United States Public Health Service

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Presentation transcript:

United States Public Health Service “Protecting, promoting, and advancing the health and safety of the Nation”

Who are We? U.S. Public Health Service: Highly-trained and mobile health professionals The nation’s foremost health service A principle component of the Department of Health and Human Services One of the Seven Uniformed Services

Seven Uniformed Services of the U.S.

The Department of Health and Human Services (DHHS)

USPHS Part of the Department of Health and Human Services Led by the Surgeon General Dual Personnel System 60,000 employees total > 6,000 Commissioned Corps Officers & growing Secretary Tommy Thompson Surgeon General - Richard Carmona

RADM Boris Lushniak, MD, MPH Acting Surgeon General of the United States http://www.surgeongeneral.gov/about/biographies/biosg.html 6

RADM Scott Giberson, RPh, MPH Acting Deputy Surgeon General of the United States http://www.surgeongeneral.gov/about/biographies/biodeputy.html

Mission To protect, promote, and advance the health and safety of the Nation through: rapid and effective response to public health needs leadership and excellence in public health practices advancement of public health science

Our Origins 1798 Creation of PHS to provide for care and relief of sick and injured merchant seaman 1870 Reorganization to create a Marine Hospital Service 1889 Formalized by Congress as the Commissioned Corps 1912 Renamed Public Health Service because of broadening responsibilities 1939 Became part of the Federal Security Agency 1980 Became part of the Department of Health and Human Services Created in 1798, as Marine Hospital Service Reorganized in 1870 along military lines Established officially along military lines by Congress in 1889, with rank and pay similar to Navy Renamed PUBLIC HEALTH SERVICE in 1912 After 141 years in the Treasury Department, PHS became part of the Federal Security Agency in 1939. This agency later became the Department of Health, Education and Welfare and in 1980 the Department of Health and Human Services

PHS Seal Fouled Anchor = seaman in distress Caduceus (winged wand with 2 serpents intertwined) Associated with the Greek god Mercury, used to symbolize trade or commerce (hence, PHS’ relationship with merchant seaman and maritime industry)

PHS Flag Evolved out of the quarantine flag used by the Service on quarantine vessels and stations Blue and yellow colors of the PHS represent its roots in maritime and quarantine activities

Where are we located? Almost anywhere and everywhere in the United States Whether you prefer urban or rural, east, west, north, or south - we have a location for you

Duty Locations Coast to Coast Arizona Washington Washington DC New Mexico South Dakota

Where do PHS Pharmacists Work? Indian Health Service (IHS) Food and Drug Administration (FDA) Bureau of Prisons (BOP) National Institutes of Health (NIH) United States Coast Guard (USCG) Immigration and Customs Enforcement (ICE) Center for Medicare and Medicaid Services (CMS)

Where do PHS Pharmacists Work? Agency for Healthcare Research and Quality (AHRQ) Centers for Disease Control and Prevention (CDC) Department of Defense Tricare Management Activity (DOD TMA) Health Resources and Services Administration (HRSA) Program Support Center (PSC) Office of the Secretary (OS) Substance Abuse and Mental Health Services Administration (SAMHSA)

Indian Health Service IHS Mission: To raise the physical, mental, social and spiritual health of American Indians and Alaska Natives IHS Serves 2 million people from 565 Federally recognized tribes and their descendants Provides comprehensive healthcare services including preventive, curative, rehabilitative, and environmental Most IHS facilities are west of the Mississippi River Northern Plains States Southwest Pacific Northwest Alaska http://www.ihs.gov The goal of the IHS is to ensure that comprehensive, culturally acceptable personal and public health services are available and accessible to all American Indian and Alaska Native people.

