COMNAVAIRFORES

USNAC 2015

CAPT Lou Gilleran, MC (FS), USNForce Surgeon

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 3

CNAFR

3 RC Air Wings + NALO

22 Squadrons (+2 Blended)

5 Aircraft Detachments

4 Flt Readiness Centers

25 Squadron Augment Units

(CNATRA/Flt Readiness Support)

• Commander, Naval Air Force Reserve - RDML Mark Leavitt, USN

• Type Commander* (7,881 personnel, 165 Aircraft) – Echelon 3

Navy Unique Capabilities

• 100% Dedicated Adversary

• 100% Dedicated Rotary Wing SOF

• 100% Organic Pax/cargo Lift

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CNAFR Laydown

Whidbey Island, WAVAQ-209VAQ-129 SAUVP-69VR-61

Fallon, NVVFC-13

Lemoore, CAVFA-122 SAU

Pt Mugu, CAVR-55

North Island, CAVR-57HS-10 SAUHSC-3 SAUHSM-41 SAUHSC-85

Kaneohe Bay, HIVR-51

McGuire, NJVR-64

Washington, DCVR-1VR-53

Norfolk, VAVAW-120 SAUVFA-106 SAUVFC-12VR-56HSC-84

Jacksonville, FLVP-30 SAU VP-62VR-58VR-62HSL-60

Key West, FLVFC-111

Fort Worth, TXCTSWCFLSWVR-59

New Orleans, LAVFA-204 VR-54

8 Wings/55 squadrons 3 Wings/22 squadrons/25 SAUs

Corpus Christi, TXCNATRA RCC TRAWING 4 RCCVT-27 SAUVT-28 SAUVT-31 SAUVT-35 SAU

Kingsville, TXTRAWING 2 RCCVT-21 SAUVT-22 SAU

Milton, FLTRAWING 5 RCCVT-2 SAU HT-8 SAUVT-3 SAU HT-18 SAUVT-6 SAU HT-28 SAU

Pensacola, FLTRAWING 6 RCCTW-6 SAUVT-10 SAUVT-86 SAU

Meridian, MSTRAWING 1 RCCVT-7 SAU VT-9 SAU

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.

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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

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Flight Surgeons

• Credentials and Privileges– 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

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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

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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

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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

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Questions?