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Vol. 24

No. 21

www.bethesda.med.navy.mil

May 24, 2012

Base Prepares for ‘101 Critical Days’ of Summer Safety Day centers on “Work, Play, Live Safe!” By Bernard S. Little Journal Staff Writer Walter Reed National Military Medical Center (WRNMMC) and Naval Support Activity Bethesda (NSAB) will observe Summer Safety Day on May 30 from 8 a.m. to 3 p.m. The event is part of the 101 Critical Days of Summer campaign, which runs annually between Memorial Day weekend, beginning May 25, through Labor Day weekend, ending Sept. 4. During the 101 Critical Days of Summer, vehicle and recreational accidents typically spike due to increased outdoor activities, explained Sean P. O’Reilly, occupational safety and health specialist at WRNMMC. Jim Ganz, NSAB safety officer, added the Summer Safety Day will focus on the theme, “Work, Play, Live Safe!” The event will include a number of presentations concerning safety at work and at play, to be held

in the Bldg. 10’s Laurel Clark Memorial Auditorium and Bldg. 2’s Memorial Auditorium. Steve Verret, a stand-up comedian who is also an expert in traffic safety, will perform throughout the day in Memorial Auditorium. Verret, an instructor for the Improv Comedy Club Traffic School in San Diego, Calif., has performed at the Improv and on HBO’s “Evening at the Improv.” He is scheduled to perform at 9 a.m., noon, and 2 p.m. May 30 in Memorial Auditorium at Walter Reed Bethesda. Presentations in Clark Auditorium on May 30 begin at 8 a.m. with a presentation by Cape Fox Traffic Safety Partner, followed by WRNMMC Preventive Medicine staff addressing heat stress at 9 a.m. At 10 a.m., WRNMMC/NSAB Emergency Management personnel will conduct Code White (Active Shooter) training, and at 11 a.m. NSAB Fire De-

See SUMMER page 11

Courtesy photo

Are You the Best of the Best? ASF WANTS YOU! By Mass Communication Specialist 2nd Class John K. Hamilton NSAB Public Affairs staff writer

courtesy photo

Army Sgt. Anthony Robinson fights off the "Red Man" while demonstrating proper striking techniques, blocks and verbal task directions after being Oleoresin Capsicum (OC) sprayed.

The Naval Support Activity Bethesda (NSAB) security department is currently recruiting and seeking new members to add to the Auxiliary Security Force (ASF). Tasked with augmenting base security, ASF provides extra manning and works hand in hand with security personnel during high profile events such as presidential visits, force protection condition increases, active threats, change of command ceremonies or when called upon by the base commander. For individuals interested in joining the elite force, the next ASF course runs from June 4 to June 22. "Participants in the course will be

taught skills such as basic unarmed self defense, weapons handling, how to deal with irate personnel, the public, and customer service skills," said Master-at-Arms 1st Class Devon Wilson, of NSAB security department. “After course graduation, their duties as ASF members are to help security forces in all aspects such as; acting as a guard sentry, helping with investigations, providing force protection and traffic control for when we have base-wide events or base exercises like Solid Curtain Citadel Shield," said Wilson. One of the perks of being an ASF team member is the duty can help separate service members of the same peer group or rank. "ASF is a great collateral duty. It’s also a great bullet on your performance evaluations, especially amongst

See ASF page 9


The Journal

2 Thursday, May 24, 2012

Commander's Column For most, Memorial Day marks the beginning of summer, but for those who have made the ultimate sacrifice, it is a time for tribute. Since May 1868, three years after the Civil War, it has been a time-honored tradition to express our utmost appreciation for our Nation’s fine men and women who have donned the cloth of our Nation. A time to honor our courageous men and women, who heroically served and are valiantly serving, each day, putting themselves in harm’s way to ensure freedom remains intact. This noble group deserves all of the praise your heart can pour upon them. So as you hoist your flags in front of your homes and participate in this grand holiday, I ask that you take a few moments to reflect upon the freedoms we enjoy. In the coming weeks as this holiday becomes a memory of time spent with friends and loved ones, please reserve a spot in your heart for those who have fallen and remember their fearless sacrifice. As you are well aware, as a family it’s never easy to lose a member; therefore, I must also encourage you to respect this time of year as it is a time for high risk summer activities. Be it going out for a routine motorcycle ride, scuba diving, hang gliding, a boat ride or the harmless barbecue, please

Published by offset every Thursday by Comprint Military Publications, 9030 Comprint Court, Gaithersburg, Md. 20877, a private firm in no way connected with the U.S. Navy, under exclusive written contract with the Walter Reed National Military Medical Center, Bethesda, Md. This commercial enterprise newspaper is an authorized publication for members of the military services. Contents of The Journal are not necessarily the official views of, nor endorsed by, the U.S. Government, the Department of Defense, or the Department of Navy. The appearance of advertising in this publication, including inserts or supplements, does not constitute endorsement by the Department of Defense or Comprint, Inc., of the products or services advertised. Everything advertised in this publication shall be made available for purchase, use or patronage without regard to

Bethesda Notebook Women’s Leadership Group Meeting Today

All military female service members are encouraged to attend the Women’s Leadership Group meeting today at 10 a.m. in Building 5, fourth floor, Rm. 4008. The group is designed to foster education, career development, and provide networking and mentoring opportunities. For more information, call HMC Timika Figgs at (301) 295-8188 or timika.figgs@med.navy.mil or SHC (SW/AW) Charlotte Gee at (301) 295-5161 or charlotte.gee@med.navy.mil.

Performance and Resilience Enhancement Workshop

place safety at the forefront. There are countless stories of preventable accidents. If just a few moments had been taken to consider risk involved, accidents would have been prevented. I urge you when planning that extended drive to include rest stops; when going for a swim keep an eye out for those who may have limited skills, and most importantly, if you choose to drink, please do so responsibly. You are part of the Nation’s Medical Center, with countless individuals relying on you for the excellent service you provide day in and day out. Your dedication to quality of care is unrivaled, so again, I say, “Thank You,” for all you do and I wish you a happy, funfilled, safe summer. Commander Sends Rear Adm. Alton L. Stocks MC, USN Walter Reed National Military Medical Center

race, color, religion, sex, national origin, age, marital status, physical handicap, political affiliation, or any other non-merit factor of the purchaser, user, or patron. Editorial content is edited, prepared and provided by the Public Affairs Office, Walter Reed National Military Medical Center, Bethesda, Md. News copy should be submitted to the Public Affairs Office, Bldg. 1, 11th Floor, by noon one week preceding the desired publication date. News items are welcomed from all WRNMMC complex sources. Inquiries about news copy will be answered by calling (301) 295-5727. Commercial advertising should be placed with the publisher by telephoning (301) 921-2800. Publisher’s advertising offices are located at 9030 Comprint Court, Gaithersburg, Md. 20877. Classified ads can be placed by calling (301) 670-2505.