U.S. Coast Guard http://www.uscg.mil Component of the Department of Homeland Security One of the seven Uniformed Services, and is the smallest of the five armed services Headquarters in Washington, DC Opportunities throughout the US New Jersey Massachusetts Washington North Carolina Florida Connecticut Alabama Washington DC California Virginia Alaska http://www.uscg.mil The United States Coast Guard is this nation's oldest and its premier maritime agency. Its headquarters are located in Washington, DC. The Public Health Service is charged with the responsibility to provide health care to the men and women of the United States Coast Guard. Various Coast Guard units are located throughout the United States. Some of these include: New Jersey, New York, Florida, New Orleans, California, Alaska and Puerto Rico

U.S. Food and Drug Administration FDA is responsible for protecting the public health by assuring the safety, efficacy, and security of: Human and veterinary drugs Biological products Medical devices National food supply Cosmetics Products that emit radiation FDA regulates $1 trillion worth of products a year. It assures the safety of all food except for meat, poultry and some egg products; ensures the safety and effectiveness of all drugs, biological products (including blood, vaccines, and tissues for transplantation), medical devices, and animal drugs and feed; and makes sure that cosmetics and medical and consumer products that emit radiation do no harm.

U.S. Food and Drug Administration FDA regulates manufacturing, marketing and distribution of tobacco products FDA monitors the manufacture, import, transport, storage, and sale of about $1 trillion worth of products each year http://www.fda.gov

Federal Bureau of Prisons The health care mission of the BOP: To deliver medically necessary health care to inmates effectively in accordance with proven standards of care without compromising public safety concerns inherent to the Bureau’s overall mission. Operates a system of Federal penitentiaries across the country Settings range from small infirmaries to 500 bed tertiary care hospitals The Federal Bureau of Prisons (BOP) is the agency of the Department of Justice responsible for incarcerating federal felons. The BOP currently has 100 facilities in 40 states, with several more institutions under construction. Operates a system of Federal penitentiaries across the country Settings range from small infirmaries to 500 bed tertiary care hospitals Locations Near major metropolitan areas such as San Diego and Chicago Rural areas e.g. Olympic Compound at Lake Placid, NY. One of the most modern facilities is located in Guaynabo, Puerto Rico

Federal Bureau of Prisons Inmates are designated a level of care according to their overall health Care Level (CL) I – Healthy or simple chronic care CL II – Stable, chronic care CL III – Unstable, complex chronic care CL IV – Medical Center, often requires daily nursing care http://www.bop.gov The Federal Bureau of Prisons (BOP) is the agency of the Department of Justice responsible for incarcerating federal felons. The BOP currently has 100 facilities in 40 states, with several more institutions under construction. Operates a system of Federal penitentiaries across the country Settings range from small infirmaries to 500 bed tertiary care hospitals Locations Near major metropolitan areas such as San Diego and Chicago Rural areas e.g. Olympic Compound at Lake Placid, NY. One of the most modern facilities is located in Guaynabo, Puerto Rico

National Institutes of Health Mission: to seek fundamental knowledge about the nature and behavior of living systems and the application of that knowledge to enhance health, lengthen life, and reduce the burdens of illness and disability The NIH mission is to uncover new knowledge that will lead to better health for everyone. NIH works toward that mission by: conducting research in its own laboratories; supporting the research of non-Federal scientists in universities, medical schools, hospitals, and research institutions throughout the country and abroad; helping in the training of research investigators; and fostering communication of medical information. NIH is one of the agencies of the Public Health Services which, in turn, is part of the U.S. Department of Health and Human Services. Comprised of 27 separate components, mainly Institutes and Centers, NIH has in excess of 75 buildings on more than 300 acres in Bethesda, Maryland. From a total of about $300 in 1887, NIH has been appropriated nearly $23.4 billion for 2002.

National Institutes of Health Federal focal point for medical research in the U.S. More than 80% of NIH’s budget goes to over 3,000 universities and research institutions. The NIH Clinical Center in Bethesda, MD is the largest hospital in the world totally dedicated to clinical research. The NIH mission is to uncover new knowledge that will lead to better health for everyone. NIH works toward that mission by: conducting research in its own laboratories; supporting the research of non-Federal scientists in universities, medical schools, hospitals, and research institutions throughout the country and abroad; helping in the training of research investigators; and fostering communication of medical information. NIH is one of the agencies of the Public Health Services which, in turn, is part of the U.S. Department of Health and Human Services. Comprised of 27 separate components, mainly Institutes and Centers, NIH has in excess of 75 buildings on more than 300 acres in Bethesda, Maryland. From a total of about $300 in 1887, NIH has been appropriated nearly $23.4 billion for 2002. http://www.nih.gov

