Medical Category Issues U'S' Public Health Service

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Medical Category Issues U.S. Public Health
Service

• David Rutstein, MD, MPH
• CAPT and Chief Medical Officer, USPHS
• 15 June 2006

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Issues

• Current Status
• Transformation
• Readiness
• Promotion
• Compensation
• Retention/Recruitment
• Other Issues

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Employed US Physician
Source DOL, BLS, November 2004
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Agency by Category
Current as of 14 June 2006
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Medical Officers
CDC
IHS
NIH
Current as of 14 June 2006
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Rank by Category
Current as of 14 June 2006
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Rank by Category
Current as of 14 June 2006
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Transformation

• Began July 2003
• Latest announcement January 18, 2006
• Further stimulated by Katrina Report
• Goal Increase size and operational capabilities
  of the CC

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Readiness

• A component of the CC
• Greater significance since 9/11
• Team focus to deployments
• In addition to Agency specific deployments
• 4 Tiers

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Promotion

• Non-Competitive to O-4
• Competitive to O-5 and O-6
• Annual process (up to O-6)
• Tips
• PIR
• Cover Page of CV
• Reviewing Officials and Officers Statement
• COER Raters Comments
• COER Officers Duties Accomplishments and Goals

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Benchmarks

• Guide officers and promotion boards in the
  identification of officers who consistently
  strive to achieve excellence
• Do not affect promotion rates
• Text provide examples of excellence

Promotion board members must still assess the
degree of partial or complete fulfillment for
each factor and determine the relative weighting
of the factors comprising each precept.
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PY06 (and Proposed PY07) Benchmarks

• Weight
• 1. Performance 40
• 2. Education, Training Professional Development
  15
• 3. Career Progression Potential 25
• 4. Characteristics of Career Officer Service to
  the Corps 15
• 5. Response Readiness (OFRD) 5
• 6. H3 (Hazardous duty, Hardship, Hard to fill)
  pending

Current PY06 and proposed PY07 Benchmarks
(approved by PPAC, submitted to CPO Board) are
available at usphs-ppac.org)
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Intent of PY07 Revisions

• Increase transparency
• PY07 cover memo explains the ground rules so that
  Promotion Boards and officer see the same
  instructions
• Recognize diversity of achievement

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Precept 1 Performance, PY07

• COERs and COER Attachments, Award History
• Reviewing Officials Assessment
• Promotion Readiness
• Leadership in the agency broadened scope
• In a management, supervisory, or leadership
  position
• And/or
• As a member of a task force at the Branch,
  Institute, Division, Agency, or CC level or
  local, regional, national, or international level
• And/or
• Through publications or other written or oral
  presentations
• Mission Contribution
• Integrity/Duty

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Precept 2 Education, Training Professional
Development, PY06

• Degree, Licensure, Residency, Board
  Certification, CME
• Public Health T/E
• Additional Degrees

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Precept 3 Career Progression Potential, PY06

• Billet, Assignments, Mobility, Assimilation
• Collateral Duties

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Precept 4 Characteristics of Career Officer
Service to the Corps, PY07

• Membership in CC committees or groups
• Associate Recruiter
• added informal recruitment activities
• Mentoring
• added informal mentoring
• BOTC/IOTC, Professional Organizations, Service
  Awards
• Commitment to Visibility
• added oral presentations acknowledge the CC,
  uniform wear at professional meetings
• Other CC activities
• added PHS Boards, DMAT, EOC

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2005 Temporary Competitive Promotion Results for
Medical Category by Agency
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Compensation

• Traditionally connected to DOD
• Quadrennial Review Goal Greater flexibility for
  all uniformed services
• Strategies to better align compensation with
  needs of the CC

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Retention/Recruitment

• Continuing challenge with implications for the
  entire CC
• Greater emphasis in OCCO (recruitment)

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Other Issues

• Billets
• Mentoring
• Medical Officer ListServ
• Retirement

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Contact Info

• David Rutstein, MD, MPH
• CAPT and Chief Medical Officer, USPHS
• Deputy Director, Office of Disease Prevention and
  Health Promotion
• HHS/OS/OPHS
• 1101 Wootton Parkway, LL-100
• Rockville, MD 20852
• 240.453.8278
• david.rutstein_at_hhs.gov

Questions?