Transcript PPT - NJ HOSA

US Public Health Service (PHS)
Commissioned Corps
&
The PHS in
US Coast Guard Medicine
CDR Esan O. Simon
MD, MBA, FS, USPHS
NJ HOSA Leadership Conference
March 19 – 20, 2011
Sewell, NJ
Outline
I. Speaker Background
II. PHS Commission Corps
III. Mission & Organization of the PHS
IV. History of the Corps
V. PHS in the U.S. Coast Guard
VI. U.S. Coast Guard Operations
VII. Health Professions Scholarships
I. Speaker Background
A. Education
-College: Harvard University ’94
-Medical School: Emory University ’98
-Internship: Pediatrics ‘99 (Naval Medical
Center Portsmouth, VA)
-Flight Surgery: Naval Aerospace
Medicine Institute ’00
-Residency: Mayo Clinic Family Medicine ‘10
I. Speaker Background
B. Professional Experience
– Flight Surgeon: CVW3 (Virginia Beach, VA)
’00 – ’02
– Flight Surgeon: NASC (Pensacola, FL)
’02 – ’04
– Flight Surgeon: USCG Air Station Elizabeth
City (Elizabeth City, NC) ‘04 – ’07
– Regional Practice Director: USCG Clinic
(Cape May, NJ) ’10 – present
II. PHS Commissioned Corps
More than 6,000 full-time,
highly qualified public health
professionals.
Driven by a passion for
public service.
II. PHS Commissioned Corps
Serve on the frontlines in the
Nation's fight against disease
and poor health conditions.
Leaders in Researchadvancing public health
science.
Army
Navy
Marines
Air Force
Military
Armed Forces
Uniformed Services
The Uniformed Services:
Coast Guard
PHS Commissioned Corps
NOAA Commissioned Corps
III. PHS Mission & OrganizationMission Statement
Protect, promote, and advance the health and
safety of our Nation.
Rapid &
Effective
Leadership &
Excellence in Response to
Public Health Public Health
Needs
Practices
Advancement
of Public
Health Science
III. PHS Mission & Organization
• CORE MISSIONS
– Provide urgently needed public health and
clinical expertise in response to large-scale
local, regional, and national public health
emergencies and disasters
– Work with other nations and international
agencies to address global health
challenges
– Conduct and support cutting-edge research
for the prevention, treatment, and
elimination of disease, health disparities,
and injury
III. PHS Mission & Organization
• CORE VALUES
– Provide essential public health and
health care services to underserved and
disadvantaged populations
– Prevent and control injury and the
spread of disease
– Ensure that the Nation's food supply,
drinking water, drugs, medical devices,
and environment are safe
III. PHS Mission & Organization
(Core Values, cont.)
Provides vision
and purpose in
public health
through
inspiration,
dedication, and
loyalty.
Exemplifies
uncompromising
ethical conduct
and maintains the
highest standards
or responsibility
and accountability
Service
Leadership
Integrity
Excellence
Demonstrates a
commitment to public
health through
compassionate
actions and
stewardship of time,
resources, and
talents
Exhibits superior
performance and
continues
improvement in
knowledge and
expertise
IV. History of PHS
1798 - John Adams, 2nd president of
the United States, signed the Relief
of Sick and Disabled Seamen Act.
1799 - Congress extended the Act to
cover every officer and sailor in the
U.S. Navy leading to the creation of a
network of local Marine Hospitals
along major waterways.
President Adams signs the Relief of Sick
and Disabled Seamen Act on 16 July 1798.
1870 – Marine Hospital Service
administration was centralized with
its headquarters in Washington, DC,
under the position of supervising
surgeon (later Surgeon General).
IV. History of PHS
1871 - John Maynard Woodworth, the first
supervising surgeon, adopted a military model.
Woodworth instituted examinations for
applicants, put physicians in uniforms, and
created a cadre of mobile, career-service
physicians who can be assigned to various
marine hospitals.
1878 - Congress enacted the National
Quarantine Act to prevent the introduction of
contagious and infectious diseases into the US.
– The Marine Hospital Service was tasked to
administer immunizations programs and
control epidemic diseases (i.e. smallpox,
yellow fever, and cholera).
IV. History of PHS
1889 - Legislation formalized the Commissioned
Corps as the uniformed services component of the
Marine Hospital Service. Congress organized
Corps officers along military lines, with titles and
pay corresponding to Army and Navy grades.
1902 - “Marine Hospital Service”
expanded to “Public Health and Marine
Hospital Service” to reflect growing
responsibilities.