Centers for Disease Control and Prevention CDC employs more than 15,000 employees, in more than 50 countries and in 168 occupational categories Primary function is to conduct and support public health activities in the United States The Centers for Disease Control and Prevention (CDC) is recognized as the lead federal agency for protecting the health and safety of people - at home and abroad, providing credible information to enhance health decisions, and promoting health through strong partnerships. CDC serves as the national focus for developing and applying disease prevention and control, environmental health, and health promotion and education activities designed to improve the health of the people of the United States.In FY 2000, the workforce of CDC comprised approximately 8,500 FTE in 170 disciplines with a public health focus. Headquartered in Atlanta, GA, with Occupational Safety and Health research centers in Cincinnati, OH and Morgantown, WV, the CDC conducts epidemiological research and surveillance throughout the world. Areas of study include chronic and infectious diseases, occupational health and safety, health promotion and disease prevention, international health, health statistics, and environmental health. CDC’s: Conducts epidemiological research and surveillance throughout the worldEmploys researchers and scientists who conduct research on disease, serve on multi-disciplinary epidemic response teams, and provide assistance in domestic or international crises Sponsors scientists conducting field research and assigns staff to state and local health departments

Centers for Disease Control and Prevention CDC works in conjunction with local, state, and national partners to improve the public’s health, with particular focus on: Providing support to local and state health departments Improving global health Decreasing leading causes of death Strengthening surveillance and epidemiology Reforming health policies http://www.cdc.gov The Centers for Disease Control and Prevention (CDC) is recognized as the lead federal agency for protecting the health and safety of people - at home and abroad, providing credible information to enhance health decisions, and promoting health through strong partnerships. CDC serves as the national focus for developing and applying disease prevention and control, environmental health, and health promotion and education activities designed to improve the health of the people of the United States.In FY 2000, the workforce of CDC comprised approximately 8,500 FTE in 170 disciplines with a public health focus. Headquartered in Atlanta, GA, with Occupational Safety and Health research centers in Cincinnati, OH and Morgantown, WV, the CDC conducts epidemiological research and surveillance throughout the world. Areas of study include chronic and infectious diseases, occupational health and safety, health promotion and disease prevention, international health, health statistics, and environmental health. CDC’s: Conducts epidemiological research and surveillance throughout the worldEmploys researchers and scientists who conduct research on disease, serve on multi-disciplinary epidemic response teams, and provide assistance in domestic or international crises Sponsors scientists conducting field research and assigns staff to state and local health departments

Substance Abuse and Mental Health Services Administration (SAMHSA) Mission – to reduce the impact of substance abuse and mental illness on America’s communities  SAMHSA includes four centers Center for Mental Health Services Center for Substance Abuse Prevention Center for Substance Abuse Treatment Center for Behavioral Health Statistics and Quality Centers work with and support States, Territories, Tribes, communities, and local organizations to accomplish the mission through 8 strategic initiatives http://www.samhsa.gov/ Substance Abuse and Mental Health Services Administration (SAMHSA) was recently established in October, 1992 to strengthen the Nation's health care delivery system for Substance Abuse and Mental Health Services Administration (SAMHSA) was established in October 1992 to strengthen the Nation's health care capacity to provide prevention, diagnosis and treatment services for substance abuse and mental illnesses. SAMHSA works in partnership with States, communities and private organizations to address the needs of people with substance abuse and mental illnesses as well as the community risk factors that contribute to these illnesses. SAMHSA serves as the umbrella under which substance abuse and mental health service Centers are housed, including: the Center for Mental Health Services, the Center for Substance Abuse Prevention, and the Center for Substance Abuse Treatment.

