COMNAVAIRFORES USNAC 2015 CAPT Lou Gilleran, MC (FS), USN Force Surgeon

“I have nothing to disclose” Disclosure Statement I, Louis George Gilleran, do solemnly swear and attest, as a component of the US Naval Aeromedical Conference Continuing Medical Education program provide the following Disclosure information: “I have nothing to disclose”

Background BS Biology Montclair State University MD Ross University/St George’s University Internal Medicine Huron Hospital Cleveland Clinic Direct Accession & FS Training MPH Tulane & USN Aerospace Medicine P’cola, NOLA, P’cola, CARL VINSON Alameda & Bremerton, SD: BMC NASNI, VRC 30, CNAP, 3rd MAW, SWMI, MCRD/NTC, CNAFR OSW-Rugged Nautilus, OIF, COMFORT, BSRF, OEF MSHS Emg & Disaster Mngmnt TUI Medical Acupuncture HMI

Navy Unique Capabilities CNAFR Commander, Naval Air Force Reserve - RDML Mark Leavitt, USN Type Commander* (7,881 personnel, 165 Aircraft) – Echelon 3 3 RC Air Wings + NALO 22 Squadrons (+2 Blended) 5 Aircraft Detachments 4 Flt Readiness Centers 25 Squadron Augment Units (CNATRA/Flt Readiness Support) Navy Unique Capabilities 100% Dedicated Adversary 100% Dedicated Rotary Wing SOF 100% Organic Pax/cargo Lift VR ETD CNE, 1 C-20A Gulfstream, Sigonella, Sicily; 6 Officers, 15 Enlisted FRCs= Ft Worth, McGuire, NOLA, Andrews plus MALS 41 Ft Worth and MALS 49 NY AIMDs in Willow Grove, Andrews, Atlanta, New Orleans, Fort Worth

8 Wings/55 squadrons 3 Wings/22 squadrons/25 SAUs CNAFR Laydown McGuire, NJ VR-64 Washington, DC VR-1 VR-53 Norfolk, VA VAW-120 SAU VFA-106 SAU VFC-12 VR-56 HSC-84 Jacksonville, FL VP-30 SAU VP-62 VR-58 VR-62 HSL-60 Key West, FL VFC-111 Whidbey Island, WA VAQ-209 VAQ-129 SAU VP-69 VR-61 Fallon, NV VFC-13 Lemoore, CA VFA-122 SAU Pt Mugu, CA VR-55 North Island, CA VR-57 HS-10 SAU HSC-3 SAU HSM-41 SAU HSC-85 Kaneohe Bay, HI VR-51 Fort Worth, TX CTSW CFLSW VR-59 Meridian, MS TRAWING 1 RCC VT-7 SAU VT-9 SAU Corpus Christi, TX CNATRA RCC TRAWING 4 RCC VT-27 SAU VT-28 SAU VT-31 SAU VT-35 SAU 1. VP Squadrons/SAUs: Jacksonville, FL VP-62 “Broadarrows” (Nov 70-present) VP-30 SAU (Oct 04-present) Whidbey Island, WA VP-69 “Totems” (Nov 70-present) 2. TSW/Squadrons/SAUs: Norfolk, VA COMAEWWINGLANT (Merged w/ COMAEWWINGPAC to form CACCLW). SAU attached. VAW-120 “Greyhawks” (1948- present). SAU attached. VFA-106 “Gladiators” SAU (1984-current) VFC-12 “Fighting Omars” (1973-present) Whidbey Island, WA VAQ-209 “Star Warriors” (1977-present) Key West, FL VFC-111 “Sundowners” (2006-present) New Orleans, LA VFA-204 “River Rattlers” (1971-present) Fort Worth, TX Tactical Support Wing (formerly CVWR-20) Lemoore, CA VFA-122 “Flying Eagles” (1950-present) Whidbey Island, WA VAQ-129 “Vikings” (1970-present) 3. CNATRA SAUs: Meridian, MS TRAWING 1 RCC VT-7 SAU “Eagles” (2002-present) VT-9 SAU “Tigers” (2002-present) Kingsville, TX TRAWING 2 RCC VT-21 SAU “Red Hawks” (2002-present) VT-22 SAU “Golden Eagles” (2002-present) Corpus Christi, TX CNATRA RCC TRAWING 4 RCC VT-27 SAU “Boomers” (2002-present) VT-28 SAU “Rangers” (2002-present) VT-31 SAU “Wise Owls” (2002-present) VT-35 SAU “Stingrays” (2002-present) Milton, FL TRAWING 5 RCC VT-2 SAU “Doerbirds” (2002-present) VT-3 SAU “Red Knights” (2002-present) VT-6 SAU “Shooters” (2002-present) HT-8 SAU “Eightballers” (2002-present) HT-18 SAU “Vigilant Eagles” (2002-present) HT-28 SAU “Hellions” (2007-present) Pensacola, FL TRAWING 6 RCC TW-6 SAU (2002-present) VT-10 SAU “Wildcats” (2002-present) VT-86 SAU “Sabrehawks” (2002-present) New Orleans, LA VFA-204 VR-54 Kingsville, TX TRAWING 2 RCC VT-21 SAU VT-22 SAU Pensacola, FL TRAWING 6 RCC TW-6 SAU VT-10 SAU VT-86 SAU Milton, FL TRAWING 5 RCC VT-2 SAU HT-8 SAU VT-3 SAU HT-18 SAU VT-6 SAU HT-28 SAU 8 Wings/55 squadrons 3 Wings/22 squadrons/25 SAUs

