33
FROM: American Association of Physician Assistants (AAPA) Recently, the Association of Physician Assistants posted information regarding its commitment to the President Obama’s Joining Forces Campaign. The AAPA is committed to supporting service members, veteran’s and family members and has posted information on this initiative on its Veteran’s page of its website at http:// www.aapa.org/veterans/. On this site, LTC John Balser is featured in a video about military health care and military PAs. The opening editorial from this site is found below. AAPA is a partner in the Joining Forces Campaign. We are dedicated to being a part of this important mission to support U.S. service members, military veterans, their families and families of the fallen. The physician assistant profession has roots in the military, and many physician assistants serve with those warriors on the front lines. However, caring for the military community is a priority for all physician assistants as service members return home to fight new battles such as post-traumatic stress and traumatic brain injuries, and as other military families deal with the loss of a fallen warrior. AAPA is committed to providing physician assistants with the tools needed to identify the challenges faced by the military community and the resources to sup- port military families for decades to come as they heal from the many invisible wounds of war. Also joining this initiative are the AAPA Veteran’s Caucus and Physician Assistant Education Association (PAEA). AAPA Calls for PAs to Support Military AAPA News 1 NCCPA News 2 Why Associations 4 Grimes PA Training Center 6 Promotion News 8 LTHET Results 9 Menendez wins TSG-PA Award 10 Bell Wins Reserve PA Award 12 Strain Flight Surgeon of Year 13 Iron Majors Invade D.C 14 Promotion Quagmire 16 Army’s Lowest O5 Promo Rate 20 PAs take on new duties 21 PA STRATCOM 23 Portrait Dedication 24 A Great Day to be a Soldier 27 Ft. Bragg IPAP 28 Guess Who? 29 Service News 30 Editor Farewell 31 Senior Discount! 32 SAPA JOURNAL The Society of Army Physician Assistants A Civilian Organization Representing Army PAs JUL/2012 Vol. 26, NO. 9A POINTS OF INTEREST: AAPA Supports Troops NCCPA News PAs take new positions Promotion Numbers PA Awards PO Box 4068 Waynesville, MO. 65583 Phone 573-528-2307 FAX 888-711-8543

SAPA JOURNAL · 2017-05-04 · SAPA JOURNAL. The Society of Army Physician Assistants . A Civilian Organization Representing Army PAs . Vol. 26, NO. 9A . J U L / 2 0 1 2 . POINTS

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Page 1: SAPA JOURNAL · 2017-05-04 · SAPA JOURNAL. The Society of Army Physician Assistants . A Civilian Organization Representing Army PAs . Vol. 26, NO. 9A . J U L / 2 0 1 2 . POINTS

FROM: American Association of Physician Assistants (AAPA)

Recently, the Association of Physician Assistants posted information regarding its

commitment to the President Obama’s Joining Forces Campaign. The AAPA is

committed to supporting service members, veteran’s and family members and has

posted information on this initiative on its Veteran’s page of its website at http://

www.aapa.org/veterans/. On this site, LTC John Balser is featured in a video

about military health care and military PAs. The opening editorial from this site

is found below.

AAPA is a partner in the Joining Forces Campaign. We are dedicated to being a

part of this important mission to support U.S. service members, military veterans,

their families and families of the fallen. The physician assistant profession has

roots in the military, and many physician assistants serve with those warriors on

the front lines. However, caring for the military community is a priority for all

physician assistants as service members return home to fight new battles such as

post-traumatic stress and traumatic brain injuries, and as other military families

deal with the loss of a fallen warrior.

AAPA is committed to providing physician assistants with the tools needed to

identify the challenges faced by the military community and the resources to sup-

port military families for decades to come as they heal from the many invisible

wounds of war.

Also joining this initiative are the AAPA Veteran’s Caucus and Physician Assistant

Education Association (PAEA).

AAPA Calls for PAs to Support Military

AAPA News 1

NCCPA News 2

Why Associations 4

Grimes PA

Training Center

6

Promotion News 8

LTHET Results 9

Menendez wins

TSG-PA Award

10

Bell Wins Reserve

PA Award

12

Strain Flight

Surgeon of Year

13

Iron Majors

Invade D.C

14

Promotion

Quagmire

16

Army’s Lowest

O5 Promo Rate

20

PAs take on new

duties

21

PA STRATCOM 23

Portrait

Dedication

24

A Great Day to be

a Soldier

27

Ft. Bragg IPAP 28

Guess Who? 29

Service News 30

Editor Farewell 31

Senior Discount! 32

SAPA JOURNAL The Society of Army Physician Assistants

A Civilian Organization Representing Army PAs

J U L / 2 0 1 2 Vol. 26, NO. 9A P O I N T S O F

I N T E R E S T :

AAPA Supports Troops

NCCPA News

PAs take new positions

Promotion Numbers

PA Awards

PO Box 4068

Waynesville, MO. 65583

Phone

573-528-2307 FAX 888-711-8543

Page 2: SAPA JOURNAL · 2017-05-04 · SAPA JOURNAL. The Society of Army Physician Assistants . A Civilian Organization Representing Army PAs . Vol. 26, NO. 9A . J U L / 2 0 1 2 . POINTS

P A G E 2

“In December,

232 certified PAs

became the first

to earn

Certificates of

Added

Qualifications...”

NCCPA Awards First Certificates for Added Qualifications

In December 2011, the NCCPA awarded the first specialty certificates to PAs in five sub-

specialties. To apply, there is no requirement to have completed a specialty residency. In

addition, the testing is currently voluntary and there is no data to suggest that passing this

examination will lead to higher wages, better reimbursement or improved marketability.

However, as the PA profession continues to evolve educational requirements increase as

seen with most programs becoming Master’s level and the Army having two specialty pro-

grams (Emergency Medicine and Orthopedic Surgery) that award doctorate level degrees.

Thus, this change is an expected expansion in credentialing requirements. However, cur-

rently it appears that there is modest benefit to providers with the exception of bragging

rights. However, currently the major benefactor is the NCCPA which stands to benefit

through charging PAs to take both a primary care and specialty examination. It is probable,

that in the future PAs will be required to take both a primary care and specialty examina-

tion to practice in any field other than primary care. The article below comes from the

NCCPA via a news blast.

In December, 232 certified PAs became the first to earn Certificates of Added Qualifica-

tions (CAQs) by meeting licensure, education, and experience requirements and passing a

specialty exam. Certificates of Added Qualifications (CAQs) were awarded cardiovascular

and thoracic surgery (16) emergency medicine (142), nephrology (4), orthopedic surgery

(32), and psychiatry (40), specialties selected after discussions with PA and physician special-

ty organizations and consideration of needs and trends in health care. Across these five

specialty areas, 94 percent of examinees earned the CAQ.

Requirements for sitting for the CAQ examinations is listed below.

To qualify for a specialty CAQ, PAs must first satisfy two basic pre-requisites: (1) current

PA-C certification and (2) possession of a valid, unrestricted license to practice as a PA in at

least one jurisdiction in the United States or its territories, or unrestricted privileges to

practice as a PA for a government agency. (Note: If a PA holds licenses in multiple states, all

of the licenses must be unrestricted.)

For PAs meeting those basic prerequisites, the CAQ process includes four core require-

ments: (1) Category I specialty CME, (2) one to two years of experience, (3) procedures

and patient case experience appropriate for the specialty, and (4) a specialty exam.

S A P A J O U R N A L

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P A G E 3

“The two-hour

CAQ exams

include 120

multiple-choice

questions

administered in

two blocks of 60

questions with 60

minutes to

complete each

block.”

Added Qualifications Continued

The first three core requirements may be completed in any order. Once those are

complete, PAs are eligible for the exam.

The cost of this program is just $350, including a $100 administrative fee and a $250

exam registration fee.

The two-hour CAQ exams include 120 multiple-choice questions administered in

two blocks of 60 questions with 60 minutes to complete each block. There is no

allotted break time. You will have 15 minutes to complete the CAQ tutorial. The

exam date for all Specialty CAQ exams is Sept. 10, 2012. Keep in mind that PAs

who submit a completed application by June 29, 2012, and schedule their exam with

Pearson VUE by July 9, 2012, will be guaranteed exam administration availability on

September 10. However, NCCPA does not guarantee availability at the PAs choice

of testing centers.

