journal 28 june

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Vol. 24 No. 26 www.bethesda.med.navy.mil June 28, 2012 By Helen Hocknell NSAB Public Affairs staff writer Uniformed Services University of the Health Sciences (USU) stu- dents and staff came to pay their respects at a ceremony recently to honor the donated and unclaimed bodies used for medical education and research in Maryland. Hosted each June at Springfield Hospital Center in Sykesville, Md., the ceremony presents an opportu- nity for medical students and edu- cators to join with friends and fam- ily to honor those whose cremated remains are interred there. "The students come here be- cause they want to show gratitude for the gifts they are given," said Ronn Wade, director of the Mary- land State Anatomy Board, which organizes the ceremony. Wade oversees the distribution of cadav- ers for anatomical dissection at the University of Maryland, Johns Hopkins University and USU. Approximately 200 bodies are used in the USU anatomy lab each year, roughly half of which are pro- vided by the state. The rest come from USU's Anatomical Gift Pro- gram. Some are used in specialty courses or to practice procedures by doctors and nurses, but the ma- jority of the cadavers are dissected by groups of first-year medical stu- dents in the standard 12-week gross anatomy course. "The ceremony is a great way for us to demonstrate our respect for the donors," said Army 2nd Lt. Kassandra Kahn, a first-year med- ical student at USU. Kahn ex- plained the students develop a deep personal connection to their cadavers. Many medical students refer to the cadavers as their "first patients," said Kahn. "They're an invaluable teaching tool, but this was also a person," said Air Force 2nd Lt. Amy Reed, another first-year medical student at USU. "The youngest we worked on was 25 years old. He could have been our peer." According to Dr. David Welling, associate professor of surgery at USU, many medical schools have begun scaling back the hands-on laboratory aspect of gross anatomy courses in favor of computer pro- grams and plastic models. Welling said that while techno- logical advances in medical educa- tion can be useful, he feels working on a human body is still a crucial part of coursework for future doc- tors and other medical profession- als. "The old-fashioned, traditional method is an important opportuni- ty for students to gain experience working with real doctors perform- ing real surgery on real patients, and get them thinking about clini- cal medicine early on," said Welling. He explained the ability to explore anatomical structures in a cadaver by feel rather than view- ing them in a textbook helps stu- dents remember them better. "Everybody is different, and you can learn a lot more about anom- alies by seeing these structures in person rather than reading about them in a book," said Welling. USU Anatomical Curator Ronald Rivenburgh said although many medical schools now test stu- dents using photos and computer graphics, students at USU are still tested on cadavers for the practical portion of the anatomy lab. "At USU, we believe the human body can teach you everything you need to know," said Rivenburgh. "Sometimes, in the lab, students discover something unusual in a Medical Students Express Gratitude, Respect for Body Donors Photo by Helen Hocknell Members of the Maryland National Honor Guard fold the national ensign during the memorial ceremony held annually to honor the bodies used in medical education and research in Maryland. Students and staff from the Uniformed Services University of Health Sciences attended the ceremony to pay their respects and express gratitude to the families of donors for the "invaluable gift" they provide. See DONORS page 8

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Page 1: Journal 28 june

Vol. 24 No. 26 www.bethesda.med.navy.mil June 28, 2012

By Helen HocknellNSAB Public Affairs staff

writer

Uniformed Services Universityof the Health Sciences (USU) stu-dents and staff came to pay theirrespects at a ceremony recently tohonor the donated and unclaimedbodies used for medical educationand research in Maryland.

Hosted each June at SpringfieldHospital Center in Sykesville, Md.,the ceremony presents an opportu-nity for medical students and edu-cators to join with friends and fam-ily to honor those whose crematedremains are interred there.

"The students come here be-cause they want to show gratitudefor the gifts they are given," saidRonn Wade, director of the Mary-land State Anatomy Board, whichorganizes the ceremony. Wadeoversees the distribution of cadav-ers for anatomical dissection at the

University of Maryland, JohnsHopkins University and USU.

Approximately 200 bodies areused in the USU anatomy lab eachyear, roughly half of which are pro-vided by the state. The rest comefrom USU's Anatomical Gift Pro-gram. Some are used in specialtycourses or to practice proceduresby doctors and nurses, but the ma-jority of the cadavers are dissectedby groups of first-year medical stu-dents in the standard 12-weekgross anatomy course.

"The ceremony is a great way forus to demonstrate our respect forthe donors," said Army 2nd Lt.Kassandra Kahn, a first-year med-ical student at USU. Kahn ex-plained the students develop adeep personal connection to theircadavers.

Many medical students refer tothe cadavers as their "first patients,"said Kahn.

"They're an invaluable teaching

tool, but this was also a person,"said Air Force 2nd Lt. Amy Reed,another first-year medical studentat USU. "The youngest we workedon was 25 years old. He could havebeen our peer."

According to Dr. David Welling,associate professor of surgery atUSU, many medical schools havebegun scaling back the hands-onlaboratory aspect of gross anatomycourses in favor of computer pro-grams and plastic models.

Welling said that while techno-logical advances in medical educa-tion can be useful, he feels workingon a human body is still a crucialpart of coursework for future doc-tors and other medical profession-als.