A Performance and Resilience Enhancement Workshop will be held today, from 8 a.m. to 4 p.m., to help all staff and health care providers reach their potential, as well as lower stress and compassion fatigue. The workshop, open to all military and civilians, will be held in Building 5, Rm. 4028, and is part of the Comprehensive Soldier Fitness program, designed to build and strengthen confidence, goal setting, attention control, energy management and integrate imagery. To reserve a seat, contact Danielle Miller at either (571) 231-5262, or Danielle.n.miller.ctr@health.mil.

Prostate Cancer Support Group

The Walter Reed National Military Medical Center Prostate Cancer Support Group will meet on May 31 at 7 p.m. in the River Conference Room, on the third floor of the America Building 19 adjacent to the Center for Prostate Disease Research. Dr. George K. Philips, of the Lombardi Comprehensive Cancer Center at Georgetown University Hospital, is scheduled to speak on "The Role of Active Surveillance in Dealing with Prostate Cancer." For more information, contact Vin McDonald at (703) 643-2658, or vpmjam@aol.com.

Weight Management Workshop

The Department of Defense Weight Management Workshop, Ship Shape, will hold sessions at Walter Reed Bethesda through July 10. The program is designed to help active duty service members and beneficiaries live healthy lifestyles and maintain healthy body compositions. Please contact Maj. Michelle Mardock, the program facilitator, at (301) 295-4065 to enroll in the Outpatient Clinical Nutrition Services.

Naval Support Activity (NSA) Bethesda Commanding Officer: Capt. Frederick (Fritz) Kass Public Affairs Officer NSAB: Joseph Macri Public Affairs Office NSAB: (301) 295-5727

Journal Staff Staff Writers

MC2 John Hamilton MC3 Nathan Parde MCSN Dion Dawson Sarah Marshall Sharon Renee Taylor Cat DeBinder Katie Bradley Helen Hocknell

Managing Editor

MC1 Ardelle Purcell

Editor

Bernard Little

Walter Reed National Military Medical Center Office of Media Relations (301) 295-5727 Fleet And Family Support Center (301) 319-4087 Family Ombudsman

(443) 854-5167 (410) 800-3787 (240) 468-6386

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-ReedNational-Military-MedicalCenter/295857217111107


The Journal

Thursday, May 24, 2012

3

Ice Cream Ice Cream Everyone Screams for Ice Cream!

FFSC shares sweets and scholarship information for Spouses By Mass Communication Specialist 3rd Class Nathan Parde NSAB Public Affairs staff writer To celebrate “Spouse Appreciation Month,” the Naval Support Activity Bethesda (NSAB) Fleet and Family Support Center (FFSC) sponsored an ice-cream social yesterday. “The ice cream social [was] just to show our appreciation and give military spouses a chance to meet and connect with others, building up partnerships and relationships,” said Carolyn Craig-Sprow, the Family Employment Readiness Program (FERP) manager at NSAB’s FFSC. Craig-Sprow recently attended the Department of Defense Military Spouse Employment Partnership (MSEP) Induction Ceremony at the Pentagon, where 34 new companies committed to the partnership program. Launched by Dr. Jill Biden, wife of Vice President Joe Biden, on June 29, 2011, MSEP serves spouses from all military branches. As Biden said in her remarks at the launch, “The fact is, if you’re looking for hard-working, highly skilled, educated and dedicated employees, our military spouses are precisely the employees you need.” The partnership program aims to increase employment opportunities for military spouses, assist them as they relocate, and support pay equality for military spouses equivalent to their level of training, work experience and credentials. “It is a great program, and is doing a lot for military spouses,” said Craig-Sprow. “As a spouse of a Vietnam veteran, I appreciate what they do. Even though military spouses are not directly in the service, we share many of the responsibilities that come with the service. We know how to face challenges and come together as a team to meet those challenges.”

Photo by Mass Communication Specialist 3rd Class Nathan Parde

Military spouses Brittney Cipolla, left, and Marissa Wallace enjoy an afternoon treat at an ice cream social, sponsored by the Naval Support Activity Bethesda Fleet and Family Support Center yesterday.

Craig-Sprow said FFSC has many programs and resources that can help military spouses to find employment and educational opportunities. “They deserve the same time, education, and opportunities as everybody else. I encourage military spouses to seek every opportunity out there that is available to them,” she said. When a spouse comes to her for assistance,

Craig-Sprow said she likes to sit down for an informal interview and find out where they are at now and where they are headed. “The first thing that we discuss is education, and how I can help,” said Craig-Sprow. “There are more than 50 scholarships that are available here for military spouses. Examples of these scholarships include Air Force Aid scholarships, the Army Scholarship Foundation, and the Saban Military Wife Educational Scholarship.” The Saban Military Wife Educational Scholarship 2012 is offered to wives of uniformed service members who have been accepted for registration by a vocational school in one of the required medical fields and are an active volunteer in their community. This year, they are offering 22 scholarships that total $237,500 in awards. As FERP manager at NSAB, Craig-Sprow organizes classes that assist the transitioning military spouse. “We have regular classes that teach how to file unemployment, find jobs, build a resume and develop interview skills,” said Craig-Sprow. “These are tools that will help military spouse to look ahead and build a future that is based on more than just a job.” For more information on the MSEP program and partners and to apply for future opportunities, visit www.msepjobs.com. More information on the Saban Military Wife Educational Scholarship can be found at the Operation Homefront website, www.operationhomefront.net/scholarship. For more information about the services FFSC offers military spouses, contact CraigSprow at Carolyn.craig-sprow@med.navy.mil or (301) 400-2397.

