johnson Cody Reid 0202
Johnson William Rainey 0247 Jones Brendan Adam 0195
Jones Heather Louise 0092 Joseph Shane Paul 0133
Kim Cecilia Jung Ah 0175 Kitz Robert Joseph 0109
Kopp Jason Allen 0031 Kosmach Sterling N 0188
Kramer Todd Raymond 0193 Krepela Alyssa Leigh A 0173
Kucera Walter Bailey 0181 Kurth Benjamin James 0168
Landvater Jeremy Ray 0212 Lane Kelsey White 0064
Lavin Shane Thomas 0165 Lecourt Amarateedha P 0103
Lesko Joshua David 0246 Liddell Daniel Patrick 0244
Light Michael Lee II 0158 Lindsey Matthew C 0011
Litwin Aileen Joanna G 0067 Long James Owen 0111
Lovoi John Edward 0082 Lowery Matthew Joseph 0211
Mackey Meagan Orourke 0015 Madison Kristan E 0154
Maldonado Paul Anthony 0208 Manners Jody Lynne 0180
Marinides Zoe Olga 0183 Mcdevitt Joshua M 0234
Mcdowell Caroline M 0009 Mcevoy Christian S 0153
Mcguire Morgan Michael 0245 Mciver Ian James 0205
Mckinley Joseph Landon 0010 Mcneese Safiya D 0161
Mellor Thomas Edward 0169 Meyer Charles Deblois 0027
Mikals Kyle Arthur 0134 Ming Gerald 0124
Moon Patrick Sung Gook 0131 Morgan Lisa Lin 0241
Mullinix Patrick C 0057 Murnan Sean David 0248
Murphy Erin Alexis 0224 Myers Ryan Christopher 0037
Myers Shawn Michael 0221 Naymick Stephen A II 0207
Nguyen Alexandre D 0116 Nguyen Tuongvi Dang 0098
Nichols Christina E 0112 Noritake Alana Rae 0074
Norris Emily Ann 0060 Oliver David Scott 0249
Olsen Meredith Lutz 0187 Olsen Aaron Arthur 0197
Paloian Russell Joseph 0191 Park Jesse Aaron 0052
Paul Lauren Ashley 0220 Peacock Andrew Pringle 0115
Pelka Bryan Michael 0120 Perry Nicholas Peter J 0160
Pesqueira Jason M 0039 Peters John Daniel 0199
Petersen Kevin Thomas 0026 Pickett Maryanne Louis 0066
Pinches Helene Marie 0176 Plyler Sarah Elizabeth 0084
Porter Ian Michael 0048 Preston Ryan Kelburne 0095
Quacinella Michael A 0233 Rauschnot James C Jr 0225
Ray Mary Elizabeth 0059 Remick Stephen Robert 0025
Robinson Sara L 0155 Rose Thomas J 0100
Ross Heather Anne 0077 Rubado Eric Chad 0030
Salazar Alexander J 0071 Sanders Henry Sinclair 0003
Sanders Terrel 0065 Sarran Lauren C 0186
Schiavone Kaitlyn M 0219 Schwan Rory Daniel 0222
Schwer Ryan Peter 0145 Sears Stephen Carver 0108
Serpico Eric Joseph 0171 Shiv Erin Nichole 0163
Short Tyler Kent 0237 Sikes Michael Andrew 0035
Sing Derek Cheng Yung 0117 Slama Richard Eugene 0226
Smith Benjamin Thomas 0194 Spellman Kelli Rae 0070
Stark Michael David 0119 Stclair Jesse W IV 0198
Steele Clarence E 0143 Stefanowicz Jessica A 0189
Stockton Jon David 0046 Stottlemyre Morgan G 0148
Suggs Laura Caitlin 0215 Syski Andrew Lawrence 0081
Taillon Carolyn Edson 0157 Tam Tiffany Joy 0162
Teruya Kara Keiko 0086 Thomas Matthew Scott 0174
Tingzon Marlon Q 0230 Tompkins Brett Lowell 0091
Trainer Donald Ray 0036 Trentacosta Robert J 0253
Underbrink Troy P 0099 Verga Jared Michael 0218
