journal 031215

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Vol. 27 No. 10 www.cnic.navy.mil/bethesda/ March 12, 2015 By Andrew Damstedt NSAB Public Affairs staff writer Eradicating homelessness by providing people with homes is a new public policy catching on across the nation, and Uniformed Services Uni- versity of the Health Sciences (USU) medical students have been helping out by providing medical services to some re- cently housed individuals. Two years ago, Dr. Mark Stephens, professor and chair of the USU Department of Family Medicine, approached a nearby homeless advo- cacy nonprofit organization, Bethesda Cares, about hav- ing medical students volun- teer with the organization. That led to students going on home visits, one student doing a clerkship with the organiza- tion and several students go- ing out early in the morning to count Bethesda’s homeless population. Medical students who have been involved with the pro- gram say helping out has been a good reminder of why they came to medical school. “I came to medical school because I wanted to help peo- ple who are in a vulnerable position,” said Navy Ensign Kat Elsener, third-year medi- cal student. “It’s kind of a ba- sic answer but we don’t get a lot of exposure to that during our first year and a half. We’re mostly in the classroom.” Elsener, who has volun- teered for two years with the program, said the home vis- its helped her see health-care barriers she would not have thought of before. She shared a story of a homeless gentle- man whom she first met on the street and who she contin- ued to visit after he received housing. “He had a condition, conges- tive heart failure, and there’s a simple medication you can take to get rid of that fluid – you urinate and get rid of it,” Elsener said. “He knew about his condition and knew what medication he needed but he wasn’t able to take his meds because he didn’t have 24-hour access to a bathroom. Once he got housing, he was able to take his medication and it re- ally improved his heart condi- tion. That one has stuck with me because it’s something that seems so simple to me – ac- cess to a bathroom – [and] it made a pretty big difference for him.” That experience showed her the importance of finding out why a patient is not doing something their doctor expects of them, she said. “It may not be a person doesn’t understand, it may just be they can’t for a reason I don’t understand,” Elsener said. Army 2nd Lt. Emily Par- sons, fourth-year medical school/Ph.D. student, said vol- unteering with the program has helped with her studies. “On the one hand it is sheer practice, and especially at this stage in our medical education where a lot of what we learn is just words on a page, it doesn’t mean that much,” Parsons said. “I remember learning about cardiovascular drugs and then there’d be a patient who would give his long list of everything he was receiving or supposed to be receiving. This person would have concerns and questions about it. It’s being able to use what we’ve learned.” The USU’s partnership with Bethesda Cares is supposed to open up the student’s medical school experience, Stephens said. Providing services to the homeless population is differ- ent than what the students normally experience, he said, because they need to learn creative ways to solve medi- cal problems without having a massive resource to draw from and also learn how to help someone outside of the military culture. “I think they’re exposed to frustration,” he said. “They go out and people will tell you to ‘Shove off,’ not wanting to be bothered. Students here are used to patients coming in on a scheduled appointment. And being exposed to that other side of things has been a huge positive.” Sue Kirk, Bethesda Cares executive director, said con- necting with USU medical stu- dents has been a “game chang- er, because all of the sudden we had people looking at medi- USU Medical Students Gain Experience Helping Homeless Photo courtesy of Andrea Loejos Lee Uniformed Services University of the Health Sciences medical student Bryan Malave, right, completes a health assessment for a client at Bethesda Cares, a nonprofit homeless advocacy group, during his clerkship with the organization while staff member Mark Babiak, middle, helps out. See HOMELESS page 10

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Page 1: Journal 031215

Vol. 27 No. 10 www.cnic.navy.mil/bethesda/ March 12, 2015

By Andrew DamstedtNSAB Public Affairs

staff writer

Eradicating homelessnessby providing people withhomes is a new public policycatching on across the nation,and Uniformed Services Uni-versity of the Health Sciences(USU) medical students havebeen helping out by providingmedical services to some re-cently housed individuals.

Two years ago, Dr. MarkStephens, professor and chairof the USU Department ofFamily Medicine, approacheda nearby homeless advo-cacy nonprofit organization,Bethesda Cares, about hav-ing medical students volun-teer with the organization.That led to students going onhome visits, one student doinga clerkship with the organiza-tion and several students go-ing out early in the morningto count Bethesda’s homelesspopulation.

Medical students who havebeen involved with the pro-gram say helping out has beena good reminder of why theycame to medical school.

“I came to medical schoolbecause I wanted to help peo-ple who are in a vulnerableposition,” said Navy EnsignKat Elsener, third-year medi-cal student. “It’s kind of a ba-sic answer but we don’t get alot of exposure to that duringour first year and a half. We’remostly in the classroom.”

Elsener, who has volun-teered for two years with theprogram, said the home vis-its helped her see health-carebarriers she would not havethought of before. She shareda story of a homeless gentle-man whom she first met onthe street and who she contin-ued to visit after he receivedhousing.

“He had a condition, conges-tive heart failure, and there’s

a simple medication you cantake to get rid of that fluid –you urinate and get rid of it,”Elsener said. “He knew abouthis condition and knew whatmedication he needed but hewasn’t able to take his medsbecause he didn’t have 24-hour

access to a bathroom. Oncehe got housing, he was able totake his medication and it re-ally improved his heart condi-tion. That one has stuck withme because it’s something thatseems so simple to me – ac-cess to a bathroom – [and] it

made a pretty big differencefor him.”

That experience showedher the importance of findingout why a patient is not doingsomething their doctor expectsof them, she said.

“It may not be a person

doesn’t understand, it mayjust be they can’t for a reasonI don’t understand,” Elsenersaid.

Army 2nd Lt. Emily Par-sons, fourth-year medicalschool/Ph.D. student, said vol-unteering with the programhas helped with her studies.

“On the one hand it is sheerpractice, and especially at thisstage in our medical educationwhere a lot of what we learn isjust words on a page, it doesn’tmean that much,” Parsonssaid. “I remember learningabout cardiovascular drugsand then there’d be a patientwho would give his long list ofeverything he was receiving orsupposed to be receiving. Thisperson would have concernsand questions about it. It’sbeing able to use what we’velearned.”

The USU’s partnership withBethesda Cares is supposed toopen up the student’s medicalschool experience, Stephenssaid. Providing services to thehomeless population is differ-ent than what the studentsnormally experience, he said,because they need to learncreative ways to solve medi-cal problems without havinga massive resource to drawfrom and also learn how tohelp someone outside of themilitary culture.

