united states navy physician assistants. with on-going contingency operations overseas, there is an...
TRANSCRIPT
United States NavyPhysician Assistants
With on-going contingency operations overseas, there is an ever greater demand for compassionate, motivated, and dedicated medical professionals. The following slides contain pictures contributed by Physician Assistants in action around the world. They create an overview of the environments and spectrum of medicine that is currently being practiced in support of our nation.
Overview• Major Medical Treatment Facilities• Orthopedic Physician Assistants• Possible US Duty Stations• Special Duty and Overseas Billets• EMF Kuwait• Djibouti• Army• United States Marine Corps
– LT Annandono Interview Video Link• Shipboard • Training Opportunities Duty Under Instruction (DUINS) • The Hospital Corpsmen You Will Serve With!!!! (Oliver North Video Link)
• Benefits• Points of Contact
Physician Assistant Specialty Leader
CDR Dave Holder, PA-C
Teaching Tactical Combat Casualty Care (TCCC) to Afghan National Army Members
CDR Dave Holder, PA-C, Teaching Tactical Combat Casualty Care (TCCC) to Afghan National Army Members
CDR Dave Holder, PA-C, TCCC Graduation at Battalion Aid Station Ghazni, Afghanistan
DOD Physician AssistantsCDR Nora Perez & CDR Dave Holder
Major Medical Treatment Facilities
National Naval Medical CenterBethesda, MD Naval Medical Center San Diego
Orthopedic Physician Assistants
LT Joelle AnnandonoOrthopedic PA
LT Ken Meehan, Orthopedic PA
LT Mike Mitchell, Orthopedic PA & Dr. Bell – a Left Knee Procedure
LT Mike Mitchell, Ortho PA, conducting wrist tendon repair with assistance from Dr. Miller, ER Physician, TQ Iraq
CDR Norm Moser, Orthopedic PA, Navy SEAL, Fallujah 2008
LCDR Russ Saari, Orthopedic Physician Assistant, Naval Hospital Lemoore
LCDR Russell Saari, Orthopedic PA, Naval Hospital Lemoore
2008 Team OrthoTQ Iraq – LT Jim Armitage, PA-C
LT Rich Okane, Ortho PA-C
CDR Norm MoserOrthopedic PA Navy SEAL
Denotes Possible Duty Stations (not all possibilities depicted)
PORT HUENEME
LEMOORE
FALLON
BREMERTON
SAN DIEGO
NEWPORT
WILLOW GROVE
FORT BRAGGJACKSONVILLE
JACKSONVILLE
PENSACOLA
MERIDIAN
NORFOLK/VA BEACH
EARLE
PAX RIVER/INDIAN HEAD
QUANTICO/D.C/BETHESDA.
SAN ANTONIO
YUMA
EL CENTRO
KEY WEST
KINGS BAY
BEAUFORT
BRIDGEPORTANNAPOLIS
NEW BERN
NEW ORLEANS
Possible US Duty Stations
CHARLESTON
ATSUGIOKINAWAIWAKUNI
GERMANY
SIGONELLA
NAPLES
ROTA
CUBA
EVERETT WA
SAN DIEGO
NORFOLK
BAHRAIN
GUAM
Special Duty and Overseas Billets(not inclusive of possible deployment locations)
Denotes Possible Duty Stations (not all possibilities depicted)
Expeditionary Medical Facilities (EMF)
LT Nikki Holmes & LT Dominic Romanowski, Physician Assistants Assigned to EMF Kuwait
Djibouti, Africa
LT Dawn Bowman, PA-CDjibouti, Africa 2008
CDR Nora Perez, PA-C Djibouti Africa Camp Lemonier – MEDCAP Missions
CDR N. Perez, PA-C
LCDR Callahan, PA-C Djibouti 2007
LCDR Callahan, PA-C Djibouti 2007
Navy Physician Assistants Serving with the United States Army
Navy LT. David Bennett, a PA with the Paktika Provincial Reconstruction Team, carries a civilian hit by an improvised explosive device into the 67th Forward Surgical Team facility on Forward Operating Base Sharana in the Paktika province, Afghanistan
LT Holmes, Navy PA, Army Unit, Afghanistan
LT Dominic Romanowski, PA-C Afghanistan 2009
LT Dominic Romanowski, PA-C Afghanistan 2009
LT Dominic Romanowski, PA-C Afghanistan 2009
Winning the Hearts and Minds.... LT Orlando Lopez, PA-C
Working Together With Afghan Army During Humanitarian Assistance Mission
On a MEDCAP With Italians… Rolling in Style
LCDR Rueff & LT Greg Monk, Physician Assistants Afghanistan 2008
LCDR Jim Rueff, MPAS, PA-C an Individual Augmentee from the Bureau of Medicine and Surgery arriving at FOB Wright, PRT Kunar, Asadabad, Afghanistan Nov 2008 as provincial health advisor and Senior Medical Officer
LCDR Jim Rueff, MPAS, PA-C of Provincial Reconstruction Team Kunar and Collegues with the Forward Surgical Team attend to MEDEVAC patients from a Mass Casualty, June 2009.