Voss Ashley E 0196 Wackowski Gillian R 0223
Waggoner John Patrick 0005 Walker Karrie Anne B 0238
Wannemacher Nicholas Q 0096 Wasmund Joshua Brandon 0203
Weber Christopher Joel 0166 Weber Michael Conrad 0051
Weipert Michael James 0004 Weiss Merissa Ida A 0042
Weisse Angela Marie 0045 Wiemholt Edward B III 0141
Wiles Brittany Lynne 0182 Williams Barbara Jean 0122
Williams Jason Tyler 0028 Williamson Ryan Alan 0139
Wilson Davida E Y 0075 Wilson Benjamin Tsuba 0110
Wilson Matthew James 0063 Winslow Andrew Warren 0014
Wong Joshua Bryant 0055 Wray Jason Maurice II 0250
Wren Garrett Michael 0147 Wu Wei Wei 0069
Zah Angela 0251
Dental Corps
Aguigam Holly K 0050 Alexander Anthony S 0010
Baho Samantha Hee 0021 Baumann Kerry Beth 0013
Betterbed Thomas W 0052 Betz Sasha Jane 0003
Brown Lauren Ervin 0043 Buechele Ryan William 0035
Bussell Adam Peter 0023 Cardon Jonathan S 0056
Carter Megan Renee 0029 Christensen Jordan S 0054
Cole Diana Kay 0055 Collymore Page Linae 0017
Dachershapiro Judson A 0038 Daniel Catherine E C 0032
Daulton Ian Joseph 0057 Donaldson Blake Aaron 0033
Draper Eric Randall 0012 Dummett Scott Lee 0049
Eurick Kyle Andrew 0004 Evans Tracy Renee 0022
Ferretti Vincent J 0044 Fewins Jenna 0058
Freeark Jordan Thomas 0053 Harris Kristofer S 0001
Heeter Henry Benjamin 0027 Holliday John Lawrence 0026
Jenista John Steven 0037 Kantaris Kaely Marie 0047
Kelly Matthew John 0061 Kritzas Yianne George 0031
Lee Candace Joi 0051 Liu Wei 0040
Martin Ashley Ann 0016 Mckinney Richard Adam 0030
Mendoza Michael C 0045 Miller Justin Robert 0002
Moberg Jared Alan 0008 Mullen Bryan Robert 0028
Nguyen Thien Thong 0020 Norris Jessica Renee 0011
Novak Heidi Marie 0005 Owen Michael Richard 0039
Oxley Eric Blair 0060 Ragsdale Kyle William 0015
Randall Thomas Scott 0019 Readel Thomas John 0036
Rothwell David Joseph 0006 Sarmiento Kathrina M 0025
Sarwar Thamar Ansari 0007 Schmidt Carter James 0024
Simon Matthew Elliott 0042 Smith Stephen Estes 0018
Smith Whitney Aiko 0034 Spoelstra Michael P 0009
Takeda Ryan Toru 0048 Tangney Kyle Marshall 0059
Thompson Joseph R 0014 Uhrich Ross Martin 0041
Weinberg Allison Diane 0046
Medical Service Corps
Alba Alexander 0045 Alexander Emmy Jean 0070
Alleman Lee Armond 0110 Anderson Yekaterina L 0072
Armas George C 0100 Badic Janine Marie 0027
Bandermann Kyle M 0043 Beard Jason Bryan 0103
Bowerahming Michael L 0071 Boyer Robert Bain 0060
Brown Kevin Clayton 0091 Brown Nickita M A 0108
Bush Matthew Lane 0048 Camaya Victor M 0096
Caperton Ricky J Jr 0109 Castillo Christopher E 0039
Christy Nathaniel C 0112 Colton Matthew Aaron 0038
Cosgrove Sarah Emily 0086 Cutler Darren Wesley 0053
Do Nhu Quynh 0024 Druhl Carl Benjamin 0068
Ehrsam Mary Christine 0111 Evans Adrian Idris 0033
Fabunmi Bababowale O* 0004 Forrey Gabriel William 0035