“I think they’re exposed tofrustration,” he said. “They goout and people will tell you to‘Shove off,’ not wanting to bebothered. Students here areused to patients coming in ona scheduled appointment. Andbeing exposed to that otherside of things has been a hugepositive.”

Sue Kirk, Bethesda Caresexecutive director, said con-necting with USU medical stu-dents has been a “game chang-er, because all of the suddenwe had people looking at medi-

USU Medical Students Gain Experience Helping Homeless

Photo courtesy of Andrea Loejos Lee

Uniformed Services University of the Health Sciences medical student BryanMalave, right, completes a health assessment for a client at Bethesda Cares, anonprofit homeless advocacy group, during his clerkship with the organizationwhile staff member Mark Babiak, middle, helps out.

See HOMELESS page 10

Page 2: Journal 031215

2 Thursday, March 12, 2015 The Journal

Published by offset every Thurs-day by Comprint Military Publi-cations, 9030 Comprint Court,Gaithersburg, Md. 20877, aprivate firm in no way con-nected with the U.S. Navy,under exclusive written con-tract with Naval Support ActivityBethesda, Md. This commercialenterprise newspaper is an autho-rized publication for members of themilitary services. Contents of The Journalare not necessarily the official views of, norendorsed by, the U.S. Government, theDepartment of Defense, or the Departmentof Navy. The appearance of advertising inthis publication, including inserts or supple-ments, does not constitute endorsement bythe Department of Defense or Comprint,Inc., of the products or services advertised.Everything advertised in this publicationshall be made available for purchase, useor patronage without regard to race, color,

religion, sex, national origin,age, marital status, physicalhandicap, political affiliationor any other non-merit fac-tor of the purchaser, user,or patron. Editorial contentis edited, prepared and pro-vided by the Public AffairsOffice, Naval Support Activ-

ity Bethesda, Md. News copyshould be submitted to the Pub-

lic Affairs Office, Building 17, first floor,across from PSD, by noon one week pre-ceding the desired publication date. Newsitems are welcomed from all installationsources. Inquiries about news copy will beanswered by calling 301-295-1803. Com-mercial advertising should be placed withthe publisher by calling 301-921-2800.Publisher’s advertising offices are locatedat 9030 Comprint Court, Gaithersburg, Md.20877. Classified ads can be placed bycalling 301-670-1700.

Naval Support Activity (NSA) BethesdaCommanding Officer: Capt. David A. BitontiPublic Affairs Officer: Ronald D. InmanPublic Affairs Office: 301-295-1803

Journal StaffManaging Editor MC2BrandonWilliams-ChurchWRNMMC Editor Bernard Little

Staff Writers MC1 Christopher KruckeAndrew DamstedtSarah MarshallKatrina SkinnerSharon Renee Taylor

NSABethesdaFleet And Family Support Center 301-319-4087

Walter Reed National Military Medical CenterOffice of Media Relations 301-295-5727NSAB Emergency Information Line 301-295-6246

NSAB OmbudsmanMichelle Herrera 240-370-5421

NSAB Chaplain’s Office 301-319-4443/4706

Sexual Assault ResponseCoordinator Hotline 301-442-2053

Visit us on Facebook:Naval Support Activity Bethesda page:https://www.facebook.com/NSABethesda

Walter Reed National Medical Center page:http://www.facebook.com/pages/Walter-Reed-National-Military-Medical-Center/295857217111107

Uniformed Services University of the HealthSciences page:http://www.facebook.com/pages/Uniformed-Services-University-of-the-Health-Sciences/96338890888?fref=ts

Greetings,

In the installation man-agement business, we havetwo fundamental responsi-bilities which guide what wedo: first, ours is a support-ing role - we exist to providethe operations, facilitiesand services that ensure thesuccess of our mission part-ners - their success is oursuccess. Second, we have anenduring responsibility, ascaretakers of the resourcesentrusted to us, to ensure the long-term vi-ability of our installations and ranges. Asa practical matter, the installations andranges we manage today must also servethe Navy of the future. This is why goodstewardship of our resources is absolutelycritical - we aren’t standing up new basesor ranges - we already have what we willhave in the future. This month I will ad-dress two key areas of stewardship - envi-ronment and energy.

Environmental stewardship enables ourSailors to carry out their missions whileminimizing impacts on the environment,both afloat and ashore. Here at Naval Dis-trict Washington (NDW) we are committedto being an environmentally responsibleneighbor that operates with public healthand safety and protecting the environmentin mind. NDW employees, whether military,civilian or private contractor, regardless ofrank or grade, are responsible for performingtheir duties in a manner that protects theenvironment, prevents pollution and con-serves our natural and cultural resources.

Throughout the region we have a legacyof responsible care of the environment asevidenced by several environmental proj-ects that preserve our natural and culturalresources. For example, at Naval SupportActivity Annapolis the Navy is proposingto repair and restore approximately 28,000

linear feet of shoreline at theNorth Severn Complex alongMill Creek, Carr Creek, theSevern River and the Ches-apeake Bay. The shorelineerosion in these areas is oc-curring at a dramatic rate,resulting in vertical embank-ments, threats to infrastruc-ture and degradation of wa-ter quality.

At Naval Support Facil-ity (NSF) Dahlgren construc-tion to the Willow Oaks Con-

structed Storm Water Wetland (wetlandbuilt to filter water that drains from thebase to the Potomac River) at NSF Dahl-gren, was completed in January to comple-ment the already completed Upper Ma-chodoc Constructed Storm Water Wetlandnearby. Its completion brings NSF Dahl-gren into compliance with the Environ-mental Protection Agency’s new maximumdaily load rules. The rules, which limit theamount of pollutants that enter the Ches-apeake Bay in storm water, came into ef-fect in 2012 and will become progressivelystricter until 2028. Dahlgren’s storm waterwetlands will put it very close to meetingthe 2028 requirement. Once weather per-mits, replanting will occur on both sides ofthe wetland. The area will also serve as asuccessful wildlife habitat with emergentwetland vegetation, shrubs and trees. Thesite will provide an excellent opportunityfor viewing wildlife.