The Service now managed state
quarantines and the medical inspection of
arriving immigrants, such as those
landing at Ellis Island in New York
IV. History of PHS
1912 - “Public Health and Marine
Hospital Service” was shortened to the
“Public Health Service” (PHS) and
their powers broadened by Congressauthorizing investigations into human
diseases, sanitation, water supplies,
and sewage disposal.
1930 and 1944 - Commissioned
Corps was expanded to include
engineers, dentists, research
scientists, nurses, and other health
care specialists.
IV. History of PHS
1930 and 1944 - Corps officers expanded to include
engineers, dentists, research scientists, nurses, and other
health care specialists, as well as physicians.
IV. History of PHS
2006 to Present-The Commissioned Corps continues to fulfill its mission
to protect and promote the public health of our Nation. With more than
6,000 active-duty officers, the Corps is working both nationally and
internationally to create a global world free of preventable disease,
sickness, and suffering.
IV. History of PHS
PHS Commissioned Corps Today:
Fills essential public health leadership and service
roles in over 20 Federal Agencies and Programs.
IV. History of PHSPHS Commissioned Corps Today
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Physician (988)
Dentist (376)
Nurse (1405)
Pharmacist (1000)
Dietitian (92)
Engineer (404)
Environmental Health Officer (365)
Scientist (247)
Veterinarian (85)
Therapist (140)
– Occupational, Physical, Speech, & Audiology
• Health Services Officer (1010)
– Physician Asst, Info Tech, Med Admin, Optometrist, Social Worker,
Lab Tech, Health Admin, & Mental Health
V. PHS in the
U.S. Coast Guard
I. Health Care Professionals
Physicians (60)
Dentists (60)
Pharmacists (16)
PA’s/NP’s (40 tot; 31 CG 9 PHS)
Physical Therapists (3)
Health Service Officers (8)
Environmental Health Officers(18)
Clinic Administrators (43)
II. Health Services Technicians (HS)- 738
-includes dental/pharmacy/XRAY techs
•
V. PHS in the
U.S. Coast Guard
•MEDICAL FACILITIES
•35 Outpatient Clinics/7 Satellite Clinics (AAAHC
Accredited)
- 6 Clinics co-located with MTFs (Honolulu, LA, San
Diego, Charleston, Selfridge, Sacramento)
- Clinics typically comprised of 2+ Medical Officers
- Vibrant Aviation Medicine component
• 2 Clinics with low acuity inpatient capability
- Coast Guard Academy
- Coast Guard Training Center Cape May
• 62 Sick Bays afloat & 72+ Sick Bays ashore - staffed by
IDHSs/HS (without MO at unit)
V. PHS in the
U.S. Coast Guard
• US COAST GUARD OFFICE OF HEALTH
SERVICES MISSION
– To provide health care to active duty and reserve
members in support of Coast Guard missions
– To ensure the medical and dental readiness of all Coast
Guard members
– To ensure the availability of quality, cost effective health
care for all eligible beneficiaries
VI. U.S. Coast Guard OperationsCoast Guard Missions
Maritime Safety
Homeland & Maritime Security
• Search and Rescue
• Ice Operations
• Marine Safety
• Boating Safety
• Port & Waterways Security
• Drug Interdiction
• Alien Migrant Interdiction
• Law and Treaty Enforcement
Maritime Mobility
• Aids to Navigation
• Polar & Domestic Ice Breaking
• Bridge Administration
• Maritime Transportation
Humanitarian &
Disaster Response
Protection of Natural
Resources
• Marine Pollution Education, Prevention,
Response and Enforcement
• Foreign Vessel Inspections
• Living Marine Resources Protection
• Marine and Environmental Science
National Defense
VI. U.S. Coast Guard
Operations
• AN AVERAGE COAST GUARD DAY
• Save 14 lives
• Board 193 ships and boats
• Assist 98 people in distress
• Escort over 20 larger passenger vessels, military vessels and High
Interest Vessels
• Launch 164 aircraft missions, logging 317 hours
• Service 135 aids-to-navigation and correct 23 aids-to-navigation
discrepancies
• Conduct 74 Search and Rescue Cases
• Interdict and rescue 17 illegal migrants
• Respond to 12 oil/chemical/HAZMAT spills
• Seize over 1,000 lbs of illegal drugs valued at $12.9M
• Complete 31 Port State Control safety and environmental exams on
