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 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

19. Possible US Duty Stations
BREMERTON
NEWPORT
LEMOORE
WILLOW GROVE
EARLE
FALLON
ANNAPOLIS
BRIDGEPORT
QUANTICO/D.C/BETHESDA.
PAX RIVER/
INDIAN HEAD
PORT HUENEME
NORFOLK/VA BEACH
NEW BERN
JACKSONVILLE
FORT BRAGG
EL CENTRO
YUMA
SAN DIEGO
CHARLESTON
MERIDIAN
BEAUFORT
KINGS BAY
PENSACOLA
JACKSONVILLE
NEW ORLEANS
SAN ANTONIO
KEY WEST
Denotes Possible Duty Stations (not all possibilities depicted)

20. Special Duty and Overseas Billets (not inclusive of possible deployment locations)
GERMANY
EVERETT WA
NAPLES
ATSUGI
OKINAWA
IWAKUNI
SAN DIEGO
ROTA
SIGONELLA
NORFOLK
BAHRAIN
CUBA
GUAM
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

29. 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

35. LT Dominic Romanowski, PA-C Afghanistan 2009

36. 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
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. Shock Trauma Platoon, Afghanistan
Mobile Trauma Bay
Shock Trauma Platoon, Afghanistan

52. LT Joelle Annandono, PA-C

53. Medicine in Afghanistan

54. LT Dave Viayra, PA-C, 3rd Bn 4th 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 1st Battalion, 2nd Marines, Iraq 2008

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

59. LT Chris Owston, PA-C 1st Battalion, 2nd 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 3rd Battalion, 1st 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

70. LT Bob Wishmeyer, PA-C Iraq 2008

71. LT Bob Wishmeyer, PA-C Iraq 2008

72. LT Bob Wishmeyer, PA-C Iraq 2008

73. LT Bob Wishmeyer, PA-C Iraq 2008

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

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

90. LT Joelle Annandono http://www.youtube.com/watch?v=-0hlwubktTI
Orthopedic Fellow – speaks candidly about being a Physician Assistant, Naval Officer, Sailor, and her tour with the Navy SEALs.

92. LT Jim Armitage, PA-C, Afghanistan 2008

93. LT Jim Armitage, PA-C

94. 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
Missions
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
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
? Number/class
John Hopkins Bayview Medical Center
1 every 6 months
University of Texas Science Center
3/class
Albert Einstein
2-3/class

110. Proposed EMED Clinical Rotations
Emergency Medicine-NMCSD 20 weeks
Radiology/CT/Ultrasound - NMCSD weeks
Anesthesia - Mercy weeks
Emergency Medicine – Children’s weeks
Emergency Medicine – Mercy weeks
Trauma-Mercy weeks
ICU-NMCSD weeks
CCU-NMCSD weeks
PICU-NMCSD weeks
Orthopedics-NMCSD weeks
OB-NMCSD weeks
Burn Management-UCSD weeks
Trauma-NTTC USC LA County weeks
Toxicology-UCSD weeks
Blood Bank-NMCSD weeks
Mercy Air weeks
Elective 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.