Naval Facilities Engineering Command(NAVFAC) Washington is in the process ofmoving a historic watchbox from NSF Indi-an Head to the Washington Navy Yard. Thewatchbox was constructed circa 1853-1854at the Washington Navy Yard. The watch-box stood just inside the Latrobe Gate (8thand M Streets SE) and functioned as a sen-try post manned by Marines assigned to the

Commander’s Column

See COMMANDER page 9

Navy Medical Corps BallThe 144th Navy Medical Corps

Ball is scheduled for March 14from 6 to 11 p.m. at the MayflowerRenaissance Hotel in Washington,D.C. Guest speaker will be Dr.Jonathan Woodson, assistant secre-tary of defense for health affairs. Formore information, contact KimberlyFagen at [email protected], or visit https://sites.google.com/site/medicalcorpsball/home.

Employer Network EventAn Employer Network Event is

held monthly on the last Thursdayfrom 11 a.m. to 1 p.m. in Bldg. 11(lower level), Rm. 16. Attendees willbe able to meet with industry rep-resentatives, develop professionalconnections and explore employmentopportunities at the event, open toall active duty, family members, vet-erans, reservists, non-medical at-tendees, contractors and civilians. Noregistration is required. For more in-formation, contact Fleet and FamilySupport Center at 301-319-4087 oremail [email protected].

Birth Month TrainingBirth month training for Army,

Navy and civilian personnel at WalterReed Bethesda is held every secondand fourth Thursday of each monthin Clark Auditorium beginning at 8a.m. Training sessions include per-sonal finance and stress manage-ment; sexual harassment; suicideawareness and prevention; customerservice; threat awareness and coun-terintelligence; and drug and alcoholprevention education.

Bethesda Notebook

Page 3: Journal 031215

The Journal Thursday, March 12, 2015 3

Submitted by Patientand Family-Centered

Care Committee

Lina Kubli, a staff audiologistatWalter ReedNationalMilitaryMedical Center (WRNMMC), re-cently became the new chair ofthe medical center’s Patient andFamily-Centered Care (PFCC)Committee.

The 35-member committee,comprised of staff and patients,is focused on improving the pa-tient experience at WRNMMC,according to Terry Sellars, thecommittee’s administrator. Sheadded the group is “very ex-cited” to have Kubli onboardand “looks forward to workingclosely with her on current and

future PFCC endeavors.”The PFCC welcomes new

members “with a passion forimproving the patient experi-

ence at Walter Reed Bethesda,”Sellars continued. “Patient andFamily-Centered Care is alsoan integral part of the medicalcenter’s strategic plan, underthe ‘Quality and Safety’ pillar,”she added.

Kubli succeeds Army Lt. Col.(Dr.) Scott Petersen, an obste-trician, as chair of the PFCCcommittee.

“I am honored to serve [and]to coordinate PFCC activitiesacross the medical center forstaff, patients, and familiesreceiving care at WRNMMC,”Kubli said. “As a clinical pro-vider at WRNMMC, and a fam-ily member of a retired U.S.military service member, I rec-ognize the importance of iden-tifying institutional barriers

that can impede quality of pa-tient care and access while al-lowing providers the means tofocus on delivering world-classclinical care.

“I believe it is important tofoster a strong sense of commu-nity within our hospital staffand with our patients,” shecontinued. “A strong sense ofcommunity and concierge-levelservice will have long term im-pact on staff as well as patientsatisfaction where patientsconsistently choose WRNMMCfor their medical care.”

The PFCC committee “strivesto improve the patient experi-ence by strongly promoting theprocess of sharing ideas, timeand resources to make positivechanges at WRNMMC,” accord-

ing to Sellars. “By involvingour patients and their familiesin their own health care, theywill feel like an important partof the health care team devel-oping a positive and rewardingrelationship with their provid-ers. This relationship ultimate-ly produces better outcomes forthe patients and their families,”she said.

The PFCC committee meetson the fourth Thursday of eachmonth at 11:30 a.m. Patientsare welcome and encouragedto share their experiences. Formore information, contact Ter-ry Sellars at [email protected], or 301-400-2791, orMichael Joseph III at [email protected], or 301-295-1018.

New Chair at Helm of Patient, Family-Centered Care Committee

Courtesy photo

Dr. Lin Kubli

By Sharon Renee TaylorWRNMMC Public Affairs

staff writer

More than 35 Walter ReedNational Military Medical Cen-ter (WRNMMC) leaders partic-ipated in the first LeadershipAcademy held recently at themedical center.

The Academy was the brain-child of WRNMMC DirectorBrig. Gen. (Dr.) Jeffrey B. Clark,who wanted to find a way toensure extraordinary patient-centered care, beginning withmanagers and supervisors wholead the WRNMMC staff.

“Certainly the patient is atthe center of everything we do,but how do we affect that? Howdo we be the leaders that setthe stage for excellent patientcare? How do we go from ordi-nary patient care to extraordi-nary patient care?” asked NavyCmdr. (Dr.) Katherine Schex-neider, who served as directorof role-based competencies forthe Leadership Academy.

Ideas for the academy beganin October 2014, she said, toinclude course offerings thatspan the spectrum of leader-ship theory, to quality improve-ment, as wells as the patientexperience.

“We have sessions on re-sources, sessions on logisticsand sessions on personnel man-agement for managing both themilitary and civilian personnel,giving people all the skills thatthey need to be those effectiveleaders to provide extraordi-nary care,” Schexneider said.

The goal of the role-basedcompetency training is to offerrole-based education and train-ing on leadership and man-agement skills on a variety of

levels, explained Army Lt. Col.Christine M. Ludwig, deputychief, Hospital Education andTraining for Health Profession-als Education at WRNMMC.

Army Maj. Gail Casley-Saw-yer, who served as leadershipand development coordinatorfor the Leadership Academyteam, said the academy wasintended to address the needsof participants who range fromthose assuming new leadershippositions for the first time, aswell as more experienced man-agers and supervisors.

“The patient experience be-gins with the people who lead.It’s hard to lead when you don’thave a clear vision of the stra-tegic plan,” Casley-Sawyer said.

The academy’s organizersdesigned the program to pro-vide instruction for courses insix different modules: Lead-ership and Development, Re-sources, Quality Improvement,Personnel Management, 21stCentury Healthcare, and thePatient Experience. WRNMMCsubject matter experts taughtcurriculum for the four-dayacademy which offered course-work in two different areas perday.

Leadership Academy work-ing group members performeda need-based analysis of cours-es to offer, Casley-Sawyer ex-plained. “We asked, ‘What willpeople at [each] level need inorder to be effective leaders?’ If

a leader is not effective, there’sa ripple effect in their staff,”she said, and indicated how theLeadership Academy helps ex-perienced leaders.