foreign vessels
ALL HAZARDS, ALL THREATS, ALWAYS READY: SEMPER PARATUS
VI. U.S. Coast Guard OperationsOperational Platforms
HH-65 Dolphin
CASA CN-235
MH-68A Stingray
HH-60 Jayhawk
HC-130 Hercules
VI. U.S. Coast Guard OperationsOperational Platforms
Polar Icebreakers
Patrol Boat
National Security Cutter
Medium Endurance Cutter
High Endurance Cutter
VI. U.S. Coast Guard OperationsOperational Platforms
Motor Lifeboats
Utility Boats
Defender Class Response Boats
Port Security Patrol Boats
VI. U.S. Coast Guard OperationsDrug Interdiction
VI. U.S. Coast Guard OperationsAlien Migrant Interdiction
VI. U.S. Coast Guard OperationsGeneral Maritime Law Enforcement
•Boating Under the
Influence (BUI)
•Rules of the Road
•Boating Regulations
•Support of local Law
Enforcement Agencies
VI. U.S. Coast Guard OperationsSearch and Rescue
50,000 calls per year
VI. U.S. Coast Guard OperationsSearch and Rescue
USCG H60 Jayhawk Helicopter
USCG Rescue Swimmer
VI. U.S. Coast Guard OperationsGlobal Merchant Fleet
•Inspections of
ships, especially
foreign flagged
ships
VI. U.S. Coast Guard OperationsFisheries Enforcement
•Domestic Fisheries
Enforcement
•High Seas Drift Net
Enforcement
VI. U.S. Coast GuardOperationsMarine Environmental Protection
•Minimize oil spill
damage
•Oil Pollution Act of 1990
(OPA-90) – Exxon Valdez
VI. U.S. Coast Guard OperationsAids to Navigation
-World’s largest
ATON system
-Over 50,000 buoys,
fixed markers, and
lighthouses
-LORAN-C (‘10)
VI. U.S. Coast Guard OperationsEmergency Response
1999 Hospital center at Fort Dix, NJ, for Kosovo
refugees
2001 Terrorist attacks
2001 Anthrax attacks
2004 Tsunami and
Earthquake in
Indonesia
2006 Earthquake in
Hawaii
VI. U.S. Coast Guard OperationsEmergency Response
2005 Hurricanes Katrina & Rita
>2500 Corps Officers, >1200 federal employees
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Evacuation Triage
Federal Medical Shelters
Safe Drinking Water
Safe Food and Pharmaceuticals
Vaccinations (Td, Hep A, Influenza)
• Waste Water Systems
• Evaluated Hospitals, Shelters,
Nursing Homes, Schools
• Sick and abandoned animals
• Comfort and assurance
VI. U.S. Coast Guard OperationsEmergency Response
2008 Hurricane Gustav & Ike
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6,000 officers placed on alert
800 officers deployed
Established 4 Federal Medical Shelters (LA & TX)
Disease surveillance, Environmental health
assessments, & Food service site inspections (TX)
Emergency Response:
Haitian Operations
• 2009
– Haiti Earthquake
• Coast Guard was the first of the US Forces onscene in Port Au Prince
• MEDEVAC > 120 critically injured
• Evacuated ~ 936 American citizens
Emergency Response:
Haitian Operations
Emergency Response:
Haitian Operations
Emergency Response:
Deepwater Horizon
• 2010 Deepwater Horizon Oil Spill
– 48,000+ personnel
– 10,000 Vessels of Opportunity
– 125 aircraft
– 1000+ organizations
– USCG Response:
• 4,500 Coast Guard personnel deployed (~10% of Coast
Guard workforce)
• Assumed command & control immediately after the disaster
occurred
Emergency Response:
Deepwater Horizon
In situ burns
Beach cleanup
VII. Health Professions
Scholarships
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Government Options:
Income-Based Repayment & Public Service Forgiveness: www.ibrinfo.org
Public Service Fact Sheet:
http://studentaid.ed.gov/students/attachments/siteresources/LoanForgivenessv4.pdf
http://www.finaid.org/calculators/ibr.phtml
Indian Health Service: http://www.loanrepayment.ihs.gov/
HRSA:
http://www.hrsa.gov/loanscholarships/index.html
National Health Service Corps http://nhsc.bhpr.hrsa.gov/
State Obligations
Arizona: http://www.azdhs.gov/hsd/az_loan_repayment.htm
List of Options & Programs:
http://services.aamc.org/fed_loan_pub/index.cfm?fuseaction=public.welcome&CFID=684850&CF
TOKEN=12636529
Army: http://www.goarmy.com/amedd/medical/corps_benefits.jsp
Air Force: http://www.airforce.com/pdf/hpsp_scholarship.pdf
Navy:
http://www.med.navy.mil/sites/navmedmpte/accessions/pages/healthprofessionsscholarshipprogr
am_prospective.aspx
QUESTIONS?