executive medicine
140th Interagency Institute for Federal Health Leaders – April 17-28, 2023
Who: Senior Medical Officers tracking toward Executive Medicine (O6 preferred, senior O5 acceptable)
What: 140th Interagency Institute for Federal Health Leaders (Medical Corps is limited to 2-3 seats)
When: April 17-28, 2023 (In-person)
Where: Milken Institute School of Public Health, The George Washington University, 950 New Hampshire Avenue NW, Washington DC (centrally funded by NML&PDC)
Course Description: The purpose of the Interagency Institute for Health Leaders is to provide an opportunity for the seasoned, practicing federal health professional to examine current issues in health care policy and management and to explore their potential impact on the federal health care system. The faculty maximizes the learning experience by presenting materials resulting from research and experience, as well as examples and case studies from the contemporary national health policy decision-making process.
Prospective applicants should send a CV and BIO with Name, Rank, Position Title, USPS address, and best contact telephone number to CAPT Shauna O’Sullivan NLT 1200 EST Friday, March 3, 2023.
Instructions for Getting Exec Med, Expeditionary Med, and Managed Care AQDs During JMESP Website Outage
The Joint Medical Executive Skills Program (JMESP) formalizes the process designed to meet the congressional mandate (NDAA 1991, Sec. 8096) that no appropriated funds be used to fill the commander’s position at any Military Treatment Facility (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. The competencies were developed and implemented post-Gulf War (1991), when the MTFs were nearly emptied, there was a major reserve mobilization and those Active Duty and Reserve component officers that fleeted up into vacated executive billets were not as well prepared due to there not being a standardized set of competencies and behaviors to prepare leaders for such roles.
JMESP is not a course, but a process through which Officers are exposed to 36 executive competencies. The four areas reviewed for the Executive Medicine Additional Qualification Designator (67A AQD) are:
- Education: Master’s degree or higher (War College, Uniformed Services University, Navy Postgraduate School, etc.)
- Approved Courses: B-ROC, A-ROC, Joint Professional Military Education (JPME), C4, Lean Six Sigma, etc.
- Experience: (through MTF/operational billets held): Director, Department Head, Fleet Marine Forces, Expeditionary Medical Units, etc.
- Professional Certifications: Fellow American College of Healthcare Executives (FACHE), ANCC, etc.
JMESP AQDs and Additional Requirements
Here are the 3 AQDs:
67A Executive Medicine – This is the AQD required for those who want to screen for command.
67B Expeditionary Medicine – You need a warfare AQD, JPME I, and 7 Core and 7 Additional courses.
67G Managed Care – You have to have met all the requirements for the Exec Med AQD (67A) and have 1 year of managed care experience while assigned to the Defense Health Agency (DHA), TRICARE Regional Office (TRO), Markets (eMSM), eegion, or MTF business office.
Interim Process to Obtain the Exec Med AQD During Website Outage
The JMESP website is down due to a contract that expired June 30, 2022. During this interim period between cancellation and redeployment of the new website, the JMESP process will include the following steps:
- Officers provide their Curriculum Vitae (CV) and their awarding authority’s (AA) name. For Active Duty MC, MSC, and DC officers, provide your Detailer’s name; the AA for active NC is the NC Career Planner. For Reservists of all Corps, please provide your Reserve Affairs Officer’s name.
- JMESP staff will run the verification using their non-automated backup and respond either with remaining competencies that can hopefully be fulfilled through online courses or provide information on other ways competencies can fulfilled.
- If the officer is fully qualified, they will be copied on a verification email sent to the awarding authorities.
- If any remaining competencies are fulfilled through Joint Knowledge Online (JKO) courses, please send the JKO certificates or transcript upon completion. Once fully qualified, officers will be copied on a verification email sent to the awarding authorities.
* It usually takes 2-3 week for the AQD to appear in your record from the date of that e-mail.
Process to Obtain Ex Med and Manage Care AQDs
For Expeditionary Medicine (67B), please see the required course listing here (Note JPME1 is required for 67B):
You’ll need to prove to the JMESP staff that you met all the requirements.
For Managed Care (67G), please provide FITREPs that demonstrate 1 year of experience in Healthcare Business Operations at the Headquarters (DHA, BUMED, Region, or Market) or MTF. To protect PII, please redact your SSN and send files attached to an encrypted e-mail, when possible.