"The old-fashioned, traditionalmethod is an important opportuni-ty for students to gain experienceworking with real doctors perform-ing real surgery on real patients,

and get them thinking about clini-cal medicine early on," saidWelling. He explained the ability toexplore anatomical structures in acadaver by feel rather than view-ing them in a textbook helps stu-dents remember them better.

"Everybody is different, and youcan learn a lot more about anom-alies by seeing these structures inperson rather than reading aboutthem in a book," said Welling.

USU Anatomical CuratorRonald Rivenburgh said althoughmany medical schools now test stu-dents using photos and computergraphics, students at USU are stilltested on cadavers for the practicalportion of the anatomy lab.

"At USU, we believe the humanbody can teach you everything youneed to know," said Rivenburgh."Sometimes, in the lab, studentsdiscover something unusual in a

Medical Students Express Gratitude, Respect for Body Donors

Photo by Helen Hocknell

Members of the Maryland National Honor Guard fold the national ensign during the memorial ceremony held annually to honor thebodies used in medical education and research in Maryland.Students and staff from the Uniformed Services University of Health Sciencesattended the ceremony to pay their respects and express gratitude to the families of donors for the "invaluable gift" they provide.

See DONORS page 8

Page 2: Journal 28 june

2 Thursday, June 28, 2012 The Journal

Published by offset every Thurs-day by Comprint Military Publica-tions, 9030 Comprint Court,Gaithersburg, Md. 20877, a pri-vate firm in no way connectedwith the U.S. Navy, under exclu-sive written contract with theWalter Reed National MilitaryMedical Center, Bethesda, Md. Thiscommercial enterprise newspaper is anauthorized publication for members of the mil-itary services. Contents of The Journal are notnecessarily the official views of, nor endorsedby, the U.S. Government, the Department ofDefense, or the Department of Navy. The ap-pearance of advertising in this publication, in-cluding inserts or supplements, does not con-stitute endorsement by the Department of De-fense or Comprint, Inc., of the products orservices advertised. Everything advertised inthis publication shall be made available forpurchase, use or patronage without regard to

race, color, religion, sex, nationalorigin, age, marital status, phys-ical handicap, political affiliation,or any other non-merit factor ofthe purchaser, user, or patron.Editorial content is edited, pre-pared and provided by the

Public Affairs Office, WalterReed National Military Medical

Center, Bethesda, Md. News copyshould be submitted to the Public Affairs Of-fice, Bldg. 1, 11th Floor, by noon one weekpreceding the desired publication date.News items are welcomed from all WRN-MMC complex sources. Inquiries aboutnews copy will be answered by calling (301)295-1803. Commercial advertising shouldbe placed with the publisher by telephoning(301) 921-2800. Publisher’s advertising of-fices are located at 9030 Comprint Court,Gaithersburg, Md. 20877. Classified adscan be placed by calling (301) 670-1700.

Naval Support Activity (NSA) Bethesda

Commanding Officer: Capt. Frederick (Fritz) Kass

Public Affairs Officer NSAB: Joseph MacriPublic Affairs Office NSAB: (301) 295-1803

Journal StaffStaff Writers MC3 Nathan Parde

MCSN Dion DawsonSarah MarshallSharon Renee TaylorCat DeBinderKatie BradleyHelen Hocknell

Managing Editor MC1 Ardelle Purcell

NSAB Editor MC2 John HamiltonWRNMMC Editor Bernard Little

Walter Reed National Military Medical CenterOffice of Media Relations (301) 295-5727

Fleet And Family Support Center (301) 319-4087

WRNMMC OmbudsmanJulie Bondar (443) 854-5167

NSAB OmbudsmanJojo Lim Hector (703) 901-6730

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-Reed-National-Military-Medical-Center/295857217111107

Caribbean American Heritage EventIn observance of Caribbean American Heritage

Month, the Bethesda Multicultural Committee is spon-soring a celebration at 11:30 a.m. Friday in theAmerica Building atrium. The event will include asteel drum band, limbo contest and free Caribbean foodsamples. For more information, call Sgt. 1st ClassJason Zielske, chair of the Bethesda MulticulturalCommittee, at (301) 400-2847.

The Power of Blood is YoursThe Armed Services Blood Program is sponsoring a

blood drive Monday from 9 a.m. to 2 p.m. at Walter ReedBethesda Building 9, 1st floor, in front of gastroenterolo-gy. Your donation helps to save the lives of military serv-ice members. If you would like to register online, you cango to www.militarydonor.com and create a profile. Tosearch for a drive, click the donate blood tab (magnifyingglass) after you create a profile. You can then search bythe sponsor code "NNMC."

Navy College Tuition Assistance BriefsSailors may now attend either the 7 a.m. or noon

Navy College Tuition Assistance brief everyWednesday in Building 17, Suite 2D, Navy CollegeClassroom. For more information, call the NavyCollege at (301) 295-2014.

Social Security Administration SupportSocial Security Administration (SSA) representatives

are available to assist all service members with disabil-ity applications every Tuesday from 9:30 a.m. to 1:30p.m. in Tranquility Hall on the second floor of theSoldier and Family Assistance Center. For more infor-mation, call Lisa Ramdass at (301) 400-0208.

Upcoming Lean Six Sigma CoursesLean Six Sigma courses are scheduled over the next

several months at Walter Reed National MilitaryMedical Center (WRNMMC). The Green Belt Coursefor Lean Six Sigma is scheduled for Aug. 6-8, and Oct.29-Nov. 2. The five-day course is worth 40 ContinuingEducation Units (CEU)/Continuing Medical Education(CME), and open to all military and civilian WRNMMCemployees. For more information, contact Lt. JohnGardner, a National Capital Area Regional Black Belt,at [email protected] or (301) 295-2037.

