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Air Force Personnel Center
Air Force GME Update 2016
Michael A. Forgione MD, FACP, FIDSA
Colonel, USAF, MC
Chief, Physician Education
HQ AFPC/DP2NP
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Overview
Background- USAF MC
AFPC/DP2NP- Physician Education Section
USAF GME Programs
HPERB
JSGMESB
ADSC
Pregnancy Policy and GME
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Active Duty USAF 2015
As of November 2015 Total USAF Officers- 60,244 AFMS Officers- 10,738 AFMS MC- 3338
Colonel 308 Lt Col 662 Major 1042 Captain 1326
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Active Duty USAF 2015
As of November 2015 Total USAF Officers- 60,244 AFMS Officers- 10,738 AFMS MC- 3338
Colonel 308 Lt Col 662 Major 1042 Captain 1326
Medical School 1104 HPSP
210 USUHS
USAF GME859 AD Military91 Civilian Sponsored Training360 Deferred Civilian Training34 Financial Assistance Program
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Active Duty USAF 2015
As of November 2015 Total USAF Officers- 60,244 AFMS Officers- 10,738 AFMS MC- 3338
Colonel 308 Lt Col 662 Major 1042 Captain 1326
Summary: 2500 Staff Physicians 2500 In Training
Medical School 1104 HPSP
210 USUHS
USAF GME859 AD Military91 Civilian Sponsored Training360 Deferred Civilian Training34 Financial Assistance Program
MSC Officers
I n t e g r i t y - S e r v i c e - E x c e l l e n c e 7
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Three Sections: Medical Retention Standards (Maj Valerie OBrien) Physician Education (Col Michael Forgione) Physician Utilization (Col Steven Pflanz)
Physician Utilization: 2.5K non-O-6 AD physicians, 27 core IDs, 106 AFSCs 650 assignments/year Two DTs per year Schedule Aerospace Medicine Primary (AMP) Course
Initial training for flight surgeons (750 enrollments/year) Critical shortages:
Psychiatry (44P = 68%) Flight Medicine (48A = 84%, 48R = 70%)
Physician Career Management & Medical Retention Standards Branch
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
GME ChiefCol Mike ForgioneDAS- Jun 2015
DP2NP/Physician Education Section Personnel
Q-ZMr. Matt Kush GS9DAS- 2004
J-PMSgt Ramayo McGriffDAS- Nov 2014
CME ProgramBMr. Cal Baker GS11DAS- Oct 2012
C-ITSgt Nada LarryDAS- Apr 2014
DeputyALt Col Roselia LabbeDAS-2014
Senior Program Manager
Mr David Zemkosky- ZDAS- Jun 2015
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Subject Matter Experts on Medical Education for AFMS Interface with AFMS leadership/numerous civilian licensing,
accreditation and certification agencies related to med education
Health Professions Education Requirements Board (HPERB) Process in May of each year by which MC defines approved
training requirements (2015: 586 requests for 288 positions)
Joint Service GME Selection Board: Nov/Dec Selection and placement of all AF physicians in residency and
fellowship specialty training (623 applicants , 490 selects)
AF Surgeon Generals Physician CME Program Accredits Continuing Medical Education for all AF MTFs Accreditation with Commendation by national org (ACCME)
Physician Education (GME)
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Our GME Programs
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Military GME
28 military GME sites (Air Force, Army, Navy) 3,400 military docs in sponsored GME training >4000 total Comprises 30% of AD Medical Corps
Together with VA, military GME accounts for nearly 15% of all US physicians in training 118,000 residents
http://en.wikipedia.org/wiki/Image:Tower_Bethesda_Naval_Hospital.jpghttp://en.wikipedia.org/wiki/Image:Tower_Bethesda_Naval_Hospital.jpg
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
2015-16 Military Service GME
AIR FORCE ARMY (2014) NAVY
AD Military GME 859 1,355
AD Civ Spons 91 132
= Funded GME = 950 = 1487 = 1055
AD Staff MC 2388 2913 2699
Funded GME
FGME + Staff
950
950 + 2388
1487
1487 + 2913
1055
1055 + 2699
Funded GME 29.2% end strength34% end strength
28% end strength
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
12 AF GME Locations
Travis AFB
Eglin AFB
Keesler AFB
SAUSHEC
Offutt AFB
Scott AFBNellis AFB
National Capital
Consortium
NMC Portsmouth
Madigan Army Med Center
Wright-Patterson AFB
USAF-SAM
ARMYNAVYUSAF