PCS workshop takes sting out of relocating By Helen Hocknell NSAB Public Affairs staff writer Peak moving season is upon us, and the Fleet and Family Support Center (FFSC) at Naval Support Activity Bethesda (NSAB) is offering a new course to assist military personnel and their families preparing for a Permanent Change of Station (PCS). “Relocating and starting a new job are two of the most stressful things you can do in your life. In the military, we do both simultaneously every couple years,” said Frederick G. Sherris, relocation coordinator with the FFSC. Relocating, transferring, or “PCS’ing” as it’s commonly referred to – can be a complex and often frustrating process. It involves filling out a series of forms in order to ship household goods, transport vehicles and register them in a new state or country. The paperwork for moving a beloved pet overseas can also be a real headache. Together with Christina Kennedy and Kristy Wickens of Naval Supply Command, Sherris

runs the PCS Workshop for the “Household Goods” office, walking service members through each step of completing the move process. “Most branches of the military expect people to do this on their own, but we felt we could make the process a lot easier,” said Wickens. In addition to hands-on instruction, each participant receives a packet of information specific to their new station, including details about the local school system, housing costs, climate and transportation systems. “Moving is challenging, and so many people were having difficulty navigating the system on their own. We designed a workshop to alleviate as much of that stress as possible,” explained Sherris. “This class is a godsend,” said Culinary Specialist 2nd Class Phillip Harrison, transferring in July to Key West, Fla. This is Harrison’s first off-base move since 2004, and he says he’d have been overwhelmed by the paperwork if not for the workshop. “This has been very, very helpful – I’m so glad I signed up,” he added. The popularity of the course has grown since

its inception earlier this year. As of last Friday, FFSC held 28 classes, helping nearly 100 military personnel prepare for relocations. “We had the first classes in February, just once a week, but in April things started speeding up as more people heard about it and were preparing for a PCS. By May, we were doing it every day, Monday through Friday,” said Sherris. Sherris, a retired Navy command master chief, said he wishes they’d had this kind of hands-on workshop available during his many relocations. “Every time I got orders, I’d go back to my spouse and she’d ask me two things: ‘where are we going and what are the schools like?’ – I could always tell her where we were going, but couldn’t tell her much about the place or anything about the schools there,” said Sherris. “With this class, you’ll be able to answer those kinds of questions.” The PCS Workshop is offered Monday through Friday, 9 – 11 a.m. in Building 11. For more information, call the FFSC at (301) 3194087.


The Journal

4 Thursday, May 24, 2012

WRNMMC Commander Builds Bridges with Medevac Flight By Bernard S. Little Journal staff writer During a five-day period in March, Rear Adm. Alton L. Stocks, Walter Reed National Military Medical Center (WRNMMC) commander, took a first-hand look at the medical evacuation (medevac) process -- from the Germany arrival of injured service members from the battlefield, to their stateside destination at WRNMMC. Stocks, a pediatrician, medevaced pediatric patients from Europe to the U.S. when he was stationed in Italy from 2000 to 2003. His March visit to Germany along with senior members of the WRNMMC medical staff responsible for the care of wounded warriors and their families, was the first time he reviewed the medevac process since he assumed command of WRNMMC, the world’s largest military hospital, in September. Stocks and the command team traveled to Germany on March 25, and flew on the medevac flight back to the U.S. with the wounded warriors on March 30. He explained his trip to Germany, and the subsequent medevac flight, were “to build bridges” with the commands at Land-

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stuhl Regional Medical Center (LRMC), home to the Deployed Warrior Medical Management Center (DWMMC), and the Contingency Aeromedical Staging Facility (CASF), located at Ramstein Air Base. All of the facilities help support the recovery and recuperation of wounded warriors, Stocks added. “The DWMMC is the eyes and ears for LRMC,” explained Navy Capt. Thomas Craig, incoming director of the Warrior Family Coordination Cell (WFCC) at WRNMMC and a member of the Walter Reed Bethesda staff who reviewed the medevac process. He explained the DWMMC is the coordination point of contact for the U.S. Transportation Command (USTRANSCOM), which includes the Theater Patient Movement Requirements Center (TPMRC) and Global Patient Movement Requirements Center (GPMRC) to medically evacuate patients from in theater. “DWMMC is alerted when a patient is inbound from theater, and announces that information to the team of physicians that will have the skill set to handle that particular type of

photo by Bernard S. Little

Rear Adm. Alton L. Stocks, commander of Walter Reed National Military Medical Center (WRNMMC), Navy Capt. David A. Bitonti, assistant to the WRNMMC commander, and Cmdr. Carlos Rodriguez, incoming chief of trauma at WRNMMC, observe the arrival of wounded warriors to Walter Reed Bethesda from Germany. Stocks and senior members of the WRNMMC medical staff recently took a first-hand look at the medical evacuation (medevac) process -- from the Germany arrival of service members injured See MEDEVAC page 8 on the battlefield, to their stateside destination at WRNMMC.

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The Journal

Thursday, May 24, 2012

Medical Center to Conduct Response Drill By Bernard S. Little Journal staff writer In September 2010, a gunman, upset over news regarding his mother’s medical condition, opened fire inside Baltimore’s Johns Hopkins Hospital. After wounding a doctor, the gunman entered his mother’s hospital room, shot and killed her, before taking his own life. Following that shooting at Johns Hopkins, the command at Walter Reed National Military Medical Center (WRNMMC) in collaboration with Naval Support Activity Bethesda (NSAB) “spearheaded a very detailed and comprehensive training and exercise plan” for an active shooter incident, said Christopher Gillette, service chief of Emergency Management at WRNMMC. That 18-month training and exercise plan will be put to the test on June 14 when WRNMMC conducts its first medical center-wide Code White response drill. Melissa H. Knapp, program manager for Emergency Management, Plans, Training and Exercises at WRNMMC, explained individual areas and departments at Walter Reed Bethesda have conducted Code White training and drills since the John Hopkins shooting. This will be the first for the entire medical center,

and NSAB will provide support. Knapp said a small part of the June 14 exercise will include a Code Green (mass casualty) response drill following the Code White drill. She added that Code Green drills are conducted quarterly at the hospital. The frequency of hospital-wide Code White drills is contingent upon the outcome of the June 14 exercise, Gillette said. He added throughout the year, quarterly Code White training in individual areas throughout the hospital will continue. The June 14 exercise is scheduled to occur during normal working hours and will impact all personnel, including patients, visitors and staff, within the medical center buildings, Gillette said. Knapp added the exercise will not affect people entering or exiting the installation, and staff members are encouraged to let visitors and patients know this is an exercise. The Code White exercise is slated to last no longer than 15 minutes, Gillette said. There should be no movement throughout the hospital during that time, and all staff and departments should “shelter-in-place,” he added. Visitors will be asked to remain where they are, or may be escorted to a secure location. Staff, patients and visitors attempting to enter the hospital during the exercise will be asked to remain where they