Bethesda NotebookBethesda NotebookCommander’s Column

The Fourth of July of-ten conjures up memo-ries of times spent withfamily and friends en-joying each other's com-pany while feasting onburgers hot off the grill,eating an array of sum-mer fruit, and laterpunctuating the day bywatching magnificentfirework displays. Thisis a fun time for many,but we all know the true meaningbehind the celebration of this greatday.

Had it not been for our forefatherswho fought for our sovereignty andthose who continue the fight todayto preserve freedom, we would nothave the privilege of celebrating ourindependence.

This triumphant day, July 4, 1776,when the Continental Congress tooka stand against tyranny and adopt-ed this symbolic document, declaringour independence, represents thehope, faith and strength of a youngcountry destined for greatness.

We honor and respect the Decla-ration of Independence for it bandsus together as a free nation. As wedeploy throughout the world, beck-oned by the call of freedom, we arereminded that there are peoplearound the world whose eyes arecast upon our great nation yearningto enjoy the freedoms we know andenjoy.

So as you participate in our tradi-tional Fourth of July celebrations,whether you're at a barbecue, poolparty, or traveling to be with yourloved ones, please remember to keepsafety on the forefront of your mind.

Before firing up the grill, be sureto read the manufacturer's instruc-tions, taking note of any and all pre-cautions. Also, please be aware ofthe height of your flame and grease

deposits in the tray be-low, which could easily ig-nite.

It may sound redun-dant, but it's extremelyimportant to stay hydrat-ed and if you're headingoutdoors - even for ashort period of time, evenif it's cloudy - always re-member to wear sun-screen. When possible,avoid going out in the sun

during peak hours, mid-day whenthe sun is most harsh, and dress inloose, light-colored, lightweightclothes. As the heat index continuesto rise, I urge you to keep an eye outfor others who may be especiallyprone to heat related illnesses - eld-erly adults, small children, and thosewith chronic health conditions.

For those of you who plan to enjoyfestivities at the pool, by the beachor on a boat, look out for others whomay not be experienced swimmers,and ensure you have enough life pre-servers to go around. When travel-ing, even if you're just going on aquick trip to the store, please re-member to buckle up. Finally, butmost importantly, if you decide todrink, please do so responsibly.

In closing, again I salute thebrave men and women defendingour freedom, and for those who maynot be able to celebrate this holidaywith their family and friends, pleasekeep them in your thoughts andprayers. Remember, what you domatters. We need each and everyone of you to help meet mission - besafe, and have a Happy Independ-ence Day!

Commander sends,Rear Adm. Alton L. StocksMC, USNWalter Reed NationalMilitary Medical Center

Page 3: Journal 28 june

The Journal Thursday, June 28, 2012 3Thursday, June 28, 2012 3

By Bernard S. LittleWRNMMC Journal staff writer

Walter Reed National MilitaryMedical Center (WRNMMC) hostedits first graduation for the NationalCapital Consortium at The Strath-more Music Center in Bethesda,Md., on Friday.

More than 300 interns, residentsand fellows from approximately 70medical, dental and health-relatedtraining programs at WRNMMC,Uniformed Services University of theHealth Sciences, Malcolm GrowMedical Center and Fort BelvoirCommunity Hospital, received cer-tificates and were honored duringthe ceremony.

Although the health educationprograms of the uniformed servicesin the National Capital Region havebeen combined for more than 17years, WRNMMC Commander, RearAdm. Alton L. Stocks, explained thecommencement was the first for thenewly-established Walter ReedBethesda, formed when the formerWalter Reed Army Medical Centerand former National Naval MedicalCenter integrated on Aug. 28, 2011.

"We are proud the Walter ReedNational Military Medical Center isthe largest military medical center inthe nation, and also proud to call our-selves 'the place where we heal ournation's heroes," Stocks continued.

He added WRNMMC's influenceextends globally, and the graduateswill take that legacy with them as theygo to assignments "from Okinawa toEngland, Korea and Afghanistan, andthroughout the United States.”

"These graduates are prepared topractice medicine in any environ-ment they encounter, and the qualityof these graduates and their pro-grams are exceeded by none," said

Stocks, a pediatrician. "Their com-bined licensing and board examina-tion pass rates are greater than 95percent in a nation where the aver-age is 85 percent."

In addition to saluting the gradu-ates,Stocks commended their families."Your spouses, parents, children andspecial family friends should also bethanked for all of the support they'vegiven you through these years."

Adm. John C. Harvey Jr., the gradu-ation'sguest speaker,added,"Yourcom-mitment to medicine and to our nationwas made possible by [your families'and friends'] commitment to you, andforms a foundation for who you are to-day and what you will do tomorrow.”

"In addition to your family andfriends, you've had the extraordinaryprivilege to have performed your in-ternships, residencies and fellow-ships at a great medical institutionwith the world's best program direc-tors and clinical faculty who have de-voted themselves to your success,"Harvey continued. "To them, guidingyour progress in the medical arts ismuch more than just a job."