The final deadline for submitting the exam application is September 7, 2012. Howev-

er, NCCPA cannot guarantee availability of testing centers for physician assistants

who attempt to schedule CAQ exams after July 9, 2012.

Once awarded, a CAQ will be valid for a period of six years (provided that licen-

sure status and PA-C certification are maintained).

S A P A J O U R N A L

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“We need associa-

tions to stand up for

our right to practice

medicine in a team

environment. Our

history is full of ex-

amples of associa-

tions that have suc-

cessfully broken

down barriers to PA

practice.”

P A G E 4

Associations: If we don’t stand together,

we might just fall apart

The following article appeared in the Journal of the American Association of Physician

Assistants (JAAPA) on 13 June 2012 and can be found at http://www.jaapa.com/

associations-1.

By David Bunnell, MSHS, PA-C

I have recently returned from the AAPA Conference in Toronto. My suitcase is unpacked, but I am

keeping it close at hand because I will be going to the Association of Physician Assistants in Cardio-

vascular Surgery (APACVS) Critical Care Conference and Skills Lab at the end of June in. Long Island,

NY. All of this begs the question of why I am spending perfectly good summer vacation time in hotel

ballrooms. The answer is simple. Associations are a way that we can professionally stand together

for the best interests of our profession. They are also a way to gain invaluable professional experi-

ence.

The most visible part of PA associations is the incredible effort that is put forth in continuing medical

education. PAs have had to prove our knowledge and abilities ever since our inception. This desire

to constantly gain and refine the tools that we need is what has earned our profession a place in pri-

mary care and every specialty that one could imagine. It is also this aspiration to be excellent clini-

cians that will propel us into the future as we continue to provide quality and safe patient care.

We need associations to stand up for our right to practice medicine in a team environment. Our

history is full of examples of associations that have successfully broken down barriers to PA practice.

There are corners of current practice and geographic locations where those barriers still exist.

There is nobody else out there to fight our battles. It is invaluable to have the support of our physi-

cian colleagues, but their organizations do not primarily exist to defend our profession. We need to

stand together so that we can continue to grow and progress.

I believe that our ability to network with each other is an underappreciated benefit of associations.

At first glance, it is a way to enable future professional opportunities, but I believe that these net-

working connections have deeper meaning than finding jobs. By joining associations, I have been able

to learn what is happening to PAs across the country in comparison to my own experience. I have

learned where it is good to practice and in some places, where we have more work to do. I have

met several mentors who have been generous with their time to help me understand our profession.

Meeting people that are willing to help you work through professional questions and difficulties is

invaluable. I am not sure how people get along without a little help from their friends.

S A P A J O U R N A L

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“Perhaps you are

simply too busy to

volunteer for our PA

associations. Every-

one's day-to-day life

gets more compli-

cated and busy while

time passes by at an

alarming rate. My

advice is to join the

AAPA, join your

specialty organiza-

tion, and join your

state organization..”

P A G E 5

Associations: If we don’t stand together,

we might just fall apart

The stealth benefit that more people are starting to recognize is the amazing training

ground in our associations for organizational leadership. Our associations run on volun-

teer leadership to protect our ability to practice. Few people are born with the innate

knowledge and skills to develop a team to work towards a goal. This is something that is

learned over time. I know that there are many graduate degrees available that are de-

signed to teach these things, but I suspect that a grade on a paper will never be as satis-

fying or as educational as actually achieving a goal. A person could learn to change the

world with this skill set.

Perhaps you are simply too busy to volunteer for our PA associations. Everyone's day-to

-day life gets more complicated and busy while time passes by at an alarming rate. My

advice is to join the AAPA, join your specialty organization, and join your state organi-

zation. By doing so, you align yourself with individuals who hold your professional inter-

ests as their reason for being. Membership keeps you informed about the PA communi-

ty as a whole. Being a member gives you the right to contact your association when you

have a professional concern.

S A P A J O U R N A L

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P A G E 6

CPT Sean P. Grimes PA Training Center

The following information has been provided by COL (retired) Don Black, former Di-

rector Blanchfield Army Community Hospital, Phase II Interservice Physician Assistant

Program (IPAP) Director.

On 4 March 2005, the AMEDD family was notified that Captain Sean P. Grimes, PA-C had been

killed in action by an improvised explosive device (IED) while on patrol in Iraq. Captain Grimes was

the first physician assistant ever to be killed during combat operations. He was assigned to Blanch-

field Army Community Hospital, Fort Campbell, KY for his Phase II physician assistant training. It

was an honor to have had the opportunity to know and mentor Captain Grimes during his training at

Fort Campbell. He was known for his great sense of humor and dedication to his patients, friends

and family. To establish his legacy of service to America's best, his parents Donald and Mary Grimes,

his brother Don Grimes and his sister Mary T. Grimes decided to honor his memory here and

across the AMEDD. In order to assist future physician assistant students to have a dedicated place

to train and study here at Blanchfield Army Community Hospital, the family decided to establish and

fund a portion of the Captain Sean P. Grimes, PA-C, Physician Assistant Training Center.

Through the leadership and support of two consecutive Hospital Commanders, then Colonel Rich-

ard W. Thomas and Colonel John P. Cook, following the approval of the OTSG, Lieutenant General

Eric B. Schoomaker; the SRMC Commander, Brigadier General Joseph Caravalho, Jr. and the

AMEDD Memorialization committee, the training center opened its doors on 06 May 2011. On

opening day at 0930, Colonel John P. Cook, Hospital Commander & Director of Health Services

presented the first lecture in the training center on officer leadership to all PA students on site. One

week later on 13 May 2011 at 1300, the Grimes family with the AMEDD family, hospital commander

and post commander assembled to memorialize the Captain Sean P. Grimes, PA-C, Physician Assis-

tant Training Center.

The theme of the ceremony was "Freedom Is Not Free". Ronald Reagan said, "Freedom is never

more than one generation away from extinction. We didn't pass it to our children in the blood-

stream. It must be fought for, protected and handed on for them to do the same. Freedom prospers

when religion is vibrant and the rule of law under God is acknowledged.”

S A P A J O U R N A L

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P A G E 7

CPT Sean P. Grimes PA Training Center

The sequence of events for opening ceremony of the CPT Sean P. Grimes, PA-C,

Physician Assistant Training Center follows.

National Anthem

Invocation : Major Ladislao Hernandez

Welcome & Recognition of Guests: Colonel John P. Cook

Memorialization Address: Colonel John P. Cook

Freedom Is Not Free: Lieutenant Colonel (Ret) Donald A. Black ( Poem-"Freedom Is

Not Free" by Major Kelly Strong)

Reflections: Captain Chris Montoya (Served with Captain Grimes)

Grimes Family Remarks: Mr. Donald Grimes (Brother of Captain Grimes)

Phase II Medical Director Remarks: Major David Mendoza

Presentations: Lieutenant Colonel (Ret) Donald A. Black

To: BG Richard W. Thomas (unable to attend)

Colonel Mark McGrail (DCCS)

The Grimes Family

Colonel John P. Cook

Closing Remarks and Benediction: Major (Ret) Stephen W. Ward

Following the ceremony, guests attended a reception and tour of the newly opened

Captain Sean P. Grimes, PA-C, Physician Assistant Training Center immediately follow-

ing the ceremony.

S A P A J O U R N A L

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P A G E 8

Results of LTC Selection Boards

Congratulations to the following PAs who have been selected to LTC. Although the

promotion rate of approximately 45% is not ideal this is the highest number (10) of PAs

ever promoted to LTC in from one selection board. See opinion article written by MAJ

Pat O'Neil.

MAJ (P) Bruce J. Beecher (65D)

MAJ (P) Michael E. Franco (65D)

MAJ (P) David L. Hamilton (65D)

MAJ (P) Robert S. Heath (65D)

MAJ (P) Sean M. Hermick (65D)

MAJ (P) Karl Kisch (65D)

MAJ (P) Jeffrey E. Oliver (65D)

MAJ (P) Craig V. Paige (65D)

MAJ (P) Leslie Randolph-Moss (65D)

MAJ (P) Kathleen M. Schultz (65D)

During the Army Medical Specialist Corps 65 anniversary, COL Teresa Schneider (Corps Chief)

awarded MAJ Kathy Schultz (Corps XO) the Order of Military Medical Merit (O2M3) and an en-

graved Corps Coin of Excellence for her 23 years of service. Kathy, congratulations on your retire-

ment and good luck in the future.

