State of the Category 2014

1. State of the Category 2014 CAPT Scott Gaustad, USPHS Therapist Chief Professional Officer

2. Category Day 2014 Welcome! 2014 USPHS Scientific and Training Symposium "Public Health Today: Prevention, Innovation, Progress.“ Thank you Category Day Organizing Committee Chair CDR Damien Avery Thank you CDR Tarri Randall and the TPAC Executive Committee. Distinguished guests

3. State of the Category • We are… • We practice… • Our accomplishments… • Promotion… • Readiness… • What’s new…

4. State of the Category Nation’s Rehabilitation Professionals Health Promotion and Disease Prevention Professionals Audiologists Occupational Therapists Physical Therapists Respiratory Therapists Speech-Language Pathologists 162 licensed professionals 12 Federal Agencies

6. “Public Health Today: Prevention, Innovation, Progress” Mission Statement: In support of the PHS mission the Therapist Category: • ADVANCES the Nation's health through innovative and cutting edge research, policy design, and health science, • IMPLEMENTSevidenced-based research into clinical practice for the health and wellness of the Nation's underserved populations, • EDUCATES the Nation to facilitate and encourage the adoption of healthy lifestyles to prevent disease and disability, • PROVIDES efficacious and progressive intervention for those with disability and disease to maximize function and improve quality of life, and • RESPONDS to national and international Public Health needs with highly trained and skilled officers.

7. Prevention, Innovation, Progress.“Public Health Today”:Therapist Vision Statement: • The Public Health Service Therapist Category will be a leader in in clinical and research rehabilitation science through: • ENHANCINGthe Therapist Category’s leadership role in promoting the health and wellness of the Nation, • EDUCATINGpublic health leadership about the abilities of the Therapist Category on health promotion, disease prevention, wellness, rehabilitation and readiness response, • PROMOTINGTherapist Category professional development by enhancing their value in Public Health Service and the people we serve, • ENCOURAGINGadvanced training, policy development, and research, • ENGAGINGin partnerships to meet public health challenges, and • honoring the values, practices, and traditions of the Nation and the U.S. Public Health Service.

8. Gender Diverse American Indian or Alaskan Native - 16 or 10% Female - 77 or 48% Asian or Pacific Islander - 6 or 4% Male - 85 or 52% Black, not of Hispanic Origin – 10 or 6% Hispanic - 7 or 4% White, not of Hispanic Origin - 70 or 46% State of the Category Unknown - 53 or 33%

9. The Corps by Category

10. The Corps by Agency

11. We practice… Corps

13. Therapist Category - Where We Practice:

14. Where We Practice… Region 10: AK, ID, OR, WA Region 9: AZ, CA, HI, NV, AS, MIslands, Guam Region 8: CO, MT, ND, SD, UT, WY Region 7: IA, KS, MO, NE Region 6: AR, LA, NM, OK, TX Region 5: IL, IN, MI, MN, OH, WI Region 4: AL, FL, GA, KY, MS, NC, SC, TN Region 3: DC, DE, MD, PA, VA, WV Region 2: NY, NJ, PR, VI Region 1:CT, ME, MA, NH, RI, VT

15. Where we work… 13 5 8 2 27 9 5 38 28 27

16. We are… Corps Distribution by Corps and Category Therapist Category (6/2/2014) Regular Active: 162 Regular Retired: 111 Reserve Retired: 11 284

17. We are… Corps Distribution by Rank – Corps

18. We are…(Therapist vs Corps, T-Grade) Therapist Category Regular/RR Corps

19. We are… Therapist Distribution by Rank – Category (T-grade) 2014 data

20. 2013 70 62 60 O-3 50 47 O-4 40 O-5 30 26 O-6 20 24 O-7 10 1 0 O-7 O-5 O-6 O-4 O-2 O-3 We are…