Harvey's message to the graduatesstressed a commitment to service andduty. "It's about your service; it's aboutour families,and it's about our nation'schallenges and how they will impactyour service in the years ahead."

In regards to their service, Harveysaid the graduates have taken two"very, very important oaths" – theHippocratic Oath to ethically prac-tice medicine; and their commission-ing oath to support and defend theConstitution of the United Statesagainst all enemies foreign and do-mestic.

"Your first oath unifies you withinthe medical community, [and] yoursecond oath unifies us as a militaryservice," the admiral added.

"Neither oath is in opposition tothe other," he continued. "Indeed, inthe military, these two oaths act tocreate a powerful synergy betweenservice to your patients and serviceto your nation.”

"Leadership transcends all other[military] duties, except of course foryour unyielding focus on your pa-tients," Harvey told the graduatingclass of medical officers. "[Leader-ship] is the single most importantmilitary task you will have bar none,and just like with your medical re-sponsibilities, as an officer, you arealways on duty."

The admiral told the graduatesthey can be successful leaders if theylead from the heart, possess good

character, and are "resolute in theirdetermination to do their duty everyhour of the day to the best of theirabilities. There's nothing magicalabout it."

He concluded by telling the offi-cers that despite 11 years of war, "Wecan't grow tired of caring for thosewho bared the wounds of that war;the wounds that they will bare forev-er; the wounds that their familieswill face forever; the wounded thatyou will see throughout your careers.It is on us never to allow them to beforgotten. It is on us to be true toboth your Hippocratic Oath and yourOfficer's Oath to do right by themand their families. For if we don't, noone else will."

Walter Reed Bethesda Hosts First Joint Graduation

photo by Bernard S. Little

Interns, residents and fellows receive their certificates and are con-gratulated by the official party during graduation for the NationalCapital Consortium Friday at the Strathmore Music Center inBethesda, Md.The National Capital Consortium includes WalterReed National Military Medical Center (WRNMMC), UniformedServices University of the Health Sciences, Malcolm Grow MedicalCenter and Fort Belvoir Community Hospital.The graduation wasthe first hosted by WRNMMC.

By Mass CommunicationSpecialist Seaman

Dion DawsonNSAB Public Affairs

staff writer

With the 2012 U.S. Presidentialelection 131 days away, Naval Sup-port Activity Bethesda’s (NSAB) Vot-ing Assistance Office wants to utilizeArmed Forces Voters Week to raisevoting awareness and encouragemaximum participation in this year’svoting process.

“Voting often takes extra effortfor those in the military, yet giventhe impact political decisions can

have on us, I can't imagine not ex-ercising that right,” said Capt.Frederick Kass, commanding officerof NSAB.

Today marks the start of ArmedForces Voters Week, which runs untilJuly 7. It was designed by the Feder-al Voting Assistance Program to as-sist those serving abroad, and en-courages all military and civilianswho are away from their home stateto register to vote in the upcomingprimaries, November elections andto request an absentee ballot.

An absentee ballot is a vote cast bysomeone who is unable to attend

their official polling place in theirhome state.

“The absentee ballot informs yourhome state officials that you aren’tphysically home, however, you stillwant to take part in the electionprocess,” said NSAB Voting Assis-tance Officer (VAO) Olubunmi Yin-ka-Jaiye. “Voting is a right, so whynot take advantage of it? There arecountries around the world who wishthey had this right, so we should useit.”

Service members and their de-pendents must be registered 90 daysprior to this year’s presidential elec-

tion to ensure all personal informa-tion is correct before casting a ballot.This can be done through the Feder-al Post Card Application (FPCA).

“To get started, service membersshould go to www.fvap.gov,” said Yin-ka-Jaiye. “There, you will start withwhat category you fall under:whether you are a uniformed servicemember or a civilian living outside ofthe United States. From there, youwill be walked through the remain-der of the process, completing yourFPCA. We have wounded warriorsthroughout the base and some of

‘Rock The Vote’!Staff Members Urged to Make Every Vote Count

See VOTE page 8

Page 4: Journal 28 june

4 Thursday, June 28, 2012 The Journal

By Bernard S. LittleWRNMMC Journal staff writer

Walter Reed National MilitaryMedical Center (WRNMMC) nowimplements the Enterprise SafetyApplication Management System(ESAMS), a new computer pro-gram to collect and track safetytraining, inspections and mishapinformation for staff and depart-ments at Walter Reed Bethesda.

Sean P. O'Reilly, occupationalsafety and health specialist atWRNMMC, explained ESAMS isbeing deployed Navy-wide as a safe-ty data management tool to identifysafety requirements for personnelby their duties and tasks. He addedESAMS allows employees, supervi-sors, training coordinators, safetyprofessionals and commanders tomanage safety requirements.

Safety training for each depart-ment is determined by "stressors"employees are possibly exposed toon the job, O'Reilly explained. An-nual industrial hygiene surveysare used to determine possible

workplace stressors, which can bechemical, noise, vibration, radia-tion, laser and more, he continued.

"If stressors are above the per-missible exposure limit, site con-servation or other training is rec-ommended, and ESAMS will storethe department's training compli-ance records," O'Reilly said.

"It's up to every person to dotheir training in ESAMS," the safe-ty specialist continued. All employ-ees need to be in the system byJune 30. ESAMS is currently fullydeployed at a number of naval sta-tions and bases in the region, headded.

