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Announcements
Special thanks to our AF PARC team Our FOCUS is READINESS!! Building a trauma-focused force – AF PARC
On time, ready to roll each morning and afternoon Sign-in for WORKSHOPS – seats are limited; know yours! Take breaks as needed, but be courteous of the speakers Limit discussions outside the doors to decrease noise FOOD!! Visit the vendors so we can keep the food coming!
Dedicated breakouts/mentorship designed to “Grow the Force” Talk to others; many “opportunities” to excel
1Have a great time, REGARDLESS
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Col Terry MathewsAFMRA17 February 2020
You can’t take over the world if you don’t get out of your cage(a.k.a. State of the World for AF PAs)
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Unveiling the Master Plan
4
=42
The answer to life, universe, and everything is 42
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The Plan in 5 Easy Steps(with 42 subparts)
Directed mentoring for promotability Assigned senior PA mentors
Directed assignments Developing leadership opportunities
Provide venue for effective communication Silverbacks/JAB/Specialties
Expanded CMRP skills More focused on performance and future mission
Enhance trauma and critical care medicine Develop C-STARS
5Are you pondering what I’m pondering?
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ORGANIZATION Silverbacks – the Corporate Advisory Board Senior leaders to provide counsel for career field direction
and development of the force Mentorship for leadership opportunities
Junior Advisory Board – originally CGOs under 36mo as a PA PAs “in the trenches” Open to JAB to decide board make-up/number Special Projects and Research
PA Specialty Consultants Leaders in all areas with a PA footprint Provides focus and guidance
6If they don’t do what you say, try and take over the world
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Corporate Advisory Board(i.e., Meet “the Silverbacks”)
COL MJ ELLIS LTC BARB “ACE” ACEVEDO LTC(s) MATT ADKINS LTC KEN BARON LTC KEN BEADLE LTC(s) DAVID BEUTLER LTC SCOTT BROWN LTC JACKIE BVLGARI LTC BRUCE CALLAHAN LTC SCOTT CARBAUGH LTC MARSHALL FISCUS LTC(S) JULIE GLOVER LTC STEVE GRIEP LTC DEBRA KARRER LTC SAMANTHA KELPIS LTC ROB NIEWOONDER
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LTC(s) MIKE RABNER LTC TOMAO ROSE LTC(s) LLOYD SCHARFENSTINE LTC(s) JIMMY STANLEY LTC RANDY STEVENS LTC LEO TATO LTC(s) JUSTIN KANDLE LTC ANGELA OKROI LTC JAMILA PETTERSON LTC WILL SCHULTZ LTC(s) NORM ZELLERS ARC MEMBERS
COL ARI FISHER (AFR) COL SEAN BRENNAN (ANG) COL MIKE SHIPP (ANG)
If they don’t do what you say, try and take over the world
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Junior Advisory Board(i.e., Meet “the JAB”) Capt Shaun Saunders (Prez) Capt Millard Storms Capt Lauren Foy Capt Lindsay Johnston Capt Billy Atherton Capt Patrick Thomas Capt Lisa Paulson Capt Melissa Vanartsdalen Capt Scott Moore 1LT Amber Tordoff Capt Sadie Savage Capt Charity Bailey Capt Sammy Leos Capt Lee Paschen
8Whatever the problem, be part of the solution
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Specialty Leads Family Medicine Lt Col Sam Kelpis PRAP/Clinical Flt Med Maj Alisha Florence Orthopedic Surgery Lt Col Will Schultz ENT Lt Col Barbara Acevedo General Surgery Maj Tony Smith/Maj Bryan Johnson Emergency Medicine Maj Julie Glover Operational Medicine Lt Col Ken Beadle/Lt Col Rob Niewoonder RD&A // Psychiatry Maj Rodney Ho/Maj Dave Panboon IPAP/Instructors Lt Col Jackie Bvlgari PostGrad Education Maj Lance Camacho AFR/ANG Col Ari Fisher/Col Mike Shipp/Col Sean Brennan
9Whatever the problem, be part of the solution
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Career Directed Assignments
10The real reason you got that assignment
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Career Directed Assignments Airman Development Plan – ADP We continue to use the ADP due to Free-Text fields Your ability to communicate desires directly to us Talent Marketplace improving but still with errors
Silverback mentoring Provides synapsis of your career and future jobs Potential for leadership Strengths and weaknesses
Specialty Consultants Provides interview for any HPERB opportunity Racks applicants based on potential to compete against
