1. Navy Medicine
Medical Engagement
UNCLASSIFIED//FOUO
RADM Tom Cullison, MC, USN
Deputy Surgeon General of the Navy
18 June 2010
This brief is classified UNCLASS/FOUO
UNCLASSIFIED//FOUO 1

2. Leadership - Organization
Executive Leadership
Chief of Naval Operations
Surgeon General OPNAV
BUMED
POLICY
Fleet Forces The Medical
Command Officer of the
EXECUTION Surgeon Marine Corps
Navy Medicine Navy Medicine UNCLASSIFIED//FOUO
Navy Medicine
National Capital
Navy Medicine
Support
East West
Area Command
NH Beaufort NH Bremerton NHC Annapolis NMPTE Bethesda
NH Camp Lejeune NH Camp Pendleton NNMC Bethesda NMIMC Bethesda
NH Charleston USNH Guam NHC Patuxent River NMLC Fort Detrick
NH Cherry Point NHC Hawaii NHC Quantico NEHC Norfolk
NH Corpus Christi NH Lemoore NMRC Bethesda
NH Great Lakes NH Oak Harbor
NH Guantanamo Bay USNH Okinawa
NH Jacksonville NMC San Diego
USNH Naples NH Twenty-nine Palms
NHC New England USNH Yokosuka
NH Pensacola EPMU Pearl Harbor
NMC Portsmouth EPMU San Diego
RESEARCH AND DEVELOPMENT
USNH Rota
USNH Sigonella Naval Medical Research Center, Bethesda, MD
EPMU Norfolk Naval Health Research Center, San Diego, CA
Naval Submarine Medical Research Lab, Groton, CT
Naval Aerospace Medical Research Lab, Pensacola, FL
Naval Health Research Center Environmental Health Effects Lab, Dayton, OH
Naval Health Research Center Directed Energy Bioeffects, San Antonio, TX
Naval Institute for Dental and Biomedical Research, Great Lakes, IL
Navy Medical Research Unit 2, Jakarta, Indonesia
Navy Medical Research Unit 3, Cairo, Egypt
Navy Medical Research Center Detachment, Lima, Peru
Reference: Office of the Navy Surgeon General UNCLASSIFIED//FOUO

3. Navy Medical Community
3 Medical Centers
16 Military Treatment Facilities (hospitals)
189 Health Clinics (includes dental facilities)
*Over 29 million square feet
Education Environmental & Research &
& Training UNCLASSIFIED//FOUO
Preventive Medicine Development
Operational Information
Medicine Management
10 Fleet Hospitals 2 Hospital Ships
Reference: Office of the Navy Surgeon General UNCLASSIFIED//FOUO

4. Navy Medicine
Casualty
UNCLASSIFIED//FOUO Receiving
Operational
and Fleet Hospitals
Fleet
TRICARE US Overseas Treatment Hospitals Ships
and
Network Hospitals Hospitals Ships & &
Fleet Marine
and EMFs Soft Power
Forces
Medical
Battalions
Force Health Protection
Navy Medicine’s Dual Mission
Benefit Mission The Readiness Health Care Continuum
Readiness Mission
Reference: Office of the Navy Surgeon General UNCLASSIFIED//FOUO 4

5. Marines and Navy Medicine
A Special Bond
UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 5

6. Navy Medicine’s Priorities
• Future Force- Readiness
• Graduate Health Education
• Quality Care/Customer Service
• Prevention/Wellness
• Medical Research
• Patient and Family Centered Care/Value
UNCLASSIFIED//FOUO
• Casualty Care
• Recruitment/Retention
• VA Integration
• External Communication
• Internal Communication
UNCLASSIFIED//FOUO 6