O'Reilly urges supervisors andemployees who need to accessESAMS to input data for their pro-file by accessing the database athttps://esams.cnic.navy.mil/ESAMS_GEN_2/LoginEsams.aspx.When accessed, a box will appear re-questing the user to select his or hercurrent Common Access Card digi-tal signature, and then the ESAMSmain login page will come up.

From the login page, the user

will be prompted for a usernameand password. The initial user-name will be the person's lastname followed by the last five dig-its of their Social Security Number.For example, John Smith (SSN123-45-6789) would be given thelogin name of smith56789.

Once a person has successfullylogged into ESAMS, the user willsee the ESAMS Main Page, andthen must edit their profile. A mo-torcycle user question also will popup and cyclists should click "Yes" toanswer the questionnaire, saidO'Reilly, who also serves as themedical center's motorcycle safetyofficer. First-time users to ESAMSwill be prompted to change theirlogin name and password, as wellas create a security question.

Managers must assign them-selves as the supervisor for person-nel they supervise, O'Reilly said. Asupervisor must be assigned super-visory access in ESAMS by theirsafety specialist. Supervisors needto add duties and tasks to theiremployees' profile. "Everyone

should have core requirements forsafety training," O'Reilly added.

He concluded there are a numberof benefits to ESAMS. For example,ESAMS allows motorcyclists toschedule their training at areabases offering the training fromthree to six months in advance,adding ESAMS is also a good toolused to notify employees whentheir annual training is required.Employees will receive e-mail noti-fication for training approximately30 days before it is due.

In addition, ESAMS is able toprovide leadership with real-timedata concerning their staff trainingrequirements, inspections andmishap information. The systemwill also be accessible to employeesthrough manual login away fromtheir job sites.

"It is a multi-service product,"said O'Reilly.

For more information aboutESAMS or to attend an ESAMSclass, call Sean O'Reilly at (301)295-6634, or e-mail [email protected].

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Page 5: Journal 28 june

The Journal Thursday, June 28, 2012 5Thursday, June 28, 2012 5

By Bernard S. LittleWRNMMC Journal

staff writer

Walter Reed Bethesda lead-ership launched the nextphase in strategic planning re-cently in the Memorial Audi-torium, forming groupsaround its pillars and founda-tions to assure the organiza-tion's continued success inworld-class health care deliv-ery.

The work of the groups willculminate with a roll-out of theWalter Reed National MilitaryMedical Center (WRNMMC)Strategic Plan on Aug. 28, theone-year anniversary of the in-tegration of the former WalterReed Army Medical Centerand the former NationalNaval Medical Center, formingthe largest Department of De-fense health care organization.

Rear Adm. Alton L. Stocks,WRNMMC commander, ex-plained to the Walter ReedBethesda staff the importancetheir participation in formingthe strategic plan during thekick-off.The plan will help de-

termine "how we want [WalterReed Bethesda] to be,and howwe will get there," according tothe admiral.The plan includesthe medical center's vision,mission, strategic pillars andfoundation that was intro-

duced to the Walter ReedBethesda staff by the com-mander earlier this year.

"We are the Nation's Med-ical Center.We create extraor-dinary experiences for pa-tients, families and staff while

driving tomorrow's health careadvances," the WRNMMC vi-sion states.

The medical center's mis-sion states, "Walter ReedBethesda leads military med-icine through outstanding pa-tient-centered care, innova-tion, and excellence in educa-tion and research. We providecomprehensive care to preventdisease, restore health andmaximize readiness. We are:accountable to our patientsand staff; preferred for ourperformance; admired for ourservice."

The pillars supportingWal-ter Reed Bethesda's missionand vision include readiness;quality of care; service excel-lence; business of healthcare;education and research; andthe foundations supportingthe pillars are people and re-sources. One of the eightgroups working to establishthe medical center's strategicplan falls under each of thecorresponding pillars andfoundations.

"Throughout the summerand beyond,there are opportu-

nities for everyone from acrossthe command to participate aswe develop the actions andmeasures of performance thatwill assure success in achiev-ing our strategic objectives,"stated Col. Charles Callahan,former WRNMMC deputycommander and chief of staff,in a recent e-mail to WalterReed Bethesda staff. "Moreimportantly, as the plan cas-cades to each area within thehospital,we will need all of ourstaff engaged in the process oflinking our activities and ini-tiatives back to our StrategicPlan," added the colonel, whohelped lead efforts inWRAMCand NNMC integration andestablishing the WRNMMC'sstrategic vision, mission, pil-lars and foundations.

During the ceremony, eachchampion of the strategic pil-lars and foundations present-ed the goals and objectivesfor their groups while en-couraging staff participation.

"It's important for everyoneto get involved with this," said

Next Phase of Strategic Planning Begins

photo by Bernard S. Little

Col. Charles Callahan, former chief of staff anddeputy commander for Walter Reed National Mili-tary Medical Center (WRNMMC), encourages Wal-ter Reed Bethesda staff members to participate inthe strategic planning process during the StrategicPlan kick-off recently in the Memorial Auditorium.Callahan will become the commander of the FortBelvoir Community Hospital, Va.

See PLANNING page 8

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Page 6: Journal 28 june

6 Thursday, June 28, 2012 The Journal

By Cynthia HilsingerNavy Medicine Professional

Development CenterPublic Affairs

The Alfred P. Sloan Foundation se-lected Navy Medicine ProfessionalDevelopment Center (NMPDC) as around one finalist for the 2012Award for Excellence in WorkplaceEffectiveness and Flexibility.