are until the facility is secured. “We hope staff will be able to implement what we’ve been training them to do,” Gillette said. “We hope all of the staff can get notification that there is an active shooter somewhere on our campus or within our hospital, staff can quickly implement their plans and policies to shelter-inplace and most importantly, include our customers, patients and visitors to take care of their safety and security just as they would take care of their own.” Knapp encouraged staff to review the orange emergency guide book in their areas. The book includes Code White shelter-in-place procedures, such as: moving all personnel and visitors from lobbies and general waiting areas into interior spaces; assigning patient-care providers to rooms based on patient acuity level; closing all doors and locking and/or barricading them when possible; turning off all lights, closing blinds, and turning off computer screens; silencing cell phones; dispersing personnel as much as possible so they are not huddled together; and remaining hidden until the all clear is given. She added that during the Code White drill, the only people who should be seen are the 200-plus evaluators and controllers for the exercise. “They want to see staff protect-

5

ing patients and visitors. They want to see communications from staff to customers concerning the emergency. They want to see that doors are closed, people are hiding, it’s quiet, and the hospital appears as if it has shut down,” she explained. Gillette called the evaluators and controllers, “the eyes and ears for the exercise,” to obtain measurable data to reevaluate the effectiveness of plans. He added on an average day there are about 7,000 staff members on base, and about 80,000 hospital visits per month, which makes for “quite a few people here on an average day, and our goal is to make sure those basic shelter-in-place measures are taken. We hope that our training has been very effective. “We need to be prepared and get the word ‘exercise’ out of our vocabulary,” Gillette said. “Terrorists and active shooters don’t believe in the ‘callahead policy.’ They are not going to call us and ask, ‘Is it convenient for me to show up,’ so staff has to constantly be prepared. [The exercise] may inconvenience our staff, patients and business operations, but it’s for the safety and security of the entire staff and patient population.” For more information about the Code White exercise, call Christopher Gillette at (301) 295-3115 or Melissa Knapp at (301) 319-4906.


The Journal

6 Thursday, May 24, 2012

Graduates embark on next stage of 'Caring for Those in Harm's Way' By Helen Hocknell NSAB Public Affairs staff writer More than 200 uniformed and civilian medical professionals and scientists received degrees at the 33rd commencement exercise for the Uniformed Services University of the Health Sciences (USUHS) at Daughters of the American Revolution Constitution Hall in Washington, D.C. Saturday. “It is the university’s duty to not only educate physicians, nurses and scientists and to produce uniformed officers and leaders, but also to help forge outstanding human beings – men and women of integrity, compassion, and loyalty to the values that make our country great,” said USUHS President Dr. Charles L. Rice. “I’m confident that each of these graduates has met these goals. They have chosen the path of public service and are dedicating their life’s work to the greater good. It is both an awesome and a noble choice; one that demands humility

and sacrifice, but brings untold rewards.” Degrees awarded during the ceremony included 158 Doctor of Medicine degrees, 55 Biomedical Sciences graduate degrees, 35 Master of Science degrees, and six Doctor of Philosophy degrees. Lt. Gen. (Dr.) Charles B. Green, the United States Air Force Surgeon General delivered the commencement address, emphasizing the importance of three core areas: jobs, people and learning. “The most important job you’ll have is the one you’re in… and the patient in front of you is the most important one you’ll treat,” said Green. He noted that although graduates should feel proud of all they’d accomplished so far, they should not think of this as the end of their formal education. “The reality of a successful residency is teaching doctors how much they don’t know,” said Green, citing coups and volcanic eruptions as great learning experi-

ences of his career. An expert in disaster relief operations, Green planned and led humanitarian relief efforts in support of Operation Fiery Vigil following the 1991 eruption of Mount Pinatubo in the Philippines. Air Force Capt. Mark Cheney, who just received his medical degree, said he is excited for the future as he prepares to report to San Antonio Military Medical Center in Texas. “I know my classmates and I are all very appreciative of the faculty, family, friends, and others who supported us during our time at USUHS,” said Cheney. Other graduates are headed to locations as far-ranging as Florida, Mississippi and Hawaii. Lt. Cmdr. Chris S. Martin, USUHS Chaplain, delivered the invocation, giving special thanks for the family and friends assembled. Martin blessed the graduates as they began their life-long work as “healers, comforters, providers, listeners and explorers.”

by Helen Hocknell

Graduates of the F. Edward Herbert School of Medicine recite the Hippocratic Oath at the Uniformed Services University of the Health Sciences 2012 Commencement Exercise at DAR Constitution Hall in Washington, D.C. on May 19. After receiving their Doctor of Medicine degrees, graduates changed into their military uniforms and returned to the hall to take their respective service oaths of office.To learn more about USUHS, please visit: www.usuhs.mil.To view photos and video clips from Saturday’s commencement ceremony please visit the Naval Support Activity Bethesda facebook page at: www.facebo ok.com/NSABethesda. “May they never stop learning, but always be studious. To lead as wise and compassionate military offi-

cers, and to always strive for the best, caring for those who go in harm’s way,” said Martin.

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The Journal

Thursday, May 24, 2012

7

Spotlight on Faces of Walter Reed Bethesda

Home-spun Conversation Connects With Patients

This article is one in a series of stories highlighting individuals who make a positive difference at Walter Reed National Military Medical Center. By Sharon Taylor Journal staff writer

When patients see Tim Keilly for shoe inserts or a wrist brace at Walter Reed Bethesda, it may appear as if he’s known them all his life. Keilly is an orthotist, a healthcare professional who customizes orthopedic braces. “Tim is like an old-fashioned family doctor — the kind that made house calls,” explained David Laufer, service chief for the Orthotic and Prosthetic Service in the Department of Orthopedics and Rehabilitation at Walter Reed National Military Medical Center (WRNMMC). Laufer has worked with Keilly for more than 15 years. “He is good at making patients comfortable, he connects with his patients and builds good relationships,” Laufer said.