S A P A J O U R N A L

Photo courtesy of SP Corps Connection

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P A G E 9

Long Term Health Education and Training Program (LTHET)

Congratulations to the following PAs who have been selected for Long Term

Health Education and Training for FY 2013. The Long Term Health Education

and Training (LTHET) program is designed to provide additional education for

active duty officers to meet the needs of the Army Medical Department.

CPT Phillip Adams, DSc, Emergency Medicine

MAJ Brian Burk, PhD, Education/Epidemiology

CPT Nathan Cornwall, DSc, Emergency Medicine

CPT Joseph Costello, DSc, Emergency Medicine

CPT John Davinson, RES, General Surgery (Intensivist)

CPT Robert Dichiera, DSc, Clinical Orthopaedics

CPT Scott Fisher, DSc, Emergency Medicine

CPT Gregory Hershey, DSc, Emergency Medicine

CPT Jason Hrdina, DSc, Emergency Medicine

CPT Greg Lincoln, DSc, Clinical Orthopaedics

CPT Karyn Manges, DSc, Emergency Medicine

CPT Ryan Rodriguez, DSc, Clinical Orthopaedics

CPT Suzanne Sica, DSc, Clinical Orthopaedics

CPT Brian Simons, DSc, Clinical Orthopaedics

MAJ Michael Smith, RES, General Surgery (Intensivist)

CPT Raul Villalobos, DSc, Clinical Orthopaedics

CPT Valerie Watkins, MHA, Army Baylor Health Administration

SAPA wishes these officers good luck with their education and future Army endeavors.

S A P A J O U R N A L

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P A G E 1 0

“In Combat,

where his skills

are the most

critical, CPT

Menendez excels

as not only a

medical

professional, but

also as a combat

leader.”

Menendez Awarded TSG-PA Recognition Award

CPT Manny Menendez has been named The Surgeon General PA of the Year award winner

for 2012. Manny is assigned to the 3rd Ranger Battalion after moving from the Headquar-

ters Company, 75th Ranger Regiment. I had the pleasure of hiring Manny while serving as

the 75th Ranger Regiment’s Senior PA. Prior to winning this prestigious award, he was

named the Distinguished Officer Graduate of Ranger School. Below is the citation for his

nomination written by his battalion commander, LTC Marcus Evans.

CPT Menendez has set the standard ever since his arrival to the 75th Ranger Regiment, and

his actions during 2011, specifically have set him apart as the most outstanding physician

assistant of the year. His leadership, clinical acumen, knowledge and experience have made

him an indispensable asset to the unit whether he is delivering life-saving, point-of-injury

care on the battlefield or designing, developing and reviewing protocols and guidelines that

can impact medical personnel throughout the Army. He is the best physician assistant I

have worked with in 17 years of service and clearly deserving of the Physician Assistant

Recognition Award.

In Combat, where his skills are the most critical, CPT Menendez excels as not only a medi-

cal professional, but also as a combat leader. His clear intent, extreme professionalism, and

calm demeanor make him a true combat multiplier on every operation. In the past year, he

deployed twice, each time serving as the Task Force Surgeon for a different geographically-

oriented joint special operations task force. With over 500 members. He has provided ex-

pert medical support to over 200 missions against time-sensitive targets of national signifi-

cance, and has tactically moved through multiple high-value objective areas carrying over

seventy pounds of mission essential equipment across inhospitable terrain above 6000 feet

of elevation. CPT Menendez’s versatile and flexible medical skills were indispensable as he

provided critical life-saving interventions while under direct fire to combat casualties on

high risk special operations direct action raids. He continued that same unparalleled care as

he helped evacuate those casualties on numerous special operation evacuation platforms to

include rotary and tilt wing assets. CPT Menendez has provided superb medical evaluation

and treatment in courageous and selfless actions were recognized with a Bronze Star and

Army Commendation Medal for his action on these objectives. In training, CPT Menendez’s

leadership and influence are equally as prominent. He has been a steady presence in the

continued development of the 75th Ranger Regiment’s Special Operations Combat Medics

(SOCMs) and other medical assets during his tenure.

COL Schneider, SP

Corps Chief and

LTC Balser, 65D

Chief present TSG-

PA Award to CPT

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P A G E 1 1

“He assisted in

the design of the

“Punisher,” a

new combat

fitness training

facility for the

3rd Ranger

Battalion.”

Menendez Awarded TSG-PA Recognition Award

He helped redesign 3rd Ranger Battalion’s Combat Trauma Management Course which

greatly improved Ranger Medic progression. The new format was adopted by the entire

Regiment and is now the standard followed by all four Ranger battalions. Recognizing the

battlefield importance of the Ranger First Responder (RFR) as well, CPT Menendez devel-

oped the Advanced Ranger First Responder Course. This course, designed to provide en-

hanced trauma management skills to the non-medical Rangers of the battalion, greatly im-

proved trauma and extrication capabilities across the force. CPT Menendez has also en-

deavored to improve medical protocols in the battalion and the Army as a whole. At the

unit level, he prepared a revised sedation and pain management protocol with ketamine,

midazolam, and morphine. His protocol improves the pain management capabilities and

effectiveness of the combat medics in trauma scenarios and was subsequently adopted as a

75th Ranger Regiment standard. He has been an integral contributor for the upcoming re-

vised Ranger Medic Handbook , helping to develop and review treatment, trauma and medi-

cation protocols that will be used as guidelines for medics throughout the Army. He is also

a contributor for the development activities of the upcoming Physician Assistant Handbook

aimed at the entire physician assistant branch.

Additionally, CPT Menendez has been intimately involved with continuing to improve and

better evaluate the already high level of physical fitness throughout 3rd Ranger Battalion.

He has helped design a scoring system and scoring tracker for the Ranger Physical Assess-

ment Test, helping commanders quantify the outcomes of physical training. He assisted in

the design of the “Punisher,” a new combat fitness training facility for the 3rd Ranger Battal-

ion. Yet, not only does he work to improve the fitness of the battalion, he also set the

standard. During his evaluation for the last 75th Ranger Regiment Fitness Challenge, he

placed 5th in the battalion earning a coveted spot on the 3rd Ranger Battalion– Ranger Ath-

lete Warrior (RAW) Team. Through it all, he still was able to devote over 100 hrs to con-

tinued medical education and self development. CPT Menendez is the epitome of the phy-

sician assistant and a warrior leader. He sets the example but also works diligently to en-

sure his subordinates exceed every standard. He constantly strives to improve himself , the

unit and the Army. There is no doubt in my mind that he is the top physician assistant in

the Army today and deserves the coveted Physician Assistant Recognition Award.

SAPA extends congratulations to CPT Menendez. Job well done!

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“CPT Bell’s thorough

and meticulous

knowledge of medical

injuries, use of medical

regulations and E-

Profile Data Systems

ensures Soldiers are

able to engage in

physical activities after

recovery from

injuries.”

P A G E 1 2

Bell Named Reserve PA of the Year

The Army Medical Specialist Corps recently released the results of the 2012 Award of

Excellence. The winner of the 65D (PA) Reserve category is CPT Michael Bell. Below

is the citation.