To be a round one finalist, NM-PDC competed against nationallyrepresentative data from the Fami-lies and Work Institute's NationalStudy of Employers and had to scorein the top 20 percent — at or abovethe 80th percentile of employers na-tionally.

"This recognition is truly an honorand validation of all of the superbteamwork and fine leadership dis-played by the entire NMPDC familyevery day.We look after each other asfamily to maximize personal and pro-fessional growth and fulfillment,while executing our important educa-

tion and training mission as no otherscan. I am so proud of our NMPDCfamily," said NMPDC's CommandingOfficer Capt. Lee L. Cornforth.

The Alfred P. Sloan Foundation,founded in 1934 by Alfred P. SloanJr., believes that a carefully reasonedand systematic understanding of theforces of nature and society, when ap-plied inventively and wisely, can leadto a better world for all.

According to the Foundation'swebsite, "Workplace,Work Force, andWorking Families" is one of the ef-forts they have supported for morethan a decade. The program is in-strumental in increasing public un-derstanding of working families andcreating a social movement to ad-dress the challenges they face. Itsfunding has supported work-familyresearch, initiatives to expand work-place flexibility, and outreach to mo-bilize the nation.

Families at NMPDC faced work-place challenges caused by the BaseRealignment and Closure (BRAC).

The award nomination is the founda-tion's recognition that the NMPDCmet those challenges wisely.

Some of the things that NMPDCdid that lead to the nomination in-cluded an aggressive telework plan,alternate work schedules, and an in-creased use of virtual communication.

For example, offering multiplework schedules within the commandprovided solutions for families re-garding after school child pick-up andafter-care. The gliding schedule al-lows for work arrival between 6:30a.m. and 8:30 a.m. with a commensu-rate gliding exit from work. Thisguideline expanded when staff need-ed a 6 a.m. arrival instead of 6:30 a.m.arrival. Others use a 4-day workweekand 10-hour a day schedule.

"I've benefitted from our workplaceflexibilities because it has allowed methe opportunity to telework, whichsaves me lots of time, travel and gasexpenses," said Cynthia Hill, HeadHealth Professions Scholarship Pro-gram Budget Division.

Supporting public transportationwas wise as it led to solutions for theparking problems we had. AllowingNMPDC staff to arrive and leaveoutside of peak travel hours allevi-ates the congestion at the gate. Pub-lic transportation costs increase dur-ing peak commute hours, so whenyou can flex your arrival and depar-ture time, some savings occur.

"Seeking innovative and flexibleways to make the effort of getting towork a little easier provides some re-lief to working families.To be a final-ist for the Sloane award is an honor.Making it as easy as possible for ourNMPDC staff to do their jobs, whileefficiently balancing the mission andlives outside of work has resulted inour goal- to have a 'work/family/life-friendly' environment," said NM-PDC's Executive Officer, Capt. Kath-leen Michel.

The next step is a random surveyof 250 employees at NMPDC admin-istered by the Alfred P. Sloan Foun-dation.

Sloan Foundation Recognizes NMPDC as Finalist

By Bernard S. LittleWRNMMC Journal staff writer

After a week of heated competi-tion, the Second Class Petty OfficerMess (SCPOM) earned the right tobe called champions and took homethe inaugural Walter Reed NationalMilitary Medical Center (WRN-MMC) Commander's Cup. RearAdm. Alton L. Stocks, WRNMMCcommander, presented the trophy tothe jubilant winners during a briefceremony in front of the Tower ofBuilding 1 on June 21.

The Second Class Petty OfficerMess outscored second-place finisherJoint Forces Six (JF6) and the third-place team of Senior Enlisted Lead-ers (SELs) for the coveted trophy.

In addition to enhancing moraleand camaraderie among the jointforces, the event was held to raisefunds for the Hospital CorpsmanBall, held Friday, said Hospital Corps-man 2nd Class James McRedmond, aCommander's Cup event organizer.

"We congratulate the winners,participants and supporters for mak-ing this event successful, and we lookforward to an even larger event nextyear," said Chief Hospital CorpsmanDerek Eaton, the main organizer forthe event, which included weightlift-ing, swimming, bowling, basketball,dodge ball and tug of war.

In the weightlifting competition at65 pounds for women, deputy com-mand of medicine (DCM) came infirst, followed by the deputy com-mand of surgical services (DCSS)and then SCPOM, based on totalnumber of repetitions. In theweightlifting competition for men at135 pounds, SCPOM claimed firstand second place. For men in

weightlifting at 205 pounds, the toptwo places were claimed by the U.S.Air Force (USAF) and SELs.

The U.S. Marine Corps (USMC)came out on top in the dodge ballcompetition, followed by the Armyand JF6.

In three-on-three basketball ac-tion, the Morale, Welfare and Recre-ation (MWR) placed first, followed bysecond-place Dental and third-placeFilipino Association.

The SELs placed first in bowling,followed by DCSS, which had teamsclaiming both second and third place.

In swimming, SCPOM placedfirst, and the deputy command ofnursing came in second and third.

The tug of war culminated theweek of competition, with JF6 tug-ging their way to the top.

"I'm really glad we're starting thiscompetition, and next year I want tosee it more robust with more teamsand maybe more events," Stocks saidin praise of the organizers.