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Col Christopher P. Paulson (Eglin)GME Office Phone 850-883-8288
Col William Hannah (SAUSHEC)GME Office Phone 210-916-0887
Barbara B. Erickson, JD, MHA (Travis)GME Office Phone- 707-423-7947
Air Force Directors of Medical Education (DMEs)
Col Gary Peitzmeier (Wright Pat)Lt Col Roy Johnson- actingGME Office Phone 937-257-8715
Lt Col Heather Gaddey (Offutt)GME Office Phone 402-294-9270
Col Kelly West (USAFSAM/Wright Pat)GME Office Phone 937-938-2801
Stephanie L. Threats (Scott)GME Office Phone 618-256-4287 ext 4407
Col Matthew Carroll (Keesler)GME Office Phone 228-376-3082
Dr. Stephen Titus (Ft Belvoir)GME Office Phone 571-231-3361
Col Pamela Williams (Nellis)GME Office Phone 702-653-3052
USAF Graduate Medical Education Programs/PositionsSAUSHEC
ALLERGY & IMMUNOLOGYANESTHESIOLOGYDERMATOLOGYEMERGENCY MEDICINEEMERGENCY MEDICINE EMS FELLOWSHIPEMERGENCY MEDICINE ULTRASOUND FELLOWSHIPINTERNAL MEDICINEINTERNAL MEDICINE CARDIOLOGY FELLOWSHIPINTERNAL MEDICINE ENDOCRINOLOGY FELLOWSHIPINTERNAL MEDICINE GASTROENTEROLOGY FELLOWSHIPINTERNAL MEDICINE HEMATOLOGY/ONCOLOGYINTERNAL MEDICINE INFECTIOUS DISEASE FELLOWSHIPINTERNAL MEDICINE NEPHROLOGY FELLOWSHIPINTERNAL MEDICINE PULMONARY FELLOWSHIPINTERNAL MEDICINE RHEUMATOLOGY FELLOWSHIPNEUROLOGYOB/GYNOPHTHALMOLOGYORTHOPEDIC SURGERYOTOLARYNGOLOGYPAIN MEDICINE (MULTIDISCIPLINARY)PATHOLOGYPATHOLOGY CYTOPATHOLOGY FELLOWSHIPPEDIATRICSPEDIATRICS ADOLESCENT MEDICINEPEDIATRICS NEONATOLOGYPSYCHIATRYRADIOLOGY - DIAGNOSTIC RADIOLOGYRADIOLOGY - MUSCULOSKELETALRADIOLOGY - NUCLEAR MEDICINESLEEP MEDICINE (MULTIDISCIPLINARY)SURGERY - CRITICAL CARE / TRAUMA FELLOWSHIPSURGERY - GENERAL SURGERYTRANSITIONAL PROGRAMUNDERSEA AND HYPERBARIC MEDICINEUROLOGY 16
National Capital ConsortiumFAMILY MEDICINEFAMILY MEDICINE - SPORTS MEDICINEOB/GYNINTERNAL MEDICINEPEDIATRICSPEDIATRICS INFECTIOUS DISEASEPREVENTIVE MEDICINESURGERY - GENERAL SURGERY
Travis AFBFAMILY MEDICINEINTERNAL MEDICINEDIAGNOSTIC RADIOLOGYSURGERY - GENERAL SURGERYSURGERY - VASCULAR SURGERYTRANSITIONAL PROGRAM
Wright-Patterson AFBEMERGENCY MEDICINEINTERNAL MEDICINEOB/GYNPEDIATRICSPSYCHIATRYSURGERY - GENERAL SURGERY
USAF-SAMAEROSPACE MEDICINERAM/FAM (FAMILY MEDICINE)
Keesler AFBINTERNAL MEDICINESURGERY - GENERAL SURGERY
Madigan AMCPEDIATRICS DEVELOPMENTAL FELLOWSHIP
Nellis AFBEMERGENCY MEDICINEFAMILY MEDICINESURGERY - GENERAL SURGERY
Eglin AFB FAMILY MEDICINE
Portsmouth NMCOB/GYNPEDIATRICS
Offutt AFBFAMILY MEDICINE
Scott AFBFAMILY MEDICINE
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Military-Civilian Partnerships
Military Partnerships San Antonio Uniformed Services Health Education
Consortium (SAUSHEC) AF-Army Joint GME Platform 36 GME programs
National Capital Consortium, Washington, DC TriService Joint GME Platform 64 GME programs
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Military-Civilian Partnerships
Civilian Partnerships: Joint Mil-Civ GME Programs
Wright Patterson AFB/Wright State U, Dayton, OH
Nellis AFB/U of NV School of Med, Las Vegas, NV
Travis AFB/UC Davis
Offutt AFB/U of NE Med Center College of Med, Omaha, NE
SAUSHEC/UT Health Science Center of San Antonio
Scott AFB/St Louis School of Med
USAFSAM/Wright State U, Dayton, OH
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Our Leaders
GME faculty appointments at both military and civilian institutions
Nationally recognized academicians/clinicians
Invited speakers to national/international medical specialty meetings
Hold key US specialty organization leadership positions
Special Experience Identifier Program MF: Clinical or Academic Master ME: Clinical or Academic Grand Master
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Clerkship: Rules of Engagement
Administrative details Plan ahead- apply early
Professionalism Uniform Customs and Courtesies
Clinical performance
USMLE scores
Academic performance
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I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Clerkship: Make it Count!
Program Director Express interest
Interview
Show your strengths
Consultants Ask questions
Military specialty conference
National conferences
Begin to establish your network- future sponsor/mentor
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Our GME Selection Process: The JSGMESB
I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Goals of