Health Resources and Services Administration Mission: To improve health and achieve health equity through access to quality services, a skilled health workforce, and innovative programs Vision: Healthy Communities, Healthy People Goals: Improve access to quality care and services Strengthen the health workforce Build healthy communities Improve health equity 6 bureaus, 13 offices and 1,860 people improving health care for the uninsured, people living with HIV, pregnant women, mothers, and children http://www.hrsa.gov The mission of the Health Resources and Services Administration is to improve and expand access to quality health care for all. Their goal is moving toward 100 percent access to healthcare and 0 health disparities for all Americans. HRSA assures the availability of quality health care to low income, uninsured, isolated, vulnerable and special needs populations and meets their unique health care needs.

Immigration and Customs Enforcement Health Service Corps Oversees lawful immigration to the United States Core Values include Integrity, Respect, Ingenuity, and Vigilance Headquartered in D.C. with opportunities throughout the US and territories, including: New York Florida Texas Arizona California Puerto Rico http://www.uscis.gov The Division's relationship with the Immigration and Naturalization Service (INS) dates back to 1891 when the Immigration Act authorized the Public Health Service to examine and quarantine aliens at Ellis Island. Since 1985, the INS Detention and Deportation (D&D) Program has had an interagency agreement with the Public Health Service to provide health care personnel to staff the INS Service Processing Center Medical Facilities, and other measures of health care support. INS Headquarters are located in Washington, DC. In addition, there are numerous sites throughout the United States including, New York, Florida, Texas, Arizona, California and Puerto Rico.

Centers for Medicare & Medicaid Services Mission: to assure health care security for beneficiaries Vision: to open our programs to full partnership with the entire health community to improve quality and efficiency in an evolving health care system. Goals: To provide access to quality care To provide services to beneficiaries To provide program administration to run CMS programs http://www.cms.hhs.gov/home/aboutcms.asp

Sample Pharmacist Billets FDA: CDER/OSE Safety Evaluator Reviewing and evaluating pre-market proposed proprietary drug and biological names and product characteristics to determine the likelihood of confusion with existing products in the marketplace Reviewing, analyzing, and evaluating the medication error reports for pre-market and post-market drug and biological products which are submitted to the FDA or cited in the scientific literature Serving as a scientific advisor on adverse reactions associated with drug and biological products and on the safety of drug and biological products within FDA

Sample Pharmacist Billets IHS: Assistant Chief Pharmacist (Inpatient) Serving as a Clinical Pharmacist for the ICU & Residency Program Director at the Indian Health Service Phoenix Indian Medical Center (PIMC) Directing and coordinating clinical and distributive pharmacy services at this 110-bed facility Providing pharmacotherapy services and distributive pharmacy services for ICU patients Developing and implementing medication use policies Developing and coordinating the ASHP accredited Pharmacy Practice Residency Program at PIMC Active member of the Pharmacy and Therapeutics Committee

Sample Pharmacist Billets HRSA: Branch Chief for the AIDS Drug Assistance Program (ADAP) Leading a team responsible for monitoring established ADAPs to improve health care for individuals and families affected by HIV Establishing ADAP priorities to respond to issues that impact planning and delivery of HIV care services Developing strategies for delivering care for HIV/AIDS Guiding grantees to use the most cost-effective methods to purchase medications

Sample Pharmacist Billets HRSA: Branch Chief for the AIDS Drug Assistance Program (ADAP) Assisting grantees in making formulary decisions Preparing budget forecasting reports Developing on-site program reviews of compliance with ADAP mandates and regulations Addressing medication distribution strategies in resource-poor countries

Sample Pharmacist Billets NIH: Head of the Protocol and Information Office Coordination of the administrative portion of the development and implementation of oncology clinical trials to assure patient safety Optimization of scientific objectives, regulatory compliance, and efficient use of resources Acting as a project manager to develop software to improve the efficiency of oncology clinical trials at the National Cancer Institute (NCI) by leveraging technology

Sample Pharmacist Billets Learn more about pharmacist roles at: Pharmacists Learning and Networking Together (PLANT) http://www.usphs.gov/corpslinks/pharmacy/sc_comms_plant.aspx

Why did I choose to be a PHS Pharmacist?

