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United States Public Health Service

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Title: United States Public Health Service


1
United States Public Health Service
  • Protecting, promoting, and advancing the health
    and safety
  • of the Nation

2
Who are We?
  • U.S. Public Health Service
  • Highly-trained and mobile health professionals
  • The nations foremost health service
  • A principle component of the Department of Health
    and Human Services
  • One of the Seven Uniformed Services

3
Seven Uniformed Services of the U.S.
4
The Department of Health and Human Services (DHHS)
5
USPHS
  • Part of the Department of Health and Human
    Services
  • Led by the Surgeon General
  • Dual Personnel System
  • 60,000 employees total
  • gt 6,000 Commissioned Corps Officers growing

6
RADM Boris Lushniak, MD, MPH
  • Acting Surgeon General of the United States

http//www.surgeongeneral.gov/about/biographies/bi
osg.html
7
RADM Scott Giberson, RPh, MPH
  • Acting Deputy Surgeon General of the United States

http//www.surgeongeneral.gov/about/biographies/bi
odeputy.html
8
Mission
  • To protect, promote, and advance the
  • health and safety of the Nation through
  • rapid and effective response to public health
    needs
  • leadership and excellence in public health
    practices
  • advancement of public health science

9
Our Origins
  • 1798 Creation of PHS to provide for care and
    relief of sick and injured merchant seaman
  • 1870 Reorganization to create a Marine Hospital
    Service
  • 1889 Formalized by Congress as the Commissioned
    Corps
  • 1912 Renamed Public Health Service because of
    broadening responsibilities
  • 1939 Became part of the Federal Security Agency
  • 1980 Became part of the Department of Health and
    Human Services

10
PHS Seal
  • Fouled Anchor seaman in distress
  • Caduceus (winged wand with 2 serpents
    intertwined)
  • Associated with the Greek god Mercury, used to
    symbolize trade or commerce (hence, PHS
    relationship with merchant seaman and maritime
    industry)

11
PHS Flag
  • Evolved out of the quarantine flag used by the
    Service on quarantine vessels and stations
  • Blue and yellow colors of the PHS represent its
    roots in maritime and quarantine activities

12
Where are we located?
  • Almost anywhere and everywhere in the United
    States
  • Whether you prefer urban or rural, east, west,
    north, or south - we have a location for you

13
Duty Locations Coast to Coast
Arizona
Washington
Washington DC
New Mexico
South Dakota
14
Where do PHS Pharmacists Work?
  • Indian Health Service (IHS)
  • Food and Drug Administration (FDA)
  • Bureau of Prisons (BOP)
  • National Institutes of Health (NIH)
  • United States Coast Guard (USCG)
  • Immigration and Customs Enforcement (ICE)
  • Center for Medicare and Medicaid Services (CMS)

15
Where do PHS Pharmacists Work?
  • Agency for Healthcare Research and Quality (AHRQ)
  • Centers for Disease Control and Prevention (CDC)
  • Department of Defense Tricare Management Activity
    (DOD TMA)
  • Health Resources and Services Administration
    (HRSA)
  • Program Support Center (PSC)
  • Office of the Secretary (OS)
  • Substance Abuse and Mental Health Services
    Administration (SAMHSA)

16
Indian Health Service
  • IHS Mission To raise the physical, mental,
    social and spiritual health of American Indians
    and Alaska Natives
  • IHS Serves 2 million people from 565 Federally
    recognized tribes and their descendants
  • Provides comprehensive healthcare services
    including preventive, curative, rehabilitative,
    and environmental
  • Most IHS facilities are west of the Mississippi
    River
  • Northern Plains States
  • Southwest
  • Pacific Northwest
  • Alaska
  • http//www.ihs.gov

17
U.S. Coast Guard
  • Component of the Department of Homeland Security
  • One of the seven Uniformed Services, and is the
    smallest of the five armed services
  • Headquarters in Washington, DC
  • Opportunities throughout the US
  • New Jersey Massachusetts
  • Washington North Carolina
  • Florida Connecticut
  • Alabama Washington DC
  • California Virginia
  • Alaska
  • http//www.uscg.mil