“A good leader is always alife-long learner. As techniquesevolve, skills should also, toprevent generational gaps, andineffectiveness,” Casley-Sawyersaid.

The Leadership Academywas also designed to help thoseinterested in moving up toleadership, said Army Maj. La-tonya R. Walker, service chief,Staff and Faculty Development,who served as supervising co-ordinator for the LeadershipAcademy team.

“We have to catch them be-

fore they develop bad habits,”Walker said. “We want to instillgood habits, early.”

Academy participants volun-tarily elect to attend the Lead-ership Academy, and includeboth civilians and service mem-bers, along with administrativeand health care professionals,according to Walker.

Tarita Bagley, chief PhysicalEvaluation Boardliaison officer,participated during the firstday of the Leadership Acad-emy. The seasoned supervisorexplained she was new to theposition and elected to enroll inthe program.

“I think leadership develop-

Leadership Academy Guides WRNMMC Staff in Extraordinary Patient-Centered Care

Photo by Sharon Renee Taylor

From left, Walter Reed National Military Medical Center (WRNMMC) Command Master Chief Tyrone Wil-lis, Navy Capt. Kim LeBel, Army Col. (Dr.) Peter Weina and Loretta Hobbs field questions from WRNMMCstaffers enrolled in the medical center’s inaugural launch of the new Leadership Academy.

See LEADERSHIP page 11

Page 4: Journal 031215

4 Thursday, March 12, 2015 The Journal

From Navy andMarine Corps Public

Health Center,Public Affairs

The Navy and Ma-rine Corps Public HealthCenter (NMCPHC) an-nounced the launch of therevitalized ShipShapeProgram, March 9.

The ShipShape Pro-gram helps participantsachieve healthy weightloss and maintain ahealthy weight by fa-cilitating changes in eat-ing and exercise habits.The program aligns tothe missions of the 21stCentury Sailor and Ma-rine Initiative and NavyMedicine to maintain ahealthy, fit, and readyforce.

“We spearheaded anintensive ShipShape Pro-gram improvement initia-tive to enhance curricu-lum content, facilitatortraining, and participantinvolvement which wefeel increases the valueand impact of the pro-gram,” said Cmdr. Connie

Scott, Health Promotionand Wellness DepartmentHead at NMCPHC. “Weled an in-depth reviewto assess service mem-ber success rates aftercompleting the program,

surveyed current Ship-Shape Program facilita-tors on best practicesand recommendations,reviewed ShipShape Pro-gram Participant evalu-ations, and conducted a

contemporary literaturereview on management ofoverweight and obesity inour efforts to improve theprogram.”

“Addit ional ly, wewould like to recognize

our ShipShape Programfacilitators who are es-sential in providing theneeded program outreachassisting service mem-bers in meeting readinessrequirements, and also

providing a resource toimprove the health of ourbeneficiaries and civilianstaff,” said Scott.

NMCPHC modernizedthe ShipShape Programcurriculum and report-ing forms, unveiled a newlogo, adopted “Get Ready.Get Fit. Get Healthy”as its tagline, and rede-signed the ShipShapeProgram website, whichhas garnered more than6,000 unique visits sinceOctober 2014.

“Over the last twoyears, approximately 43percent of active duty fit-ness enhancement pro-gram participants thatsuccessfully completedthe ShipShape Programhave met Navy bodycomposition assessment(BCA) standards withinsix months of complet-ing the program,” saidSally Vickers, ShipShapeProgram manager atNMCPHC. “Through theupdated ShipShape Pro-gram, we look forward

Public Health Center Announces Revitalized ShipShape Program

U.S. Navy photo by Mass Communication Specialist 3rd Class Margaret Keith

Lt. Alyse Dason, left, from Knightdale, N.C., teaches a yoga class on the flight deck of theaircraft carrier USS George H.W. Bush (CVN 77).

See FIT page 8

1050691

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The Journal Thursday, March 12, 2015 5

By Barbara IsonNCR-MD EAP Coordinator

Today, federal civilian employees arebusy juggling work and family and itis not unusual to encounter difficultieswith stress, family, relationships, alco-hol, work, or other concerns, which canhave an effect on your overall qualityof life. To address these concerns, Na-tional Capital Region Medical Direc-torate (NCR-MD) has partnered withFederal Occupational Health (FOH), toprovide a wide range of Employee As-sistance Program (EAP) services at nocost to staff members and their familymembers.

EAP is a non-punitive administra-tive program available to all NCR-MDDepartment of Defense civilian employ-ees and their family members. The EAPpromotes well-being of employees andsupports supervisors in helping employ-ees with personal problems that may af-fect work performance.

NCR-MD includes Walter ReedNational Military Medical Center(WRNMMC), DiLorenzo Clinic and theTri-Service Dental Clinic, Fort BelvoirCommunity Hospital and the Dumfriesand Fairfax Clinics, as well as the JointPathology Center (JPC).

To make a confidential EAP appoint-ment with a licensed counselor, call1-800-222-0364 (or 888-262-7848 if youare hearing-impaired). You will be of-fered assistance or given an appoint-ment to meet with a counselor. Thereare no counselors on-site. Meetingswith your counselor are confidentialwithin the guidelines of the law. Whencontacting the EAP, please use DefenseHealth Agency-National Capital RegionMedical Directorate (NCR-MD) to iden-tify your agency.

For more information visitWRNMMC’s EAP webpage, https://www.wrnmmc.intranet.capmed.mil/programs/empassist or go to FOH www.FOH4You.com to access additional re-sources.

Employee Assistance Program Availableto DoD Civilians, Family Members

MMA Hall of Famer RandyCouture Visits NSAB

Photo by Mass Communication Specialist 2nd Class Brandon Williams-Church

Mixed martial arts fighter and Ultimate Fighting ChampionshipHall of Famer Randy Couture (middle) poses for a picture withNavy Hospitalman Scott Ogg (left) and Army Spc. Arthur Kyle dur-ing a meet and greet at the USO Warrior and Family Center March9. Couture signed t-shirts, pictures, took “selfies” and had the op-portunity to chat one-on-one with the attendees.