7. UNCLASSIFIED//FOUO
Reference: Office of the Navy Surgeon General UNCLASSIFIED//FOUO 7

8. Patient and Family Centered Care
UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 8

9. Marine Corps Recruit Depot,
San Diego, CA
UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 9

10. UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

11. Fixed Assets
Worldwide in support of the Warfighter
Prepared 5 Mar 10
UNCLASSIFIED//FOUO
NM East Military Treatment Facility
NM West Military Treatment Facility
NM NCA Military Treatment Facility
NM Support Command Activity
UNCLASSIFIED//FOUO

12. Deployed Forces Providing the
Dual Mission of Navy Medicine
Prepared 5 Mar 10
OEF USMC
LRMC US Role 3
UK Role 3
FDPMU
2 x FSE
3 x FST
EMF-GTMO
2 x AST
UNCLASSIFIED//FOUO
JTF-Haiti
EMF-Kuwait
FDPMU-Kuwait
Africa
Partnership OIF USMC
Station Pacific
Partnership
Continuing
Promise
EMF-Djibouti
Enduring missions Recurring missions Emergent missions
UNCLASSIFIED//FOUO

13. CY 09 BSO-18 Support Requirements
2009
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
//// EMF Kuwait (287) //// EMF Kuwait (238) ////
EMF Djibouti (31) //// EMF Djibouti (31) ////EMF Djib (31)
Average USMC HSAP Requirements (426)
LRMC 292 (277 RC / 15 AC) //// LRMC 292 (269 RC / 23 AC)
EMF GTMO (115) //// EMF GTMO (115) //// EMF GTMO (115)
UNCLASSIFIED//FOUO
FDPMU-K (15) //// FDPMU-K (16)
CP09 T-AH USNS COMFORT (358)
UK BAS (43)/CAN KAF (48) ////UK BAS (48)/US KAF (151)
PP09 USNS R. E. BYRD (26)
//// INDICATES TRANSITION PERIOD WHERE FORCES
DEPLOY/REDEPLOY
Average Joint IA Requirements (718)
As of 7 Dec 09
UNCLASSIFIED//FOUO NUMBERS IN PARENTHESES = BSO 18 REQUIREMENTS UNCLASSIFIED//FOUO 13

14. CY 10 BSO-18 Support Requirements
2010
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
//// EMF Kuwait (207) //// EMF Kuwait (207) ///
EMF Djibouti (31) //// EMF Djibouti (31) ////EMF Djib (31)
Average USMC HSAP Requirements (426)
LRMC 292 (269 RC/ 23 AC) //// LRMC 292 (274 RC / 18 AC)
EMF GTMO (115) //// EMF GTMO (115) //// EMF GTMO (115)
UNCLASSIFIED//FOUO
///// FDPMU-K (15) /// FDPMU-K (16)
CP10 USS WASP (66)
///// UK BAS (43)/US KAF (151) //// UK BAS (48)/US KAF (151)
PP10 T-AH USNS MERCY (398)
//// INDICATES TRANSITION PERIOD WHERE FORCES
DEPLOY/REDEPLOY
Average Joint IA Requirements (718)
As of 7 Dec 09
UNCLASSIFIED//FOUO NUMBERS IN PARENTHESES = BSO 18 REQUIREMENTS UNCLASSIFIED//FOUO 14

15. BSO-18 OPERATIONAL SUPPORT
Historical and Projected (AC/RC)
4500
OIF
4000
3500
COMFORT
OIF COMFORT MERCY LHA/LPD
MERCY OIF
3000 EMF-K OIF
BOXER EMF-K
DUBUQUE LHA/LPD OIF/OEF
2500
KATRINA
UNCLASSIFIED//FOUO
LRMC
COMFORT
EMF-K
LRMC
KEARSARGE LRMC
OEF
OIF/OEF
OIF/OEF
EMF-K
EMF-K MERCY
LRMC LHA/LPD
OIF 4-6 PELELIU EMF-K LRMC
TSUNAMI LRMC
2000 OIF 2
1500
1000
500
0
Y03
Y03
Y04
Y04
Y05
Y05
Y06
Y06
Y07
Y07
Y08
Y08
Y09
Y09
Y10
Y10
Y11
Y11
Y11
Y11
1Q F
3Q F
1Q F
3Q F
1Q F
3Q F
1Q F
3Q F
1Q F
3Q F
1Q F
3Q F
1Q F
3Q F
1Q F
3Q F
1Q F
3Q F
1Q F
3Q F
BSO-18 RESERVES
UNCLASSIFIED//FOUO