CNAFR Medical Force Surgeon & Hospital Corpsman (San Diego CA) 23 Reserve Squadron SELRES FS & 23 FTS AVT HSC 84 & 85 SMTs (~5 each) Fleet Logistics & Tactical Support Wing Surgeons & Hospital Corpsman (JRB Fort Worth TX) Maritime Support Wing – VP & Helo (San Diego, CA) NOSC AD FS Collateral - support Reserve Squadrons in absence of SELRES FS Owned by CNRFC, privileged by CNAP and supported by CNAFR Located in aviation concentration areas (SD, Whidbey, Mugu, JAX, McGuire, DC, FW). None in Norfolk/Oceana.

CNAFR Medical Main missions: Safety and Readiness IMR Goals: FTS 90% FMR & SELRES 87% FMR DEC 14 : FTS 93.2% and SELRES 87.6% Coordinate w/ 4th MAW, BUMED, CNRFC, PERS & NRC FS / AVT requirement based on special duty-flight FS only to sign flight PE, up-chits* and serve on Mishap Board, Human Factors Boards, Field Naval Aviator Evaluation Boards * If no FS available, up-chit may be provided with documented concurrence of FS (phone/email) Aviation Medical Examiner (AME): FS Light, completes 8wk course, all FS duties excepting Mishap Investigation Board

Flight Surgeons Credentials and Privileges Denovo FS CCPD & Approval by MTF PA FS privileges in conjunction with GMO and other specialty Require documented current competency REFTRA @ NAMI P’cola FL 2 weeks funded by unit Denovo FS Up to 2/yr SELRES funded by CNRFC Meet physical standards & serve 2yrs as SELRESFS 6 mos training preferably entire 6 mos block, but may be broken into 2 or 3 segments

CNAFR Medical Challenges Isolated Ops ISO SPECWAR No MTF, no AMAL, no medical budget CVW SELRES FS recoupment by BSO 60/70 and conversion to Physician Assistants Plan to add 3rd AD FS billet to CVW / develop Aviation PAs 4 / 9 billets have been utilized by CNAFR to fill shortfalls (HSC 84/85, CNATRA, VFA 122 SAU) and have been removed (CNATRA) or converted to PAs (HSC 84, VFA 122 SAU) before aviation pipeline is complete Privilege Approval by MTFs …and of course maintaining Medical Readiness, STR, DHA, PHA, and remote access to CHCS/AHLTA

Operational Highlights for FY13/14 CFLSW 2 A/C forward presence in 5th, 6th & 7th Fleet AORs CJCS CENTCOM DEPORD TSW 55 Adversary Deployments Transition from EA-6B Prowler to EA-18G Growler VP P3-P8 Transition SOUTHCOM DET x 4 Fleet Support: C2X/JTFEX Readiness training: ARP x 5 ; ASWEX x 2 C7F Deployments Augmenting AC; 3 Crews / 3 AIP Aircraft HELO HSC-84/85 ISO SPECOPS in CENTCOM & PACOM AORs Dets ISO NAUF & FireScout (SOUTHCOM & AFRICOM) Counter-mine presence in 5th & 7th fleet AORs CNATRA 10,385 student production flight hours ; Not part of CNAFR Flt Hrs 18.3% of CNATRA Production 5th Fleet – 2.0 presence (1 x C130 & 1 x C-40) supported by DEPORD 6th fleet – 2.0 presence; supported by NAC request 7th fleet – 2.0 presence; supported by NAC request

Significant Changes for FY15/16 FS Manning local control by CNAFR Transitions VR-61 Last USN C-9 Squadron Divest C-9B 01 JUL 14, transition to C-40A C-130T transfer from USMCR 8 total aircraft HSC 84 / 85 SPECWAR Mission and squadron structure

Questions?