1. JANUARY MEDICAL WATERFRONT MEETING WATERFRONT RECREATION CENTER HOSTED BY: MRD-SD

2. January 29 th Waterfront Meeting Minutes MRD-SD SURFOR MED HMCM Nafus HMCM Davis SEL Welcome & Intros SURFOR Update 5 10 NEPMU-5LCDR HayesFlu/TSFC/CHT Spill10 SMART CLINIC 32 nd FMH Mr. J. Magee / CAPT Rosenthal CDR King-Hollis SMART Center Update FMH Updates 10 15 MRD-SDLT Gilman/LT HornPhysicals Clinic Updates10 MRD GMOLT Gilman/LT HornMisc. Updates (TY/Rads for GMO /NAVADMINs) 10 Total70 Waterfront Recreation Center

3. INTRODUCTION SEL MRD-SD HMCM Phil Nafus phillip.nafus@navy.mil (619) 556-1467

4. FORCE UPDATE FORCE SURGEON CAPT Bruce Laverty, MC, USN bruce.laverty@navy.mil FORCE MASTER CHIEF HMCM Alberia Davis alberia.davis@navy.mil

5. FLU UPDATE LCDR McDowell LCDR Hayes NEPMU-5

6. SMART CENTER SMART CENTER UPDATES CAPT Rosenthal, MC, USN Mr. Magee

7. FLEET MENTAL HEALTH UPDATES Shauna King Hollis, PMHNP CDR NC USN Fleet Mental Health Liaison NAVSTA Fleet Mental Health

8. CLINICAL PRACTICE UPDATES Luke Gilman, MD LT MC USN luke.gilman@navy.mil

9. CLINICAL PRACTICE UPDATES SERVICE TREATMENT RECORDS POC: CDR Vannessa Lake, NC, USN –lake_v@msn.comlake_v@msn.com Pick Up Directions Sheet At Front

10. TYCOM Guidance for Service Treatment Record (STR) Life Cycle Management A complete STR is: 1) The complete Medical record: All SAMS/TMIP notes, All AHLTA/CHCS notes included. 2) The complete Dental record: All X-rays included. 3) A completed and signed DD 2963. Goal: Establish a process to ensure all Active Duty Service Members (ADSM) retiring or separating will receive VA benefits upon date of discharge Please note that YOU are the signatory certifying completeness of the STR on this document (DD 2693 - STR TRANSFER or CERTIFICATION FORM).

11. Medical Record Guidance YOU: (or designated rep) will notify the Patient Administration Department of the Branch Clinic or Hospital that services your unit of all separating or retiring crew members –AT LEAST 7-10 days (CONUS home ported ships) –AT LEAST 60-90 days (OCONUS home ported ships) prior to separation/retirement THEY: may provide all hard copy ALHTA/CHCS notes for the separating/retiring service member. CONUS Branch Clinics will turn these requests around in 7-10 days after notification OCONUS Clinics and Hospitals will turn requests around in 30-45 days. Recommend: identifying and coordinating with your local servicing clinic or hospital for a smooth process for your shipmates.

12. Dental Records Guidance YOU: notify the Branch Dental Clinic that services your unit of all separating or retiring crew members: –AT LEAST 1-7 days (CONUS home ported ships) or –15-30 days (OCONUS home ported ships) prior to separation/retirement THEY: provide CD's of digital x-rays for the separating/retiring service member. CONUS Branch Dental Clinics will turn these requests around in 1-7 days after notification OCONUS Dental Clinics will turn these requests around in 7-14 days. Recommend: identifying and coordinating with your local servicing dental clinic for a smooth process for your shipmates.

13. After 1 Jan 2014 After 1 JAN 2014 the Ship/Unit will mail the complete directly to the VAMRC. Local clinic will still print out hard copy records but PSD will not be involved.

14. DEPLOYABILITY COORDINATOR NAVADMIN 014/14 –All Commands Shall Designate a Deployability Coordinator (E-6 or above) in writing and provide designation letter to supporting MTF Deployability Coordinator »Recommend IDC on CRUDES/LCS/NSE commands –All PSDs, Customer Service Desks, MTFs, and Clinics Shall Provide the Deployability Coordinator’s contact information to PERS-454 by 28February2014 –MTFS/commands shall assess deployability of every sailor at minimum three times yearly (including PHAs, etc) –MTFS shall Evaluate LIMDU Sailors at a Minimum Every Two Months

15. NAVY PERSONNEL AMMUNITION AND EXPLOSIVES HANDLING CNSP/CNSL 8023.6 The following forms are available on the Navy Forms Online website at https://forms.daps.dla.mil/: –a. OPNAV Form 5530/1: »Report of Screening for Personnel Assigned AA&E Security Related Duties –b. OPNAV Form 8020/2-3417 and OPNAV 8020/6: »Medical Examiner's Certificate for Explosive Material Handling Equipment

16. RANDOM SYNTHETIC MARIJUANA TESTING NAVADMIN 334/13 –Mentioned in Navy Drug and Alcohol Abuse Prevention Program E-Gram –Testing to begin 1Jan2014 Testing Will Be Condcuted During Random Urinalysis Estimated 1% Use Across Fleet

17. 2014 NMCSD Radiology for the GMO Course Learn Radiology from the experts! What: Review of basic imaging interpretation, common pathology and indications for advanced imaging in: –Chest Radiology –Musculoskeletal Radiology –Neuroradiology –Abdominal Imaging –Ultrasound –Breast »CME approval for physicians is being sought. »Case based review included for “hands on” interpretation experience. Goal: refresh/enhance basic interpretation skills for use in clinic and when forward deployed. Who: Seats for up to 40 GMOs. –(seats will be opened to other primary care providers as available, MD,NP, PA, IDC) When: February 27 th and 28 th 07:45-16:00 (Thursday and Friday) Where: NMCSD, Building 1, 2 nd floor, Radiology conference room Sign up Now! –Reserve a seat via email to james.stepenosky@med.navy.mil and cc jason.sweet@med.navy.miljames.stepenosky@med.navy.mil jason.sweet@med.navy.mil

18. PHYSICALS CLINIC Adam Horn, MD LT, MC, USN Luke Gilman, MD LT, MC, USN

19. CME CME LECTURES WILL RESUME IN FEBRUARY 2014

20. UPCOMING LECTURES FEBRUARY 2014 TBD

21. Contact Number QUESTIONS? http://www.public.navy.mil/surfor/Pages/idcorps men.aspx GMO Contact: Office (619) 556-5191 Clinic (619) 556-8069 MRD SD: (619) 556-0662