comnavairfores usnac 2015 capt lou gilleran, mc (fs), usn force surgeon
TRANSCRIPT
Disclosure Statement
I, Louis George Gilleran, do solemnly swear and attest, as a component of the US Naval Aeromedical Conference Continuing Medical Education
program provide the following Disclosure information:
“I have nothing to disclose”
Background
• BS Biology Montclair State University
• MD Ross University/St George’s University
• Internal Medicine Huron Hospital Cleveland Clinic
• Direct Accession & FS Training
• MPH Tulane & USN Aerospace Medicine
• P’cola, NOLA, P’cola, CARL VINSON Alameda & Bremerton, SD: BMC NASNI, VRC 30, CNAP, 3rd MAW, SWMI, MCRD/NTC, CNAFR
• OSW-Rugged Nautilus, OIF, COMFORT, BSRF, OEF
• MSHS Emg & Disaster Mngmnt TUI
• Medical Acupuncture HMI 3
CNAFR
3 RC Air Wings + NALO
22 Squadrons (+2 Blended)
5 Aircraft Detachments
4 Flt Readiness Centers
25 Squadron Augment Units
(CNATRA/Flt Readiness Support)
• Commander, Naval Air Force Reserve - RDML Mark Leavitt, USN
• Type Commander* (7,881 personnel, 165 Aircraft) – Echelon 3
Navy Unique Capabilities
• 100% Dedicated Adversary
• 100% Dedicated Rotary Wing SOF
• 100% Organic Pax/cargo Lift
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CNAFR Laydown
Whidbey Island, WAVAQ-209VAQ-129 SAUVP-69VR-61
Fallon, NVVFC-13
Lemoore, CAVFA-122 SAU
Pt Mugu, CAVR-55
North Island, CAVR-57HS-10 SAUHSC-3 SAUHSM-41 SAUHSC-85
Kaneohe Bay, HIVR-51
McGuire, NJVR-64
Washington, DCVR-1VR-53
Norfolk, VAVAW-120 SAUVFA-106 SAUVFC-12VR-56HSC-84
Jacksonville, FLVP-30 SAU VP-62VR-58VR-62HSL-60
Key West, FLVFC-111
Fort Worth, TXCTSWCFLSWVR-59
New Orleans, LAVFA-204 VR-54
8 Wings/55 squadrons 3 Wings/22 squadrons/25 SAUs
Corpus Christi, TXCNATRA RCC TRAWING 4 RCCVT-27 SAUVT-28 SAUVT-31 SAUVT-35 SAU
Kingsville, TXTRAWING 2 RCCVT-21 SAUVT-22 SAU
Milton, FLTRAWING 5 RCCVT-2 SAU HT-8 SAUVT-3 SAU HT-18 SAUVT-6 SAU HT-28 SAU
Pensacola, FLTRAWING 6 RCCTW-6 SAUVT-10 SAUVT-86 SAU
Meridian, MSTRAWING 1 RCCVT-7 SAU VT-9 SAU
CNAFR Medical
• Force Surgeon & Hospital Corpsman (San Diego CA)– 23 Reserve Squadron SELRES FS & 23 FTS AVT
– HSC 84 & 85 SMTs (~5 each)
• Fleet Logistics & Tactical Support Wing Surgeons & Hospital Corpsman (JRB Fort Worth TX)
• Maritime Support Wing – VP & Helo (San Diego, CA)
– NOSC AD FS – Collateral - support Reserve Squadrons in absence of SELRES FS
– Owned by CNRFC, privileged by CNAP and supported by CNAFR
– Located in aviation concentration areas (SD, Whidbey, Mugu, JAX, McGuire, DC, FW). None in Norfolk/Oceana.
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CNAFR Medical
• Main missions: Safety and Readiness– IMR Goals: FTS 90% FMR & SELRES 87% FMR
• DEC 14 : FTS 93.2% and SELRES 87.6%
• Coordinate w/ 4th MAW, BUMED, CNRFC, PERS & NRC
• FS / AVT requirement based on special duty-flight– FS only to sign flight PE, up-chits* and serve on Mishap
Board, Human Factors Boards, Field Naval Aviator Evaluation Boards
• * If no FS available, up-chit may be provided with documented concurrence of FS (phone/email)
– Aviation Medical Examiner (AME): FS Light, completes 8wk course, all FS duties excepting Mishap Investigation Board
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Flight Surgeons
• Credentials and Privileges– CCPD & Approval by MTF PA
– FS privileges in conjunction with GMO and other specialty
– Require documented current competency
– REFTRA @ NAMI P’cola FL
• 2 weeks funded by unit
• Denovo FS• Up to 2/yr SELRES funded by CNRFC
• Meet physical standards & serve 2yrs as SELRESFS
• 6 mos training– preferably entire 6 mos block, but may be broken into 2 or 3 segments
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CNAFR Medical Challenges
• Isolated Ops ISO SPECWAR– No MTF, no AMAL, no medical budget
• CVW SELRES FS recoupment by BSO 60/70 and conversion to Physician Assistants– Plan to add 3rd AD FS billet to CVW / develop Aviation PAs
– 4 / 9 billets have been utilized by CNAFR to fill shortfalls (HSC 84/85, CNATRA, VFA 122 SAU) and have been removed (CNATRA) or converted to PAs (HSC 84, VFA 122 SAU) before aviation pipeline is complete
• Privilege Approval by MTFs
• …and of course maintaining Medical Readiness, STR, DHA, PHA, and remote access to CHCS/AHLTA
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Operational Highlights for FY13/14
CFLSW
– 2 A/C forward presence in 5th, 6th & 7th Fleet AORs
– CJCS CENTCOM DEPORD
TSW
– 55 Adversary Deployments
– Transition from EA-6B Prowler to EA-18G Growler
VP
– P3-P8 Transition
– SOUTHCOM DET x 4
– Fleet Support: C2X/JTFEX
– Readiness training: ARP x 5 ; ASWEX x 2
– C7F Deployments Augmenting AC; 3 Crews / 3 AIP Aircraft
HELO
– HSC-84/85 ISO SPECOPS in CENTCOM & PACOM AORs
– Dets ISO NAUF & FireScout (SOUTHCOM & AFRICOM)
– Counter-mine presence in 5th & 7th fleet AORs
CNATRA
– 10,385 student production flight hours ; Not part of CNAFR Flt Hrs
– 18.3% of CNATRA Production
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Significant Changes for FY15/16
• FS Manning local control by CNAFR
• Transitions
– VR-61
• Last USN C-9 Squadron
• Divest C-9B 01 JUL 14, transition to C-40A
– C-130T transfer from USMCR
• 8 total aircraft
– HSC 84 / 85
• SPECWAR Mission and squadron structure
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