United States Navy Physician Assistants. With on-going contingency operations overseas, there is an ever greater demand for compassionate, motivated,

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.