1050685

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6 Thursday, March 12, 2015 The Journal

By Bernard S. LittleWRNMMC Public Affairs

staff writer

Air Force Lt. Gen. (Dr.)Douglas Robb, director of theDefense Health Agency (DHA),recently hosted a year-in-re-view town hall at Walter ReedNational Military Medical Cen-ter (WRNMMC), discussingDHA’s first year achievementsand second year focus areas.

Responsible for a “MedicallyReady Force…Ready Medi-cal Force,” Robb stated theDHA is striving for “readiness,jointness, standardization, ef-ficiency, innovation and costsavings.”

Robb added staff mem-bers have made a differencein the lives of patients andtheir families who have comethrough the doors of the for-mer Walter Reed Army Medi-cal Center (WRAMC), theformer National Naval Medi-cal Center (NNMC) and nowat WRNMMC. Because of theworld-class care provided atthose facilities, he said more

than 45 service members withbelow-the-knee amputationshave returned to full duty,some jumping out of airplanesand others flying them.

In its second year, Robbexplained DHA’s focus will

be on improving access andrecapturing beneficiaries sothey can receive the world-class care provided in militaryhealth-care facilities withinthe National Capital Region-Medical Directorate (NCR-

MD).“[Within] the direct health-

care system, we believe we candeliver the best health care atthe least expense,” Robb said.“The more beneficiaries we seein the direct health-care sys-

tem, the more our currency [ofskills] and competency go up,”he continued.

Navy Rear Adm. RaquelBono, NCR-MD director,agreed, adding, “All the workwe’re doing to recapture andprovide access to our patientsallows us to keep our skills atthat very high level. We’re do-ing a lot more business witheach other within our market.We’re seeing a lot more of eachother’s patients, and we’re see-ing a lot more of our providers[working] across the [region at]the different MTFs [militarytreatment facilities] within ourmarket.

“We are well stretched outacross the National CapitalRegion, and we’ve often talkedabout going to where the pa-tients are,” Bono continued.“[With] the geography of how[our MTFs] are situated, weshould be able to pretty muchcover where our patients are,if we’re smart about workingwith each other and determin-ing how we can best optimizewhat we are doing for our pa-tients,” she concluded.

DHA Reviews Past Year During Town Hall

Photo by Bernard S. Little

Air Force Lt. Gen. (Dr.) Douglas Robb, director of the Defense Health Agency(DHA), conducts a town hall with staff at Walter Reed National Military Medi-cal Center on Feb. 23, discussing DHA’s first year achievements and second yearfocus areas.

By Sharon Renee TaylorWRNMMC Public Affairs

staff writer

In honor of his 41 years ofmarriage, Michael Bowensperformed the Luther Van-dross ballad “Here and Now”at the recent Walter Reed Na-tional Military Medical Cen-ter (WRNMMC) Staff TalentShow.

Bowens, who works in Medi-cal Records in the medical cen-ter, is married to Navy Capt.Shirley Bowens, ambulatoryclinics department chief nurse.His performance of Vandross’love song earned him firstplace among the eight com-petitors in the talent show,sponsored by Resiliency andPsychological Health Serviceto boost staff morale and ca-maraderie as well as enhanceemotional well-being through-out the command.

A tenor, Bowens may havehad a leg up on his talent showcompetitors; he was a mem-ber of the Grammy Award-winning ensemble, Sounds ofBlackness, in 1991.

The Admission PlanningUnit Prescreen Unit Mar-velettes, winners of the last

staff talent show in Novem-ber, took second place in theFeb. 11 competition with theirrendition of Aretha Franklin’s“Rock Steady.” The crowd-pleasing doo-wop group playedto the audience with their co-ordinated dance steps and1970s-styled outfits. MembersGiovanni Muhammad, LisaCaldwell, Melissa Pierre andRenee Leach sang, “What itis, what it is, what it is,’ andended their performance ina “Charlie’s Angels”-inspiredpose.

Leroy Goetzendanner, alsoknown as “G-Mean,” claimedthird place in the show toround out the top winners.G-Mean gave a spoken wordperformance. “True love isthe best kept secret,” declaredthe employee of Walter ReedBethesda’s Linen Department.

Other performances atthe show included CatherineBurke, a Walter Reed Bethes-da mail clerk who danced tothe “Cha Cha Slide,” and ArmySgt. Trinity L. Ruiz, noncom-missioned officer-in-charge ofthe Optometry Department,who belted out a song fromsoul singer Adele.

Chris Orndorf performed

his tribute to Elvis Presley,and retired Command MasterChief Clint Garrett rapped hisoriginal lyrics that ended witha positive message, inspiringpeople to have a dream. NavyLt. Woody Pierre, a registerednurse in the surgical inten-sive care unit, sang the ToniBraxton ballad, “Unbreak MyHeart.”

Navy Hospitalman RyanLloyd was the talent show’smaster of ceremony, and ArmySgt. Deshawn Thompson, Ra-chel Cornette, and Navy Hos-pitalman Latanya Howell,judged each act on personal-ity, originality, stage appear-ance, overall performance andaudience response. Each of theeight acts had four minutes toperform, with points deductedfor exceeding that time.

Publ ic Health Cmdr.Dwayne Buckingham, servicechief for Resiliency and Psy-chological Health Service, saidthe talent show was created toprovide staffers the chance towork and play. “It’s an oppor-tunity to showcase the talenthere and let our hair down,” headded.

Crooner Earns First Prize in WRNMMC Staff Talent Show

Photo by Beverli Alford, WRNMMC Marketing Department

Michael Bowens performs the Luther Vandross ballad“Here and Now” at the recent Walter Reed BethesdaStaff Talent Show in the America Bldg. Bowen’s mu-sical styling of the love song earned him first-placehonors among the eight competitors.

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The Journal Thursday, March 12, 2015 7

By 2nd Lt.Amanda Cain

Nutrition ServicesDepartment Dietetic

Intern

Is it true there are nobad foods? When a personwants to lose weight, thego-to [method] is to elimi-nate certain foods fromthe diet. However, the keyto healthy eating is notto rid the diet of certainfoods, but to have betterportion control.

Food is not the enemy.It’s important to be awareof the food we eat andto listen to our internalhunger and fullness cues.There really are no badfoods, only poor choices.Here is a list of tips of howyou can obtain better por-tion control in your every-day diet:

1. Use smaller plates.Eating your meals from an8-inch plate instead of thenormal 10-inch plate willstill be just as satisfyingwithout you feeling as ifyou have overeaten.

