MILITARY MEDICINE, 180. 4:171. 2015

The Uniformed Services University of the Health Sciences: A Leadership Academy for M ilitary Medical Officers in the U.S. Navy LCDR Erich J. Dietrich, MSC, USN, Director, Personnel Policy, Plans and Special Pays, Bureau o f Medicine and Surgery; CDR Linda Kimsey, MSC, USN, Division Director (Acting ) & Assistant Professor o f Preventive Medicine and Biometrics, USU; and CDR Anthony R. Artino, Jr., MSC, USN, Deputy Director fo r Graduate Programs in Health Professions Education & Associate Professor of Medicine, USU



Each year, the U.S. Navy gets approximately 55 (12%) of its Medical Corps officers from the Uniformed Services University o f the Health Sciences (USU), with the remaining accessions coming from the Armed Forces Health ProfessionsScholarship Program (the largest source), financial assistance programs, and direct accessions.



Despite the University's relatively small cohort size, USU-trained Navy physicians constitute a significant proportion of Navy Medicine leadership. Compared to the percentage of USU physicians accessed annually, USU graduates are over­ represented among the ranks of senior leaders in the Navy Medical Corps (see figure below). These leadership outcomes may be due, at least in part, to the fact that graduates of USU continue on active duty longer than graduates of other accession sources. However, other factors, including personal motivators and prior service, could also influence these leadership outcomes.



A review o f the Navy's Medical Corps inventory by rank and source of entry revealed the following: o Although USU graduates have comprised a consistent 10% to 14% of annual accessions over time, by 2013 they represented 28% of Medical Corps officers holding the rank of Commander (0-5) and 25% of those holding the rank of Captain (0-6). o As of 2013, 10 of the 37 (27%) Medical Corps officers assigned to leadership positions, as represented by Executive Medicine billets (Commanding Officers and Executive Officers), were USU graduates (see figure below). This proportion continues to trend upwards. o A more in-depth analysis of data from all military services is needed to provide insight into how officers are developed into m ilitary medicine leaders. The Percentage of USU Graduates Assigned to Executive Medicine Billets in the U.S. Navy Compared to the Percentage of USU Graduates Accessed Annually into the Navy

30%

—• — usu EXEC MED

—*— usu ACCESSIONS

FY2002

FY2003

FY2004

FY2005

FY2006

FY2007

FY2008

FY2009

FY2010

FY2011

FY2012

FY2013 « _

FY1986

FY1987

FY1988

FY1989

FY1990

FY1991

FY1992

FY1993

FY1994

FY1995

FY1996

FY1997 « * - Accession year

Executive Medicine year

Note: The top line of the graph represents the percentage of all Navy Executive Medicine billets held by USU graduates in a given year (e.g., in FY2013, 27%). The bottom line represents the percentage of USU graduates assessed into the Navy in a given year (e.g., in FY1997,13%). The 16-year gap between, fo r example, FY1997 and FY2013, represents the minimum tim e it takes to develop a senior Medical Corps officer capable of filling an Executive Medicine billet. These data suggest th a t while the size of USU's cohort has stayed relatively stable over tim e, the percentage of USU graduates in positions of leadership w ithin Navy Medicine has grown. Disclaimer: The views expressed are those of the authors and do not necessarily reflect the official views of USU, the U.S. Navy, or the Department of Defense. Data Sources: U.S. Navy Bureau of Medicine and Surgery Manpower Information System

doi: 10.7205/MILMED-D-14-00683

MILITARY MEDICINE, Vol. 180, April Supplement 2015

171

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The Uniformed Services University of the Health Sciences: a leadership academy for military medical officers in the U.S. Navy.

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