Updated Instructions on How to Get the Executive/Expeditionary Medicine and Managed Care AQDs

Posted on Updated on

You have your Detailing colleagues to thank for the update below…

How to Get the Executive/Expeditionary Medicine and Managed Care AQDs

Please go to the website below and use the “sign up” link. The new JMESP website address is:

Please see “User Guidance” options at the website for instructions for both returning and new users available on the homepage. Under “All Users” is a PowerPoint presentation on how to add data. If you had an account in the old system (check maiden name if applicable), all you have to do to enter the site is reset your password. If did not have an account follow steps to establish an account.

Information on the other two Executive Medicine AQDs (67B Expeditionary and 67G Managed Care) is provided on the page, as well as a “Frequently Asked Questions.”

Now that you are on the website in your account follow these steps:

  1. Enter data.
    • Courses (Check course for all services, e.g. “Combat Casualty Care” is an Army course and “MedXellence is a Joint-USUHS course)
    • Education (Masters or higher required)
    • Positions (by Corps)
    • Certifications
    • There is no need to send supporting documents unless requested.
    • On the Competencies Attained if all boxes are checked, send us an e-mail: For MC, MSC and DC, provide your Detailer’s name; for NC your Planner’s name; if Reserve your Reserve Affairs Officer name. We will send verification for awarding. Member is copied on awarding e-mail.
  2. If boxes are not checked click on the lowercase letter ‘i” to see which competencies remain; you may satisfy remaining competencies (with the exception of Regulations) through Joint Medical Executive Skills online courses accessed through the following steps:
    • Click Distance Learning
    • Select courses associated with competency(ies) as listed on the chart (*If more than one module is indicated for the course, complete all modules).
    • Courses generally take about an hour since they are not meant to make you an expert, but to provide you an overview of what to expect from your staff as CO/XO.
  3. Upon completion of online courses return to the website and add courses.
    1. Now if all boxes are checked, send us an e-mail: For MC, MSC and DC, provide your Detailer’s name; for NC your Planner’s name; if Reserve your Reserve Affairs Officer name. We will send verification for awarding. Member is copied on awarding e-mail.

General Program Information

The joint medical executive skills program formalizes the process designed to meet the congressional mandate which states in National Defense Authorization Act NDAA 1991, Sec. 8096. That “No appropriated funds used to fill the commander’s position at any MTF with a healthcare professional unless the candidate can demonstrate professional administrative skills.” This includes Commanding Officers, Executive Officers, and TRICARE Lead Agents prior to assignment.

JMESP is not a course, but a process through which officers are exposed to the congressionally mandated (through NDAA) 36 executive competencies through the following:

  • Education: Master’s Degree or higher
  • Approved Courses: Courses offered through Military Academic Institutions and Organizations, and service military medical departments’ sponsored courses. See Distance Learning for LEADS (formerly JMESI) courses located in Joint Knowledge Online.
  • Experience: In both primary and certain collateral duties, executive and other board membership at military treatment facilities, operationally.
  • Certification: Through medical and other health professional board certifying organizations and agencies.

If you have question not answered here, or at the website, contact which includes both JMESP staff members for assistance.

New Joint Medical Executive Skills Program Website Link

Posted on Updated on

For those of you trying to get your Executive Medicine Additional Qualification Designator (AQD) looking for the Joint Medical Executive Skills Program website, they changed the URL. It can be found here as well as on the Useful Links tab:

The Best Education You Can Get in the Navy

Posted on Updated on

I’ve done a lot of courses and educational programs during my 17.5 years in the Navy. Here are the best ones I’ve done and why they are so good:

  1. Advanced Medical Department Officer Course (AMDOC) – This is tops on the list because it is the most useful and educational course with the widest applicability. Everyone should attend AMDOC as early as they can in their Naval career. This is where you’ll learn about BUMED, the Defense Health Agency (DHA), fitness reports, managing your career, and a whole host of other useful topics. While it was always hard to get into the course, it has recently become easier since they shortened it from 2 weeks down to 1 week, doubling the number of courses. You can find info on the course here.
  2. Naval War College Fleet Seminar Program – This is how I did my Joint Professional Military Education I (which incidentally is one of the best AQDs you can get). I tried to do the on-line Air Force version that everyone said was easier, but I’ve never been less motivated to do anything in my life. When I did the Fleet Seminar Program it was a lot easier because I had a class I had to show up to and classmates I had projects we were working on. It was also a lot more interesting to have discussions with folks of all backgrounds than doing it by myself on-line. You can read about it on their website.
  3. Naval Postgraduate School Executive MBA Program – This allows you to get a defense focused MBA in 2 years. The commitment is 3 years from the time you finish or quit, and it doesn’t interfere with your medical special pays. It is accredited as a standard MBA program, so you get all the usual MBA content you’d expect (finance, accounting, etc.), but there is a defense focus. This means that you take a class on funding the DoD and 2 semesters about how to purchase weapons programs. The weapons acquisition class was the least fun part of the degree for me, but I was warned ahead of time so I knew it was coming. I combined this non-medical MBA with the Certified Physician Executive courses to learn medical related leadership principles in addition to standard business principles. The work isn’t hard, but it is time consuming and about 10-20 hours per week. Overall, I’d highly recommend this program as you get a quality MBA for only the cost of books.
  4. Interagency Institute for Federal Health Care Executives (IFFHCE) – This is a very senior level course that is filled with O6 and the equivalent personnel from all branches and governmental agencies. When I attended I was a senior O5 and was the among the most junior in the class. You get exposed to all sorts of very influential speakers who are experts on their high-level strategic topics. It is tough to get into this class, but if you can go I’d highly recommend it.
  5. MHS Medical Executive Skills Capstone Course – This is similar to the IFFHCE (#4 above). It is senior and strategic. The course topics overlap, but both are excellent.
  6. MedXellence – This is a course run by the Uniformed Services University that they take on the road. You can often find that the course is coming to your area and sign up when it is local. This course is senior and more operational/tactical than the last 2 courses. It is for those interested in the business aspects of Navy Medicine, like clinic managers, department heads, OICs, Directors, etc. It is similar to an advanced clinic management course.
  7. Naval Justice School Senior Officer Legal Course – This course is for anyone who has Executive Medicine in their future. You will learn about legal challenges that senior leaders face in a case-based and enjoyable format. I was able to get into the course pretty easily as an O5. You don’t have to be slated to be an XO.
  8. Lean Six Sigma – If you are at a medium-large command, you should have someone somewhere that is the command’s Lean Six Sigma black belt. You may even have an entire office dedicated to it. I’ve done the green belt certification and taken the black belt course but never completed the full black belt certification. If you want an introduction to process improvement, start taking LSS classes available to you at your command.
  9. Medical Management of Chemical and Biological Casualties Course – I took this course a long time ago when I was a GMO, but it was great then and probably is still great. You get to go to the U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID). This is probably of even greater relevance lately due to all of the Ebola outbreaks.
  10. TRICARE Financial Management Executive’s Program (TFMEP) – This is another road show similar to MedXellence. You can find the course info here. I’d highly recommend this to anyone who is looking to rise to the senior levels of leadership at any MTF.
  11. Joint Senior Medical Leader Course (JSMLC)
  12. Joint Medical Operations Course – I did these last 2 courses back-to-back at DHA before I was deployed as a Joint Task Force Surgeon. They were a good introduction to the world of joint operations, but not among my favorites, which is why they are at the bottom of the list. If you want to be introduced to the world of joint publications and find out if “joint” really means “Army” have at it!

I’m sure there are other great courses available in the Navy, but these are the ones I’ve done that I found useful. If you have others you’d suggest, post them in the comments section.

New BUMED Instruction for Reservist Subspecialty Codes and AQDs

Posted on

Those transitioning to the Reserves or already in the Reserves may want to read this new instruction on subspecialty codes and additional qualification designators (AQDs):


Temporary Work Around to Get the Executive Medicine AQD

Posted on

The Joint Medical Executive Skills Program website is currently unavailable, making it difficult to get the Executive Medicine (67A) Additional Qualification Designator (AQD). As a temporary fix, they can manually create your profile in their database and update any information such as: education, experience, certifications, etc.

To create your account, they will require your:

  • Name (First, MI, Last, Suffix)
  • SSN
  • DOB
  • Corps
  • Current Duty Station report date
  • Projected Rotation Date

Also, here is a matrix containing information on which competencies you are required to obtain the AQD. It also contains information on how they can be fulfilled.

If you have any questions/concerns, I’d e-mail them here:

Joint Medical Executive Skills Website for Executive Medicine AQD is Down

Posted on

I’ve received a few questions in the last 1-2 weeks about how to get the 67A Executive Medicine Additional Qualification Designator. After tracking down the latest info, it appears that for now the website is down. They are working on revamping the criteria to achieve the AQD and working the issue, but for now there is no way to get the AQD.

Once I have further info I’ll post it.

Weapons of Mass Destruction/Chemical, Biological, Radiological, and Nuclear Medical Specialist AQD

Posted on

Similar to what the Global Health Engagement community did, there is a new pathway to apply for recognition as a Weapons of Mass Destruction (WMD)/Chemical, Biological, Radiological, and Nuclear (CBRN) Medical Specialist. Anyone interested can find the packet containing all the info here: