executive medicine

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

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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: 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.
  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: 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.

Throwback Thursday Classic Post – Could a Master’s Degree Get You Promoted?

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When discussing why they failed to promote, one of the more common reasons that officers give is that they were unable to get a leadership position. When I ask them how they prepared themselves for these positions and what they did to improve their chances of getting one, they often don’t have much to say. Frankly, they didn’t do anything “extra” or above and beyond their normal duties to prepare for and get a leadership position.

Don’t be one of those officers.

The recipe for promotion is fairly simple. Superior performance in leadership positions leads to early promote (EP) fitreps, which leads to promotion. As promotion gets more difficult, the competition for leadership positions is likely to increase, and officers need to find a way to differentiate themselves from the crowd, increasing the chance they’ll get leadership positions. Obtaining a master’s degree can be one of the things that will distinguish you from other physicians and can dramatically increase the chances that you are competitive for career advancing positions.

What Kind of Degree Should You Consider Getting?

This depends on your career goals. If you want to become a leader in research or global health engagement, an area of increased focus in the Navy, you probably want to get a Master in Public Health (MPH) or similar degree. If you want to become a residency or fellowship director, a master’s degree in adult or medical education would fit the bill. If you want to become an operational leader, attending a war college would make sense. And if you want to become a clinical administrator or pursue executive medicine, obtaining a management degree, such as a Master in Business Administration (MBA), Master in Medical Management (MMM), or Master in Healthcare Administration (MHA), would make sense to me.

How Can You Get a Master’s Degree While on Active Duty?

There are many ways you can do this, but the most common include:

  1. Complete a fellowship that includes a master’s degree. Some fellowships either include or have the option of obtaining a MPH, such as the Global Emergency Preparedness and Disaster Response Fellowship. I also know of multiple officers who asked the Graduate Medical Education Selection Board for an additional year of fellowship to obtain a degree or simply for permission to obtain a degree alone. What are the chances this will be granted? Well I’m sure the chances change from year to year, but they are zero if you don’t ask.
  2. Complete the distance learning Executive MBA from the Naval Postgraduate School. This is how I got my MBA for the cost of books alone, and I think the program is excellent. You have to go to Monterey for 1 week at the beginning of the 2-year program, but after that all classes are held on-line.
  3. Apply for the Navy Career Intermission Program and take time off to get a degree.
  4. Attend a war college. Intermediate colleges are for officers who are O4 or below, while senior college is for O5 and above. If you’re interested, contact your Detailer.
  5. USUHS offers a Master in Health Professions Education.
  6. Pay for it yourself and do it in your free time on-line or in person. One program to look into is offered by the American Association for Physician Leadership (https://www.physicianleaders.org/education/physicians/masters). By taking some CME you can then enroll in various patient safety and management degrees that are all physician focused. The on-line University of Massachusetts healthcare focused MBA that they offer is the most reasonably priced MBA that I could find that is accredited by the top business school accreditation body. If you want a fast MBA (but pricey), look into the University of Tennessee Physician Executive MBA program (http://pemba.utk.edu).

While committing to a master’s degree program will take major time and effort, that is the point. It is a well-recognized way to demonstrate to the Navy that you’ve made a serious commitment to your professional development and could go a long way toward giving your next interview for a leadership position.

Walter Reed Chief of Staff Position – O6

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BUMED recently added the Walter Reed Chief of Staff job to the list of positions available for those who are screened or planning to screen for a XO position in 2020. The details are in this document, but any Navy people who wish to be considered must follow the XO application process, which has a due date of 15 JUN 2019:


FY20 Executive Medicine Application Process and Forms

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Here are all the files you need to apply for XO and CO opportunities in FY20. The deadline for applications is 15 JUN:

BUMEDINST 1412.1C – 17 Apr 2019

BUMEDNOTE 1412 – 17 Apr 2019

FY20 CO_XO Opportunities

NAVMED 1412_1 blank

New Joint Medical Executive Skills Program Website Link

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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:


FY19 CO/XO Slate

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The FY19 CO/XO slate came out a few days ago, but it is CAC-protected everywhere and therefore I can’t post it. It can be found in the upper left corner on this site but make sure you pick the e-mail certificate or it won’t open:


Temporary Work Around to Get the Executive Medicine AQD

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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

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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.

CO/XO Application Process

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All of the information needed to apply for CO/XO can be found at this link (select your e-mail CAC certificate):


The documents you need are here:

Note 1412 2 Apr 2018

NAVMED 1412_1 (4_2017)

FY19 CO_XO Opportunities

ExecMedCandidateInput (5_2017)

FY18 Senior Executive Medicine Slate

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The FY18 Senior Executive Medicine Slate has been released. To see it, go to this website (but make sure you select your e-mail certificate when logging on):