2. Use serving sizeas a guide. You’re morethan likely to control yourportion if you know theserving size. The servingsize on food is labeled that

way for a reason, whichis to assist you in portioncontrol.3. Take time; enjoy

your food. Food takes awhile to get to the stomachin order to send the signalto your brain that you’refull. If you eat slower,your body will have timeto catch up while savoringthe delicious taste of yourfood.

4. Pay attention tothe plate’s color. Beaware that when the colorof the food is similar tothe color of your plate, youare more likely to serveyourself a larger portion.Red pasta on a red plate

will appear to be a smalleramount because there isless contrast between thecolors. You don’t have togo to the store to buy manydifferent colored platesto be successful. Just beaware that when the color

of the food is similar to thecolor of your plate, you aremore likely to serve your-self a larger portion.

5. Be mindful at res-taurants. Most restau-rants serve their entréeson an oversized dish. Trysharing the meal with afriend, or ask for a to-gobox so you can take halfof it home. If you portionhalf of the entrée off rightaway, it can play to yourvisual cues of how muchyou are really hungry.

Remember, all foodscan still be enjoyed in theright amounts. Listen toyour body to tell you whenyou’re full and be aware ofproper serving sizes.

For more tips on healthyeating, call the OutpatientNutrition Clinic at (301)295-4065 or visit Choos-eMyPlate.gov.

What’s The Real Enemy, Food or Portion?

Courtesy photos

By Katrina SkinnerWRNMMC PublicAffairs staff writer

(Editor’s note: Marchis National NutritionMonth)

Many of us made reso-lutions to eat healthierin 2015, including eat-ing more fruits and veg-etables or cutting sugarout of our diet. This isno easy feat for some,but the Walter Reed Na-tional Military MedicalCenter Outpatient Clini-cal Nutrition Servicesdepartment is here tohelp by offering monthlycommissary tours.

The tours are de-signed to help those whoparticipate, beneficiariesand staff, shop healthier,organizers said.

When people havea hard time findinghealthy foods or don’tknow what to eat, thegoal of Outpatient Clini-cal Nutrition Servicesis to provide its ben-eficiaries -- active duty,TRICARE dependentsand retirees -- with themeans to reach theirgoals, explained Army

Capt. Michael Noyes,chief of Outpatient Clini-cal Nutrition Services atWalter Reed Bethesda.

“We want people toknow that OutpatientClinical Nutrition Ser-vices is here for them

[with] all the coachingyou’d ever want for free,”Noyes said.

The Forest Glen An-nex Commissary tourbreaks down the chal-lenges people may facewhen attempting to shop

healthy, according toNoyes.

“What we really wantto get across to patients,by taking them on a tourof the commissary andputting them in the en-vironment of that mo-

ment where they have tomake a choice, [is shop-ping healthy need notbe difficult]. We want tomake [the] decision [toshop healthy] more com-fortable for them,” Noyesexplained.

The tour focuses onhow to shop for yourfamily, fresh foods ver-sus canned foods, thepros and cons of buyingfruits and vegetables inor out of season, how tocalculate unit prices, andhow to spot low fat foods.

Racheal Jordan, War-rior Athletic Recondi-tioning Program man-ager, joined the Januarytour in hopes of takingaway something for theWounded Warriors sheworks with every day. “Alot of them need to knowwhat to eat or what notto eat to either gain orlose weight [to help fa-cilitate their recovery],”she explained.

In addition to the di-etician-led commissarytours, Outpatient Clini-cal Nutrition Servicesoffers a variety of educa-tional classes and work-shops. For more informa-tion, contact the Outpa-tient Nutrition Servicesat 301-295-4065, or visitthem in Building 7, thirdfloor, next to MemorialAuditorium.

Commissary Tours Offers Healthy Shopping Tips

Photo by Katrina Skinner

Participants of the January Forest Glen commissary tour learn how to make healthy foodshopping choices while sticking to their New Year’s resolutions thanks to The Walter ReedOutpatient Nutrition Services clinic.

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8 Thursday, March 12, 2015 The Journal

to helping more activeduty and reserve servicemembers, beneficiaries,and government civiliansmeet their weight man-agement goals.”

The updated Ship-Shape Program curricu-lum ensures that eachof the program’s eightsessions cover three es-sential components forweight management:mindset, nutrition, andphysical activity. It alsointegrates engaging ac-tivities that promote bothparticipant interactionand individual accom-plishments.

Reporting form revi-sions include a consoli-

dated attendance rosterand reporting form, auto-population features forfollow-up reporting, andother updated featuresthat provide an easy-to-use tool for participanttracking.

“In addition to theoverall redesign of theprogram, we also focusedon increasing interac-tion between ShipShapeProgram facilitatorsand NMCPHC, as theprogram manager,” saidVickers. “We establisheda forum via milSuite forfacilitators to ask ques-tions, share their experi-ences, and provide pro-gram feedback.”

Since November 2014,NMCPHC has trainedand/or recertified approx-imately 130 ShipShapeProgram facilitators fromacross the Navy.

The ShipShape Pro-gram is the official Navyweight management pro-gram that assists activeduty and reserve militaryservice members, benefi-ciaries, and governmentcivilians with makinghealthy behavior chang-es to reach their weightmanagement goals. Theprogram is administeredat local medical treat-ment facilities and clin-ics, shipboard commands,and other ashore facili-ties.

Learn more about theShipShape Program at:http://www.med.navy.m i l / s i t e s / n m c p h c /health-promotion/Pages/shipshape.aspx.

For more news fromNavy and Marine CorpsPublic Health Center,visit www.navy.mil/lo-cal/nmcphc/.

FITContinued from pg. 4

From NavyPersonnel CommandPublic Affairs Office

The Pay and Person-nel Administrative Sup-port System programhas created more than 30standard operating proce-dures (SOP) to help Sail-ors perform their day-to-day personnel activitieslike travel claims andupdating records Navyadministrators said re-cently.

The SOPs are accessedthrough the Manpower,Personnel, Training andEducation intranet onany command accesscard-enabled computer.A fact sheet is availableto show you how to ac-cess the SOPs as part ofNavy Personnel Com-mand’s Plain Talk seriesat www.npc.navy.mil/career / too lbox /Pages /PlainTalk(series).aspx.

