Medical Corps Update

James R. BloomCAPT, MC, USN

Deputy Chief, Navy Medical Corps14 March 2007

World Class Care…Anytime, Anywhere

Status of Personnel

Medical Corps Stats(as of 30 Sep 2006)

World Class Care…Anytime, Anywhere

• Total Officers as of Feb 2007 = 3728 – Staff - 2656– Training - 1072

• Funded Billets - 3824 – Staff - 2769– Training -1055

• Percent Manned – 97.5%

0

50

100

150

200

250

300

350

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30+

FY09 OPA CAPT CDR LCDR LT FY06 Spring OPA

Source: OMF data as of end September 2006

Inventory

Years of Commissioned Service

Statistics: Inventory: 3802OPA: 3807Manning: 100%

0-4 0-5 0-6

FY06 Projected Losses: 375Losses to date: 380FY06 Projected Gains: 348Gains to date: 337

Medical Corps CommunityCurrent Status

Accessions Attrition Retention Resigs Fit OCM Notes

Medical Corps Force Structure FY03 - FY06

0

100

200

300

400

500

600

700

2003 2004 2005 2006

3650

3700

3750

3800

3850

3900

3950

4000

4050

4100

Total Gains Total Losses Billets Authorized EOY Inventory

Actual Inventory Source - BUMIS, PERSBillet Source - TFMMS extract 30 SEP of Applicable Year.

7MC LOS

• FY06 Losses = 368

• FY07 Projected Losses = 387

0

50

100

150

200

250

FY05

FY06

FY07 (Projected)

FY05 128 83 166 15 2 16

FY06 107 73 182 5 1 0

FY07 (Projected) 124 80 168 15 0 0

Retire Resign RADAdmin

DischargeDeath Other

FY06 Medical Corps Losses

Medical Corps

80

85

90

95

100

FY01 FY02 FY03 FY04 FY05 FY06

Fiscal Year

% R

eten

tio

n

Dental Corps

80

85

90

95

100

FY01 FY02 FY03 FY04 FY05 FY06

Fiscal Year

% R

eten

tio

n

Medical Service Corps

80

85

90

95

100

FY01 FY02 FY03 FY04 FY05 FY06

Fiscal Year

% R

ete

nti

on

Nurse Corps

80

85

90

95

100

FY01 FY02 FY03 FY04 FY05 FY06

Fiscal Year

% R

eten

tio

n

Active Duty Medical Department Retention Rates

Manning by SpecialtyFebruary 2007

0.0%

100.0%

200.0%

300.0%

400.0%

500.0%

600.0%

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27

1. Prev Med 15. FS

2. UMO 16. Pathology

3. RAM 17. IM

4. Derm 18. Neurosurg

5. Urology 19. Occ Med

6. G Surg 20. ENT

7. Radiology 21. Rad Onc

8. FM 22. Ophthalmol

9. Anesth 23. Peds

10. Psych 24. GMO

11. ER 25. Neurology

12. Ortho 26. PM&R

13 OB/GYN 27. RUM

14. Nuc Med

Heavily Tasked for OIF/OEF

Critically Undermanned Specialties by Corps

Nurse Corps • Critical Care – 52%• FNP – 78%• Nurse Anesthetist – 86%• Peri-Operative – 88%

Medical Service Corps• Podiatry – 76%• Pharmacy – 83%• Clinical Psychology – 85%

Dental Corps • Prostodontist – 75%• General – 78% • Oral Surgery – 86%

Medical Corps• Preventive Medicine – 62%• Dermatology – 77% • Surgery – 82%• Urology – 84% • Anesthesia – 84%• Family Practice – 84%• Dx Radiology – 85%• Psychiatry – 88%

Historic FM Attrition

0

2

4

6

8

10

12

14

16

1996 1998 2000 2002 2004 2006

% Loss

Status of HPSP

Medical Corps HPSP StatisticsGoal VS Actual

TOTAL GOAL VS. ACTUAL ACCESSIONS

300

362

290275

295 300300

343

289

232

154

192

0

50

100

150

200

250

300

350

400

FISCAL YEAR

TO

TA

L #

GOAL

ACTUAL

GOAL 300 362 290 275 295 300

ACTUAL 300 343 289 232 154 192

FY01 FY02 FY03 FY04 FY05 FY06

Navy - Sponsored Medical School Graduateswith Numbers Needed to Meet Manning Requirements

0

50

100

150

200

250

300

350

400

450

500

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007* 2008* 2009* 2010*

Graduation Year

Gra

du

ates

HPSP Grads

USUHS Grads

* Status as of 9/14/06

Minimum number of graduates needed to meet annual operational medical officer (GMO+FS+UMO) requirements

Minimum number of graduates needed to meet annual operational requirements + meet inservice GME-2 program selection goals

Minimum number of graduates needed to meet operational requirements + meet inservice GME-2 program selection goals + defer appropriate number of graduates to train in critical shortage specialties

Active Medical Programs Goal/Accessed

23 February 2007

330/13335/220325/189300/250330/321396/381357/337Total

1151365091520Shortfall

20/120/1120/1320/828/2019/1937/19MC FAP

300/9300/199291/162265/232290/289362/346300/300MC HPSP

10/315/1014/1415/1012/1215/1620/18MC

DA/Recall

FY07 FY06FY05FY04FY03FY02FY01

Status of the GMO

GMO Billets by TypeTotal = 553

FMF 116

Flight Surgeons

238

UMOs 95

BSO-18 39

Fleet 65

GMO Billetconversions 2007

FMF 116

Flight Surgeons

238

UMOs 95

BSO-18 39

Fleet 65

To PCMO

To FNP/PA

11

28

New Total = 447

To AMP 37

To PCMO3

15

106 billets converted

• 28 to MSC/NC• 1 to EM• 77 to PCMO

• 447 remaining GMO

• “Fair Share” to– Pediatrics– Family Medicine– Internal Medicine

• Individuals with PCMO

Other Hot Issues

• Special Pays• All Board-Eligible Force• Career Path• EMF Kuwait• PCOLA• MRR

Rumors of PCOLA

• No decision to close GME• Narrowest scope of teaching pathology• No decision to close GME• Lowest volume of patient care• No decision to close GME

Status of the MRR

2008 Cuts (Proposed)

• 43 MC out of 486 Med Dept for FY2008

Fam Med 10 Plastics 1Derm 6 Pathology 1Radiology 7 IM 2OB/GYN 4 GMO 1Peds 3 ENT 1Ortho 4 Urology 1

Charleston 3Bethesda 2Annapolis 1Pax River 1Fallon 1Bridgeport 1Oak Harbor 1

Family Medicine Cuts(proposed)

Observations so far

• Modest push-back from Specialty Leaders• Gapped billets were targeted• Regions and Detailers had distributed

gaps as per SL input• Await FY2009 distributions…

Final MRR Cuts

?