Why did I choose to be a PHS Pharmacist? Quality of practice Opportunities for professional growth

Quality of Practice Pharmacy Practice wherein you are included in the decision process with other professionals, helping to manage treatment, utilizing the patient's medical record, and counseling every patient about their drug therapy Pharmacy Practice settings where you and other providers sit down as a team and talk about your patient's drug therapy

Opportunities for Professional Growth Different agencies/programs Benefits accompany officers when transferring agencies/programs opportunity to work in diverse geographical locations and for different agencies/programs Benefits accompany officers when transferring agencies/programs

Opportunities for Professional Growth National and International Impact Emergency Preparedness USPHS Commissioned Corps: America’s Health Responders

Office of Force Readiness and Deployment (OFRD) OFRD coordinates the deployment of USPHS Officers in response to: National Emergencies Public Health Emergencies Urgent Public Needs National Special Security Events

OFRD Pharmacist Opportunities Special Needs Shelters General Shelter Clinics Mobile Medical Clinics/Pharmacies Top picture: LCDR Mark Roth administers a vaccine to a shelter resident in Farmerville, LA. Hepatitis A, Flu, and Tetanus/diptheria shots were offered to all evacuees and shelter personnel. Children behind on vaccine schedules were also offered DTaP, MMR, Hib, Hepatitis B, and Prevnar. Evacuees in need of other immunizations were asked to report to the nearest Parish Health Department. Bottom picture: This mobile medical clinic was set up in a parking lot on Rampart Road in New Orleans. Tents and tables in the parking lot served as nursing stations. Patients that needed to be examined privately were taken into the bus. In this picture, CDR Beth Fritsch (Pharmacist) is counseling an evacuee outside of the makeshift mobile pharmacy we set up inside of a bus. Many of the evacuees at this site were Spanish speaking.

OFRD Pharmacist Opportunities Vaccination Teams Temporary Hospitals Top picture: LCDR Mark Roth administers a vaccine to a shelter resident in Farmerville, LA. Hepatitis A, Flu, and Tetanus/diptheria shots were offered to all evacuees and shelter personnel. Children behind on vaccine schedules were also offered DTaP, MMR, Hib, Hepatitis B, and Prevnar. Evacuees in need of other immunizations were asked to report to the nearest Parish Health Department. Bottom picture: This mobile medical clinic was set up in a parking lot on Rampart Road in New Orleans. Tents and tables in the parking lot served as nursing stations. Patients that needed to be examined privately were taken into the bus. In this picture, CDR Beth Fritsch (Pharmacist) is counseling an evacuee outside of the makeshift mobile pharmacy we set up inside of a bus. Many of the evacuees at this site were Spanish speaking.

OFRD Pharmacist Opportunities Pharmacist assistance at disaster stricken hospitals Assisting foreign Ministry of Health departments to establish health care systems: Thailand (2005) Iraq (2004) Haiti (2004)

OFRD Pharmacist Opportunities Incident Regional Coordination Team (IRCT) Operations, Planning, and Logistics Team Leaders and Incident Commanders Public Health Assessment and Inspection Teams Liaisons State Emergency Operations Center Homeland Security incident Management Group Top picture: November 2005 at the Secretaries Emergency Response Team in Baton Rouge, LA. Two pharmacists working together at the SERT. CDR Mark McClain (FDA Pharmacist, in BDU) was the Chief Pharmacist at Camp Phoenix in November 2005 and was responsible for directing pharmacy operations in the field. LCDR David Axt (IHS Pharmacist seated in the center looking at CDR McClain) worked at the SERT in logistics to help coordinate personnel movement and materials acquisition. Pharmacists had many roles working with pharmacists and other personnel. Also working in SERT logistics are LCDR Chris Buchanan (Environmental Officer, center foreground with his back to the camera), LT Darin Wiegers (Physician Assistant, far right of picture), and CAPT Palmer Orlandi (Scientist, behind LT Wiegers). Bottom picture: This picture was taken at the Lake Charles Clinic (see a previous slide for explanation). Team Leader LCDR Jeff Newman is going over the numbers for the day with his team. All teams had to report to Central Command how many patients were being seen, types of illnesses, and a report on medication supply and restock needed.

OFRD - Make a Difference Hurricanes – September 2004 World Trade Center Attacks – Sept 2001 Deployments to provide disaster and/or emergency assistance

National Special Security Events Officers have deployed to provide assistance during the President’s Inauguration.