Foss Pamela Cole 0101 Franks James Donald 0022
Garcia Daniel Cesar 0069 Garciarivera Jose A 0015
Gaxiola Laura Nicole 0105 Green Michelle Sereese 0080
Greenfield Richard T 0034 Gresko Derek Allen 0049
Grullon Emily Rose 0042 Haag Austin Jade 0006
Haden Brittany G 0094 Hallahan John P III 0051
Halwany Firdous D 0104 Harasimowitz Eric M 0054
Heath Christopher Jay 0041 Hebert Jeffrey Collin 0008
Hensley Philip D Jr 0106 Hermansen Brandon S 0093
Hoang Kevin Quoc Khoi 0050 Holifield Kenneth C 0066
Hsiang Jason Gordon 0074 Huang Ingrid Wilson 0012
Jairam Rohan Amir 0032 Jenkins Sarah Ann 0098
Johnson Margaret C 0056 Kenner Michael Ross 0059
Knight Rachel Ann 0009 Lacanilao Annaelisa P 0047
Lawler Tammi Lynn 0077 Leidel Jason Michael 0011
Lemma Jason Charles D 0090 Lenfert Amber Alayne 0058
Lester David Warren 0075 Logsdon Daniel Lyle 0065
Lugo Christopher 0102 Lund Daniel Paul 0088
Manasco Adrienne Joy 0014 Manning Michael Bryant 0019
Middleton Larry Jr* 0003 Montgomery Ralph R Jr 0113
Moore Joshua A 0097 Mowoe Austin Ochuko 0044
Muffett Joshua David 0099 Neuroth Michelle Renee 0087
Neville Andrew Michael 0081 Newman Safiat O 0023
Nobles Kelly Nicole 0028 Numanoi Mari Kino 0007
Nyberg Yuri Nicholaus 0026 Oconnor Kevin Matthew 0064
Orr Michael Dewayne 0084 Pascetta Joseph G 0040
Paturzzio Mindy Lee 0062 Pearson Mickenzie J* 0001
Peterson Ryan Lloyd 0031 Polito Michael A Jr 0052
Pollmanturner Courtney 0013 Porter Eric Andrew 0057
Quinn Roy Wayne 0079 Rabor Emiliano Calo 0076
Raza Saima Sadaf 0005 Reichold Adam Colter 0016
Riebel Laura Kathleen 0073 Robinson Nicola M A 0085
Romanperez Erick 0010 Saunders Jessica L 0078
Schermer Michael A 0030 Scott Chad Ryan* 0002
Selvarajah Kamalan 0018 Sharpe Linda Diane 0029
Shepard Kyle Hanson 0063 Shirley Ranjan A 0082
Siepker Alison 0083 Simmons Lamont Dewayne 0021
Simonds Wayne Glen 0046 Sterling William E 0092
Stopford Samantha Jane 0095 Sullivan John Lance 0036
Tailey Prince K 0020 Tan Paul Richard F 0025
Torrison Robert L 0107 Tran Hoang Harry Huy J 0061
Unruh Jason Cory 0037 Viano James Richard W 0055
Wearing Myra Samika 0089
Judge Advocate General's Corps
Baker Rachael E 0037 Bombard Robert Charles 0018
Breech Allyson Lee 0030 Bright Thomas John 0010
Bunkers Jessica House* 0001 Burkett Sarah Falvey 0016
Burman Damon Lamont 0036 Cardellino Matthew J 0013
Carroll Jennifer S 0024 Ceder Timothy C 0004
Corrigan Philip Joseph 0011 Elko Sharai Landesberg 0032
Fontenot Leah Michelle 0035 Foote Joshua D 0025
Hein Jonah A 0020 Holt Abigail Rose 0023
Horton Joseph Paul 0006 Howitt Caitlin Rachel 0033
Johnson Jennifer Lynn 0039 Juhn Jacqueline Misah 0022
Kissner Andrea May* 0003 Luzwick Allison June 0029
Marinos Megan Pauline 0028 Mccarl Lindsay Irene 0014
Mcmahon Catherine T 0007 Mcmahon Christopher C 0005