18
U.S. Food and Drug Administration
  • FDA is responsible for protecting the public
    health by assuring the safety, efficacy, and
    security of
  • Human and veterinary drugs
  • Biological products
  • Medical devices
  • National food supply
  • Cosmetics
  • Products that emit radiation

19
U.S. Food and Drug Administration
  • FDA regulates manufacturing, marketing and
    distribution of tobacco products
  • FDA monitors the manufacture, import, transport,
    storage, and sale of about 1 trillion worth of
    products each year
  • http//www.fda.gov

20
Federal Bureau of Prisons
  • The health care mission of the BOP
  • To deliver medically necessary health care to
    inmates effectively in accordance with proven
    standards of care without compromising public
    safety concerns inherent to the Bureaus overall
    mission.
  • Operates a system of Federal penitentiaries
    across the country
  • Settings range from small infirmaries to 500 bed
    tertiary care hospitals

21
Federal Bureau of Prisons
  • Inmates are designated a level of care according
    to their overall health
  • Care Level (CL) I Healthy or simple chronic
    care
  • CL II Stable, chronic care
  • CL III Unstable, complex chronic care
  • CL IV Medical Center, often requires daily
    nursing care
  • http//www.bop.gov

22
National Institutes of Health
  • Mission to seek fundamental knowledge about the
    nature and behavior of living systems and the
    application of that knowledge to enhance health,
    lengthen life, and reduce the burdens of illness
    and disability

23
National Institutes of Health
  • Federal focal point for medical research in the
    U.S.
  • More than 80 of NIHs budget goes to over 3,000
    universities and research institutions.
  • The NIH Clinical Center in Bethesda, MD is the
    largest hospital in the world totally dedicated
    to clinical research.
  • http//www.nih.gov

24
Centers for Disease Control and Prevention
  • CDC employs more than 15,000 employees, in more
    than 50 countries and in 168 occupational
    categories
  • Primary function is to conduct and support public
    health activities in the United States

25
Centers for Disease Control and Prevention
  • CDC works in conjunction with local, state, and
    national partners to improve the publics health,
    with particular focus on
  • Providing support to local and state health
    departments
  • Improving global health
  • Decreasing leading causes of death
  • Strengthening surveillance and epidemiology
  • Reforming health policies
  • http//www.cdc.gov

26
Substance Abuse and Mental Health Services
Administration (SAMHSA)
  • Mission to reduce the impact of substance abuse
    and mental illness on Americas communities 
  • SAMHSA includes four centers
  • Center for Mental Health Services
  • Center for Substance Abuse Prevention
  • Center for Substance Abuse Treatment
  • Center for Behavioral Health Statistics and
    Quality
  • Centers work with and support States,
    Territories, Tribes, communities, and local
    organizations to accomplish the mission through 8
    strategic initiatives
  • http//www.samhsa.gov/

27
Health Resources and Services Administration
  • Mission To improve health and achieve health
    equity through access to quality services, a
    skilled health workforce, and innovative programs
  • Vision Healthy Communities, Healthy People
  • Goals
  • Improve access to quality care and services
  • Strengthen the health workforce
  • Build healthy communities
  • Improve health equity
  • 6 bureaus, 13 offices and 1,860 people improving
    health care for the uninsured, people living with
    HIV, pregnant women, mothers, and children
  • http//www.hrsa.gov

28
Immigration and Customs Enforcement Health
Service Corps
  • Oversees lawful immigration to the United States
  • Core Values include Integrity, Respect,
    Ingenuity, and Vigilance
  • Headquartered in D.C. with opportunities
    throughout the US and territories, including
  • New York
  • Florida
  • Texas
  • Arizona
  • California
  • Puerto Rico
  • http//www.uscis.gov