Foreign Humanitarian Missions USPHS Officers deploy aboard US Navy ships in support of annual humanitarian assistance operations providing medical care to foreign nations.

Foreign Humanitarian Missions Nigeria – September 2010 USNS Comfort Cruise – Sept 2009 Deployments to provide disaster and/or emergency assistance

Domestic Humanitarian Missions USPHS partners with Non-profit Groups to provide free medical care to the underserved populations within the United States.

Disaster Relief Missions USPHS Officers deployed after the Haitian Earthquake in support of relief efforts. Nearly 400 USPHS Pharmacists assisted with relief efforts for Hurricanes Dennis, Emily, Katrina, Rita, and Wilma.

OFRD Helping those in need As an Officer in the U.S. Public Health Service, you have a unique opportunity to make a difference in people’s lives, domestically and internationally

OFRD Helping those in need As part of something larger than yourself, you have unique opportunities to make a real difference in people’s lives.

OFRD – 3 tiered deployment response team: Tier One: Five Rapid Deployment Force teams and ten Incident Regional Coordination Teams expected to report to a point of departure within 12 hours of notification Tier Two: Five Applied Public Health Teams and five Mental Health teams expected to report to a point of departure within 36 hours of notification Tier Three: Every other active duty officer in the Commissioned Corps expected to report to a point of departure within 72 hours of notification deployment on a regular basis, either to augment Tier 1 or Tier 2 teams, or to provide specific requested skills when required

Quality of Life 30 days of annual leave may carry over 60 days per year plus 10 federal holidays Sick leave as medically necessary

Quality of Life Diverse geographical locations Our organization allows you to pursue life in literally hundreds of locations - near the ocean, the mountains, the Grand Canyon, the Gulf Coast, or National Parks - from the largest cities to the smallest communities. Diverse geographical locations

Quality of Life Be prepared to enjoy a camaraderie and sense of common purpose unlike anything you have yet experienced. A team of United States Public Health Officers taking part in a training course. All response team members must complete training modules on various aspects of disaster response. Basic courses are offered on-line and some more advanced courses offer on-site training opportunities. Several different professions make up response teams and training opportunities such as this emphasize the teamwork needed during relief efforts.

Privileges Moving expenses are paid by the government Commissioned officers qualify for the G.I. Bill to supplement additional educational pursuits Officers may also qualify for housing loans through the Department of Veterans Affairs

Compensation Taxable Non-Taxable Base Pay Pharmacy Accession Bonus - Requires Contract of Service Pharmacy Special Pay Non-Taxable Housing Allowance Subsistence

Compensation Pharmacy Special Pay ($15,000 per year) Board Certification Pay

Compensation Recent Graduates: The USPHS gives you an entire YEAR from your date of graduation to become licensed. In the meantime, you get FULLY PAID as a pharmacist

Retirement After 20 years of active service: retired pay = 50% of average base pay during past 36 months Non-contributory retirement based on 20-30 year career For each additional year of service: retired pay multiplier increases by 2.5%

Insurance No-cost healthcare at Uniformed Services facilities (for you and your dependents) No payroll deduction No deductibles or copays Medical benefits are available to you and your dependents with no payroll deduction, deductibles or co-pays for covered medical benefits if living within the catchment area of a military medical facility.

Insurance Malpractice insurance is not necessary when practicing in a federal facility coverage under the Federal Tort Claims Act

More Privileges Access to Department of Defense benefits: Military bases Officer’s clubs Exchanges Guest housing Commissaries Space-Available travel

Eligibility Criteria U.S. citizenship Less than 44 years of age Graduate of an accredited College or University in United States Less than 8 years of active duty in another uniformed service (waivers may be considered for hard to fill and isolated hardship sites ) Good health

How to Get Started? Visit http://www.usphs.gov For recruitment or application questions or information, please contact us through our online form, Facebook page, or at the number below. 1.800.279.1605 https://www.facebook.com/USPHS Visit www.usphs.gov Fill out an online application Pursue employment with any of the Commissioned Corps affiliated Agencies http://dcp.psc.gov/VATS/rept_select.htm (recommended site) http://www.usphs.gov/html/other_federal_jobs.html (alternate) Dual Process - Differs from other uniformed services. PHS grants Commissioned Officer status whereas the Agency offers the employment It is recommended that application to the Corps and job search with the agencies should be conducted simultaneously Once offer to hire is made by the Agency, Division of Commissioned Personnel (DCP) would coordinate a “Call to Active Duty” date and issue personnel orders.

