aafp state of corps 070312.ppt
TRANSCRIPT
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Medical Corps Update
James R. BloomCAPT, MC, USN
Deputy Chief, Navy Medical Corps14 March 2007
World Class Care…Anytime, Anywhere
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Status of Personnel
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Medical Corps Stats(as of 30 Sep 2006)
World Class Care…Anytime, Anywhere
• Total Officers as of Feb 2007 = 3728 – Staff - 2656– Training - 1072
• Funded Billets - 3824 – Staff - 2769– Training -1055
• Percent Manned – 97.5%
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0
50
100
150
200
250
300
350
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30+
FY09 OPA CAPT CDR LCDR LT FY06 Spring OPA
Source: OMF data as of end September 2006
Inventory
Years of Commissioned Service
Statistics: Inventory: 3802OPA: 3807Manning: 100%
0-4 0-5 0-6
FY06 Projected Losses: 375Losses to date: 380FY06 Projected Gains: 348Gains to date: 337
Medical Corps CommunityCurrent Status
Accessions Attrition Retention Resigs Fit OCM Notes
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Medical Corps Force Structure FY03 - FY06
0
100
200
300
400
500
600
700
2003 2004 2005 2006
3650
3700
3750
3800
3850
3900
3950
4000
4050
4100
Total Gains Total Losses Billets Authorized EOY Inventory
Actual Inventory Source - BUMIS, PERSBillet Source - TFMMS extract 30 SEP of Applicable Year.
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7MC LOS
• FY06 Losses = 368
• FY07 Projected Losses = 387
0
50
100
150
200
250
FY05
FY06
FY07 (Projected)
FY05 128 83 166 15 2 16
FY06 107 73 182 5 1 0
FY07 (Projected) 124 80 168 15 0 0
Retire Resign RADAdmin
DischargeDeath Other
FY06 Medical Corps Losses
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Medical Corps
80
85
90
95
100
FY01 FY02 FY03 FY04 FY05 FY06
Fiscal Year
% R
eten
tio
n
Dental Corps
80
85
90
95
100
FY01 FY02 FY03 FY04 FY05 FY06
Fiscal Year
% R
eten
tio
n
Medical Service Corps
80
85
90
95
100
FY01 FY02 FY03 FY04 FY05 FY06
Fiscal Year
% R
ete
nti
on
Nurse Corps
80
85
90
95
100
FY01 FY02 FY03 FY04 FY05 FY06
Fiscal Year
% R
eten
tio
n
Active Duty Medical Department Retention Rates
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Manning by SpecialtyFebruary 2007
0.0%
100.0%
200.0%
300.0%
400.0%
500.0%
600.0%
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
1. Prev Med 15. FS
2. UMO 16. Pathology
3. RAM 17. IM
4. Derm 18. Neurosurg
5. Urology 19. Occ Med
6. G Surg 20. ENT
7. Radiology 21. Rad Onc
8. FM 22. Ophthalmol
9. Anesth 23. Peds
10. Psych 24. GMO
11. ER 25. Neurology
12. Ortho 26. PM&R
13 OB/GYN 27. RUM
14. Nuc Med
Heavily Tasked for OIF/OEF
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Critically Undermanned Specialties by Corps
Nurse Corps • Critical Care – 52%• FNP – 78%• Nurse Anesthetist – 86%• Peri-Operative – 88%
Medical Service Corps• Podiatry – 76%• Pharmacy – 83%• Clinical Psychology – 85%
Dental Corps • Prostodontist – 75%• General – 78% • Oral Surgery – 86%
Medical Corps• Preventive Medicine – 62%• Dermatology – 77% • Surgery – 82%• Urology – 84% • Anesthesia – 84%• Family Practice – 84%• Dx Radiology – 85%• Psychiatry – 88%
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Historic FM Attrition
0
2
4
6
8
10
12
14
16
1996 1998 2000 2002 2004 2006
% Loss
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Status of HPSP
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Medical Corps HPSP StatisticsGoal VS Actual
TOTAL GOAL VS. ACTUAL ACCESSIONS
300
362
290275
295 300300
343
289
232
154
192
0
50
100
150
200
250
300
350
400
FISCAL YEAR
TO
TA
L #
GOAL
ACTUAL
GOAL 300 362 290 275 295 300
ACTUAL 300 343 289 232 154 192
FY01 FY02 FY03 FY04 FY05 FY06
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Navy - Sponsored Medical School Graduateswith Numbers Needed to Meet Manning Requirements
0
50
100
150
200
250
300
350
400
450
500
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007* 2008* 2009* 2010*
Graduation Year
Gra
du
ates
HPSP Grads
USUHS Grads
* Status as of 9/14/06
Minimum number of graduates needed to meet annual operational medical officer (GMO+FS+UMO) requirements
Minimum number of graduates needed to meet annual operational requirements + meet inservice GME-2 program selection goals
Minimum number of graduates needed to meet operational requirements + meet inservice GME-2 program selection goals + defer appropriate number of graduates to train in critical shortage specialties
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Active Medical Programs Goal/Accessed
23 February 2007
330/13335/220325/189300/250330/321396/381357/337Total
1151365091520Shortfall
20/120/1120/1320/828/2019/1937/19MC FAP
300/9300/199291/162265/232290/289362/346300/300MC HPSP
10/315/1014/1415/1012/1215/1620/18MC
DA/Recall
FY07 FY06FY05FY04FY03FY02FY01
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Status of the GMO
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GMO Billets by TypeTotal = 553
FMF 116
Flight Surgeons
238
UMOs 95
BSO-18 39
Fleet 65
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GMO Billetconversions 2007
FMF 116
Flight Surgeons
238
UMOs 95
BSO-18 39
Fleet 65
To PCMO
To FNP/PA
11
28
New Total = 447
To AMP 37
To PCMO3
15
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106 billets converted
• 28 to MSC/NC• 1 to EM• 77 to PCMO
• 447 remaining GMO
• “Fair Share” to– Pediatrics– Family Medicine– Internal Medicine
• Individuals with PCMO
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Other Hot Issues
• Special Pays• All Board-Eligible Force• Career Path• EMF Kuwait• PCOLA• MRR
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Rumors of PCOLA
• No decision to close GME• Narrowest scope of teaching pathology• No decision to close GME• Lowest volume of patient care• No decision to close GME
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Status of the MRR
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2008 Cuts (Proposed)
• 43 MC out of 486 Med Dept for FY2008
Fam Med 10 Plastics 1Derm 6 Pathology 1Radiology 7 IM 2OB/GYN 4 GMO 1Peds 3 ENT 1Ortho 4 Urology 1
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Charleston 3Bethesda 2Annapolis 1Pax River 1Fallon 1Bridgeport 1Oak Harbor 1
Family Medicine Cuts(proposed)
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Observations so far
• Modest push-back from Specialty Leaders• Gapped billets were targeted• Regions and Detailers had distributed
gaps as per SL input• Await FY2009 distributions…
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Final MRR Cuts
?