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Photo by Sharon Renee Taylor.

Orthotist Tim Keily examines a leg cast in the Orthotic and Prosthetic Service of the Department of Orthopedics and Rehabilitation at Walter Reed National Military Medical Center. Keily has spent more than 25 years making braces and supports for the nation's military. The good-natured Keilly explained his ability to speak and relate to people from all walks of life, and recalled a woman who came in

for wrist splints after typing for many years. It appeared they had nothing in common. “We got to talking. I was only in

there for 10 minutes but we were like best friends when I left. It’s amazing,” Keilly said. “Every patient is different…I just start talking,” he laughs. “When I talk to them, it opens them up,” Keilly said. “You get along with people better and then they open up to you.” Orthotist Sharon Wagner called her colleague, “a throwback to another era.” The 62-year-old Keilly has seen more than five decades of wound-care, and spent more than 40 years in the field of orthotics. He first served as a corpsman at National Naval Medical Center (NNMC) in 1971, on active duty during Vietnam. He worked on Ward 6C, neurosurgery and minor plastics, providing care for service members wounded in war. Later, he began a four-year apprenticeship at a Silver Spring, Md., brace shop where he honed his skills for 15 years before joining the staff at Walter Reed Army Medical Center (WRAMC) in 1988. There he worked for nearly 25 years until

See PATIENTS page 9


The Journal

8 Thursday, May 24, 2012

Four Walter Reed Bethesda Soldiers Earn Expert Field Medical Badge

cations tasks, and the forced road march. According to the U.S. Army Medical Department (AMEDD) Center and School at Fort Sam Houston, Texas, which oversees EFMB testing, pass rate for the badge averages approximately 15 percent, which makes it one of the most difficult and prestigious Army skills badges to earn. “The EFMB testing is intended to recognize military medical personnel who maintain a high degree of professional skills and proficiency as medical providers on the battlefield,” said Maj. Dominick Ivener, executive officer, Troop Command, U.S. Army Element, at WRNMMC. “This year, the [NRMC] opened testing to Army, Navy and Air Force candidates from the Joint Task Force National Capital Medical Region (JTF CapMed),” Ivener continued. “WRNMMC sent 10 personnel to test and four successfully completed the testing and received the EFMB; the highest

pass rate of any unit that attended.” Other candidates for the EFMB came from units throughout the NRMC, which includes military medical facilities on the east coast from Maine to South Carolina, as well as from the Atlantic Coast west to Wisconsin. Overall, 150 military personnel, in addition to the EFMB competitors, were involved with lanes preparation, mentoring, grading, and technical support for the testing. According to evaluators who oversee EFMB testing, what gets many of the candidates is their level of attention to detail. The evaluators explained that on the real battlefield, service members know there is limited time to think about how to save a life and their training must take over.This is what the EFMB is designed to do, and what has saved numerous lives on the battlefield. When wounded warriors see the badge on their medic, they know they are in good hands, according to AMEDD officials.

Both Krishnan and Lopez said preparation was key to earning the badge. “WRNMMC had three months to train up,” Krishnan explained. “Every week we spent a day rucking [marching in gear] in the morning, after which we would study and practice. We also got out and spent some time on a land navigation course, as well as spent an entire day running through a mock EFMB.” “This training really helped us get familiar with the tasks and set us up for success,” Lopez added. “If you are serious about earning the EFMB, you need to take the time to prepare, study and practice.” “You’ve got to live, eat and breath EFMB,” Krishnan added. “Make friends and build your team. The badge is given to individuals, but it’s your team that gets you there. We had an excellent team and I think it showed with the number of badges we brought back.” Both Soldiers credited EFMB trainers at WRNMMC, who included Staff Sgt. Omar Anderson, Sgt. Gene Britton and Sgt. John Harr, for helping them earn the EFMB. “They spent countless hours training us to succeed,” Lopez said. “I attribute our [WRNMMC] 40 percent pass, more than double the normal pass rate for the EFMB, to these Soldiers and their work,” Krishnan added. During the graduation ceremony for those who successfully completed the week-long testing, Caravalho congratulated all the Soldiers bearing the badge that is recognized the world over--"the Army's Expert Field Medical Badge," he said. "But the 90-plus individuals who [did not earn the badge] need to be commended for their courage, too. They stepped up to the line and took on the challenge. It may not have been their day, but I can assure you that sometime soon they will take on this challenge again and continue to strive for this badge," Caravalho added. Editor’s note: David Moore, U.S. Army Support Activity - Fort Dix, N.J., contributed to this article.

“The Air Force has regularly scheduled flights, [and] with three flights per week, a patient may wait two or three days max, unless the patient needs stabilizing surgery,” Craig said. He added preparing wounded warriors for transport back to the U.S. is “custom tailored to the medical needs of the patient to ensure safe, stable transport. [For example], if the patient has pulmonary contusion and has a hard time getting oxygen into the blood system, then the patient may need O2 supplement; if the patient has an infection, then the patient will need intravenous antibiotics,” he said. Wounded warriors destined for WRNMMC from Germany generally arrive at Joint Base Andrews, Md., on a C-17 flight usually lasting about 11

to 12 hours. The WRNMMC command team praised the teamwork between the Army, Navy and Air Force in the care and transportation of wounded warriors during the medevac process. Navy Capt. Christine Sears, executive assistant and part of the WRNMMC team that reviewed the medevac process, described the care of wounded warriors at Landstuhl and during the evacuation flight as “outstanding. All the coordination between the medical care and the services is amazing,” she added. Care provided by the Critical Care Augmentation Team (CCAT) on the flight was “impressive,” according to Stocks and Sears. The CCAT includes doctors, nurses, technicians and corps-

men trained to treat patients suffering from the most severe injuries while being transported between medical facilities. Once wounded warriors and Stocks arrived at Joint Base Andrews, Md., the WRNMMC commander accompanied the wounded on the final leg of their journey here to “the Nation’s Medical Center” (WRNMMC) in the Patient Evacuation Vehicle (PEV). The 40-foot-long PEV, staffed with specialized medical personnel, is equipped with state-ofthe-art medical systems and supplies to provide the best care to patients during the 30 to 40 minute drive from the runways of Andrews to WRNMMC.