21. We are… (Therapist vs Corps)

22. We are… Information is only as good as that entered into online databases by officers.

23. Hail! Farewell! 2013-2014: LT Lars Krusholm, PT - IHS LT Michael Krok, PT - BOP LT Raul Leija, PT - BOP LT Melissa McGuinness, PT - IHS LT Kayla Meeks, PT - IHS LT John Burkart, AUD - IHS LT Peter Arroyo, OT - BOP LT Luis Millan, PT - IHS LTjg Catherine Kaminski, OT - BOP 2013-2014: RADM Penny Slade-Sawyer - OS CAPT Fran Oakley - NIH CAPT Georgia Johnson - CMS

24. Recruitment and Retention Mentoring: The Therapist Category Mentoring program is designed to promote mentoring skills and to assist with the integration of officers and civilian therapists into the US Public Health Service. Junior levels of GS (5-7) and CO (O3 and below) are eligible to participate as mentorees. Eligible mentors are those persons at or above the GS-8 level for civil service or a rank of O4 for commissioned officers. Therapist Category: 162 officers (26 O-3 and below) - 68 mentors (42%) - 8 mentorees (5%)

25. Recruitment and Retention Benefits of Mentoring: • Enhance strategic business/professional initiatives • Encourage retention • Improve productivity • Break down the "silo" mentality • Elevate knowledge transfer • Enhance professional development • Link employees with valuable knowledge • Internal experts for professional development • Creating a mentoring culture, which promotes individual employee growth and development

26. Recruitment and Retention Years of Service – 2014 Total = 162

27. Recruitment and Retention Years of Service – 2013 Total = 161 Retirement Credit Year s of Service – 2014 Total = 162

28. 2013 Data Recruitment and Retention Most therapist officers with a rank of O4, 19 (18%) were in a billet grade of O5. The majority of officers with a rank of O5 reported either to be in a billet grade of O5, 22 (21%) or O6, 21 (20%).

29. Recruitment and Retention 2013 Data When asked if therapist officers serve in a non-traditional billet or multidisciplinary assignment, 29 answered “Yes” of which 11 officers were Physical Therapists and 9 were Occupational Therapists. Eighty-five (85) (75%) officers answered “No”, of which 67 were Physical Therapists and 9 were Occupational Therapists

30. Recruitment and Retention 2013 Data One officer whose billet grade was increased felt neutral about the change and the remaining 16 officers were satisfied with the change. Thirteen officers (17%) whose billet grade remained the same were also dissatisfied with their billet grade while 73% of officers whose grade didn’t change reported they were satisfied. In addition, four officers had their billet grade reduced but still reported being satisfied with their billet grade

31. Recruitment and Retention 2013 Data Factors leading therapist officers to consider early separation from the Commissioned Corps, comparing officers with <5 years of retirement credit to officers with >15 years of retirement credit. Factors leading therapist officers to consider early separation from the Commissioned Corps, comparing officers with 5-15 years of retirement credit to officers with >15 years of retirement credit.

32. Recruitment and Retention 2013 Data Therapist officer agreement with statements pertaining to specific features of Commissioned Corps services (N=115).

33. Accomplishments: Activities in 13-14 TPAC year • 2016 PY Benchmarks review • New TPAC Chair members/ sub/committee chairs • APAN • National Prevention Strategy • Continued development of Direct Access • Category Deployment Guideline • Evolving Mentorship Program • Strategic Growth Subcommittee business plan and career planning • Call to Active Duty process/Appointment Board • Academic Recruitment Project Continuing activities • Retirement recognition • Category, Responder Awards • AMSUS – Rehab Program • Journal Club • Vacancy list – Recruitment • Promotion preparation guide, credentials review guide • Category roster and profile • Web page • Listserv • PAC P&P and Model Charter implementation • Fit for Duty – Fit for Life articles • Mentoring! • Promoting Physical Activity Guidelines

