us public health service (phs) commissioned corps & the phs in us coast guard medicine cdr esan...

47
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

Upload: mariah-conley

Post on 24-Dec-2015

219 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: 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

US Public Health Service (PHS)Commissioned Corps

& The PHS in

US Coast Guard Medicine

CDR Esan O. SimonMD, MBA, FS, USPHS

NJ HOSA Leadership ConferenceMarch 19 – 20, 2011

Sewell, NJ

Page 2: 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

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

Page 3: 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

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

Page 4: 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

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

Page 5: 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

II. PHS Commissioned Corps

More than 6,000 full-time,

highly qualified public health

professionals.

Driven by a passion for public service.

Page 6: 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

II. PHS Commissioned Corps

Serve on the frontlines in the

Nation's fight against disease

and poor health conditions.

Leaders in Research- advancing public health science.

Page 7: 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

The Uniformed Services:U

nif

orm

ed

Se

rvic

es

Army

Navy

Marines

Air Force

Mil

itar

y

Arm

ed F

orc

es

NOAA Commissioned Corps

Coast Guard

PHS Commissioned Corps

Page 8: 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

III. PHS Mission & Organization- Mission Statement

Protect, promote, and advance the health and safety of our Nation.

Rapid & Effective

Response to Public Health

Needs

Leadership & Excellence in Public Health

Practices

Advancement of Public Health Science

Page 9: 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

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

Page 10: 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

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

Page 11: 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

III. PHS Mission & Organization(Core Values, cont.)

LeadershipService

IntegrityExcellence

Provides vision and purpose in public health through inspiration, dedication, and loyalty.

Demonstrates a commitment to public

health through compassionate

actions and stewardship of time,

resources, and talents

Exemplifies uncompromising ethical conduct and maintains the highest standards or responsibility and accountability

Exhibits superior performance and

continues improvement in knowledge and

expertise

Page 12: 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

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.

1870 – Marine Hospital Service administration was centralized with its headquarters in Washington, DC, under the position of supervising surgeon (later Surgeon General).

President Adams signs the Relief of Sick and Disabled Seamen Act on 16 July 1798.

Page 13: 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

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).

Page 14: 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

IV. History of PHS

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

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.

Page 15: 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

IV. History of PHS

1912 - “Public Health and Marine Hospital Service” was shortened to the “Public Health Service” (PHS) and their powers broadened by Congress- authorizing 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.

Page 16: 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

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.

Page 17: 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

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.

Page 18: 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

IV. History of PHS

PHS Commissioned Corps Today:

Fills essential public health leadership and service roles in over 20 Federal Agencies and Programs.

Page 19: 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

IV. History of PHS- PHS Commissioned Corps Today

• 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

Page 20: 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

V. PHS in the U.S. Coast Guard

I. Health Care ProfessionalsPhysicians (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

Page 21: 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

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)

Page 22: 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

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

Page 23: 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

VI. U.S. Coast Guard Operations- Coast Guard Missions

Maritime SafetyMaritime Safety• Search and RescueSearch and Rescue• Ice Operations Ice Operations • Marine SafetyMarine Safety• Boating SafetyBoating Safety

Homeland & Maritime SecurityHomeland & Maritime Security• Port & Waterways SecurityPort & Waterways Security• Drug InterdictionDrug Interdiction• Alien Migrant InterdictionAlien Migrant Interdiction• Law and Treaty EnforcementLaw and Treaty Enforcement

Maritime MobilityMaritime Mobility• Aids to NavigationAids to Navigation• Polar & Domestic Ice BreakingPolar & Domestic Ice Breaking• Bridge AdministrationBridge Administration• Maritime TransportationMaritime Transportation

Protection of Natural Protection of Natural ResourcesResources• Marine Pollution Education, Prevention,Marine Pollution Education, Prevention, Response and Enforcement Response and Enforcement • Foreign Vessel InspectionsForeign Vessel Inspections• Living Marine Resources ProtectionLiving Marine Resources Protection• Marine and Environmental ScienceMarine and Environmental Science

