Updated Career Intermission Program NAVADMIN

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Here are a PDF and link to the updated NAVADMIN that governs the Career Intermission Program (CIP):



The CIP allows you to take 1-3 years off from your Naval career, maintain a small basic pay and TRICARE benefits, and then return.  If you are interested, you can also check out OPNAV 1330.2B – Navy Career Intermission Program Guidelines.

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


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.
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.


  • 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.

Multiple Alternative Billets Available

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There are multiple alternative billets available (or at least that is what I call them).  Here is a list.  The POC if you are interested in any of them would be your Detailer:

  1. BUMED Chief Medical Officer – O6 Only – NOV/DEC 2016 (position description here)
  2. Navy Recruiting Command – Millington, TN – Spring 2017 – You aid in medical waiver determinations for new accessions.
  3. Physical Evaluation Board – Washington, DC – Summer 2017
  4. Naval War College – O5/O6 with Joint Professional Military Education I only – Timing varied.
  5. Inter-American War College – Washington, DC – Summer 2017 – Must speak Spanish or Portuguese.
  6. Indonesian Naval Command and Staff College – O4 Only – Indonesia – Summer 2017
  7. BUMED Readiness and Health Action Officer – Falls Church, VA – Summer 2017
  8. Director, Defense Hearing Center of Excellence – O6 with Hearing Conservation Background – San Antonio, TX – Winter 2016

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.”

No More Officer Photos at Promotion Boards

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WASHINGTON (NNS) — The Navy announced today in NAVADMIN 186/16 that officers’ full-length photographs will no longer be displayed during promotion selection or administrative boards, starting with the Active-Duty O-8 selection board in the fall of 2016.

After a review, it was determined that removing photos, which do not provide significant value to the selection board process, will lessen an administrative burden. Officers will still be required to have a current full-length photo as part of their official personnel record.

“During selection boards, hundreds of records are reviewed in a short period of time by board members,” said Chief of Naval Personnel Vice Adm. Robert Burke. “By enacting this change, it is our belief that we will help selection board members more closely focus their attention on the entirety of Sailors’ documented performance records.”

Additionally, officers’ records fully capture physical fitness assessment and body composition metrics.

More information on the full-length photograph requirement for officers can be found in NAVADMIN 103/07 and MILPERSMAN 1070-180.

FY17 LCDR Promotion Board Stats by Specialty

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Here is an Excel file with all the stats:


And here are the tables:

ABOVE ZONE 7 3 42.86%
IN ZONE 249 219 87.95%
BELOW ZONE 504 24 4.76%


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%