Portzer Joelle C 0026 Preis Ann Vodhanel 0034
Rausa Nicholas Joseph 0008 Sadhwani Alvir Ashok 0012
Santamaria Frank R 0027 Schwartau Jennifer H 0017
Scott Andrew Joyce 0031 Siladi Jonathan F 0038
Smith Adam Christopher 0009 Smith Karen Malia 0021
Solis Spenser Daniel 0040 Sonson Vincent Joseph 0019
Stamper Lucianna H* 0002 Wooten Sara Jane 0015
Nurse Corps
Aclese Ashley A 0070 Aranas Leonard N 0010
Argoncillo Kenneth B 0060 Barba Michelle 0066
Bartle Samantha L 0087 Beatty Stephanie Ann 0093
Bene Amy Lynn 0038 Boeder Katherine Mae 0018
Bonair Lauren E 0092 Braiotta Danielle M 0050
Caltagirone Megan Ann 0034 Carter James Nolan II 0057
Chiong Marie Frances N 0075 Clardy Katelin E 0067
Connell Christopher C 0020 Coronado Calina Marie 0021
Craft Ananda D 0097 Cross Mark Edward II 0030
Curry Candyce Marie 0102 Czarzasty Devon R 0052
Czubernat Lisa Suzanne 0026 Davis Shantel R 0023
Dougherty Shannon Lee 0071 Duarte Samira L 0037
Dunston Shaun David 0044 Ebili Patrick O 0008
Fears Burnetta F 0099 Fink Angelica Monique 0094
Fitzgerald Matthew D 0079 Foster Katelyn Ann 0078
Fowler Molly Eileen 0051 Frasure Sarah An 0059
Gallegos Tasha 0022 Gay Zebulon Daniel 0076
Giampaoli Agustin E 0054 Gibson Brandi Lynn 0025
Godfrey Chelsea R 0080 Gunter Larry Alton II 0061
Harper Kara Lynn 0007 Hays Kierstin Anne May 0040
Hendricks Michael Ryan 0082 Hennen Bryan Timothy 0077
Holmstrom Megan P 0017 Horigan Stephanie M 0058
Howell Jessica Rose 0095 Howell Krystal Mary 0064
Jackson Ruby Luz 0074 Jenkins Breda Helen* 0004
Kennovin Amanda Jill 0036 Kuelz Amanda Allison 0009
Kuhn Paul Eugene 0062 Latimer Emily Rose 0039
Lau Tiffany 0053 Lo Jennifer R 0063
Louk Sarah U 0046 Ludlow Clint Galen 0011
Mamaril Eugene E 0048 Mcgill Jesse Jordan* 0005
Mcginnis Tiffany C 0098 Miller Kathryn Ann 0072
Mix Lizetteanne C 0049 Morris Tameka Latoya 0033
Murphy Susan Ann 0029 Nguyen Billy Argus 0065
Njoroge Anthony N 0014 Oates Julianne Rose* 0003
Odriscoll Lisa Marie 0086 Ogungbe Olufemi O Jr 0083
Onwujiobi Samuel E 0085 Orozco Roberta Linda 0091
Parker Robin Lee 0027 Paul Uriah 0069
Payne Christopher G 0089 Quinn Brittany Hansen 0041
Reimonenq Ashley J 0047 Rios Rafael J 0028
Robinson Angela Sherie 0056 Rosales Angelica A 0068
Ryan Erin Rose 0100 Scott Kelly Ann* 0002
Sizemore Aileen David 0084 Smith Chad Everett* 0001
Stephan Lucy Padro 0043 Talvo Raben Bumatay* 0006
Thomas Stephanie D 0024 Tobias Kirra Kristen 0088
Tsuhako Brennda Ann 0073 Turner Constance Marie 0096
Vanhorn Shain Douglas 0055 Visser Lindsay Auman 0101
Voelkel Nathan Edward 0081 Wasson Aaron Nathaniel 0035
Wheelous Rachael Dee 0045 Whiteside Jade Tiari 0031
Whiteside Zachary K 0032 Williams Erin Mattie 0090
Wilson Samina 0042 Zelsdorf Gisselle I 0012
Supply Corps
Amposta Janpaul P 0029 Anderson Keith C 0052