National DefenseNational DefenseHumanitarian & Humanitarian & Disaster ResponseDisaster Response

Page 24: 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

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

Page 25: 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

VI. U.S. Coast Guard Operations- Operational Platforms

CASA CN-235 HH-65 Dolphin

HH-60 Jayhawk HC-130 Hercules

MH-68A Stingray

Page 27: 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

VI. U.S. Coast Guard Operations- Operational Platforms

Utility Boats Motor Lifeboats

Defender Class Response Boats Port Security Patrol Boats

Page 28: 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

VI. U.S. Coast Guard Operations- Drug Interdiction

Page 29: 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

VI. U.S. Coast Guard Operations- Alien Migrant Interdiction

Page 30: 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

VI. U.S. Coast Guard Operations- General Maritime Law Enforcement

•Boating Under the Influence (BUI)

•Rules of the Road

•Boating Regulations

•Support of local Law Enforcement Agencies

Page 31: 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

VI. U.S. Coast Guard Operations- Search and Rescue

50,000 calls per year

Page 32: 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

VI. U.S. Coast Guard Operations- Search and Rescue

USCG Rescue Swimmer

USCG H60 Jayhawk Helicopter

Page 33: 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

VI. U.S. Coast Guard Operations- Global Merchant Fleet

•Inspections of ships, especially foreign flagged

ships

Page 34: 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

•Domestic Fisheries Enforcement

•High Seas Drift Net Enforcement

VI. U.S. Coast Guard Operations- Fisheries Enforcement

Page 35: 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

VI. U.S. Coast GuardOperations- Marine Environmental

Protection•Minimize oil spill damage

•Oil Pollution Act of 1990 (OPA-90) – Exxon Valdez

Page 36: 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

VI. U.S. Coast Guard Operations- Aids to Navigation

-World’s largest ATON system

-Over 50,000 buoys, fixed markers, and

lighthouses

-LORAN-C (‘10)

Page 37: 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

VI. U.S. Coast Guard Operations- Emergency 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

Page 38: 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

VI. U.S. Coast Guard Operations- Emergency Response

• 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

2005 Hurricanes Katrina & Rita>2500 Corps Officers, >1200 federal employees

Page 39: 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

VI. U.S. Coast Guard Operations- Emergency Response

2008 Hurricane Gustav & Ike• 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)

Page 40: 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

Emergency Response: Haitian OperationsHaitian Operations

• 2009– Haiti Earthquake

• Coast Guard was the first of the US Forces on-Coast Guard was the first of the US Forces on-scene in Port Au Prince scene in Port Au Prince

• MEDEVAC > 120 critically injured MEDEVAC > 120 critically injured • Evacuated ~ 936 American citizensEvacuated ~ 936 American citizens

Page 41: 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

Emergency Response: Haitian OperationsHaitian Operations

Page 42: 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

Emergency Response: Haitian OperationsHaitian Operations

Page 43: 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

Emergency Response: Deepwater Horizon

• 2010 Deepwater Horizon Oil Spill– 48,000+ personnel48,000+ personnel– 10,000 Vessels of Opportunity10,000 Vessels of Opportunity– 125 aircraft125 aircraft– 1000+ organizations1000+ organizations– USCG Response:USCG Response:

• 4,500 Coast Guard personnel deployed (~10% of Coast Guard 4,500 Coast Guard personnel deployed (~10% of Coast Guard workforce)workforce)

• Assumed command & control immediately after the disaster Assumed command & control immediately after the disaster occurredoccurred

Page 44: 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

Emergency Response: Deepwater Horizon

In situ burnsIn situ burns

Beach cleanupBeach cleanup

Page 45: 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

VII. Health Professions Scholarships

• 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&CFTOKEN=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/healthprofessionsscholarshipprogram_prospective.aspx

Page 46: 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
Page 47: 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

QUESTIONS?