JMESP Contact Info
JMESP Staff E-mail (Navy) – usn.bethesda.navmedprodevctrmd.list.nmpdc-jmesp@mail.mil
FY23 Command and Milestone Application Process
Below is the info from the Corps Chief’s Office, but don’t forget about my post about how to match in Executive Medicine as another resource:
The deadline for applications is 15 JUN 2022:
- The updated command/executive medicine instruction, milestone note, application forms, and FY23 opportunities lists are below.
- New this year – applications will be uploaded to PERS via the Executive Medicine SharePoint site. This is for both first time applicants and “banked officers.” The deadline is 15 JUN 2022 for everyone.
- Any questions regarding eligibility should be directed to your respective Detailer or Deputy Corps Chief.
- There will likely be updates to the opportunities lists. If you see something you don’t think is correct, please let you Deputy know so that they can address it.
- If you haven’t been previously screened, you need to make sure your officer record is up to date. If you need guidance updating your record for the screening board, go here.
Upload applications and find more information on the process here:
https://esportal.med.navy.mil/bumed/m00/m00c/Pages/executive-medicine.aspx
Here are the files:
Call for Participants – 138th Interagency Institute for Federal Health Leaders
Who: Senior Medical Officers tracking toward Executive Medicine (O6 preferred but senior O5 is acceptable)
What: 138th Interagency Institute for Federal Health Leaders (Medical Corps is limited to 3-4 seats)
When: April 18-29, 2022 (In-person)
Where: Bush School of Government and Public Service, TAMU, 1620 L Street NW, Washington DC (centrally funded by NML&PDC)
Course Description: The purpose of the Interagency Institute for Health Leaders is to provide an opportunity for the seasoned, practicing federal health professional to examine current issues in health care policy and management and to explore their potential impact on the federal health care system. The faculty maximizes the learning experience by presenting materials resulting from research and experience, as well as examples and case studies from the contemporary national health policy decision-making process.
Prospective applicants should send a CV and BIO to CAPT Rhett Barrett NLT Friday, March 4, 2022 (contact info in the global).
How to Match in Executive Medicine
I suppose I’m known for bold moves like these:
- I wrote a book about how to become an Emergency Physician…when I was a medical student.
- I wrote a guide about how to promote to 06…when I was an O5.
Maybe as I age (and lose hair) I’m getting less bold because this time I waited until I matched in Executive Medicine to write a blog post about how to match in Executive Medicine.
The Basics
Let’s start with the basics. If you want to match in Exec Med, here are the starting points:
- You need to get the Exec Med AQD. This is mostly done by holding leadership positions and attending courses like the Advanced Readiness Officer Course (AROC). Once you go to the website and figure out what you have left to do, you can usually do it by completing a few online trainings.
- Your record needs to be free of black marks, which include legal issues or PRT failures in the last five years.
- You need to be board certified, if applicable.
- You need to be an O5 or O6.
Leadership Experience
You need to have held and excelled in at least one leadership position with a fair amount of responsibility. These positions would include:
- Department Head at a medium to large military treatment facility (MTF)
- Official milestone position (which include Chief Medical Officer or CMO and Officer-in-Charge or OIC for Medical Corps)
- Associate Director or Director
- Medical Executive Committee (MEC) President
- Senior operational position
Optimally, you would have done more than one of the above positions. Other Corps would have other positions, but the ones above are what the Medical Corps is looking for.
Nice to Haves
While not required, there are some things that are nice to have. They would include:
- Advanced management training like an MBA, MHA, etc.
- Joint Professional Military Education
- Operational experience
Operational experience can really come in any form. It could be with Flight Surgery, Undersea Medicine, Surface, the USMC, a hospital ship, the Seabees, SPECOPS, and really anything else operational. The type of operational experience, though, could impact your options in Executive Medicine.
For example, if you want to be XO of NMRTC Camp Lejeune or Camp Pendleton, you should probably have USMC experience. If you want to be XO of the COMFORT or MERCY, hospital ship or Surface Force experience would help your cause.
The Process
The application process kicks of in the spring and is announced by BUMED and usually on this blog. At its most basic, the process works like this:
- Apply to Navy Personnel Command – Once announced, you need to get started early as you need to get multiple endorsements in order to apply.
