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

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Presentation on theme: "United States Navy Physician Assistants. With on-going contingency operations overseas, there is an ever greater demand for compassionate, motivated,"— Presentation transcript:

1 United States Navy Physician Assistants

2 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.

3 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 LinkLT 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

4 Physician Assistant Specialty Leader CDR Dave Holder, PA-C Teaching Tactical Combat Casualty Care (TCCC) to Afghan National Army Members

5 CDR Dave Holder, PA-C, Teaching Tactical Combat Casualty Care (TCCC) to Afghan National Army Members

6 CDR Dave Holder, PA-C, TCCC Graduation at Battalion Aid Station Ghazni, Afghanistan

7 DOD Physician Assistants CDR Nora Perez & CDR Dave Holder

8 Major Medical Treatment Facilities National Naval Medical Center Bethesda, MD Naval Medical Center San Diego

9 Orthopedic Physician Assistants

10 LT Joelle Annandono Orthopedic PA

11 LT Ken Meehan, Orthopedic PA

12 LT Mike Mitchell, Orthopedic PA & Dr. Bell – a Left Knee Procedure

13 LT Mike Mitchell, Ortho PA, conducting wrist tendon repair with assistance from Dr. Miller, ER Physician, TQ Iraq

14 CDR Norm Moser, Orthopedic PA, Navy SEAL, Fallujah 2008

15 LCDR Russ Saari, Orthopedic Physician Assistant, Naval Hospital Lemoore

16 LCDR Russell Saari, Orthopedic PA, Naval Hospital Lemoore

17 2008 Team Ortho TQ Iraq – LT Jim Armitage, PA-C LT Rich Okane, Ortho PA-C

18 CDR Norm Moser Orthopedic PA Navy SEAL


20 ATSUGI OKINAWA IWAKUNI 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)

21 Expeditionary Medical Facilities (EMF)


23 LT Nikki Holmes & LT Dominic Romanowski, Physician Assistants Assigned to EMF Kuwait

24 Djibouti, Africa

25 LT Dawn Bowman, PA-C Djibouti, Africa 2008

26 CDR Nora Perez, PA-C Djibouti Africa Camp Lemonier – MEDCAP Missions

27 CDR N. Perez, PA-C

28 LCDR Callahan, PA-C Djibouti 2007


30 Navy Physician Assistants Serving with the United States Army


32 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

33 LT Holmes, Navy PA, Army Unit, Afghanistan

34 LT Dominic Romanowski, PA-C Afghanistan 2009



37 Winning the Hearts and Minds.... LT Orlando Lopez, PA-C

38 Working Together With Afghan Army During Humanitarian Assistance Mission

39 On a MEDCAP With Italians… Rolling in Style

40 LCDR Rueff & LT Greg Monk, Physician Assistants Afghanistan 2008

41 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

42 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.


44 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.

45 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.

46 LT Baugh, Physician Assistant assists two Afghan National Policemen with administering an IV during Combat Life Saving Training.

47 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.

48 LT Bashore PA-C, Moving to Sickcall and Village Evaluation, Afghanistan 2006

49 LT Bashore PA-C, Afghanistan 2006

50 United States Marine Corps

51 Mobile Trauma Bay Shock Trauma Platoon, Afghanistan

52 LT Joelle Annandono, PA-C

53 Medicine in Afghanistan

54 LT Dave Viayra, PA-C, 3 rd Bn 4 th Marines, with Indian Soldiers during operation with Satrujeet

55 LT Dave Viayra, PA-C with HM3 Doe, Indian Doctor and Infantry Officer

56 LT Dave Viayra, PA-C Iraq 2008

57 LT Chris Owston, PA-C 1 st Battalion, 2 nd Marines, Iraq 2008



60 Mobile Shock Trauma Platoon/Forward Resuscitative Surgical Suite Rawah, Iraq 2008


62 Battalion Aid Station (BAS)

63 MEDEVAC with SH-60 Blackhawks

64 MRAP Ambulance

65 LT Frank Percy, PA-C 3 rd Battalion, 1 st Marines

66 LT Frank Percy, PA-C 2006 Deployment

67 LT Frank Percy, PA-C 2007 – 2008 Deployment

68 LT Bob Wishmeyer, PA-C Iraq 2005

69 LT Bob Wishmeyer, PA-C Iraq 2008





74 LT Kishla Askins, PA-C Iraq 2008 Mobile STP Rawah

75 LT Orlando Lopez, PA-C and SA-ID, Iraqi Buddy, Joint Cooperative Medical Engagement (CME) and Iraqi Women's Engagement (IWE) Mission, Iraq

76 LT Kish-La Askins, PA-C Cooperative Medical Engagement, Iraq 2008



79 LT Kyle Burditt, PA-C Cooperative Medical Engagement

80 LT Kyle Burditt, PA-C Cooperative Medical Engagement


82 LT Tim Hackler, PA-C Iraq 2009

83 LT Tim Hackler, PA-C Iraq 2009

84 LT Helen Brady, PA-C Iraq

85 6 Mile Hike – Journey to being a Fleet Marine Force Qualified Officer LT Dawn Bowman, PA-C

86 Pistol Range – Journey to being a Fleet Marine Force Qualified Officer LT Dawn Bowman, PA-C

87 Journey to being a Fleet Marine Force Qualified Officer – Complete!

88 PAs in Support of Special Warfare

89 Spec War LCDR Callahan PA-C, Officer In Charge CFSOCC Clinic Special Operations Central Command

90 LT Joelle Annandono Orthopedic Fellow – speaks candidly about being a Physician Assistant, Naval Officer, Sailor, and her tour with the Navy SEALs. 0hlwubktTI 0hlwubktTI


92 LT Jim Armitage, PA-C, Afghanistan 2008

93 LT Jim Armitage, PA-C


95 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 MissionsMissions –Mass Casualty –Medical Dental Engagements –Non-Combatant Evacuations (NEO) –Humanitarian Assistants/Disaster Relief (HA/DR)

96 LT. Yesenia Astorga, Baluran, Indonesia 11th Marine Expeditionary Unit (11th MEU), Physician Assistant, checks the heartbeat of a young patient at a clinic.

97 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.


99 Shipboard

100 LCDR Ron Perry, PA-C USS JFK




104 LCDR Ron Perry, LCDR Jose Nieves; Phase I PA School, San Antonio, TX

105 Welcome to the Medical Service Corps and Physician Assistants



108 Training Opportunities Duty Under Instruction (DUINS) Clinical –Orthopedic Fellowship –Emergency Medicine Fellowship (2012) –Dive Medicine Non-Clinical –Congressional Fellowship –Health Care Administration –War College –Internships –Education PhD

109 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

110 Proposed EMED Clinical Rotations Emergency Medicine-NMCSD20 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

111 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

112 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

113 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.

114 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.

115 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

116 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.

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