LCDR Jim Rueff, MPAS, PA-C, Presented with the Bronze Star and Combat Medical Badge by CDR Joey Tynch, Commanding Officer Provincial Reconstruction Team, Kunar for Meritorious Actions Under Fire While in Asadabad, Afghanistan, June 2009.
LT. Joseph Baugh, Physician Assistant assigned to Provincial Reconstruction Team Ghazni, provides medical treatment to a child in the village of Slemanji, Oct. 31 and then speaks with the Moqur Comprehensive Health Clinic Director in Moqur, Afghanistan in December 2009.
LT Baugh, Physician Assistant assists two Afghan National Policemen with administering an IV during Combat Life Saving Training.
LT Joseph Baugh, PA-C and Dr. Masood, an Afghan Physician working for the PRT, instruct Afghan National Policemen on the proper techniques for rolling a patient.
LT Bashore PA-C, Moving to Sickcall and Village Evaluation, Afghanistan 2006
LT Bashore PA-C, Afghanistan 2006
United States Marine Corps
Mobile Trauma Bay Shock Trauma Platoon, Afghanistan
LT Joelle Annandono, PA-C
Medicine in Afghanistan
LT Dave Viayra, PA-C, 3rd Bn 4th Marines, with Indian Soldiers during operation with Satrujeet
LT Dave Viayra, PA-C with HM3 Doe, Indian Doctor and Infantry Officer
LT Dave Viayra, PA-C Iraq 2008
LT Chris Owston, PA-C 1st Battalion, 2nd Marines, Iraq 2008
LT Chris Owston, PA-C 1st Battalion, 2nd Marines, Iraq 2008
LT Chris Owston, PA-C 1st Battalion, 2nd Marines, Iraq 2008
Mobile Shock Trauma Platoon/Forward Resuscitative Surgical Suite Rawah, Iraq 2008
Battalion Aid Station (BAS)
MEDEVAC with SH-60 Blackhawks
MRAP Ambulance
LT Frank Percy, PA-C 3rd Battalion, 1st Marines
LT Frank Percy, PA-C 2006 Deployment
LT Frank Percy, PA-C 2007 – 2008 Deployment
LT Bob Wishmeyer, PA-C Iraq 2005
LT Bob Wishmeyer, PA-C Iraq 2008
LT Bob Wishmeyer, PA-C Iraq 2008
LT Bob Wishmeyer, PA-C Iraq 2008
LT Bob Wishmeyer, PA-C Iraq 2008
LT Bob Wishmeyer, PA-C Iraq 2008
LT Kishla Askins, PA-C
Iraq 2008
Mobile STP Rawah
LT Orlando Lopez, PA-C and SA-ID, Iraqi Buddy, Joint Cooperative Medical Engagement (CME) and Iraqi Women's
Engagement (IWE) Mission, Iraq
LT Kish-La Askins, PA-C
Cooperative Medical Engagement, Iraq 2008
LT Kyle Burditt, PA-C
Cooperative Medical Engagement
LT Kyle Burditt, PA-C
Cooperative Medical Engagement
LT Tim Hackler, PA-C
Iraq 2009
LT Tim Hackler, PA-C Iraq 2009
LT Helen Brady, PA-C Iraq
6 Mile Hike – Journey to being a Fleet Marine Force Qualified OfficerLT Dawn Bowman, PA-C
Pistol Range – Journey to being a Fleet Marine Force Qualified Officer LT Dawn Bowman, PA-C
Journey to being a Fleet Marine Force Qualified Officer – Complete!
PAs in Support of Special Warfare
Spec War
LCDR Callahan PA-C, Officer In Charge CFSOCC Clinic Special Operations Central Command
LT Joelle Annandono
Orthopedic Fellow – speaks candidly about being a Physician Assistant, Naval Officer, Sailor, and her tour with the Navy SEALs.
• http://www.youtube.com/watch?v=-0hlwubktTI
LT Jim Armitage, PA-C, Afghanistan 2008
LT Jim Armitage, PA-C
LT Jim Armitage, PA-C
Marine Expeditionary Unit (MEU) – Shock Trauma Platoon (STP)
• Staff – 2 Emergency Medicine
Physicians– 1 Physician Assistant– 1 Critical Care/Emergency
Medicine Nurse– 1 Independent Duty Corpsman– Hospital Corpsmen– 2 USMC Ambulance Drivers
• Missions– Mass Casualty– Medical Dental
Engagements– Non-Combatant
Evacuations (NEO)– Humanitarian
Assistants/Disaster Relief (HA/DR)
LT. Yesenia Astorga, Baluran, Indonesia 11th Marine Expeditionary Unit (11th MEU), Physician Assistant, checks the heartbeat of a young patient at a clinic.
LT. Yesenia Astorga, PA-C
Health Service Detachment, Shock Trauma Platoon, Combat Logistics Battalion 1, practices trauma care on a simulated patient at Navy Trauma Training Center LA County.