“Accurate records re-ally start and end withSailors. We have hadsome travel claims tak-ing longer to processthan we like lately,” saidSenior Chief PersonnelSpecialist (SW/AW) PaulA. Smith II, PerformanceManagement Branch,Pay and Personnel Man-agement Division, NavyPersonnel Command. “Wehave created a checklist

that Sailors can print outprior to their permanent-change-of-station travel,stick it in a plastic bag orenvelope and take withthem. If they take every-thing on the checklist, putit in the bag and give itto their command passcoordinator (CPC) at theother end, they shouldhave no problems gettingtheir travel claim settledquickly.”

Travel claims are justone of the many thingscovered by the SOPs, oth-er subjects include spe-cial pays, basic housingallowance, fleet reserveand retirement requests,updating emergency data

and transfers to mentiona few.

“The CPC exists tosupport the Sailor, andSailors can educate them-selves and help theirCPCs at the same time byknowing what they needto do in order to get pro-cesses done,” said Smith.“It is the Sailor’s career,so we want them to havethe tools to make it run assmoothly as possible.”

For more informationon other pay and person-nel issues go to www.npc.navy.mil.

For more news fromNavy Personnel Com-mand, visit www.navy.mil/local/npc/.

Standard Operating ProceduresAvailable to Assist Personnel Actions

U.S. Navy photo by Mass Communication Specialist 2nd Class Scott Fenaroli

Personnel Specialist 3rd Class Erica Meri-deth, right, provides training to PersonnelSpecialist Seaman Wyatt Mills in the per-sonnel office aboard the aircraft carrier USSCarl Vinson (CVN 70).

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Washington Navy Yard. In approximately 1905, thebuilding was moved to the Naval Proving Ground atIndian Head. The watchbox is currently undergoingpreparation work at Indian Head and will be movedby barge from Indian Head back to the WashingtonNavy Yard in March or April. It will be reinstalledin West Leutze Park and will be restored as a dis-play piece with interpretive signage. Region-widewe have completed renovations and upgrades tothree waste water treatment plants to control pointsource discharges over the past three years. The up-grades reduced contaminant discharges of nitrogenand phosphorous releases by 74 percent for nitrogenand 86 percent for phosphorous per year.

We are also aggressively implementing storm wa-ter management upgrades to help control and filternon-point source discharges. We have made improve-ments to shorelines, stream beds, impervious surfacereductions and storm water management structuresin order to better control rain water runoff to theChesapeake Bay. Since 2006, in Maryland we havecompleted projects that are estimated to gain NDWcredit for 778 acres of treated impervious surfacearea with another 1,300 acres of projects in plan-ning or design. This 778 acres of work represents 38percent of our 2,031 acres of untreated impervioussurface area. The combined in-place and planned2,078 acres of work represents 102 percent of our2,031 acres of untreated impervious surface area.These projects are just a few examples of projectsoccurring throughout the region that demonstrateour commitment to environmental responsibility.

Energy is a key priority of the Secretary of theNavy (SECNAV). Energy security is critical to ourNavy’s mission. The NDW energy program supportsspecific SECNAV priorities and is driven by our fivepillars: energy culture, energy information, energyefficiency, renewable energy and energy security. En-ergy security is the bottom line. It means having aresilient and reliable energy supply - sufficient tomeet the demands of the mission. The Navy seeks toreduce energy demand and increase alternative andrenewable energy supplies. So what have we done?Over the past year we completed renewable energyassessments for all of our installations and are nowmoving forward with projects from our best opportu-nities: large solar photovoltaic projects at both JointBase Anacostia Bolling (JBAB) and Naval Air Station(NAS) Patuxent River. Alternative fuels is anotherimportant part of our renewable energy program andwe continue to increase integration of alternative fu-els vehicles and supporting infrastructure into ourtransportation fleets to reduce petroleum consump-tion, increase energy efficiency and reduce emissions.

Any meaningful progress in increasing our en-ergy security requires thinking creatively. NavalAir Station Patuxent River recently launched anenergy reduction incentive contest with the goal ofreducing annual energy and water usage for everyeligible building on station. The top facility winnercan win up to $50,000 toward facility improvementsnext January. NAS Patuxent River’s objective is toachieve greater energy reductions while at the sametime raising awareness and improving behavior. AtNaval Support Activity Washington a pilot programwith the National Renewable Energy laboratory isusing customizable off-the-shelf software to produceautomated alerts of energy related HVAC buildingperformance issues. The software collects, consoli-

dates, filters and analyzes data to identify energyand operational cost reduction opportunities.

Installation of energy smart devices at JointBase Anacostia-Bolling is one measure the installa-tion estimates will help reduce energy cost. A $2.3million investment has included the replacementof incandescent light bulbs with more energy effi-cient LED bulbs and occupancy sensors in buildinghallways and rooms, turning lights on only when anarea is occupied. JBAB also installed electric me-ters that provide energy managers with the abilityto monitor electric consumption in buildings. Thedata collected from the meters enables the energymanagers to determine the reduction in energy con-sumption and the amount of savings achieved. As aresult of our collective efforts and commitment tocontinuously improve our energy posture, the NDW/NAVFAC Washington Energy Program was recog-nized as a 2014 Federal Energy and Water ProgramManagement Award Winner.

Next month’s annual Earth Day celebration isa perfect opportunity for you to get involved andhelp your command demonstrate positive steward-ship practices. Navy and Marine Corps commandsworldwide celebrate Earth Day on 22 April andthroughout the months of April and May. Earth Dayactivities allow commands to build relationshipsacross command departments, with sister servicesand government agencies, and the local communi-ties where we live and work. Installations through-out the region will be holding Earth Day events andI encourage your participation.

Keep Charging Team!

Rear Adm. Markham K. RichCommandant, Naval District WashingtonDeputy Commander, Joint ForcesHeadquartersNational Capital Region

COMMANDERContinued from pg. 2

For more news from other bases around the Washington, D.C. area,

visit www.dcmilitary.com.1050672

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10 Thursday, March 12, 2015 The Journal

cally vulnerable people with a medicaleye as opposed to our regular volun-teers who are good-hearted and askthe right questions, but they mightmiss the frostbite or something thatthe medical student would be lookingfor.”

A group of 23 USU medical studentshelped with a point-in-time survey inJanuary where they went to count howmany homeless were on the streets,but the students also were chargedwith keeping an eye out for medicallyvulnerable individuals..