By Bernard Little Journal staff writer When the dust settled following a grueling 12-mile road march they were required to complete in three hours with a M16 rifle and more than 30 pounds of other standard combat field equipment in tow, four Soldiers from Walter Reed National Military Medical Center (WRNMMC) were among 21 who earned the coveted Expert Field Medical Badge (EFMB) last month in New Jersey. More than 100 service members began the arduous quest to earn the EFMB on April 17 at Joint Base McGuire-Dix-Lakehurst, N.J. The 21 candidates who met their goal and were pinned with the EFMB on April 29 by Brig. Gen. Joseph Caravalho, commanding general of the U.S. Army’s Northern Regional Medical Commander (NRMC), included from WRNMMC, Lt. Col. Maureen Petersen, Capt. David Boland, 2nd Lt. Micah Krishnan and Sgt. Francisco Lopez. “I am super excited about earning the EFMB,” said Lopez. “I took a lot of time to prepare for testing and badly wanted to earn it.” Krishnan agreed. “EFMB is something I’ve had in my sights on since the day I entered the medical side of the Army. I heard it was hard, and I’ve always enjoyed a good challenge, so when EFMB came up I jumped at it,” he said. The EFMB is a U.S. Army decoration created in 1965 as the non-combat equivalent to the Combat Medical Badge. It is awarded to U.S. military medical personnel who successfully complete written and performance tests proving their field medical capabilities. The written test includes 60 questions requiring a score of 75 percent to pass, and the performance portion of the EFMB includes the Army Physical Fitness Test, weapons qualification, land navigation, tactical combat casualty care tasks, CPR certification, medical and casualty evacuation tasks, warrior skills tasks, communi-

MEDEVAC Continued from 4 injury,” Craig explained. “Upon arrival at LRMC, the patient is whisked up to the intensive care unit ward area and the teams that were alerted hours to days before meet the patient.” A patient will not be moved on a medevac unless he or she is stable, Craig said. For instance, if a warrior needs surgery to control internal bleeding, the patient will not be moved, he explained. The CASF at Ramstein is responsible for the safe movement of wounded warriors between medical facilities.

courtesy photo

Army Lt. Col. Maureen Petersen, from Walter Reed National Military Medical Center, prepares a casualty to be extricated from a vehicle during testing for the Expert Field Medical Badge at Joint Base McGuire-Dix-Lakehurst, N.J.


The Journal

Thursday, May 24, 2012

9

Assistive Technology Gives Troops Independence, Hope By Sarah Marshall Journal staff writer Like many wounded warriors in recovery at Walter Reed Bethesda, Marine Cpl. Chris Brown likes keeping in touch with his friends and family back home, and thanks to assistive technology, he can do so easily - and independently. Brown has been a patient at the medical center since Dec. 19, 2011, just six days after he was injured in Afghanistan by an IED, which claimed both his legs and his right index finger. Upon arrival, his mobility was highly limited. According to Brown, he could barely sit up, let alone call his loved ones to let them know he was going to pull through. To help keep his phone at reach, and without relying on others to bring it to him, an assistive technology specialist, Mark Lindholm, mounted a robot-looking arm onto Brown's hospital bed, holding the phone conveniently at Brown's side. Over the last two years, Lindholm has worked in Occupational Therapy at the medical center, using assistive technology - fabricating and adapting equipment, tools and technology to help patients improve their functional capabilities. After customizing a devise for Brown's phone, Lindholm then attached another similar device to the wounded warrior's bed for his computer tablet, on which the Marine can watch movies, access his social networking sites, and most importantly to Brown, catch up with his loved ones. "[These modifications] made things a lot easier for me because everything is hands-free," said Brown. "I don't have to hold up [my computer] to watch a movie. [I can] contact my friends and say, 'Hey, I'm OK,' and don't have to have someone reach [the phone] for me." At one point, Brown told Lindholm he also missed his music, and so Lindholm rigged a small set of speakers to the top of his bed, giving him the feel of "surround sound," Brown explained. "I got my own entertainment center on my bed," he said with a smile.

ASF Continued from 1 others who might not have collateral duties," said Wilson. Although participating in a rigorous course with extensive training, Hospital Corpsman 3rd Class Benjamin Billingsley found the class to be fun and educational while gaining a lot of experience. "My favorite part of the course was tactical team movements – going through the building and clearing rooms as a team, learning the hand motions and learning how to take down suspects," said Billingsley. "Anyone who gets the opportunity, I highly recommend it, especially if they have an interest in law enforcement and security. It's very rewarding and one of the best command duties to have.” Service members interested in joining ASF can contact the security training department at (301) 319-8301.

photo by Sarah Marshall

Walter Reed Bethesda's AssistiveTechnology Specialist Mark Lindholm, right, recently mounted a smart phone and tablet holder to Marine Cpl. Chris Brown's hospital bed. The patient, injured in December 2011 by an IED blast, feels a greater sense of independence and hope, thanks to Lindhhom's adaptations. Brown's mom, Lynne, agreed these small changes have made "a world of difference." She recalled their hometown, Munford, Tenn., organizing a motorcycle ride in March to help raise funds for her son - and he could watch the entire ride from his computer without any strain. Seeing the outpouring support from his community goes a long way in his recovery, she said. Expressing his appreciation for Lindholm's talents, Brown noted the independence he has gained and the impact this will have on his transition, as he prepares to move this month to the wounded warrior barracks on base. "People use their talents to help others, and this is [Mark's] way of helping. He has a very unique mind and way of figuring [things] out ... It's a blessing to me," Brown said. Lindholm said he can't take all the credit - it's a team effort. Assistive technology specialists work in other areas of the medical center as well. In the outpatient setting, they help patients improve their basic living functions, and at the National Intrepid Center of Excellence,