Walter Reed National MilitaryMedical Center Command SeniorEnlisted Leader Master Chief TerryJ. Prince also commended event or-ganizers. He said these Sailors de-serve recognition for working behindthe scenes to get the Commander'sCup started, and keeping participa-tion up over the course of the week,especially given the size of the WRN-MMC command.

Team members contributed to theHospital Corpsman Ball in order tocompete in events for a chance to winthe Commander's Cup. Approxi-mately $700 was raised, according toMcRedmond, who added that therewere about 140 participants in theevents that included military andcivilian competitors.

SCPOM Pulls Their Way to Victory During the Inaugural Commander's Cup

photo by Bernard S. Little

Second Class Petty Officer Mess (SCPOM) tug of war team com-petes for the inauguralWalter Reed National Military Medical Cen-ter (WRNMMC) Commander's Cup June 21 in front of Building 1.After a week of heated competition in weightlifting,bowling, three-on-three basketball, swimming, dodge ball and the tug of war, theSCPOM earned the right to be called the first WRNMMC Com-mander's Cup champions.

Page 7: Journal 28 june

The Journal Thursday, June 28, 2012 7Thursday, June 28, 2012 7

By Sharon Renee TaylorWRNMMC Journal

staff writer

Retired Army Sgt. MaxRamsey, 42, recently tradedhis X2 microprocessor kneefor the latest innovation inprosthetics at Walter ReedNational Military MedicalCenter (WRNMMC).

The X3 waterproof andcorrosion-free limb will en-able Ramsey, the first am-putee on the Screaming Ea-gles Parachute Demonstra-tion Team - an Army sky-div-ing team at Fort Campbell,Ky. - to swim with the com-puterized knee and make asmoother transition fromwalking to running.

"I'm thrilled. It's great; itdoesn't feel different," Ram-sey said after his first stepson his new knee May 22. "Iwasn't a big swimmer withtwo legs, but [thought] Imight give it a shot."

It's a huge step forward intechnology, explained ZachHarvey, the chief prosthetistat WRNMMC who switchedout Ramsey's old knee, a first

generation X2, for the newX3. "Whenever I put some-thing on someone and ittakes them just minutes toget used to, I know there'spromise to it," he said.

With a laptop, Harvey pro-grammed Ramsey's newknee using Bluetooth tech-nology. Up to five customizedmodes can be preset to pickthe best angle or amount ofresistance to meet individ-ual, specialized needs for ac-tivities such as cycling, flex-standing, driving or scubadiving.

Amputees with the X3knee can change betweenmodes using a small, hand-held remote control or switchmodes by bouncing on thetoe of the prosthesis a pre-determined number of times.

"It will look at every stepyou're doing. If it sees thatit's a running step, it'll be inrunning mode for that par-ticular step," explained GregSchneider, a research anddevelopment prosthetist fora company involved with theevolution of the microproces-sor knee.

Harvey said he believesthe behavior of the new kneeis close to intuitive.The chiefprosthetist continued, am-putees wearing the latestgeneration of prostheticswalk better; those with lowback pain say that the stand-ing feature has helped elim-inate that.

"Just the way the knee re-leases and the swing - it per-forms well, just to keep upwith their gait: slopes, steps,uneven terrain - it’s a big stepforward with the addition ofmultiple sensors. The waythat the microprocessor con-trols the hydraulics essential-ly anticipates the person'snext step," Harvey explained.

"It actually felt natural,"Ramsey said. "As close tonatural as natural can getwhen you are missing a leg."

Three months into hisfirst deployment to Ramadi,Iraq, Ramsey lost his left legafter an improvised explo-sive devise detonated underhis humvee on March 1,2006. That same year, pros-thetists at the former WalterReed Army Medical Centerin Washington, D.C., fittedhim with a C-Leg, which of-fered computerized kneetechnology using two sen-sors, and Ramsey took hisfirst jump as an amputee sixmonths after his injury.

Later, the skydiver re-ceived both a hydraulic Mer-cury knee, which offered re-fined movement, as well as arunning knee. In 2010, Ram-sey and 35 other woundedwarriors with above-kneeamputations were selected to

test the X2 prototype. TheX2's five sensors detectedwhen the wearer wanted toclimb stairs or switch fromwalk to run without a presetdevice, according to Harvey, acertified prosthetist orthotist.

Working with his Califor-nia-based heavy engineeringcompany, Ramsey said hewalked rugged terrain withhis X2 prosthesis each day:in snow, dirt, rocks, in remoteareas of mountains and na-tional parks. He reportedthat he climbed lots of stairs,hills and construction siteswearing the knee withoutproblem.

"No issues with altitude ei-ther, in freefall or up there inthe mountains. We wereabout 7,000 feet [mean sealevel] (MSL) and jumping13,000-14,000 feet," Ramseysaid.An experienced sky-div-er before joining the Army atage 33, the former Soldier es-timated he's made more than641 jumps with his prosthesis- nearly twice the amount hedid with two legs - and plansto soon return to sky divingafter a year-long break due towork obligations.

According to Chuck Scov-ille, chief of amputee servicesin the orthopedics and reha-bilitation department atWRNMMC, Ramsey and 35others received X2 kneesfrom the very first productionruns. "There were modifica-tions that were made withthem over time. The first 36people wearing the X2 arethe first 36 people to go intothe X3 so they're getting thenewest technology.And we're

going to take the first 36 andlook at wear and tear pat-terns to work on projectinghow to improve the length ofthe life of the devices."