“Students go out and they find peo-ple in the street, living in cars or atthe metro stations or living at parkinggarages – and they’re basically doinga head count, but they’re also doing asurvey with where they are in their

health care and housing needs,” saidJohn Mendez, the nonprofit’s directorof outreach and special programs. “Weare asking them to look for identifierswhere they could be medically vulner-able – major signs of fatigue, lookingat someone who could be showing anysigns of delusions or anything likethat – frostbite or hypothermia. We’relooking for people out on the streetwho could be dealing with a tragic ill-ness. It doesn’t have to be that way –we have a solution.”

Army 2nd. Lt. Tiffany Chang saidshe didn’t think the nonprofit was ex-pecting that many students to show upthat early January morning. Chang,who grew up in nearby Rockville, Md.,said she always had the stereotype ofBethesda “being a rich, wealthy area.I never expected such a huge homelesspopulation here. It was just really eyeopening for me – living here all my lifeand I didn’t realize what was going onoutside.”

Chang and Navy Ensign Kristin

Wertin, both first-year medical stu-dents, recently started the home vis-its, but said those visits already haveshown them how to become better doc-tors.

“We all exist in a community and…it’s our obligation to take care of theless fortunate, especially since we’vebeen so privileged to live a good lifeand be given the skills that can helpsomeone,” Wertin said.

Andrea Loejos Lee, Bethesda Caresclinical social worker, said the medi-cal students might not get a completemedical history on their first homevisit, but as the relationships grow,she said the clients become more com-fortable telling the medical studentsabout their real health problems.

“Hands-on application is extremelyhelpful to their entire medical schoolexperience,” she said. “When you seesomebody in person experiencingsymptoms of a disorder or disease,it’s very different from seeing it in abook.”

The home visits also help decreasethe loneliness or isolation a recentlyhoused person might experience afterbeing out on the street, Lee said.

“Our clients just love having thecompany and love having the supportand adore the students and look for-ward to seeing them,” she said. “That’ssomething that they’ve never reallyhad or haven’t had in a long time.”

In addition to gaining experience,Parsons said she’s learned a lot aboutthe homeless population, especially af-ter overhearing a conversation at thenonprofit.

“This wasn’t a person we wereworking with directly, but she hap-pened to be at Bethesda Cares andshe was talking with another personand she was saying, ‘Anybody couldend up homeless. I had things. I hada condo, a car,’ and so it highlightedfor me the fragility of what we have,”Parsons said.

HOMELESSContinued from pg. 1

Print & OnlineMedia Packagesfor Colleges/

Schools/Universitiesto Reach the

Military Market inMD/VA/

Washington, D.C.1042263

The Henry M. Jackson Foundation for the Advancement of Military Medicine Inc. (HJF) is seekinga motivated Nurse Practitioner or Physician Assistant with a passion for delivery of high quality carein the Center for Prostate Disease Research (CPDR) Program located at the Walter Reed NationalMilitary Medical Center (WRNMMC) in Bethesda, Maryland. HJF provides scientific, technical andprogrammatic support services to CPDR.

The position offers mentoring and collaboration opportunities to provide patient & family centeredcare, practicing along highly experience providers and ancillary staff. Responsible for the clinicalpractices and research practices as defined and designated by senior clinical staff. Acts as a patientcare coordinator in a combined clinical and research setting. CPDR has established expectations forevery provider based on core values of patient centeredness, teamwork and excellence.

Required Knowledge, Skills, and Abilities:1. Knowledge of procedures and techniques necessary for performing clinical responsibilities related

to patients from primary diagnoses to advanced disease with incorporation of research protocols.2. Excellent interpersonal and communication skills; and the ability to maintain accurate and

complete files.3. Participates in professional activities.

Minimum Education/Training Requirements: Master’s degree in Nursing experience as a NursePractitioner or Physician’s Assistant with a Bachelors degree required.

Minimum Experience: 2 to 4 years

Physical Capabilities: Requires long periods of standing; may require lifting and bending to assistpatients

Required Licenses, Certification or Registration: Must possess or be in the process of obtaining anactive Physician Assistant (PA) or Nurse Practitioner (NP) license in the state of Maryland. Mustprocess or be in the process of obtaining an active DEA license.

Work Environment: Clinical hospital environment

HJF is an equal opportunity and affirmative action employer. All qualified applicants willreceive consideration for employment without regard to race, color, religion, sex, national origin,disability, protected veteran status or other status protected by law.

Please apply on-line at http://www.hjf.org/careers/ click “Advanced Search” and enter job number209544 in the Job Opening ID box. OR fax your resume to 240-694-3151. Please specify title and jobnumber on fax.

Nurse Practitioner or Physician Assistant

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ment is important for me, especially inconflict management and communica-tion,” Bagley explained.She indicated she planned to attend

the first-day of courses and half of thefollowing day. The flexibility of the acad-emy’s design enabled her to take onlythe sessions she needed, and return tothe academy whenever she wanted.“I don’t want to be away from the of-

fice too long,” Bagley said.The intent was to make this leader-

ship training accessible, Casley-Sawyerexplained. She said the sessions werescheduled to enable participants takeclasses they elected and return to theirdepartments as needed.The leadership and development

coordinator also highlighted the factthat the skills participants learn inthe Leadership Academy can be usedat Walter Reed Bethesda, or their nextduty station. “Skills that will carrythem through their career,” she said,and added the skills acquired at theacademy are transferable for servicemembers making the transition frommilitary to civilian.Army 1st Lt. Regine Faucher, Junior

Officer Council president, also attendedthe first day of the Leadership Acade-my. Although the prior enlisted Soldiercompleted a three-month Basic OfficerLeadership Course, she explained why

it was important for her to attend theacademy.“There’s always a lot to learn,” said

Faucher, who began as neurology clinicmanager six months ago. “I feel moreempowered to do what needs to be

done.”Leadership Academy team members

said they would like to offer leadershiptraining at WRNMMC each month. Formore information about Leadership

Academy training, contact Army Maj.Latonya R. Walker by calling 301-400-3346 or email [email protected].

LEADERSHIPContinued from pg. 3

Photo by Sharon Renee Taylor

Navy Capt. Kim LeBel, Army Col. (Dr.) Peter Weina and Loretta Hobbs field questions from WalterReed staffers enrolled in the medical center’s inaugural launch of the new Leadership Academy. Com-mand Master Chief Tyrone Willis, joined LeBel, Weina, and Hobbs on the leadership panel discussionheld on the first day of the four-day series of courses for leaders.

T6617450

Rockville

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2014 Mercedes-Benz ML 350 Sport Utility