Anschuetz Christopher 0068 Bellington Matthew S 0026
Bermudez Daniel C 0089 Bloxham Evan Raydel 0039
Brill Thad Robert Jr 0042 Brooks Mario Dion P 0091
Brown Christopher J 0087 Carney Tara Jill 0054
Castellanos Eduardo J 0032 Chu Calvin Thanh Hoang 0088
Colon Wanda Ivelize 0066 Crabb Jacob Colby 0024
Cruz Russell 0094 Cuff Stephen Alphonso 0084
Davis Dessislava I 0048 Davis Jacob Reed 0027
Deanon Aaron Benri H 0083 Deiter Jared Ray 0038
Delateur Emmett Louis 0046 Devlin Alanna Mary 0086
Diop Alioune S 0050 Disanto David Joseph* 0005
Dyal David A III* 0001 Ellis Kyle Paul 0071
Escobar Luis Carlos* 0008 Fuentes Madeleine 0030
Garrett Jami Michelle 0036 Gay Justin Chaz* 0002
Givens Jared Lyn 0080 Grayum Travis Michael* 0003
Grogan Shawn Michael* 0004 Guire Charles Walter 0011
Hague Arash 0055 Hamdouni Najib 0047
Harpel Aaron James 0023 Harpel Blake Michael 0074
Hatting Daniel Stewart 0035 Heisler Andrew Charles 0058
Hendricks Crette O II* 0007 Henry Ian Alexander 0044
Herrick Jonathan Andre 0056 Higgins Justin N 0028
Hinds Anthony Learie 0043 Hinkley Daniel F 0037
Hodsdon Bentley D 0015 Howell Brent James 0049
Hunnell Justin Michael 0059 Hutchings Amy Rose 0092
Irby Traci Leigh* 0006 Jacques Analee Huffman 0076
Jacques Peter Wesley 0078 Johnson Jonathan Leroy 0041
Jones Phillip Charles 0016 Ketring Jacquelyn Mei 0019
Kovachev Nicholas K 0022 Koye Stephen B 0057
Kung Michael Shihche 0013 Lamb Winston Callis 0064
Lopez John Froylan 0010 Machinporrata David R 0090
Martinez Anthony T 0018 Maryan Broward Clark 0093
Meyer Anthony Franklin 0073 Montgomery Jason Wayne 0009
Morlan Jason Ray 0085 Murphy Joseph Patrick 0067
Nechak Matthew Michael 0061 Okonak Jonathan M 0060
Ortiz Bryan Harmon 0077 Riverafontan Gamalier 0079
Roach Adam Michael 0025 Roberts Bret Masters 0082
Salami Saheed Abayomi 0020 Sceviour Gregory Paul 0070
Schoff Jeffrey Lynn 0021 Shane Patrick Charles 0033
Stephens Jordan Tyler 0072 Story Jason Leroy 0062
Suarez Pablo Harana 0063 Sullivan Christina Ann 0081
Thompson Tracy Marie 0012 Travis Jonathan R 0053
Vadala Timothy Patrick 0095 Villanueva Raymond 0031
Vu Tung Pham The 0075 Walsh Erin Cathleen 0034
White Orlando Jerrod 0014 Wiesman Michael Andrew 0045
Wilson Richard James 0069 Zamudio Michael Tyler 0065
Zheng Lin Lin 0040
Chaplain Corps
Amora Eduardo Beritos 0013 Bayer Adam Edward 0022
Carlson Kristian L 0020 Downey David Douglas 0019
Grady Christopher R 0008 Hart Jason Ryan 0021
Hickman Joshua Wade 0016 Jean Wilking* 0002
Johnson Klint Arley 0017 Kirschenbaum Brian J* 0001
Maloney Jonathon Ray 0014 Martin David Robert 0011
Murphy Mario Kenyon 0007 Owen Jason Douglas 0012
Peterson David Aaron* 0003 Porter Jason Thomas 0023
Rodgers Paul Benjamin 0006 Russell Keith Alan 0005
Shaw Jason J 0009 Tambur David Allen 0010