other BSC
11Consultants consult; AFPC makes assignments
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Health Professions Education Review Board - HPERB On Track Orthopedic Surgery WP, Travis, SAMMC
General Surgery SAMMC, future site pending
Emergency Medicine Nellis, SAMMC
Research Ft Detrick, future site pending
Operational Hurlburt Field
12Feel the Force, Luke
Future Education IPAP
Psychiatry WHASC
Paused Otolaryngology
Look For: Readiness BSC AFPC
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Full Spectrum Readiness
13SIEMPER GUMBY
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Full Spectrum Readiness
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CMRP Evolution
Comprehensive Medical Readiness Program (CMRP) Evolution Expeditionary Scope of Practice (ESP) Knowledge, Skills, and Abilities (KSAs) Training Sources
Improving access to data CMRP Performance “Task Analysis” Tool Clinical Performance for Readiness (CPR) Dashboard Workload Capture Tools & Process
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Cat III:
UTC
Training
Category II:Readiness Skills Training
Category I:
Clinical Currency for Readiness
Comprehensive Medical Readiness Program (CMRP)
16
UTC
AFSC-specific training which allows an Airman to perform within the full scope of their specialty in a deployed environment
Fundamental clinical training that forms a foundation on
which to build readiness skills
Platform-specific training
CMRP is Tracked in MRDSS; Reported in DRRS
CMRP Informs Readiness to Accomplish Mission Essential Tasks (METs)
METs Enable Ability to Accomplish Mission Capability Areas Specified in NDAA 17 Sec 725
UJTLAFMS METs
Nested in Uniform Joint Task List
DRR
SReported in the Defense Readiness Reporting System
AFMSReady
Medical Force
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CMRP Requirements & Performance
Knowledge vs Performance Meaningful & Measurable Clinical Performance for Readiness
Implementation Guidance CMRP Task Analysis Tool
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Deployments and CMRP Updates
Future conflicts Peer to near-peer Air superiority questionable ATHs are back
Deployment training changes Role 1/Role 2 and CCPs Inpatient Critical Care Everyone’s a surgeon TCCC
18SIEMPER GUMBY
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CMRP Updates CMRP Cat-1 Requirements – all uniformed PAs Obtain and Maintain NCCPA Certification BLS Your clinical practice AF PARC or 7 key lectures Tele-Health Procedures Uncommon Disease and Illness Eval/Tx TBI Eval/Tx PTSD Tactical/Aeromedical Evac Environmental Injury Tx Common DNBI
19Whatever the problem, be part of the solution
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CMRP Updates CMRP Cat-2 Requirements Additional Certifications Advanced Life Support/ACLS Advanced Burn Life Support Advanced Trauma Life Support
Emergency Medicine PAs Only Pediatric Advanced Life Support
20Whatever the problem, be part of the solution
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CMRP Updates CMRP Cat-2 Requirements (42G3, B, N, P) Advanced Deployment Skills Musculoskeletal Trauma (above TCCC rqmts) AF PARC/C-STARS
Urgent/Emergent AND Inpatient (separate rqmts) C-STARS
Field Dentistry Local Dental Clinic rotations
eFAST U/S, Field Stabilization, and Pain Control Walking Blood Bank
21Growth and comfort cannot coexist
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CMRP Updates CMRP Cat-2 Requirements (42G3A/C/E) Operative Procedures (A/C) 144hrs/yr
Critical Care Procedures (C/E) Specific items
Advanced Ortho Mngt (42G3A) Specific items
Advanced Surgical Mngt (42G3C) Specific items
Advanced Airway Mngt (42G3E) Specific items
22Whatever the problem, be part of the solution
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BSC - Biomedical Sciences Corps
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Sustainment InventoryPP Core(SPM) 2,113 2,188STP +121 +188IR +33 +20Total 2,267 2,396Inv vs. Sustainment Rqmt 105%
Permanent Party BSC 2,188 BSCs in Other Billets -52 Other AFSs in BSC Billets +26Current PP Inv by Duty AFSC 2,162FY19 PP Auths 2,419Current Manning 89%Project Auth Change by FY24 -31PERSTEMPO: % TDY 10%
CY Target Actual CrossFlowCY17: 202 N/A N/ACY18: 202 N/A N/ACY19: 202 178 N/A