Narrative Summary

It is my honor to nominate CPT Michael Patrick Bell for the Chief, Army Medical Specialist Corps

Award of Excellence (65D). CPT Bell has been invaluable instrumental in the success of Alpha and

Bravo Companies, 396th Combat Support Hospital during the period of 1 January 2011 through 31

December 2011. CPT Bell assumed the roles of Company Training Officer to enhance both the

readiness and the overall efficiency of the hospital. Alpha Company relocated facilities from a re-

serve center nestled in a civilian community to an Air Force Base capable of providing much needed

training space to employ a forty bed slice of the Combat Support Hospital (CSH). CPT Bell assisted

in the original design and erection of the hospital based upon both training requirements and space

limitations. The end result was a hospital capable of administering leading edge healthcare to pa-

tients from a secure Air Force runway flight line and non-secure, more traditional approach via

ground ambulance. CPT Bell donated personal time to plan and implement two field training type

exercises based upon his extensive experience and training from previous deployments to Bosnia

and Iraq to train both medical and non-medical Soldiers assigned to the hospital. During the exer-

cise, CPT Bell tirelessly devoted his talents to commence medical training beginning with the least

prepared as well as the more seasoned Soldiers. His training scenarios encompassed basic life saving

skills to complex surgical procedures ensuring all Soldiers participated as a team and not as individu-

als. This training enhances Soldier preparedness for future deployments. CPT Bell sets and main-

tains the highest standards for bot officers and enlisted Soldiers to emulate. CPT Bell’s thorough and

meticulous knowledge of medical injuries, use of medical regulations and E-Profile Data Systems en-

sures Soldiers are able to engage in physical activities after recovery from injuries. Additionally, CPT

Bell employs his military knowledge and expertise as a Physician’s Assistant in civilian life in a small

farming community.

In closing, CPT Michael Bell is deserving of this recognition because of his extraordinary devotion to

training and maintaining superior Soldiers with exceptional MOS and Soldier skills. This ensures Sol-

diers are prepared for future deployments as both a strategic and operational force of the Army

Reserve. CPT Bell is an invaluable asset to the 396th Combat Support Hospital and a credit of the

Specialty Corps as a Physician Assistant.

SAPA extends congratulations to CPT Michael Patrick Bell. Job well done.!

Both PA Award articles courtesy of Army Medical Specialist Corps Office

S A P A J O U R N A L

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“I am particularly

proud to receive this

award as it represents

the support I received

from my chain of com-

mand and medical

team subordinates

while deployed. It is

especially satisfying to

receive it here at

NGAGA before my

wife and fellow Geor-

gia Guardsmen,” said

Strain.

P A G E 1 3

Strain is Army Flight Surgeon of the Year

The following article comes from the Cartersville Patch, 29 June 2012 and was written

by MAJ William Cox

JEKYLL ISLAND—John W. Strain, a Cartersville resident and Georgia Army National Guard major,

received the Society of U.S. Army Flight Surgeon's 2011 Theodore Lyster Flight Surgeon of the Year

Award in front of his family and co-workers at Jekyll Island. He was recognized for his achievements

as the Task Force 1-171 General Support Aviation Battalion’s Aero Medical Physician Assistant while

deployed to Operation new Dawn at Contingency Operating Station Taji, Iraq 2010-2011.

“Major Strain was the primary reason, from a medical standpoint, that the unit did as well as it did

serving a very demanding mission. He is selfless, confident, full of integrity and has a servant heart. It

was an honor to serve with him,” said Lt. Col. Richard Scheuring, TF 1-171 GSAB Flight Surgeon

(SEP-OCT). “John never slept, at least that I was ever aware of. He flew approximately 250 hours

during his 9 months in theater and performed over 447 flight physicals, 20 Aero Medical summaries,

and did numerous air evacuation missions from COS Taji.” The SUAAFS Theodore Lyster Flight

Surgeon of the Year Award is presented annually to one Flight Surgeon or Aero Medical Physician

Assistant in the Active or Reserve Component who has made the most significant contribution to

Army Aviation Medicine during the year as observed by his or her fellow Flight Surgeons, Aviators,

or Chain of Command. Strain continues to provide world class support to all aviators and crew-

members if the Georgia Army National Guard. He serves fulltime through Joint Forces Headquarters

as the Medical Systems Proficiency Officer. “I am particularly proud to receive this award as it rep-

resents the support I received from my chain of command and medical team subordinates while de-

ployed. It is especially satisfying to receive it here at NGAGA before my wife and fellow Georgia

Guardsmen,” said Strain.

The 1-171st GSAB’s 333 pilots and aircrew members flew over 25,000 hours performing Aero Medi-

cal Evacuation missions, Soldier and cargo transport missions, and Command Aviation Transport

throughout Iraq. “None of this would have been possible if not for Maj. John Strain and his team’s

efforts to ensure the air crew members were healthy and legal to fly,” said Lt. Col. Dwayne Wilson,

Commander of 1-171st GSAB. “This year was much bigger for me than just the deployment. My

twins were born 15 weeks early and just days prior to my deployment. I would not have had a suc-

cessful deployment without the peace of mind that my family had support from Georgia Guardsmen

like Col. Tom Carden, Col. Harve Romine and other co-workers back home,” said Strain. “Fellow

Guardsmen would stop what they were doing to go and pray with my family or provide support. So

this deployment was a Georgia Guard success story due to the support I felt both here in Georgia

and deployed in Iraq. So this award is theirs as much as it is mine.”

Congrats John on receiving this prestigious award!

S A P A J O U R N A L

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“The conference

theme was,

“Connecting Future

Leaders to 2020,”

focusing on

presentations and

dialogue which

addressed future

challenges and issues

for 2020.”

P A G E 1 4

Iron Majors Invade Washington D.C.

From 26-30 March, the Army Medical Specialist Corps held the third annual Iron Majors

Week at the Bolger Conference Center in Potomac, MD. The conference theme was,

“Connecting Future Leaders to 2020,” focusing on presentations and dialogue which

addressed future challenges and issues for 2020. Army PAs selected as Iron Majors and

attending the conference included MAJ Stephen Delellis, MAJ Bill Soliz, MAJ Amy Jack-

son, and MAJ Dawn Orta. Below is a short synopsis of the week’s activities.

Monday- Opening remarks were delivered by the current Corps Chief, COL Theresa

Schneider. In addition, telephonic conversations occurred with the Assistant Corps

Chiefs. This event was followed by a tour of Capitol Hill with a briefing by congressional

staffers. The evening concluded with a dinner at COL Ellison’s home. This event was

attended by several retired SP Corps members to include COL (R) Lou Smith.

Tuesday- The day began with a brief by COL Kevin Galloway, Pain Management Task

Force, and R2D, which focused on a discussion on pain management. This was followed

by a leader panel made up of active, reserve, and retired members of the Corps. The

purpose was to provide an educational dialogue between the Iron Majors and past and

present senior Corps leaders. Following this panel, MAJ Cisneroz (Corps XO) and CPT

Kocher ( ) transported the Iron Majors to the Pentagon for a discussion with COL Lor-

rie Breen (65C), Chief of Staff for Health Affairs and COL David Sproat (61H), Senior

Staff Officer, ASA M&RA. These senior officers presented an overview of their posi-

tions while highlighting challenges, strategic issues, and skill sets required and acquired

for their positions. The evening ended with the Iron Majors Awards Dinner. The

guest speaker was Dr. Jonathan Woodson, Assistant Secretary of Defense, Health Af-

fairs, who delivered a thought-provoking and stimulating presentation on the Military

Health System of 2020. He focused on three approaches to training for the future of

peace operations and warfare to include unit level, organizational level, and federal

level.

S A P A J O U R N A L

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“The Iron Majors

visited the White

House and was hosted

by White House PA

MAJ James Jones.

While visiting the

White House, the

Majors were surprised

by a visit from the

Obama family dog

Bo.”

P A G E 1 5

Iron Majors Invade Washington D.C.

Wednesday- The Iron Majors visited the White House and was hosted by White House

PA MAJ James Jones. While visiting the White House, the Majors were surprised by a

visit from the Obama family dog Bo. Next, they met COL John Kent (65C), Special

Military Assistant to the Secretary of the Department of Veterans Affairs. COL Kent

provided an overview of the VA as well as provided insight into his duties.

Thursday/Friday- The Iron Majors received several presentations from the staff of the

Rehabilitation and Reintegration Division, HP&S, OTSG. This included an overview of

the Soldier Medical Readiness Campaign and R2D initiatives, review of TBI, and COL

Ellison provided a new block of instruction on the “Art of Influence,” This block re-

quired reading the book Anatomy of Peace by the Arbinger Institute and is a recom-

mended reading by LTG Horoho, Army Surgeon General. This was followed by a dis-

cussion on behaviors, beliefs and the art of influencing others.