29
Centers for Medicare Medicaid Services
  • Mission to assure health care security for
    beneficiaries
  • Vision to open our programs to full partnership
    with the entire health community to improve
    quality and efficiency in an evolving health care
    system.
  • Goals
  • To provide access to quality care
  • To provide services to beneficiaries
  • To provide program administration to run CMS
    programs
  • http//www.cms.hhs.gov/home/aboutcms.asp

30
Sample Pharmacist Billets
  • FDA CDER/OSE Safety Evaluator
  • Reviewing and evaluating pre-market proposed
  • proprietary drug and biological names and
    product
  • characteristics to determine the likelihood
    of confusion with existing products in the
    marketplace
  • Reviewing, analyzing, and evaluating the
    medication error reports for pre-market and
    post-market drug and biological products which
    are submitted to the FDA or cited in the
    scientific literature
  • Serving as a scientific advisor on adverse
    reactions associated with drug and biological
    products and on the safety of drug and
    biological products within FDA

31
Sample Pharmacist Billets
  • IHS Assistant Chief Pharmacist (Inpatient)
  • Serving as a Clinical Pharmacist for the ICU
    Residency
  • Program Director at the Indian Health
    Service Phoenix Indian Medical Center (PIMC)
  • Directing and coordinating clinical and
    distributive
  • pharmacy services at this 110-bed facility
  • Providing pharmacotherapy services and
    distributive pharmacy
    services for ICU patients
  • Developing and implementing medication use
    policies
  • Developing and coordinating the ASHP accredited
    Pharmacy Practice Residency Program at PIMC
  • Active member of the Pharmacy and Therapeutics
  • Committee

32
Sample Pharmacist Billets
  • HRSA Branch Chief for the AIDS Drug
    Assistance Program (ADAP)
  • Leading a team responsible for monitoring
    established
  • ADAPs to improve health care for
    individuals and families affected by HIV
  • Establishing ADAP priorities to respond to issues
    that impact planning and delivery of HIV care
    services
  • Developing strategies for delivering care for
    HIV/AIDS
  • Guiding grantees to use the most cost-effective
    methods to purchase medications

33
Sample Pharmacist Billets
  • HRSA Branch Chief for the AIDS Drug
    Assistance Program (ADAP)
  • Assisting grantees in making formulary decisions
  • Preparing budget forecasting reports
  • Developing on-site program reviews of compliance
    with ADAP mandates and regulations
  • Addressing medication distribution strategies in
    resource-poor countries

34
Sample Pharmacist Billets
  • NIH Head of the Protocol and Information Office
  • Coordination of the administrative portion of the
  • development and implementation of oncology
  • clinical trials to assure patient safety
  • Optimization of scientific objectives, regulatory
  • compliance, and efficient use of resources
  • Acting as a project manager to develop software
    to improve
  • the efficiency of oncology clinical trials
    at the National Cancer Institute (NCI) by
    leveraging technology

35
Sample Pharmacist Billets
  • Learn more about pharmacist roles at
  • Pharmacists Learning
  • and Networking Together (PLANT)
  • http//www.usphs.gov/corpslinks/pharmacy/sc_comms_
    plant.aspx

36
Why did I choose to be a PHS Pharmacist?
37
Why did I choose to be a PHS Pharmacist?
  • Quality of practice
  • Opportunities for professional growth

38
Quality of Practice
  • Pharmacy Practice wherein you are included in the
    decision process with other professionals,
    helping to manage treatment, utilizing the
    patient's medical record, and counseling every
    patient about their drug therapy
  • Pharmacy Practice settings where you and other
    providers sit down as a team and talk about your
    patient's drug therapy

39
Opportunities for Professional Growth
  • Different agencies/programs
  • Benefits accompany officers when transferring
    agencies/programs

40
Opportunities for Professional Growth
  • National and International Impact
  • Emergency Preparedness
  • USPHS Commissioned Corps Americas Health
    Responders