16. Navy Medicine at Home
UNCLASSIFIED//FOUO
Navy Medicine Deployed
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

17. UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

18. UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

19. UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

20. UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

21. UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

22. UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

23. UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 23

24. Operation Iraqi Freedom
UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 24

25. Operation Enduring Freedom
UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 25

26. Guantanamo Bay, Cuba
UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

27. JTF GTMO Det
UNCLASSIFIED//FOUO
Provides task-organized theater hospitalization (Level III) Medical, General and Ortho
Surgical, Dental care, Prev Med, 24/7 ER, Mental Health Services, and Mass Casualty support
to personnel at all Detainee Camps, Detention Hospital, Detainee Mental Health Services,
Optometry, Internal Medicine, Pharmacy, Physical Therapy, Prosthetic services, and Special
Care Unit. In addition to Detainee care, JTF GTMO provides both general and mental
healthcare services to all JTF active duty service member population.
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 27

28. Djibouti
UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

29. Afghanistan
UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

30. The Continuum of Care
Corpsman in the Field
(Level I)
Forward Resuscitative Care
(Level II)
Theater level care
(Level III)
Forward Definitive Care (Landstuhl)
(Level IV)
Restorative-Rehabilitative Care
UNCLASSIFIED//FOUO
(Level V)
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 30

31. UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

32. UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

33. UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

34. UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

35. UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

36. UNCLASSIFIED//FOUO
Photo: Office of the Army Surgeon General (86th CSH) UNCLASSIFIED//FOUO

37. UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

38. UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

39. UNCLASSIFIED//FOUO
Photo: Office of the Air Force Surgeon General UNCLASSIFIED//FOUO

40. UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection
Office of the Air Force Surgeon General UNCLASSIFIED//FOUO

41. Landstuhl Regional Medical Det,
Germany
UNCLASSIFIED//FOUO
In 2006, JFCOM tasked the Navy with providing medical staffing in support of the Army's Landstuhl
Regional Medical Center (LRMC), Germany. Since then, the Navy Medical Augmentation Det has continued
to augment LRMC with Navy medical personnel in support of wounded OEF/OIF warfighters. Currently, the
Navy augmentation staff includes; 292 Navy medical personnel (260 reservist/32 active).
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

42. UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

43. UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

44. National Naval Medical Center
UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

45. USMC Wounded Warrior Regiment
-- Single Command with Strategic Reach --
WWR services the Total Force –
Active Duty / Reserve / Retired / Former Marines
Quantico
UNCLASSIFIED//FOUO
Landstuhl
Camp Camp
Okinawa Pendleton Lejeune
Guam
Hawaii
WW Regiment
Level of Effort
WW Battalions
Current (Mil / Civ): 212 WW Company
Contractor Support: 24 Patient Affairs Team (PAT)/VA Liaisons
Future Total: 361 District Injured Support Cells (DISC)
Reference: Wounded Warrior Regiment Command Brief UNCLASSIFIED//FOUO 45

46. Navy Safe Harbor – Strategic Reach
Wounded, Ill, and Injured (WII)
NATIONAL NETWORK OF NAVY OPERATIONAL SUPPORT CENTERS
BREMERTON (1)
UNCLASSIFIED//FOUO
GREAT LAKES / MINNEAPOLIS (1)
PALO ALTO (1) BETHESDA / WRAMC (2)
WASHINGTON DC (12)
AT-LARGE EAST (1)
PORTSMOUTH/RICHMOND (1)
SAN DIEGO (2)
AT-LARGE WEST (1) MILLINGTON TN (2)
JACKSONVILLE (1)
BAMC (2)
TAMPA (1)
VA POLY TRAUMA CENTER
MILITARY TREATMENT FACILITY
SAFE HARBOR HEADQUARTERS STAFF
NAVY OPERATONAL SUPPORT CENTER
Reference: Navy Safe Harbor Program Command Brief UNCLASSIFIED//FOUO 46