The final presentation of the week was presented by Ms. Kathy Moekler from the Na-

tional Military Family Association discussing the purpose of the organization.

The overall response from attendees was very positive. If you are a leader within the

SP Corps ensure you nominate worthy candidates for selection and recognition during

next year’s Iron Major Awards.

Photos and information courtesy of Army Medical Specialist Corps Connection Newsletter

S A P A J O U R N A L

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P A G E 1 6

“It is the

elephant in the

room that

nobody wants to

talk about, but

everybody knows

is there. So let's

take a look at

it.”

Army PA Promotions, What’s Happening?

S A P A J O U R N A L

By Major Pat O’Neil, Deputy Director, Center for Predeployment Medicine (CPDM)

With the recent release of the LTC promotion list, and the previous release of the FY 11

MAJ promotion list, many PA's I meet have the same questions: What has happened to the

promotions and what is our future going to be? For many officers that are mid-careerists,

with families, this seems to be a very uncertain time. This lack of certainty naturally leads to

some apprehension and anxiety. This article will attempt to look at how we arrived at this

point, and what the current statistics are within our career field.

Bottom Line Up Front: In my opinion, this is the single most important issue facing our ca-

reer field today. It is the 25-meter target that is staring us in the face and is getting closer

each year, and it is not going away. It is the elephant in the room that nobody wants to talk

about, but everybody knows is there. So let's take a look at it.

Fifteen years ago, the PA career field looked very different. Most PA's were former enlisted

members with multiple years of service. It was not uncommon to see a few E-8s and nu-

merous E-7s being accepted into the IPAP. Upon graduation, the vast majority of these

PA's served out their commitments and stayed in just long enough to retire, usually at the

rank of CPT. Promotions were slower for this group, since they graduated as a 2LT and it

took over four years to make CPT. During that period, the PA field did not have a large

number of Field Grade Officer positions because they simply were not necessary. To be

quite frank, we rarely filled the small number of FG ranks that we did have allotted.

Today, the PA field is very different from those earlier days. The average PA is younger,

with less Time-In-Service upon graduation from the IPAP. They are promoted more quick-

ly, usually to 1LT soon after graduation. We have PA's students coming straight from

ROTC, with literally no TIS upon arrival to the IPAP. We have officers from other AOC's

coming into the IPAP, usually at the rank of CPT, and sometimes even MAJ. These two

groups are looking at 20+ year careers and expect to reach the ranks of LTC or COL if

they do an entire career. In short, the days of having FG ranks going unfilled are over.

We also noticed that PA's are not leaving the Army at the normal attrition rate that we

previously experienced. This can be attributed to two things: 1) We are an Army at war

and many stayed for patriotic reasons. 2) The Critical Skills Retention Bonus, and subse-

quent Special Pay, enticed many PA's to stay in longer than they normally would have.

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P A G E 1 7

“Our promotion

rates are lower

than the

DOPMA

standard, and we

have not even

started the

drawdown yet.”

Promotion Quagmire

S A P A J O U R N A L

Another factor affecting this situation is that during this conflict, we grew our numbers. As

the Army increased the numbers of BCTs to fight the war, the 65D's also increased propor-

tionally. We are more numerous than we have ever been, at a time when the Army is

looking at down-sizing in the coming years.

So where do we stand as a career field? What is our current situation?

1. We are authorized 805 PA's, with 1,029 on-hand; which puts us at 127% strength.

2. We are 108% strength at CPT; 168% at MAJ; and 120% at LTC. (Current with the latest

promotion list subtractions from MAJ and additions to LTC)

3. FY 11 selection rate for MAJ was 60% in the Primary Zone (Defense Officer Personnel

Management Act rate is targeted at 80%)

4. FY 12 selection rate for LTC was 45% in the Primary Zone (DOPMA rate is 70%)

5. We lose approximately 50-60 personnel annually due to normal attrition.

6. We can expect to lose 50 positions during the pending post-war drawdown.

*NOTE: This information was supplied by HRC and is changing on a constant basis, so

numbers fluctuate slightly every month.

In short, we find our career field over strength in total numbers, and specifically in the Field

Grade ranks. Our promotion rates are lower than the DOPMA standard, and we have not

even started the drawdown yet. For the first time ever, we find ourselves over strength at

the rank of LTC. In the next few years, we will fill our authorized COL ranks to their full

capacity of three personnel. Obtaining additional FG authorizations is not an easy task at

all. To gain an additional FORSCOM Field Grade authorization, another AOC has to give

up one of their precious ranks. During a drawdown, not too many AOCs are willing to give

up Field Grade ranks. There has been some success in obtaining some 65X and O5A posi-

tions, but it has amounted to less than 10 positions at the Field Grade ranks.

The current perception in the field is that promotions will only be getting more difficult to

obtain. With looming large numbers of PA's still remaining in their respective year groups,

this perception may be true. Promotions will become more competitive, requiring the indi-

vidual PA to take an even greater responsibility of their career path and future promotion

possibilities.

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P A G E 1 8

“There is also a

perception that

to get promoted,

one must go the

command route

and not stay

clinical.”

Promotion Quagmire

S A P A J O U R N A L

Mid-careerists are starting to ask if there is a future in the Army as a PA. In previous years,

this question would have been answered with a resounding, "yes." Today, that question is

not easily answered. You have to look at the size of your year group, your assignments,

your OERs, ORB, and entire promotion picture. The days of being guaranteed promotion

and a career as a PA are over- 40% of CPTs were passed over for promotion on the last

MAJ promotion board. That is a pretty dramatic statistic when you consider the DOPMA

rate is 80% for promotion to MAJ.

There is also a perception that to get promoted, one must go the command route and not

stay clinical. My personal opinion is this should not be the message we send out. When

PA's were created, they were Warrant Officers. Their only mission in life was to take care

of Soldiers and their dependents. This is what the Army wanted PA's to do and why the

career field was created in the first place. I would hate to see the day when we tell our

PA's that if they want to get promoted, they must command or be left behind. Unfortu-

nately, this is the perception that currently exists. In my opinion, there should be a normal

career progression within FORSCOM for Battalion, Brigade, Division, and Corps PA's.

They should not have to leave the clinical side of the house to search out company com-

mands at CPT, FST at MAJ, and battalion command at LTC; yet, that is the current percep-

tion that exists within the force.

What are the possible solutions to fix the current situation?

1. If we cannot get a significant increase in FG authorizations, should we return to the

previous model of IPAP accessions? Should we bring in only small amounts of applicants

with limited TIS that might actually make it to the FG ranks? The majority of the applicants,

with 8-10 years of TIS, would leave at the rank of CPT and junior MAJ. This would help

shape the future, but it would have minimal impact in alleviating the near term problem.

2. Should we stop civilian accessions? We currently accept five per year.

3. Should we put requirements/limits capping the rank at which somebody can apply to the

IPAP? Should we accept Sr. CPTs or MAJs from other AOCs when we are already over

strength at those ranks?

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P A G E 1 9

“Should we offer

early CSRB/

Special Pay

contract

releases, without

penalty, to those

in the ranks of

MAJ? This is

where we are

most over

strength, so that

is the group that

should be

targeted.”

Promotion Quagmire

S A P A J O U R N A L

4. Should we offer early CSRB/Special Pay contract releases, without penalty, to those in

the ranks of MAJ? This is where we are most over strength, so that is the group that

should be targeted. This would ease the near term burden and open up more positions for

those CPTs coming into the zone of promotion.

5. Attempting to get higher FG rank structure from FORSCOM. Corps PA's should be

COL's, Div PA's should be LTCs, Brigade PA's should be MAJs, and Bn PA's should be

CPTs.

6. Early retirement targeted at MAJ and LTC to decrease the percent over strength and

open up future promotion opportunities for those coming into the zone.

Obviously, this problem is complex and serious. The remedies to rectify this problem will

not come easily and quickly; and many PA's will be faced with these issues. While the lead-

ership does what they can to rectify this problem, the best advice for the individual PA is to

prepare. You cannot afford to be an ostrich, burying your head in the sand and pretending

the problem does not exist. Ensure you have done everything possible to give yourself the

best possible opportunity to get promoted. Work with Human Resources Command to

shape your career assignments and make you more competitive for promotion. Ensure

your individual ORB, OERs, and promotion board file are accurate. After all, it is your ca-

reer and nobody will take care of it better than you will.