PATIENTS Continued from 7 the hospital integrated with NNMC to form WRNMMC last fall. Keilly said it was “nice to return home,” to Walter Reed Bethesda. “He’s seen it all,” said Tim Hamilton, Keilly’s supervisor, who has worked with the certified orthotist for more than 23 years, since their days at WRAMC. Hamilton said their diverse patient population — from pediatrics to geriatrics, wounded warriors, stroke victims, and many others — requires non-traditional braces. “Tim is good with thinking out of the box and coming up with different things to help some of these [service members],” Hamilton said. Retired Hospital Corpsman 3rd Class Edward A. Bonsiglio sustained a gunshot injury to his left leg Aug. 10, 2009, during a deploy-

they work with patients with traumatic brain injuries (TBI) to help improve their cognitive comprehension, he said. What Lindholm most enjoys about working in the inpatient setting, he added, is watching patients progress, and seeing the technology give them hope for a brighter future. "Initially, it's pretty dark," he said. "This is just one little part, accessing a computer, [for example]." In addition to smart phones and tablets, Lindholm has also helped set up "switches," allowing patients to change the volume and channels on their TV, simply by tapping a lever with their elbow, which is especially helpful when they aren't able to use their hands. He has also set up speech recognition equipment to help patients use their computers, and has set up a device allowing patients to move their computer mouse, simply with their head movement. Lindholm explained how he creates these mechanisms, which he likened to 'erector sets.' He spends a lot of time experimenting, strategically piecing together nuts and bolts to figure out what will work best for each individual and where they are in their rehabilitation. "He is just amazing at fabricating or altering devices," said Matt Dodson, TBI Occupational Therapy supervisor. "His ability to make everyday items, like TV remotes, accessible and readily available to the patients makes an incredible difference in their quality of life." Dodson noted the assistive technology has also had a noticeable impact on getting patients more engaged in their treatment. "[This] has a carry-over effect into their entire health and rehabilitation." Stephanie Johnson, inpatient Occupational Therapy supervisor, echoed the same sentiment. She explained, when a patient arrives at the medical center, it can be challenging to see beyond what they've lost, but with assistive technology, she said, they can see the light at the end of the tunnel. "Mark's giving [patients] access when they have no access," said Johnson. "It truly is being able to see them little by little gain their independence, and that's what our profession focuses on."

ment in Afghanistan. The bullet hit his sciatic nerve, causing numbness and severe foot drop, unable to move his foot, or wiggle his toes. Keilly adjusted his leg brace and provided orthotics. “If I had any questions that needed an answer, he would answer them right away,” said Bonsiglio, who explained the orthotist makes him very comfortable. He can count on Keilly for a ‘hello,’ a chat, and to ask how things are going. “He’s very easy to work with,” Bonsiglio said. Hamilton called Keilly both attentive and a good listener, but said “dependable” is the word that best describes him. “Through all the years, that’s comforting, [when] you have coworkers [who] you can depend on, [who are] going to show up to work and do the work at a high level.” Keilly said medicine is an art. “I like it and I’m good at what I do.”


The Journal

10 Thursday, May 24, 2012

Bike To Work Day 2012

Photo by Mass Communication Specialist Seaman Dion Dawson

Naval Support Activity Bethesda (NSAB) Police Officer Alphonso Moore keeps traffic moving Friday during Bike To Work Day 2012. More than 155 base staff members participated in Bike To Work Day. NSAB's Morale, Welfare and Recreation provided participants with refreshments andT-shirts after arriving and passing through base security. 1035819

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Continued from 1 partment will have fire extinguisher training. Preventive Medicine will conduct another heat stress presentation at 1 p.m. At 2 p.m. NSA Bethesda Safety Office will conclude the Clark Auditorium lectures with a presentation on Summer Safety. In Memorial Auditorium on May 30, police from Montgomery County will have a presentation at 8 a.m., followed by Steve Verret at 9 a.m. NSAB Fire Department officials discuss fire hazards at 10 a.m., and Verret performs again at noon. WRNMMC/NSAB Emergency Management staff speaks about personal preparedness at 1 p.m., followed by Verret’s last performance of the day at 2 p.m. The Green Knights Military Motorcycle Club

and Washington Redskins Cheerleaders are also scheduled to attend Summer Safety Day at Walter Reed Bethesda. The Redskin Cheerleaders are slated to lead callisthenic training from 11:30 a.m. to 1 p.m. in Bldg. 9 mezzanine center. Ganz said crash vehicles will also be set up at base gates for driver awareness and to show people the consequences of drinking and driving, as well as distracted driving (texting, speaking on the cell phone, eating, drinking, etc.) “The 101 Critical Days of Summer covers anything to do with summer recreation, whether you’re dealing with the heat and humidity, barbecues, fireworks, swimming, boating, water skiing, and anything else that’s an outdoor activity concerning safety issues, among other things,” O’Reilly said. In addition to Summer Safety Day, Ganz said there will be continuous attention given to safety issues throughout the summer. “We understand everyone can’t go to all the

11

training and presentations all day on Summer Safety Day, but if some people from a clinic can go to certain events, they can take back what they learn and share it with others in their areas,” O’Reilly said. He added rosters will be available at the event so those who participate can sign in and get credit for their safety training, which will be logged into ESAMS (Enterprise Safety Applications Management System) implemented at Walter Reed Bethesda. ESAMS is the system of record selected by the Bureau of Medicine and Surgery (BUMED) to collect and track safety training, safety inspections and mishap information. Regarding the Critical Days of Summer, the Naval Safety Center, reports that between Memorial Day and Labor Day 2011, 16 Sailors and 15 Marines lost their lives. One died in an ATV wreck, three drowned, three died during other recreational activities, 11 died in cars and trucks, and 13 died on motorcycles. Motorcycle fatalities increased from six in 2010 to 13 in 2011 – more than a 100 percent increase. According to the U.S. Army Combat Readiness/ Safety Center, off-duty fatalities during the months between April and September have risen nearly 20 percent during the past three fiscal years. The Air Force Safety Center reports that between 2002 and 2011, the Air Force experienced 218 fatalities during the Critical Days of Summer (201 off duty and 17 on duty). Service members are encouraged to access TRiPS (Travel Risk Planning System) through their respective service’s Knowledge Online website before hitting the roads for travel this summer. The online program helps service members recognize and reduce travel risks. For more information about safety, go to the websites for the Naval Safety Center (http://safetycenter.navy.mil/), Air Force Safety Center (http://www.afsec.af.mil/), or the U.S. Army Combat Readiness/Safety Center (https://safety.a rmy.mil/). For more information about Summer Safety Day on May 30 at Walter Reed Bethesda, call Sean P. O’Reilly at (301) 295-6634 or Jim Ganz at james.ganz@med.navy.mil.