47. UNCLASSIFIED//FOUO
UNCLASSIFIED//FOUO

48. PACIFIC PARTNERSHIP
UNCLASSIFIED//FOUO
USNS MERCY (T-AH 19) anchored off the coast of Chuuk, Federated States of
Micronesia UNCLASSIFIED//FOUO

49. PACIFIC PARTNERSHIP 2007-2009
Pearl Harbor
8-9 June
Bicol Region, RP 24-25 Sept
20 June – 8 July Samar, RP Pearl Harbor Pearl Harbor
JOA OPS 8-10 May 29 May – I June
14 June 14 June – 11 July
Nha Trang, VM Manila, RP 15-18 Sep 12-15 Sept
19-29 June 15-17 June Guam
20-24 May
I/P Manila, RP 3-7 Sep Marshall
17-18 June Cotobato, RP Islands
29 May-12 June Guam 17 - 28 June
9-11 June
Kiribati
Da Nang, VM San Diego
1 – 14 July
14-24 July San Diego
Majuro, RMI
UNCLASSIFIED//FOUO Aug-7Sep
27
San Diego
I/P Singapore
27-30 July Samoa
Chuuk State, FM
5 – 16 Sept
22 Aug-1 Sep
Singapore
2-7 July Port Moresby, PP
4-17 Aug
Dili, TL Solomon Islands
12-25 Jul Cairns 30 July – 12 Aug
23 – 26 July
New
Caledonia Soloman Islands
16 – 19 Aug 18-24 Aug
Tonga
22 Aug – 2 Sept
Darwin, AS Madang, PNG
27-31 Jul 6-16 Aug
UNCLASSIFIED//FOUO

50. Eye surgery aboard USNS MERCY: Republic of the Philippines
UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

51. A young patient onboard USNS MERCY walks for the first time in
seven years after surgery on his leg: Republic of the Philippines
UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

52. CONTINUING PROMISE
UNCLASSIFIED//FOUO
The U.S. Navy Amphibious Assault Ship USS KearsageUNCLASSIFIED//FOUO
(LHD 3)

53. CONTINUING PROMISE Norfolk, VA
2007 & 2009 Norfolk, VA
Port Au Prince, Haiti
9-20 Apr
Miami, FL 4-6 Apr
Port Au Prince, Haiti
Ft. Lauderdale, FL 26-28 Jul
Santo Domingo,
Dominican Republic
21 Apr – 2 May
Belize City, Belize Port of Spain,
La Union, El Salvador
Trinidad
21 Jun – 2 Jul
St Johns, Antigua
Puerto 5-16 May
Barrios, Guatemal
Georgetown, Guy
a
Corinto, Nicaragua
UNCLASSIFIED//FOUO ana
3-14 Jul Paramaribo, Surin
ame
VBN, Panama Buenaventura, Co
18-21 Jul lombia
Corinto,
Nicaragua
Acajutia, El Cartagena, Columbia
Salvador 20-23 May
Colon, Panama
Colon, Panama
24 May-2 Jun
Manta, Ecuador
Tumaco, Columbia
6-17 Jun
Salaverry, Peru
UNCLASSIFIED//FOUO 53
UNCLASSIFIED//FOUO

54. Cooperative Surgery with Dominican medical staff on board the USS Kearsarge: CARIBBEAN SEA
UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

55. Operation Smile patient after successful surgery onboard the USS
Kearsarge: Puerto Cabezas, Nicaragua
UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