The editor agrees with the majority of this article. However, I may be biased as a commander. I

believe and promotion results have demonstrated that regardless of what the “Old Guard” may be-

lieve- the Army values successful command amongst all Army leaders. PAs have been very successful

without command, but as competition increases command will be one promotion discriminator. As

commissioned officers, PAs are not only paid to provide care but to be leaders. Other members of

the Army medical community to include doctors, nurses, allied health care professionals, and medical

planners all compete for highly sought after commands. It makes them more competitive for promo-

tion in an Army culture that values command. These positions are seldom within the clinics or aid

stations. To deny the provider and her followers of this opportunity to excel as a leader would be

detrimental to the Army. PAs are leading in multiple arenas and are impacting the Army at a level

that would be impossible without our personnel moving up the ladder into command. Although,

staff PAs at brigade, division, corps, and higher levels impact strategic planning and policy through

recommendations only leaders make operational/strategic decisions. These leaders are commanders.

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P A G E 2 0

“Should we offer

early CSRB/

Special Pay

contract

releases, without

penalty, to those

in the ranks of

MAJ? This is

where we are

most over

strength, so that

is the group that

should be

targeted.”

O-5 Selections Plummet to Lowest Rate in Decade

S A P A J O U R N A L

The following article was written by Jim Tice, staff writer for the Army Times.

The primary zone select rate for basic-branch promotions to lieutenant colonel has dipped

below 83 percent for the first time in more than a decade. The sharp decline in the Army

Competitive Category select rate produced by the fiscal 2012 lieutenant colonel board was

predicted by Army leaders, but nevertheless is a shocker given the average primary zone

rate of 94 percent for 2001 through 2011. A review of statistics produced by the ACC O-5

board that adjourned March 8 shows that 1,166 officers, or 82.8 percent of the 1,407 ma-

jors in the primary zone, were recommended for promotion. That compares to a PZ rate

of 93.1 percent in 2011, and the record setting rates of 97.7 percent in 2005 and 98 percent

in 2006 when the Army was undergoing a major force expansion. Army Chief of Staff Gen.

Raymond T. Odierno predicted the promotion slowdown early this year when he said se-

lection opportunity would decline as the Army sought to properly size and shape officer

cohorts for the coming drawdown. Selection opportunity is a term defined in the federal

law governing officer personnel management. The selection opportunity standard for lieu-

tenant colonel is 80 percent. Selection opportunity is calculated by dividing the number of

primary zone candidates by the total number of above zone, primary zone and below zone

officers recommended by a promotion board. During the years 2001 through 2011 O-5

selection opportunity 107.5 percent. Selection opportunity for the 2012 board was 94.8

percent, with 1,166 officer being picked up for promotion from the primary zone, 132 from

the below zone category and only 36 from the above-zone cohort. The primary zone for

the 2012 board included majors of the Maneuver, Fires and Effects, Operations Support and

Force sustainment functional categories with O-4 dates of rank of April 1, 2006 through

Sept. 30, 2006. Majors with DOR in fiscal 2007 competed from below the zone category.

Aug. 1 promotions to lieutenant colonel completed the fiscal 2011 ACC list. Promotions

off the new list cannot be scheduled until the roster is confirmed by the Senate.

The ACC had an 82.8% primary zone selection to LTC. This is the worse pro-

motion rate in a decade. Army PAs had a primary zone promotion rate to LTC

of 45%. We are the most deployed AMEDD officers and are at the tip of the

spear of military medical care. Yet, we have been rewarded with the likely the

worst promotion rate of all Army officers. What a great way to retain the

Army’s greatest medical force multiplier.

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P A G E 2 1

"I often like to

tell folks,

“consider

position before

location if you

have that

luxury.”

PAs take Non Traditional Positions

Courtesy, MAJ Amy Jackson, HRC

Army (AC/compo 1) Physician Assistants have entered uncharted territory: we’ve hit an all

time high in strength numbers and our year groups are healthy, in some cases too healthy.

Our promotion rates are not at all where we would like them to be, however we do con-

tinue to pick up roughly the same number of folks every board. With the downsizing of the

Army, we will take a hit in our objective force model, primarily because our authorized

seats will reduce somewhere in the neighborhood of 100 seats (from what can be projected

at this point in time). It is safe to assume that this too will further degrade our promotion

rates.

The question is, how do we maintain a competitive edge in a downsizing Army? There are

several solutions and/or goals you can set for yourself to advance your career. One that I

will discuss in this article is position. I often like to tell folks, “consider position before lo-

cation if you have that luxury”. Stand by for last notice opportunities by having an ORB/

recent quality DA Photo at the ready for hand off to a potential new boss. Great opportu-

nities can be snatched up at your current location if you have a solid reputation and meet

or exceed the criteria for a job.

What kind of positions am I talking about? First let me tell you about what some current

65D’s are doing or getting ready to do:

CSL Principle Select for M5A Medical Operations Battalion Command: LTC Tom Schu-

macher (FY13)

FST Commander: MAJ John Detro and MAJ Cleve Sylvester

DCO: LTC Richard Villarreal

Deputy DCCS, Germany: MAJ Karl Kisch

Rear D/BCT/WTU Surgeon’s (several)

Clinical OIC/DEPT Chief : LTC Kohji Kure, MAJ Michael Davidson, MAJ Erin Stibral, MAJ/P

Rob Heath, MAJ John Knight, MAJ Sean Foster, MAJ Roger Ball, MAJ Doug McKnight, CPT

Jody Dunkley

T&E OIC: MAJ Joe Dominguez

TC Command Surgeon: LTC Larry France, MAJ Brian Burk

IG: LTC Rich Ares, MAJ/P Leslie Randolph-Moss

Recruiting BN XO (MAJ Chris Georgiana)

S A P A J O U R N A L

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P A G E 2 2

"There are no

absolutes in this

business; there is

no certain path

to success. The

best

recommendation

I can provide

from an HR

point of view is

to be part of the

solution, never

the problem.”

PAs take Non Traditional Positions

Recruiters: CPT Valerie Watkins, CPT Tina Koile

ADC to TSG: MAJ Scott Baumgartner

CPET: LTC Pam Roof

Company Commands: CPT Andrew McPhie, CPT David Molina, CPT Steven Hurtle, CPT/P

Rory Saliger, CPT John Donoughe, CPT Chris Ruggiero

FORSCOM (65X): MAJ Leonard Mason

HRC can only let a certain number of folks step outside the 65D authorizations to do non-

AOC business. Our FORSCOM mission takes first priority and all those foxholes must be

filled 100% at all times. These people actively pursued these jobs and were successful in

their nomination and selection. I realize some of these jobs are non-clinical and that may

not be appealing to some. If you take two officers and stack them up against each other:

each is a superstar in his own right (his OERs are fabulous, his DA photo demonstrates a

proud, pleasant and dedicated Soldier and officer, his ORB reflects those accomplishments

that are supported by documentation in his OMPF). Now let’s take a look at the assign-

ment history. One has company command or OIC of a clinic along with all their Physician

Assistant time. The other has Physician Assistant title throughout all of their assignments.

Which officer brings more wealth of experience to the table, which one decided to step

outside the comfortable clinical and/or operational lane and take the risks of gaining a new

big Army perspective?

There are no absolutes in this business; there is no certain path to success. The best rec-

ommendation I can provide from an HR point of view is to be part of the solution, never

the problem. Be a team player and always do the best you can wherever you are; seek to

be an indispensable asset to your organization above and beyond what is expected of you

and be watchful for those rare opportunities to come your way. When they do, be ready

to take them full on and admirably represent your fellow PA’s and the SP Corps.

MAJ Amy Jackson, SP, MPAS, HRC Deputy Branch Chief and 65D Assignment Officer

S A P A J O U R N A L

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P A G E 2 3

Fort Carson STRATCOM

In early November, senior physician assistant leaders will meet

at Fort Carson, Colorado. The goal of the conference is to de-

velop a strategic plan for the next 10 years.