41
Office of Force Readiness and Deployment (OFRD)
  • OFRD coordinates the deployment of USPHS Officers
    in response to
  • National Emergencies
  • Public Health Emergencies
  • Urgent Public Needs
  • National Special Security Events

42
OFRD Pharmacist Opportunities
  • Special Needs Shelters
  • General Shelter Clinics
  • Mobile Medical Clinics/Pharmacies

43
OFRD Pharmacist Opportunities
  • Vaccination Teams
  • Temporary Hospitals

44
OFRD Pharmacist Opportunities
  • Pharmacist assistance at disaster stricken
    hospitals
  • Assisting foreign Ministry of Health departments
    to establish health care systems
  • Thailand (2005)
  • Iraq (2004)
  • Haiti (2004)

45
OFRD Pharmacist Opportunities
  • Incident Regional Coordination Team (IRCT)
  • Operations, Planning, and Logistics
  • Team Leaders and Incident Commanders
  • Public Health Assessment and Inspection Teams
  • Liaisons
  • State Emergency Operations Center
  • Homeland Security incident Management Group

46
OFRD - Make a Difference
Hurricanes September 2004
World Trade Center Attacks Sept 2001
47
National Special Security Events
  • Officers have deployed to provide assistance
    during the Presidents Inauguration.

48
Foreign Humanitarian Missions
  • USPHS Officers deploy aboard US Navy ships in
    support of annual humanitarian assistance
    operations providing medical care to foreign
    nations.

49
Foreign Humanitarian Missions
Nigeria September 2010
USNS Comfort Cruise Sept 2009
50
Domestic Humanitarian Missions
  • USPHS partners with Non-profit Groups to provide
    free medical care to the underserved populations
    within the United States.

51
Disaster Relief Missions
  • USPHS Officers deployed after the Haitian
    Earthquake in support of relief efforts.
  • Nearly 400 USPHS Pharmacists assisted with relief
    efforts for Hurricanes Dennis, Emily, Katrina,
    Rita, and Wilma.

52
OFRD Helping those in need
  • As an Officer in the U.S. Public Health Service,
    you have a unique opportunity to make a
    difference in peoples lives, domestically and
    internationally

53
OFRD Helping those in need
  • As part of something larger than yourself, you
    have unique opportunities to make a real
    difference in peoples lives.

54
OFRD 3 tiered deployment response team
  • Tier One Five Rapid Deployment Force teams and
    ten Incident Regional Coordination Teams
  • expected to report to a point of departure within
    12 hours of notification
  • Tier Two Five Applied Public Health Teams and
    five
  • Mental Health teams
  • expected to report to a point of departure within
    36 hours of notification
  • Tier Three Every other active duty officer in
    the Commissioned Corps
  • expected to report to a point of departure within
    72 hours of notification
  • deployment on a regular basis, either to augment
    Tier 1 or Tier 2 teams, or to provide specific
    requested skills when required

55
Quality of Life
  • 30 days of annual leave
  • may carry over 60 days per year plus 10 federal
    holidays
  • Sick leave as medically necessary

56
Quality of Life
  • Diverse geographical locations

57
Quality of Life
  • Be prepared to enjoy a camaraderie and sense of
    common purpose unlike anything you have yet
    experienced.

58
Privileges
  • Moving expenses are paid by the government
  • Commissioned officers qualify for the G.I. Bill
    to supplement additional educational pursuits
  • Officers may also qualify for housing loans
    through the Department of Veterans Affairs

59
Compensation
  • Taxable
  • Base Pay
  • Pharmacy Accession Bonus
  • - Requires Contract of Service
  • Pharmacy Special Pay
  • Non-Taxable
  • Housing Allowance
  • Subsistence

60
Compensation
  • Pharmacy Special Pay (15,000 per year)
  • Board Certification Pay

61
Compensation
  • Recent Graduates
  • The USPHS gives you an entire YEAR from your date
    of graduation to become licensed.
  • In the meantime, you get FULLY PAID as a
    pharmacist