56. Cooperation Afloat Readiness and
Training (CARAT) Program
CARAT 2009
Philippines 20 May - 30 May
Singapore 05 Jun - 18 Jun
1. Philippines
4. Thailand Malaysia 22 Jun - 02 Jul
Thailand 08 Jul - 16 Jul
Indonesia 21 Jul - 25 Jul
Brunei 03 Aug - 10 Aug
3. Malaysia UNCLASSIFIED//FOUOSEACAT 17 Aug - 20 Aug
6. Brunei Exercise Observers
Vietnam Singapore
2. Singapore
Cambodia SEACAT
5. Indonesia Indonesia SEACAT
Naval
Engagement
Activities
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

57. DoD Global Fight Against HIV
82 Countries Benefited by DoD Activities
(As of FY09)
Eastern
Europe &
Central Asia
10
UNCLASSIFIED//FOUO
Asia &
Southeast Asia
Middle 9
East 3
Caribbean &
Africa
Latin America
46
14
Funding Source
PEPFAR
DHP
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 57

58. FY 2009 DHAPP
Program Accomplishments
42,350
597,374 Troops & families 4,728 7,779
reached with on palliative care peer educators Health care
prevention UNCLASSIFIED//FOUO
trained workers trained
messages
278 78
233,684 counseling and
353 laboratories 26,800
counseled and counseling and
testing centers equipped and individuals currently
tested testing centers
supported supported on ARVs
supported
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 58

59. NAMRU-3
Ghana Detachment
Afghanistan Satellite Lab
UNCLASSIFIED//FOUO
Program
Influenza
Active Duty
HIV/BBP
NAMRU-3 AOR Vector studies
2005-9
AFI/HFV
Active Programs/Partners Meningitis
Rotavirus
UNCLASSIFIED//FOUO 59

60. OPERATION UNIFIED
RESPONSE: HAITI 2010
UNCLASSIFIED//FOUO
: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

61. Operation Unified Response
USS Carl Vinson /
Carrier Air Wing (CVW) 17
Fleet Antiterrorism
Security Team USNS Lummus
USS Nassau
UNCLASSIFIED//FOUO
USNS Comfort
USS Bataan / Navy Forward Deployed
24th Marine
22nd Marine Expeditionary Unit Preventive Medicine Unit
Expeditionary Unit
*Specialty Surge Packages and Non-Governmental Organization Fills Throughout
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 61

62. USS CARL VINSON
• Treated 60 American and Haitian
Patients
• Performed 12 Surgeries
• Provided Neonatal Care to Infant
Born Onboard the USS Mohawk
(USCG)
UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection 62
UNCLASSIFIED//FOUO

63. USS BATAAN
• Major/Trauma Surgeries: 21
• Minor Surgeries: 77
• 90% Orthopedic Related
• 10% General Procedures
UNCLASSIFIED//FOUO
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 63

64. USNS Comfort (T-AH 20)
On Station in Record Time
•76.5 hrs from notification to sail (5 day norm)
• 1st patient via helo before ship anchored PaP
• Treated ~1000 earthquake patients
• 843 major surgeries
UNCLASSIFIED//FOUO
“Largest single orthopedic trauma center in the
hemisphere”
THE FACE OF OUR NATIONAL RESPONSE!
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO

65. Non-Governmental Organizations
• Non-Governmental Organizations
expand mission capabilities onboard
COMFORT:
– American College of Surgeons
– Johns Hopkins University
– National Nurses United
UNCLASSIFIED//FOUO
– Operation Smile
– Orthopedic Trauma Association
– Project HOPE
– UCLA
– University of Michigan
– American Red Cross
Photo: Department of the Navy/Department of Defense collection UNCLASSIFIED//FOUO 65