34. We’ve Accomplished…! Individual accomplishments – Awards • PHS Awards • Commendation Medal • Achievement Medals • Crisis Response Service Award • COA recognition • AMSUS recognition (P.T. and O.T.) • Agency and duty station recognition • Directors awards, employee of the quarter, month • National Recognition - AOTA • Category awards - luncheon

35. We’ve Accomplished…! Individual accomplishments – training • Advanced degrees (DPT)/certificates • Women’s Health, Vestibular Rehab • Earned Board Specialties OCS, GCS, EMG/NCV, CWS, CLT, CSCS • Participated in professional training professional conferences/CEUs, readiness and response, OBC, and MOC

36. We’ve Accomplished…! Service • COA office, local and national • Healthy lifestyles, health fairs, PT Month activities • Community service • Recruiting • Expert on grant reviews • CC Ensemble and Choir Clinical Programs • EMG/NCV • Bariatrics, diabetes • Wound care, Spinal Cord • Student education • Journal Club • Health and Wellness!

37. We’ve Accomplished…! Presentations • Agency/Local • Professional societies • 2013 COF symposium • CEU courses Publications • The Hearing Journal • Journal of the Acoustical Society of America • Journal of the American Academy of Audiology • Military Medicine (AMSUS) • Physical and Occupational Therapy in Pediatrics • American Journal of Occupational Therapy • Pediatric Physical Therapy • Journal of Orthopedic and Sports Physical Therapy • Book chapters

38. We’ve Accomplished…! 2014 Category Awards: William Fromherz Award: CAPT Michaele Smith Therapist of the Year: CDR Matthew Armentano Junior Officer of the Year: LT Chandra Preator Josef Hoog Award: CAPT David Byrne

39. Professional DevelopmentPromotion Recognition • Temporary Promotions (PY ’13) 4* @ O-6, 10 @ O-5, 4 @ O-4 * 1 EPP • Permanent Promotions (PY ’13) 3 @ O-5, 4 @ O-4, 2 @ O-3

40. Professional Development Promotion

41. Professional Development Promotion

42. Professional Development Promotion

43. Professional Development Promotion

44. Professional Development Promotion - Precepts 1) Performance (40% of overall score) 2)Education, Training, and Professional Development (20% of overall score) 3)Career Progression and Potential (25% of overall score) 4) Characteristics of Career Officer & Service to the Corps (15% of overall score) 5) Response Readiness (0% of overall score, not scored by the promotion board). Response readiness is still an administrative check used for promotion. Officers who fail to meet and maintain basic readiness will not be promoted

45. Professional Development Promotion - Precepts T-O4 Successful Average Performance

46. Professional Development Promotion - Precepts T-O5 SuccessfulAverage Performance

47. Professional Development Promotion - Precepts T-O6 SuccessfulAverage Officership

48. Professional Development Promotion Preparation General feedback to all officers: • Current and accurately formatted CVs are very important. • Check Therapist Category for current year Promotion Benchmarks • Use recommended CV format on website • Awards • Acknowledge post-graduate education and academic achievements • Acknowledge and include post-graduate work in eOPF

49. Professional DevelopmentPromotion Preparation General feedback to all officers: • Career counseling encouragedbut not required for any officer not promoted. Officers are free to choose who performs the counseling. • Category career counseling by CPO or designee required for officers ranked in the lowest decile and lowest quartile X3 years. This must be documented in OPF. • Officers ranked in lowest decile x3 years referred to retention review board. • Officers not meeting readiness standards receive automatic not recommend and referred to review board.

50. Professional Development Promotion Preparation General feedback to all officers • Review your eOPF to see if you can EASILY locate information that addresses ALL promotion benchmarks. • List the contact hours for continuing education • Please consider the fax machine you are using • Common issues included missing or out-of-date documents, 100% under the officer’s influence; CVs, Officer Statements, Continuing Education List. • Verify that documents are complete, accurate, error free, and legible after they are faxed to the eOPF.