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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

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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

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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

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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

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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

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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

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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)

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Our GME Programs

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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

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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

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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

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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

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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

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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

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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

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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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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

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Goals of