STUDENT OPPORTUNITIES Commissioned Officer Student Training and Extern Program (COSTEP) The U.S. Public Health Service Commissioned Corps offers two excellent opportunities for pharmacy students throughout the academic year: The Junior Commissioned Officer Student Training and Extern Program (JRCOSTEP) and the Senior Commissioned Officer Student Training and Extern Program (SRCOSTEP). Because both programs are highly competitive, it is recommended that students apply early.

JR COSTEP Program Serve for periods ranging from 31 to 120 days No obligation to serve in the Commissioned Corps after graduation Credit given for JRCOSTEP time for pay and retirement purposes The JRCOSTEP program allows students to gain valuable professional experience with the Public Health Service early in their college education. Students serve in assignments throughout the country during their official school breaks for periods ranging from 31 to 120 days. Most students are hired for the summer months (June – August). Upon completing his/her professional education, the student may serve an extended active duty assignment with any of the agencies and/or programs that hire CC officers. Those students who go on to a career in the CC are credited for their JRCOSTEP time for pay and retirement purposes. JRCOSTEPS do not have an obligation to serve in the Commissioned Corps after graduation.

SR COSTEP Program Assists students financially during their final academic year in return for an agreement to work for the PHS Commissioned Corps after graduation for twice the time sponsored Assigned to the sponsoring agency upon graduation The SRCOSTEP program is designed to assist students financially during their final academic year of their qualifying degree in return for an agreement to work for the PHS Commissioned Corps after graduation for twice the time sponsored (i.e., an 18-month employment commitment for 9 months of financial support). Upon graduation, assignments are made to the sponsoring agency/program that provided the financial support.

COSTEP Benefits Basic pay (taxable) Allowances (non-taxable) Ensign (pay grade O-1) officer Allowances (non-taxable) Housing Allowance Subsistence Prior service in a Uniformed Service will count towards years of service for pay Combining basic pay and allowances, a COSTEP can expect to earn approximately $2500 per month. In addition, a COSTEP will also be given certain costs of travel and transportation from the place from which called to active duty to the duty station and return.

Application Acceptance Dates Junior COSTEP & Senior COSTEP Online application Check website for open registration dates

Student Internships Food and Drug Administration Bureau of Prisons http://www.fda.gov/AboutFDA/WorkingatFDA/FellowshipInternshipGraduateFacultyPrograms/PharmacyStudentExperientialProgramCDER/default.htm Bureau of Prisons http://www.usphs.gov/corpslinks/pharmacy/bop_program.aspx

Post-Graduate Opportunities Indian Health Service Residencies Bureau of Prisons Residencies NIH Clinical Center Pharmacy Department http://www.cc.nih.gov/phar Ambulatory Fellowship (2 years) Pharmacokinetics Fellowship (2 slots) Oncology Specialty Residency

Ask any USPHS Pharmacist what we think of our career, and we will tell you that we made the right choice! You can, too!