62
Retirement
  • After 20 years of active service
  • retired pay 50 of average base pay during
    past 36 months
  • Non-contributory retirement based on
  • 20-30 year career
  • For each additional year of service
  • retired pay multiplier increases by 2.5

63
Insurance
  • No-cost healthcare at Uniformed Services
    facilities (for you and your dependents)
  • No payroll deduction
  • No deductibles or copays

64
Insurance
  • Malpractice insurance is not necessary when
    practicing in a federal facility
  • coverage under the Federal Tort Claims Act

65
More Privileges
  • Access to Department of Defense benefits
  • Military bases
  • Officers clubs
  • Exchanges
  • Guest housing
  • Commissaries
  • Space-Available travel

66
Eligibility Criteria
  • U.S. citizenship
  • Less than 44 years of age
  • Graduate of an accredited College or University
    in United States
  • Less than 8 years of active duty in another
    uniformed service
  • (waivers may be considered for hard to fill
  • and isolated hardship sites )
  • Good health

67
How to Get Started?
  • Visit http//www.usphs.gov
  • For recruitment or application questions or
    information, please contact us through our online
    form, Facebook page, or at the number below.
  • 1.800.279.1605
  • https//www.facebook.com/USPHS

68
STUDENT OPPORTUNITIESCommissioned Officer
Student Training and Extern Program (COSTEP)
69
JR COSTEP Program
  • Serve for periods ranging from 31 to 120 days
  • No obligation to serve in the Commissioned Corps
    after graduation
  • Credit given for JRCOSTEP time for pay and
    retirement purposes

70
SR COSTEP Program
  • Assists students financially during their final
    academic year in return for an agreement to work
    for the PHS Commissioned Corps after graduation
    for twice the time sponsored
  • Assigned to the sponsoring agency upon graduation

71
COSTEP Benefits
  • Basic pay (taxable)
  • Ensign (pay grade O-1) officer
  • Allowances (non-taxable)
  • Housing Allowance
  • Subsistence
  • Prior service in a Uniformed Service will count
    towards years of service for pay

72
Application Acceptance Dates
  • Junior COSTEP Senior COSTEP
  • Online application
  • Check website for open registration dates

73
Student Internships
  • Food and Drug Administration
  • http//www.fda.gov/AboutFDA/WorkingatFDA/Fellowsh
    ipInternshipGraduateFacultyPrograms/PharmacyStuden
    tExperientialProgramCDER/default.htm
  • Bureau of Prisons
  • http//www.usphs.gov/corpslinks/pharmacy/bop_progr
    am.aspx

74
Post-Graduate Opportunities
  • Indian Health Service Residencies
  • Bureau of Prisons Residencies
  • NIH Clinical Center Pharmacy Department
  • http//www.cc.nih.gov/phar
  • Ambulatory Fellowship (2 years)
  • Pharmacokinetics Fellowship (2 slots)
  • Oncology Specialty Residency

75
  • Ask any USPHS Pharmacist what we think of our
    career, and we will tell you that we made the
    right choice!
  • You can, too!

76
PHS Hall of Fame
  • CAPT Bill Boyce
  • Oregon State University Director
  • CAPT Jerry Phillips
  • Drug Safety Institute
  • RADM Jerry Halperin
  • Food, Drug, and Law Institute, President and CEO
  • Lucinda Maine
  • Executive VP of AACP
  • RADM Fred Paavola
  • Commander of AZ-1 DMAT
  • CAPT James Minor
  • Gilead Pharmaceuticals
  • CAPT Gordon Johnston
  • VP Regulatory Affairs at GPhA
  • RADM Richard Bertin
  • Executive Director of the Board of Pharmaceutical
    Specialties

77
QUESTIONS?
  • http//www.USPHS.GOV
  • or
  • 800.279.1605
  • Revised 1/27/2014
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