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The Journal

12 Thursday, May 24, 2012

NSAB Prepares for New Addresses NAVFAC PWD Bethesda

Naval Support Activity Bethesda (NSAB) mail delivery service will change its street addresses to better adhere to Navy postal delivery and enhanced emergency response (911) standards to assist overall mail delivery and in response to emergency calls. The goal of this effort is to improve postal operations on the installation, and bring the installation into compliance with Navy regulations. They are scheduled to occur in late 2012. According to Elizabeth Lusk, a geographical information systems analyst at NSAB, mail operations will change when individual facilities are provided with their own street address, rather than simply a building number, however, Lusk noted that some facilities on the installation will not be affected. “These changes will not affect the main hospital core of Walter Reed National Military Medical Center (Buildings 1-10 and 19), which will keep 8901 Wisconsin Avenue as its street address. Additionally, neither the Fisher Houses nor the Flag Housing will be altered as their addresses already conform to Navy standards. "The new addressing system is intended to improve mail delivery to all facilities across the installation and ensure compliance with Navy regulations,� said Lusk. Currently, all mail and packages are delivered to the main hospital building, after which it may be collected by tenant commands and residents. In addition to mail delivery, it is often challenging to provide directions to a particular NSAB building without being able to list a street address. Facilities are not sequentially numbered along roadways. The building numbers reflect the number provided at the end of construction; those numbers are essential for building records, utility costs and future operation and maintenance budgeting. However, they are not the most helpful for an NSAB visitor. According to the NSAB Fire Department, the address change will also improve emergency response times. "The proposed new addressing for the base will assist our mutual aide partners; Montgomery County and the National Institute of Health Fire Departments in identifying the location of the emergency, providing a more rapid response time to situations,� said John Gray, Acting Fire Chief at NSAB. A proposed list of addresses has been provided by NSAB to Naval Supply Systems Command (NAVSUP), the lead activity for the Navy Official Mail Program. This draft list is under review with the United States Postal Service (USPS) and Montgomery County for compliance with mail delivery standards and regional emergency response services. As the list of addresses is finalized, they can only go into effect once all facility signs have been replaced to reflect the new addresses. Signs may be either building-mounted or be placed in front of the facility visible from the road. The current sign design for individual fa-

cilities is under review to add this new information. The building numbers for each facility will also be retained on each facility, as these connect to facility maintenance records and associated operations and maintenance funding. This system is similar to other installations within Naval District Washington. According to Lusk, those getting a new address should keep the address changes in mind

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as new letterhead, envelopes and business cards are needed. The NSAB Public Works Department anticipates the address approval process to be complete by the end of the summer, however, the procurement and installation of new signs may take several more months. Information and updates will continue to be provided as the address change moves forward. Further questions about this change may be addressed to Lusk at 295-5787.


The Journal

Thursday, May 24, 2012

13

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The Journal

14 Thursday, May 24, 2012

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The Journal

Thursday, May 24, 2012

Classifieds

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ANESTHESIOLOGIST The North Atlantic Regional Contracting Office is procuring Full-Time Individual Healthcare Providers for Anesthesiologist services. Procurement will be in accordance with Defense Federal Acquisition Regulations (DFARS) 237.104 for the Walter Reed National Military Medical Center, Bethesda, Maryland. ONLY INDIVIDUALS MAY APPLY. OFFERS WILL NOT BE ACCEPTED FROM COMPANIES. Period of Performance: Positions are typically Monday - Friday, 7:30 a.m. to 4:30 p.m. Positions start on or about 29 June 2012, or date of award through 28 June 2013. Qualifications: Board Certified Anesthesiologist. Licenses and/or Certifications, Education, Experience and Basic Life Support (BLS) and ACLS Certifications by the American Heart Association. Excellent customer service skills are mandatory. All services will be performed in accordance with the standards established by JC, HIPPA and MEDCOM Regulations. The applicants will be evaluated by a technical committee and ranked numerically based on their technical qualifications. The Contracting Officer will then evaluate and negotiate price with the applicable applicant(s) for contract award. Only applicants registered in the Central Contractor Registration database (CCR), www.ccr.gov will be considered. Applicants should send their resumes and/or curriculum vitae to Benjamin Sears and Robert Moffett via Email: benjamin.sears@amedd.army.mil and robert.s.moffett@us.army.mil. Resumes must be received by the above address no later than close of business June 1, 2012. Upon receipt of resume, applicants will be provided a Request for Proposal (RFP) by one of the following methods: mailed thru postal service, applicant may pick up from the above address or via e-mail. Your response to the RFP package should be sent in sufficient time to assure arrival by the specified date listed in block 8 of the RFP. The RFP provides applicant the opportunity to review the Performance Work Statement/ (Job Description), Terms and Conditions of the Government and an opportunity to present his/her hourly rate for performance of work.

ENT SERVICES The North Atlantic Regional Contracting Office is procuring Full-Time Individual Healthcare Providers for ENT services. Procurement will be in accordance with Defense Federal Acquisition Regulations (DFARS) 237.104 for the Walter Reed National Military Medical Center, Bethesda, Maryland. ONLY INDIVIDUALS MAY APPLY. OFFERS WILL NOT BE ACCEPTED FROM COMPANIES. Period of Performance: Positions are typically Monday - Friday, 7:30 a.m. to 4:30 p.m. Positions start on or about 14 July 2012, or date of award through 13 July 2013. Qualifications: Licenses and/or Certifications, Education, Experience and Basic Life Support (BLS) and ACLS Certifications by the American Heart Association. Excellent customer service skills are mandatory. All services will be performed in accordance with the standards established by JC, HIPPA and MEDCOM Regulations. The applicants will be evaluated by a technical committee and ranked numerically based on their technical qualifications. The Contracting Officer will then evaluate and negotiate price with the applicable applicant(s) for contract award. Only applicants registered in the Central Contractor Registration database (CCR), www.ccr.gov will be considered. Applicants should send their resumes and/or curriculum vitae to John Turay and Robert Moffett via Email: john.s.turay@us.army.mil and robert.s.moffett@us.army.mil. Resumes must be received by the above address no later than close of business June 1, 2012. Upon receipt of resume, applicants will be provided a Request for Proposal (RFP) by one of the following methods: mailed thru postal service, applicant may pick up from the above address or via e-mail. Your response to the RFP package should be sent in sufficient time to assure arrival by the specified date listed in block 8 of the RFP. The RFP provides applicant the opportunity to review the Performance Work Statement/ (Job Description), Terms and Conditions of the Government and an opportunity to present his/her hourly rate for performance of work.


16 Thursday, May 24, 2012

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Journal 24 May