PHS Hall of Fame CAPT Bill Boyce RADM Fred Paavola CAPT Jerry Phillips Oregon State University Director CAPT Jerry Phillips Drug Safety Institute RADM Jerry Halperin Food, Drug, and Law Institute, President and CEO Lucinda Maine Executive VP of AACP RADM Fred Paavola Commander of AZ-1 DMAT CAPT James Minor Gilead Pharmaceuticals CAPT Gordon Johnston VP Regulatory Affairs at GPhA RADM Richard Bertin Executive Director of the Board of Pharmaceutical Specialties Rear Admiral (Ret.) Fred G. Paavola held numerous leadership positions throughout his career. His career culminated when he was appointed as the Chief Pharmacist Officer and Assistant Surgeon General for the U.S. Public Health Service (PHS) on June 1, 1996. He also held collateral duties as Chief of Peer Review during this time. He retired with over 30 years of service. He currently serves as the Commander of Arizona One Disaster Medical Assistance Team and is a member of Region IX National Pharmacist Response Team and the Pharmacy Task Force Metropolitan Medical Response System. He is also the Officials Coordinator for Arizona Swimming. ----------------------------------------------------------------------------------------- CAPT Jim Minor (Ret.) currently works in Medical Communications at Gilead Sciences. He was a Clinical Pharmacist for National Institutes of Health (NIH) Intramural AIDS Research Program from 1981-1996. He has had 7 years of experience in Pharma Industry. He has worked in the Commercial Analysis Division of GlaxoSmithKline where he was the Manager of Competitive Intelligence in support of HIV and sepsis product areas. Dr. Minor is well published in primary pharmaceutical and medical literature in allergy, immunology and infectious diseases. ----------------------------------------------------------------------------------------- Rear Admiral (Ret.) Richard Bertin is Executive Director of the Board of Pharmaceutical Specialties (BPS). He has held this position since February 1997, when he retired from the United States Public Health Service after a long career in a variety of clinical and administrative positions. While in the Public Health Service, he served as Chief Professional Officer (as an Assistant Surgeon General at the grade of Rear Admiral) as well as in the National Institute of Mental Health, the Bureau of Medical Services, the Office of the Assistant Secretary for Health, the Office of the Surgeon General, and the Food and Drug Administration. His responsibilities ranged from clinical pharmacy practice to advising the Surgeon General, the Assistant Secretary for Health, and other Federal and non-Federal leaders on national pharmacy issues. As the Board’s first Executive Director, RADM Bertin is responsible for the overall management and growth of the BPS specialty certification program. In his present position, he works with several national membership organizations and educational institutions on a wide variety of credentialing activities across the pharmacy profession. ------------------------------------------------------------------------------------------ Gordon Johnston is Vice President of Regulatory Affairs of the Generic Pharmaceutical Association. In this role, he serves as the primary industry spokesperson on regulatory matters that impact the generic drug industry. Johnston has more than 25 years of experience in the pharmaceutical industry, beginning with the U.S. Public Health Service, where he served in a number of pharmacist and health care management positions. In 1987, he was assigned to the Food and Drug Administration (FDA) and in 1994, was promoted to be Deputy Director of the FDA’s Office of Generic Drugs (OGD). Johnston was a key member of the FDA team that developed and put into practice the regulations implementing the Hatch-Waxman amendments. ---------------------------------------------------------------------------------------- Former CAPT Bill Boyce joined Oregon State University (OSU) in 1998 as the Director of Pharmacy Services, OSU Student Health Services, after 21 years of clinical pharmacy practice with the Indian Health Service (IHS). During his time with the IHS, Bill was recognized for outstanding accomplishments. He received United States Public Health Service Surgeon General Exemplary Service Medal in 1992, ASHP Fellow in 1994, and the RHO CHI Society Julius W. Sturmer Memorial Lecture Award from Philadelphia College of Pharmacy and Science Award in 1998. Bill was the developer of the Pharmacist-Patient Consultation Program which was supported by Pfizer Pharmaceuticals. At OSU, Bill represents the College of Pharmacy on the following committees: Leadership Team at Student Health Services; Academic & Professional Standards Committee, College of Pharmacy; and Human Subjects Committee. CAPT Jerry Phillips was Associate Director in FDA’s Office of Drug Safety, and is now working at the Drug Safety Institute, impacting public health by minimizing medication errors. --------------------------------------------------------------------------------------------- RADM Jerry Halperin is currently working at the Food Drug and Law Institute, and was the former Executive director for USP after leaving FDA. -------------------------------------------------------------------------------- Lucinda L. Maine, Ph.D., is the American Associations of Colleges of Pharmacy (AACP) Executive Vice President. She is also a former Junior CoSTEP. -----------------------------------------------------------------------------------------------

QUESTIONS? http://www.USPHS.GOV or 800.279.1605 Revised 1/27/2014