66. Retention: Top 10 Reasons
Sailors Stay and Leave
Zone A Argus Survey Data / ALL NAVY
Number Reasons to Stay Number Reasons to Leave
113,317 Your medical benefits 70,732 Being Selected for an IA
109,358 Your dental benefits 62,903 The red tape
99,409 Value of your benefits 55,545 Separation from family/friends
94,020 Leave amounts 50,350 Time Away from Home
91,623 UNCLASSIFIED//FOUO
Availability of Navy Exchange 49,074 Morale in your unit
90,485 Availability of commissary 46,325 Communication within the unit
87,759 Education benefits offered 44,094 Appropriateness of awards
82,978 Interest in my current job 43,764 Administration of award
80,717 Availability of MWR programs system in my unit
77,949 Advancement/Promotion 42,894 # of personnel to do the job
opportunities
41,728 Time spent training away from
home
Data as of Aug 09 UNCLASSIFIED//FOUO 66

67. Medical Corps Health Professions
Scholarship Program (HPSP)
FY10 as of Apr 10; Additional 96 in process
400
350
300
250
UNCLASSIFIED//FOUO Goal
200
Accessions
150
100
50
0
FY02 FY03 FY04 FY05 FY06 FY07 FY08 FY09 FY10
371 net under-recruiting of HPSP from 2004-2007. Goal met FY08 and FY09
On track to fully meet goal in FY10
Note: FY08 –FY10 Data include both HPSP and Health Services Collegiate Program UNCLASSIFIED//FOUO 67

68. Medical Department
Officer Loss Rates
Loss Rates FY02-FY09
16.0%
14.0%
12.0%
10.0%
8.0%
UNCLASSIFIED//FOUO
6.0%
4.0%
2.0%
0.0%
FY02 FY03 FY04 FY05 FY06 FY07 FY08 FY09
MC 8.7% 9.2% 10.6% 10.4% 9.6% 10.2% 8.2% 8.8%
DC 12.2% 11.7% 10.6% 12.9% 14.4% 14.7% 10.8% 8.5%
MSC 6.9% 7.3% 9.1% 10.2% 10.2% 9.4% 9.0% 9.0%
NC 7.6% 8.4% 9.5% 9.7% 11.4% 9.9% 9.2% 8.9%
68
Source: BUMIS Sep 2009
UNCLASSIFIED//FOUO

69. Parent Services and
Med Dept Comparisons
600,000
Navy & Marine Corps Combined
550,000
500,000
Services End Strength
Army
450,000
Navy
400,000
350,000
Air Force UNCLASSIFIED//FOUO
300,000
250,000
200,000 Marine Corps
150,000
100,000
50,000
0
FY00 FY01 FY02 FY03 FY04 FY05 FY06 FY07 FY08 FY09 FY10
TD
Army Navy Marine Corps Air Force Navy&MC combined
69
UNCLASSIFIED//FOUO

70. Medical Department
Officer Communities
TOP HIGH DEMAN/LOW DENSITY PERSONNEL
CURRENTLY DEPLOYED
300
250
200
150
100
50 UNCLASSIFIED//FOUO
0
Community Manning Personnel Deployed Operational Billets
PA EM Gen Surg CC Nurse Psychiatry Clinical Psych
Community Manning 180 136 176 283 93 106
Personnel Deployed 22 23 27 69 16 11
Operational Billets 54 23 32 19 10 29
UNCLASSIFIED//FOUO

71. Medical Department Officer Corps
Critical Wartime Specialty Manning
General Surgeon
Psychiatrist
Emerg Physician
Anesthesiologist
Physician Assistant
Psychologist
Env Hlth Officer
Entomologist
UNCLASSIFIED//FOUO
Critical Care Nurse
Family Nurse Practitioner
Perioperative Nursing
Pediatric Nurse Practitioner
Nurse Anesthetist
Psych Nurse
0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 14.00% 16.00% 18.00%
5 year average annual loss rate 2005-2009 FY09 loss rate
Loss Rate (%) UNCLASSIFIED//FOUO 71