Topics to be covered include the following:

Interservice Physician Assistant Program (IPAP) selection and

training

Promotions– how to make PAs competitive

MTOE /TDA authorizations and how to increase Field Grade

positions

Assignments to include traditional and non traditional (05A,

65X, etc.)

Future of the Army PA– Leader and Clinician

Long Term Health Education and Training (LTHET) selection,

training, and utilization, balancing losses and gains

Conducting research, research training, and utilization tours

Developing a sustainable Mentorship Program

Other topics to be determined

S A P A J O U R N A L

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P A G E 2 4

Society of Army Physician Assistants Dedicates

Painting to Womack Army Medical Center

On July 17th, 2012, representatives of the Society of Army Physician Assistants (SAPA) as

well as several active duty physician assistants, retirees and Interservice Physician Assistant

Program (IPAP) students gathered at Womack Army Medical Center (WAMC) at Fort

Bragg, North Carolina to dedicate a painting on behalf of all military physician assistants.

The painting, a grand 4’ x 5’ oil on canvas original, was a gift presented to SAPA by the art-

ist and long- time friend and supporter, Stewart Wavell-Smith, during its annual medical

conference in Fayetteville, North Carolina in April 2012. The painting is a depiction of mili-

tary physician assistants including several current SAPA members, performing their duties

during combat operations and humanitarian missions in recent years. Because SAPA is a

large organization, with members spread through the world, SAPA’s membership elected to

dedicate the painting to WAMC where it could be displayed in recognition of all military

physician assistants and be seen and enjoyed by the patients and staff of WAMC and Fort

Bragg. The painting is now located near the Hall of Heroes, on the ground floor of WAMC

and can be visited daily.

Left to Right: MAJ George Barbee, LTC Sherry Womack,

MAJ Winnie Paul, MAJ Robert Heath and MAJ Michele Curtis.

Colonel Brian T. Canfield, Womack Army Medical Center out-going commander, began

the dedication ceremony at with warm remarks about his long standing working relation-

ship with military physician assistants and how much he personally appreciated their service

and contributions to military medicine worldwide. He expressed his support for the physi-

cian assistant profession, SAPA, physician assistant leadership and the IPAP. Colonel Can-

field then thanked several of the attendees directly for their dedication to WAMC.

S A P A J O U R N A L

“Colonel Canfield

then thanked

several of the

attendees directly

for their

dedication to

WAMC..”

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P A G E 2 5

Society of Army Physician Assistants Dedicates

Painting to Womack Army Medical Center

SAPA active duty representative, Major Winnie E. Paul, then thanked the attendees for

their support of SAPA and for their continued dedication to the Army Specialist Corps.

United States Forces Command, senior physician assistant, Lieutenant Colonel Sherry L.

Womack, former SAPA president, then spoke about her friendship with the artist and his

praise for the work military physician assistants do where ever US military personnel serve.

Lieutenant Colonel Womack thanked Colonel Canfield for his support of Army physician

assistants and thanked all of the physician assistants in attendance for their dedication and

service to the military. She acknowledged the often dangerous working environments, long

hours and frequent tasks military physician assistants face and affirmed their value to all who

wear a United States military uniform as well as the countless local populations served

wherever the United States military deploys.

Left to Right: COL Brian Canfield, LTC Sherry Womack, MAJ Michele Curtis,

MAJ George Barbee, MAJ Winnie Paul, CPT Manuel Menendez, MAJ Erin Stibral,

MAJ Robert Heath, MAJ Amelia Duran-Stanton and LCDR Erwin Fish.

She went on to point out that while not all PAs are depicted in the painting, it represents

the service of every military physician assistant, past, present and future.

At the conclusion of remarks the painting was unveiled by US Public Health Service, Lieu-

tenant Commander Irwin Fish and Army Major Michele Curtis. All ceremony attendees

then gathered in front of the painting to commemorate the occasion. The painting proudly

represents military physician assistants and is dedicated to the military member, families and

retirees served by all military physician assistants throughout the world.

S A P A J O U R N A L

“Colonel Womack

thanked Colonel

Canfield for his

support of Army

physician assistants

and thanked all of

the physician

assistants in

attendance for

their dedication

and service to the

military.”

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P A G E 2 6

Society of Army Physician Assistants Dedicates

Painting to Womack Army Medical Center

Oil painting by Artist Stewart Wavell-Smith

Colonel Brian Canfield, Hospital Commander, Womack Army Medical Center,

speaks to dedication ceremony attendees before unveiling painting.

S A P A J O U R N A L

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“I reminded them

of their

responsibility to

uphold the stellar

values, principles

and performance

of their

predecessors and

their need to push

the PA and Army

PA medical

profession to the

next level.”

P A G E 2 7

A Great Day to Be a Soldier

On 10 May, I traveled to Fort Campbell, Kentucky. That evening, COL (R) Don

Black hosted a barbeque for the graduates at his beautiful new home. I was able to

meet the graduating and current IPAP students and reconnect with old friends such

as MAJ (P) Jim Beecher, current Phase II IPAP Coordinator. The following morning,

I was fortunate to have had the opportunity to pin an Impact Army Achievement

Medal on my daughter Xaviera Roberts. In addition, I had the honor and pleasure

of being the guest speaker for the Blanchfield Army Community Hospital IPAP 2-12

graduating class.

The day of 11 May began with an end of week safety briefing outside the 4th BCT

headquarters building (Curahee), where my daughter was recognized for her impact

on the most recently completed field training exercise. Following the ceremony, I

took her shopping for a new ASU uniform so she would be ready for the upcoming

Warrior Leader Course (WLC).

That evening, I spoke to the newest members of the Army Medical Specialist Corps.

My message was simple and reflected on my principles for being a successful military

leader, family man, and medical provider. I gave the students five areas to concen-

trate on during their careers and life to include taking care of the mission, taking

care of Soldiers, taking care of patients, taking care of your family, and taking care of

yourself. My message to the graduates was straightforward– take care of these five

areas and they will be successful in everything they do. I told them they have shifted

from being the future of Army PAs to the present and folks like myself are now the

past. I reminded them of their responsibility to uphold the stellar values, principles

and performance of their predecessors and their need to push the PA and Army

PA medical profession to the next level. The highlight of the ceremony was the first

commissioned salute ceremony in which each graduate was saluted by a person of

influence with this individual receiving the traditional gold coin.

The evening was completed with a senior PA get-together at the Blackhorse Bar

and Grill. It was a great night with many of Fort Campbell’s best in attendance.

What an outstanding way to end a great day! S A P A J O U R N A L

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P A G E 2 8

Fort Bragg IPAP Highlights

On 18 May, I was honored to speak at the Womack Army Medical Center IPAP 2-

10 Class graduation. The four students established a pattern of excellence for

those who follow them. I gave virtually the same speech as the one given the week

before at Fort Campbell. The graduate ceremony included the commissioning cere-

mony, physician assistant oath, presentation of awards to top preceptor and precep-

tor clinic, and the awarding of Army Achievement Medals to the graduates.

During the recent Society of Army PA Conference, Fort Bragg IPAP students and

faculty performed well in the research competition. Below are the results:

1st Place: MAJ Amelia M. Duran-Stanton, ―Just a Click Away: Missed Teachable

Moments in Tobacco Cessation Counseling in Orthopaedic Patients

2nd Place: OC Andrew Allman, Class 2-10, ―HIV/AIDS in Sub-Saharan Africa

During National PA Week (10 October, 2012), OC Christopher Mueller presented

a beautiful bench to the Stead Center, Duke University, The Duke program was

started by Dr. Stead following the Vietnam Conflict. Dr. Stead saw a need for phy-

sician extenders and felt that the medics of Vietnam possessed the medical skills but

lacked the credentials to fill this void. He started the program with four Navy

Corpsman of which three graduated from that first historic class. OC Mueller or-

ganized this project and developed a fundraising project to make it a reality. Below

is a poster with a picture of this unique gift between Army PAs and to the countries

first PA program.

S A P A J O U R N A L

MAJ John Detro,

240th FST speaks

to IPAP graduates

IPAP graduates,

local PAs, and

WAMC IPAP

leadership

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P A G E 2 9

Guess Who!