- Pass an oral board – You are asked questions by one admiral and current and former COs for about 10-15 minutes. If you don’t pass the oral board, you do not advance to the next step.
- Your record gets screened for command at a screening board in Millington, TN – This is why you need to use the Promo Prep to make sure your record is up-to-date.
- BUMED composes the “slate” – This is where the Deputy Corps Chiefs, Corps Chiefs, DSG, and SG all work together to assign the most qualified members who screened for command to all the available positions.
- Applicants are notified – Traditionally, the Deputy Corps Chief calls those who did not slate (get a position) and the Corps Chief calls those who did slate.
This is a summary of how to match in Executive Medicine. After being a Detailer and now Deputy Corps Chief, this process is very familiar to me and I suspect there are important details I’m leaving out, so please reply with any questions and I’ll answer them as they come in.
FY22 Executive Medicine Instruction and Application Info
The updated command/executive medicine instruction, form, and FY22 opportunities list are here:
Here is one Deputy Corps Chief’s attempt to boil it down to the essentials:
In brief, if you want to apply for an Executive Medicine position in FY22 you need to:
1. Read the BUMEDINST 1412.1C with CH-1 and CH-2.
2. Take a look at the FY22 opportunities.
3. Decide if you are interested, noting that on page 3 of the instruction it states, “Expectation is that command screened officers will be universally assignable and able to meet permanent change of station parameters.” It also states, “Rare exceptions may be considered.” In this group I’d include EFMP, dual active-duty co-location, and other similar situations. In addition, page 9 states, “Applicants who successfully screen are considered eligible for assignment to any executive medicine position within Navy Medicine…and if slated, will be assigned based on the Needs of the Navy. Officers who apply for command screening should do so with this in mind, and be willing to accept an executive medicine position for which they are slated.” If you have questions about what is possible and what is not, you need to communicate with me.
4. If you have not been command screened, you must submit the required documents to PERS-4415 by 15 JUN 2021. Instructions are in the BUMEDINST and the NAVMED 1412_1 (March 2021) form.
5. If you have already been command screened and you are a “banked officer” with AQD 2D1 (you probably know who you are) but you ARE NOT currently serving as a CO or XO, you need to make sure your officer record is up to date as your record will be reviewed at the command screening board (see page 9 of the instruction). You DO NOT have to submit an application to PERS, though. Just make sure your record is up-to-date. After the board, you will have to submit a Letter of Intent, CV, bio, CO’s endorsement, and NAVMED 1412_1 (March 2021) form to me by COB 30 JUL 2021.
6. If you have already been command screened and you are a “banked officer” with AQD 2D1 (you probably know who you are) and you ARE currently serving as a CO or XO, you will have to submit a Letter of Intent, CV, bio, CO’s endorsement, and NAVMED 1412_1 (March 2021) form to me by COB 30 JUL 2021.
7. Please note that the Letter of Intent can be the world’s most basic Letter of Intent.
If there are any questions, contact me. There is nothing like an instruction with 2 change transmittals to really generate questions.
If you need guidance updating your record for the screening board, go here.
The most important thing right now is the deadline of 15 JUN 2021 to be screened for command. In addition, we are encouraging people interested in operational command XO and CO positions to apply. These include Medical Battalions and Expeditionary Medical Facilities. We intend to do everything we can to put MC officers in these leadership roles. We MAY (note the emphasis) be using qualified CDRs as XOs for some of these units, so if you are interested in being an XO and are an O5, you are encouraged to apply.
Finally, no matter what we do, there are always updates to initial opportunity lists. If you see something you don’t think is correct, please let me know so we can figure it out. You may know something we don’t know.
If there are any questions, please let me know.
Throwback Thursday Classic Post – Updated Instructions on How to Get the Executive/Expeditionary Medicine and Managed Care AQDs
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:
https://jmesp.med.navy.mil/home
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:
- 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: usn.bethesda.navmedprodevctrmd.list.nmpdc-jmesp@mail.mil. 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.
- 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.
- Upon completion of online courses return to the website and add courses.
- Now if all boxes are checked, send us an e-mail: usn.bethesda.navmedprodevctrmd.list.nmpdc-jmesp@mail.mil. 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 usn.bethesda.navmedprodevctrmd.list.nmpdc-jmesp@mail.mil which includes both JMESP staff members for assistance.
Joel Schofer's Career Planning Blog 