Warren Yonatan Moshe 0018 Williams Roilynn K 0015
Woodard Gregory Scot 0004
Civil Engineer Corps
Acosta Ramon 0021 Anderson Andrew B 0030
Berube Jonathan Paul 0033 Blauwiekel Joseph P 0029
Bly Joshua Patrick 0036 Castin Jonathan L 0023
Cotherman Andrew James 0014 Depersia Raul Roberto 0006
Durnan Patrick Emmett 0034 Eldred Daniel Robert 0031
Erwin Mark Russell 0025 Fletcher William T 0017
Greunke Justin T 0032 Hernandez Robert G 0013
Huber Elizabeth A* 0004 Huls Donald Allen 0007
Kaiser John Michael 0009 Kiel Jason Douglas 0015
Kim Jonathan J 0012 Korpi Andrew K 0024
Krushinski Kristen 0005 Laycock Ronald Barton* 0003
Mcguire Jonathan David* 0001 Mitsch Michael Gregory 0011
Painter Kevin T 0038 Palik Timothy Sean 0027
Payne Daniel Y 0026 Pouliot John Joseph 0020
Renoewick Celeste D 0010 Rovinsky Alexander Jr 0028
Sims Corinne Ann 0035 Stock Thomas Ryan* 0002
Trejo Vincent 0019 Uglow Ronald J 0018
Webb Samuel David 0008 Weber Morgan Charles 0022
White Casie Marie 0037 Yu Sen Feng 0016
Limited Duty Officer (Staff)
Catanese Matthew W 0003 Glover Grant Cassidy* 0001
5. Released by the Honorable Richard V. Spencer, Secretary of the Navy.//
BT
#0001
NNNN
UNCLASSIFIED//
Pentagon Finally Has an Assistant Secretary for Health Affairs
Here’s a link to this article from Military.com:
Pentagon Finally Has an Assistant Secretary for Health Affairs
August Edition of Health Affairs Focused on Military Health System
A special August edition of the journal Health Affairs, focused on military medicine and the MHS, is now available.
A listing of articles, with links to abstracts, is available at the journal’s table of contents:
https://www.healthaffairs.org/toc/hlthaff/38/8
Full articles are available to journal subscribers. An introductory article from editor of Health Affairs, available free to all readers, is below:
Date: Aug 5, 2019
Title: Military Health Systems
Source: Health Affairs
Author: Alan R. Weil
This month we examine the health systems that serve 1.4 million active duty
service members; provide care and coverage for another 8.1 million
reservists, retirees, and family members; and provide care for 9.0 million
veterans. As the Military Health System (MHS) goes through a major
restructuring, it also faces pressures and opportunities similar to those in
the civilian sector.
OVERVIEW
Terri Tanielian and Carrie Farmer describe the evolution of coverage for
military service members and their families from the 1880s to the current
TRICARE program. They note that almost 60 percent of those covered by
TRICARE are retirees or their dependents. The authors describe how TRICARE’s
evolution has mirrored that of private insurance, with the growth of managed
care, the adoption of patient-centered medical homes, and the recent
introduction of patient cost sharing.
Terry Adirim discusses the 2017 National Defense Authorization Act
requirement to consolidate the direct care system of “fifty-one inpatient
hospitals and medical centers and 672 ambulatory care, occupational health,
and dental clinics,” currently operated separately by the Army, Navy, and
Air Force, under a single authority. The hope is that a consolidated system
“can more effectively standardize care across the enterprise through the
implementation of standard clinical pathways, standard administrative
policies and procedures, and efficiencies realized by eliminating
redundancies in headquarters personnel and operations.”
An essential component of the MHS is its ability to deploy medical personnel
on a moment’s notice to remote, often austere settings. Paul Hutter and
coauthors describe the challenge of gaining and maintaining the skills
necessary to treat battlefield wounds when most training and medical
practice occurs in traditional clinical settings where patients with fairly
routine conditions are treated. The authors note that the current
consolidation of the MHS’s direct care system creates both opportunities and
challenges for achieving the goal of having a “ready medical force.”
QUALITY
In the United States there are significant racial disparities in the
prevalence of heart disease and the quality of coronary care. Muhammad
Chaudhary and coauthors analyze data from TRICARE and find “no difference in
[National Quality Forum]-endorsed quality-of-care metrics between African
American and white patients receiving coronary artery bypass grafting.” The
authors conclude that universal insurance and equal access can contribute to
reducing racial disparities in surgical care.
Peter Learn and coauthors describe the MHS’s participation in the American
College of Surgeons’ National Surgical Quality Improvement Program.
One-third of military hospitals participated in 2014, with all forty-six
qualifying hospitals participating in 2018. The authors find encouraging
trends of quality improvement in the earlier-adopting hospitals, adding to
the evidence that quality improvement collaboratives can have their desired
effect.
Craig Holden and coauthors examine unplanned readmission rates in military
health facilities. They find a significant reduction in seven-day
readmission rates for medical and surgical services in fiscal years 2011-18
, consistent with broad efforts in the health care system to reduce
readmissions.
CHILDREN
Children of parents who are injured while serving in the military are at
increased risk of various poor health outcomes. Elizabeth Hisle-Gorman and
coauthors examine data for children two years before and two years after
parental injuries and find that these children “received decreased
preventive health care and had increased health care visits for injury,
maltreatment, and mental health care and increased days on psychiatric
medications.” The authors also note “the lack of post-injury change in
visits for maltreatment, injury, and mental health care for children of
parents who sustained their injuries on the battlefield.”
Almost two million children receive coverage through TRICARE. Joseph
Zickafoose and coauthors compare the comprehensiveness of this coverage to
that of Medicaid and Affordable Care Act Marketplace plans in five large
states. Notable limitations of TRICARE relative to Medicaid are in the areas
of well-child visits for children older than age six and developmental
screening. Marketplace plans cover a set of services similar to those
covered by TRICARE, but often with significantly higher cost sharing.
Roopa Seshadri and coauthors analyze access and quality for children covered
by TRICARE. Overall, children on TRICARE are more likely to have complex
medical or mental health needs than children covered by other public or
private insurance programs. Children on TRICARE with special needs could
obtain referrals, but the authors conclude that “our findings suggest that
TRICARE-insured families might not have reliable access to care when their
children have special health care needs or behavioral health needs.”
ACKNOWLEDGMENTS
Health Affairs thanks Gail Wilensky of Project HOPE for serving as issue
adviser. We also thank the Uniformed Services University of the Health
Sciences and the New York State Health Foundation for financial support of
the issue.
https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2019.00879
Sacred Cows Die As Marine Commandant Changes Course On Amphibs
Here’s a link to this thought provoking article:
Sacred Cows Die As Marine Commandant Changes Course On Amphibs
Joel Schofer's Career Planning Blog 