The picture below was taken in Vietnam 1969. The Soldier carrying the weapon on the

right hand side of the photo was then a Special Forces medic. Today, he is an active duty

physician assistant. Who do you think this could be?

S A P A J O U R N A L

Answer: LTC Earl “Buck” Benson

United States Special Operations Command (USASOC)

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SAPA Membership News

P A G E 3 0 V O L . 2 6 , N O . 9 A

The SAPA Leadership would like to thank the following PAs for their service to the US Army and our Nation.

They will leave the military in the next several months. Please wish them luck with their new endeavors.

CPT Wun Augustin MAJ Charles Neal

LTC Garrett Baer CPT Tysen Nicole Norton

CPT Rebecca Bean CPT Maribel Occhiuzzo

CPT Terry Blackwell CPT Jeffery Peacock

CPT Leigh Brown CPT Cheri Ponce

MAJ Michelle Curtis-Jackson MAJ Robert Rather

MAJ Gerald Depold CPT Frank Ritz

CPT (P) Rosalyn Fitzpatrick ` MAJ Denis Robert

MAJ John Frasure MAJ Charles Roberts

MAJ Bonnie Garcia AJ (P) Kathleen Schultz

MAJ Christopher Hintz MAJ Randall Sitz

MAJ Aaron Kidd MAJ Charles Stanley

CPT Nicole Lopez MAJ Wade Swatsworth

CPT Shaina McGordon CPT Sabrina Weatherby

MAJ George Midla

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P A G E 3 1

Editor Farewell

Three years ago, I volunteered and began to perform duties as the Society of Army Physi-

cian Assistants (SAPA) newsletter editor. I decided to do so as the newsletter had not

been published for several months after there were no volunteers to replace the previous

editor. I have enjoyed collecting articles for publication along with writing articles myself.

However, it has been difficult to obtain information from those PAs who have retired. For

this reason , the majority of the newsletter has focused on the active duty side as I have

access to this information through numerous sources such as Human Resources Command,

Army Medical Specialist Corps (SP), and open source news articles. In addition, American

Association of Physician Assistant (AAPA) and National Commission on Certification of

Physician Assistant (NCCPA) websites have been invaluable.

I have been successful with improving the newsletter but not to the level that I had hoped.

In addition, I have attempted to utilize the newsletter to stimulate the recruitment of PAs

for membership in SAPA without much success. These are areas I feel the next editor may

be able to improve upon.

I am currently serving as a Forward Surgical Team (FST) Commander and this has taken a

lot of time. Therefore, I have decided to move on from my editorial duties. 1LT Christo-

pher Mueller, a recent graduate of the Interservice Physician Assistant Program (IPAP) has

volunteered to replace me. Chris performed duties as the website editor for the Fort

Bragg Phase II IPAP site. His site was an excellent source of information for students and

staff alike. He will continue to improve on the SAPA newsletter. Please provide him with

your support through the writing of articles, provision of newsworthy information, pictures,

and other topics that are of interest to active duty, reserve, and retired military physician

assistants.

I have enjoyed my time as the editor and hope to see you all at next years annual SAPA

Conference.

S A P A J O U R N A L

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P A G E 3 2

Senior Discount!

From Paul Lowe, SAPA Membership Director

SAPA desires to honor our “more seasoned” military veterans with reduced membership dues or

the ability to purchase an “Indefinite” membership. This benefit is for Federal Service PA’s age 65 or

above. For this category of PA’s, annual dues will be reduced to $15.00 or you can purchase an in-

definite membership for $100.00. This change will take effect 31 July, 2010. Any dues paid at the

regular rate of $25.00 after this date will be credited toward “future dues” or your “indefinite”

membership status. Please email or write at the below listed address to update your membership

status. Signed, Paul W. Lowe, Membership Director.

SAPA

ATTN: Membership Update

P.O. Box 4068

Waynesville, MO. 65583

Or EMAIL: [email protected]

This is an outstanding opportunity for senior PAs to remain active in SAPA even after

retiring from practice.

S A P A J O U R N A L

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SAPA OFFICERS SOCIETY OF ARMY PHYSICIAN ASSISTANTS

P O Box 4680, Waynesville, MO. 65583 Phone-573-528-2307,FAX888-711-8543EXECUTIVE DIRECTOR:

Paul W. Lowe, PA-C

Address and phone as above, e-mail - [email protected]

Page: http://www.sapa.org (Webmaster: Orie Potter)

PRESIDENT Frank Piper, Col, Ret, PA-C

E-mail: [email protected] PRESIDENT ELECT

Sherry L. Womack, LTC, SP, PA-C E-mail: [email protected]

IMMEDIATE PAST PRESIDENT Steven Briggs, PA-C

E-mail: [email protected] SECRETARY

Karen McMillan, PA-C

E-mail: [email protected]

TREASURER James L.C. Miller, PA-C

E-mail - [email protected] DIRECTOR, ACTIVE DUTY ARMY PAs

Maj Winnie Paul, PA-C E-mail: [email protected]

DIRECTOR, US ARMY NATIONAL GUARD PAS Nolan Wright, CPT, PA-C Texas Army National Guard

E-mail: [email protected]

DIRECTOR, US ARMY RESERVE PAS Tonya Moore, LTC, PA-C

E-Mail: [email protected]

MEMBERSHIP DIRECTOR Steven Briggs, PA-C

E-mail: [email protected]

RETIRED COMPONENT DIRECTOR Robert Thompson, Jr. PA-C

E-Mail: [email protected] SAPA CONFERENCE STAFF

CONFERENCE COORDINATOR: Bob Potter, PA-C PO Box 623

Monmouth, IL 61462

SAPA Voice Line: 309-734-5446 Fax: 309-734-4489

E-mail: [email protected]

CONFERENCE REGISTRAR: Bob Potter, PA-C Info for Bob Potter same as immediately above

ASST. CONFERENCE COORDINATOR:

Pat Malone, PA-C

E-mail: [email protected] Karen Reedy, PA-C

E-mail: [email protected]

CO-REGISTRAR: Judy Potter

DECORUM AND MORALE: Nicole Potter

E-mail: [email protected]

SALES AND MARKETING: Stephen Ward, PA-C,

Bob Egbert, PAC,

Tom Matherly, PA-C

MODERATORS/AUDIO/VISUAL: LCDR Irwin Fish, PA-C

SAPA JOURNAL STAFF Editor: Major John F. Detro, MPAS, PA-C

E-mail: [email protected]

COMMITTEES SCHOLARSHIPS/AWARDS

LTC-R Donald Parsons, PA-C (Chair)

COL -R Sherry Morrey, PA-C

CW4-R Marvin W. Cole, PA-C

COL-R Donald Black, SP, PA-C

POC for Captain Sean P. Grimes

Physician Assistant Educational Scholarship Award)

E-mail: [email protected]

SAPA HISTORIAN William Long, PA-C

MINORITY AFFAIRS Karen McMillan, PA-C

PUBLIC EDUCATION Paul Lowe, PA-C

PROFESSIONAL WELLNESS Michael Champion, PA-C

LEGISLATIVE AFFAIRS Paul Lowe, PA-C

DELEGATES TO AAPA HOUSE OF DELEGATES Frank Piper, PA-C (Chief Delegate)

Sherry L. Womack, PA-C

ACADEMY LIASON COL Pauline Gross, SP, PA-C

E-mail: [email protected]

COMMUNICATIONS/ELECTRONICS Stephen Ward, PA-C

Irvin Fish, PA-C

Bob Potter, PA-C The SAPA Journal staff and SAPA Board of Directors encourages

membership participation in this publication. Feel free to use this

forum to present your views on any topic you desire. The publication

of clinical articles on any subject is also solicited, however, to reduce

our workload, we do request articles be presented typed, double-

spaced format, and on CD, Microsoft Word format. The editor

reserves the right of final acceptance of articles as well as the right to

serialize articles which are too lengthy to be included in a single issue.

Articles will be accepted via email.

The SAPA Journal is the official publication of the Society of Army

Physician Assistants. The views and opinions expressed herein are not

necessarily those of the editors, SAPA, the SAPA Board of Directors or

the Department of the Army unless explicitly expressed as such.

This is not an official Army Publication.

Irwin Fish, PA-CE-mail: [email protected]

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