Scoville said his depart-ment plans to hold a meetingwith the wounded warriorswho helped evaluate the X2and X3, along with WRN-MMC rehab professionalsand representatives from thecompany that produced theknees for a review of findingslater this month.

"The biggest difference re-ally between [the X2] kneeand this knee is [the X3] isable to be submerged in wa-ter. It's more ruggedizedthan the first one," Harveyexplained.

The Department of De-fense commissioned the de-velopment of the X2 to helpservice members with severelimb loss return to duty, ac-cording to Schneider, who ex-plained wading across a riv-er is a likely situation forsomeone in combat.

"That part of the develop-ment really took the finaltwo years between the firstX2 proto-type to fit untilnow," Schneider said. "We'vehad people jump into theocean with the X3 on, goswimming for 20 minutes,come back out and just walkaway so that's pretty inter-esting for a microprocessorknee, since it's got a comput-er in there that's doing allthose things."

The researcher said aftera swim, a spray of fresh wa-ter to remove the salt wateris all that's needed.

Parachute Jumper Returns for New Prosthetic Knee

photos by Sharon Renee Taylor

Retired Army Sgt. Max Ramsey tries a turn in a hallway with his new X3 knee aschief prosthetist Zach Harvey observes ready to make adjustments.

The X3 is a next generation prosthetic that enablesamputees to swim with the water-proof, computer-ized knee and make a smoother transition fromwalking to running by anticipating a person's nextstep.Wearers can use the small,hand-held remote toswitch between five customized modes.

Page 8: Journal 28 june

8 Thursday, June 28, 2012 The Journal

cadaver, like a pacemaker or artificial hips."Anna J. Karsner of Baltimore, Md., who

came to the ceremony in Sykesville, said herlate husband, Joseph, made up his mind 40 yearsago to give his body to the Maryland AnatomyBoard's donation program. She said he wantedto give back to the medical community due to hisnumerous health problems, but worried towardthe end of his life that they wouldn't want hisbody.

When her husband died of congestive heartfailure at age 77 in February, his body had un-dergone open heart surgery, a hip replacement,and a myriad of other procedures over the years.

However,Welling said bodies like Joseph's are es-pecially useful in showing students evidence oflong-term illnesses and the results of past med-ical treatments.

"It's something you can't duplicate very wellwith a plastic mannequin or computer program,"said Welling.

Karsner said the service helped give her clo-sure, and it was heartening to see the number ofmedical students and professors in attendance."It's nice to see they want to remember him, too,"said Karsner.

The feeling of appreci-ation is mutual.

"This is a person I'm go-ing to remember forever,"said Reed of her cadaver.

"He taught me anato-my."

8 Thursday, June 28, 2012

Joe Davidge, who submitted his name to work on thepeople foundation group. He said, "Without people,there's no way this organization could function."

Master Sgt.Marie Sprecher said she "enjoys work-ing with people and making their areas better," whichis why she hopes to help the organization in thestrategic planning process as part of the people foun-dation group.

The resource foundation group is where Army Sgt.1st Class Guillermo Lugo-Beltre wants to make a dif-ference. "Resources are the foundation," he said, ex-plaining resources support other priorities within thesystem.

"I think about my family, and I treat my patientslike they are my family and how I would want myfamily to be treated," said Hospital Corpsman 1stClass Rhoneli Merilos in submitting his name toparticipate in the quality of care group. "Quality ofcare is first and foremost, the most importantthing."

Callahan concluded, "This is a unique opportunityyou may never have again in your entire careers;you're shaping the strategy of an organization thatdid not exist before."

PLANNINGPLANNINGContinued from 5

them can’t get to the voting assistance office, sothe website allows everyone the opportunity tocast an absentee vote."

After completing the FPCA, to order an absen-tee ballot, your request form must be completed,printed, signed, dated and mailed directly toyour local election official. Some states allowyour request to be faxed or e-mailed to your localelection office. These officials will handle the pro-cessing and distribution of your absentee ballots.

The 2010 Uniformed and Overseas Citizens

Absentee Voting Act (UOCAVA), as amended bythe 2009 Military and Overseas Voter Empower-ment Act (MOVE Act), requires states to transmitabsentee ballots to uniformed services voters andoverseas voters no later than 45 days prior to anelection for Federal office.

The installation’s voting assistance office is lo-cated in the basement of Building 9 next to thegalley. The office is open Monday through Friday,from 11 a.m. to 2 p.m.

For voter registration, election dates or ballotsubmissions, please contact one of Walter ReedBethesda or NSAB’s voting assistance represen-tatives: Hospital Corpsman 1st Class AkakpossaAnanou at (301) 295-0968, Lt. Deirdre Desmondat (301) 295-2688 or Yinka-Jaiye at (301) 319-5058.

VOTEVOTEContinued from 3

DONORSDONORSContinued from 1

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The Journal Thursday, June 28, 2012 9Thursday, June 28, 2012 9

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10 Thursday, June 28, 2012 The Journal10 Thursday, June 28, 2012

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The Journal Thursday, June 28, 2012 11Thursday, June 28, 2012 11

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The Journal12 Thursday, June 28, 2012

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