Grade Authorizations PP Sustainment Core InventoryO-1 / O-2 14% 11% 12%
O-3 36% 38% 35%O-4 32% 35% 33%O-5 16% 14% 16%O-6 3% 2% 4%
FYDP Sustainment Rqmt vs. Current Inventory
Accession Targets and Actuals
Stress Metrics
Grade Structure - FY 19
0
50
100
150
200
250
Commissioned Year Group
BSC - Biomedical Sciences CorpsCareer Field Health as of 31 Jul 2019
FY Accessions
Sustainment RequirementPP, STP, & IR Auths (2267)
Funded Auths
Core Inv with ≤ 8yr PS
Core Inv with > 8yr PS
Retirement eligible at EoFY
Accession Targets; blue = goal, green = ±10% of goal, yellow=±20% of goal
AFMS- Not Fully Qualified
FY Accessions
Completed Commissioned Yrs of Service (CYOS)
5 10 15
20
BSC - Biomedical Sciences CorpsCareer Field Health as of 31 Jul 2019
FY AccessionsFY Accessions
Completed Commissioned Yrs of Service (CYOS)
5 10 15
20
0%
25%
50%
75%
100%
2014 2015 2016 2017 2018
Retention
0-10 CYOS
11-20 CYOS
20+ CYOS
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42G - Physician Assistant
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Sustainment InventoryPP Core(SPM) 420 386STP +34 +47IR +10 +1Total 464 434Inv vs. Sustainment Rqmt 93%
Permanent Party 42G 386 42Gs in Other Billets -14 Other AFSs in 42G Billets +4Current PP Inv by Duty AFSC 376FY19 PP Auths 419Current Manning 90%Project Auth Change by FY24 +2PERSTEMPO: % TDY 11%
CY Target Actual CrossFlowCY17: 0 N/A N/ACY18: 0 N/A N/ACY19: 0 33 N/A
Grade Authorizations PP Sustainment Core InventoryO-1 / O-2 28% 20% 21%
O-3 45% 42% 43%O-4 24% 35% 32%O-5 3% 2% 4%O-6 0% 0% 0%
FYDP Sustainment Rqmt vs. Current Inventory
Accession Targets and Actuals
Stress Metrics
Grade Structure - FY 19
0
10
20
30
40
50
60
70
Commissioned Year Group
42G - Physician AssistantCareer Field Health as of 31 Jul 2019
FY Accessions
Sustainment RequirementPP, STP, & IR Auths (464)
Funded Auths
Core Inv with ≤ 8yr PS
Core Inv with > 8yr PS
Retirement eligible at EoFY
Accession Targets; blue = goal, green = ±10% of goal, yellow=±20% of goal
AFMS- Not Fully Qualified
FY Accessions
Completed Commissioned Yrs of Service (CYOS)
5 10 15
20
42G - Physician AssistantCareer Field Health as of 31 Jul 2019
FY AccessionsFY Accessions
Completed Commissioned Yrs of Service (CYOS)
5 10 15
20
0%
25%
50%
75%
100%
2014 2015 2016 2017 2018
Retention
0-10 CYOS
11-20 CYOS
20+ CYOS
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Wins and Losses Highest number Lt Cols EVER – 27 current “P” shred for “Aerospace/Operational Medicine” PAs Full Flight Med privileges w/ METLS Flight orders as crew/Profile Office
IPAP enhanced staffing New Phase 2 Site – WP, others under review Increased/expanded HPERB opportunities Retention improved/new 6-yr Retention Bonus C-STARS staff positions; increased opportunities to attend Research and Battlefield Airman positions AFSOC/JSOC team leads Increases Central Funding from 75 to 150 seats JAB and mentoring matures Psychiatry may be back! Collaboration not Supervision Ramp Process
25Win some, lose some, as long as you win more
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Wins and Losses Loss of ENT platform/fellowship Limited applications for fellowships Stiff competition against other BSC for seats Impact of 6-yr Bonus
Loss of full Family Medicine practice at many locations Loss of Offutt as a Phase 2 training site
26Win some, lose some, as long as you win more
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42G Master Plan
Current 42Gs
Supported Objectives
Directed mentoring for promotability
Align 42G capabilities w/ FSR
5
1
Optimize 42Gs to
propel AFMS future state
Drive AFMS Transformation
Enhance 42G Joint Warrior Development
2
3
4
5
Develop 42G leadership opportunities
Enhance 42G trauma and critical care
42Gs achieve Full Spectrum Readiness
A
B
C
Desired Conditions
C
B
A
42Gs positioned for Joint Medical Teams
42Gs lead Flight/Operational Medicine
3
2
2
Ensure effective communication
Expand 42G CMRP skills
1 3 4
1
1
4
3 5
The “Master Plan” expanded
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Future State
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Why We Serve…Common Purpose
Medically Ready Force…Ready Medical Force
MTFs are readiness training platforms...saving lives down range
We serve, so others may live
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Questions?