Shipboard
LCDR Ron Perry, PA-CUSS JFK
LCDR Ron Perry, LCDR Jose Nieves; Phase I PA School, San Antonio, TX
Welcome to the Medical Service Corps and Physician Assistants
Training OpportunitiesDuty Under Instruction (DUINS)
• Clinical– Orthopedic
Fellowship– Emergency
Medicine
Fellowship (2012)– Dive Medicine
• Non-Clinical
– Congressional Fellowship
– Health Care Administration
– War College– Internships– Education PhD
AAPA Emergency Medicine Programs
Military Programs
• US Army – Baylor – 18 months– Clinical doctorate– Multiple training sites
• US Air Force Wright Patterson– 13 months– Certificate of completion– 1 – 5/class
• US Navy– Program 2011-2012– Proposal 18 months– Proposal 3 per class– Future – Multiple training sites– Future – 2 per training site– Future – Clinical Doctorate– Future – 2 additional Army/Air
Force slots
Civilian Programs
• University of Iowa– 18 months– 3 per class– Certificate of completion
• East Virginia Medical School – 12 months– Certificate of completion– ? Number/class
• John Hopkins Bayview Medical Center– 18 months– Certificate of completion– 1 every 6 months
• University of Texas Science Center– 12 months– 3/class
• Albert Einstein– 18 months– Certificate of completion– 2-3/class
Proposed EMED Clinical Rotations
• Emergency Medicine-NMCSD 20 weeks• Radiology/CT/Ultrasound - NMCSD 4 weeks• Anesthesia - Mercy 2 weeks• Emergency Medicine – Children’s 4 weeks• Emergency Medicine – Mercy 8 weeks• Trauma-Mercy 4 weeks• ICU-NMCSD 4 weeks• CCU-NMCSD 4 weeks• PICU-NMCSD 2 weeks• Orthopedics-NMCSD 4 weeks• OB-NMCSD 2 weeks• Burn Management-UCSD 4 weeks• Trauma-NTTC USC LA County 4 weeks• Toxicology-UCSD 4 weeks• Blood Bank-NMCSD 2 weeks• Mercy Air 4 weeks• Elective 2 weeks
Proposed EMED Fellowship Trained Utilization
• 50+ Organic USMC forward deployed Physician Assistant billets – Battalion Surgeon – Division– Combat Logistics Battalion Surgeon – CLB
• Marine Expeditionary Unit Shock Trauma Platoon– Marine Special Operations Command
• US Marine Corps Health Service Augment Personnel– Shock Trauma Platoon– Forward Resuscitative Surgical Suite
• US Army – Joint – Medical Officer Convoy Operations– PRT Medical Officer
Proposed Fellowship Trained Utilization
• US Navy
– Various Medical Treatment Facilities (MTF) – Acute Care Departments– Future utilization in the MTF Emergency Departments– Augments for EMED Physicians at Physician Extenders– Immediate assignment to USMC platforms when assigned to MTFs.– Blue/Green Integration for Amphibious Ready Group – Mass Casualty
Expert afloat– Fill the EMED Physician shortfalls– Aircraft Carrier
• Emergency Response Provider– Mass Casualty Experts– Disaster Relief Experts
Orthopedic Fellowship
• Naval Medical Center Portsmouth, VA• 1 year training, 2 year “pay-back”• 3 slots per year• American Academy of Orthopedic Surgeons• Certificate of Completion• “Utilization” tour with USMC• Independent billets• Unmatched responsibility and autonomy as a result of challenging
and high volume case loads.
The Hospital Corpsmen You Will Serve With!!!!
LtCol Oliver North (Ret.) saw Corpsmen in action during his time embedded with Marines in Iraq. Through his own Power Point presentation, he pays tribute to the Sailors through moving photos and vignettes that portray the level of dedication and sacrifice of those you may have the honor to serve with. The video clip is linked below.
http://www.youtube.com/watch?v=k_HgmisNqLY
Benefits
As a full-time Navy Medical Service Corps Officer, you can look forward to excellent benefits that include:
• A competitive salary and supplemental pay • Scheduled pay raises and regular promotions • Advanced training funded by the Navy • Comprehensive medical and dental coverage (includes family) • Generous retirement income plus a 401(k)-like savings plan • 30 days of paid vacation per year • Tax-free allowances for housing and meals • Tax-free shopping (at military stores) • Free or low-cost world travel opportunities• Access to military clubs worldwide
Education Benefits
• Wherever you are in your clinical care career, the Navy can help you reach your goals with financial assistance and continued education programs – while also offering credit for both workplace experience and master’s level degrees in the Physician Assistant field.
• Currently studying to be a Physician Assistant? These offers are available to students:
– Navy Health Professions Scholarship Program (HPSP) – Get 100% tuition assistance while completing an eligible Physician Assistant education program – plus a monthly stipend of $1,992 to help cover the cost of living for up to 24 months* along the way.
– Navy Health Services Collegiate Program (HSCP) – Get up to $120,000 while finishing your program. That includes a monthly salary and housing allowance from $2,990 to $5,000 for up to 24 months (housing allowance may vary depending upon location) – plus other benefits. Note that this specific offer is exclusive to the Navy and not available in other military service branches.
• Currently a practicing PA professional?
– Navy Health Professions Loan Repayment Program (HPLRP) – Receive up to $80,000 to repay graduate school loans.