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Quarterly Newsletter – JULY • AUGUST • SEPTEMBER 2011









Army mEdicAl cEntEr

Growing with Fort Bragg and our community









INSIDE

PAGE PAGE PAGE





3 5 7

Joint Commission Physician’s assistant Day in the life:

accreditation residency program family medicine

process





A SpeciAl AdvertiSing Supplement

WOMACK ARMY MEDICAL CENTER | WWW.WAMC.AMEDD.ARMY.MIL | 1

Commander’s letter

general, children’s, long-term facilities here on Fort Bragg and

acute, psychiatric, rehabilitation in the Fayetteville community.

and specialty hospitals and if you are new to the area, we

378 critical access hospitals recently opened two of our new

through a separate accreditation community-based medical homes

program. Approximately 82 in Fayetteville and Hope mills. We

percent of the nation’s hospitals have been approved for a third

are currently accredited by the clinic that will open sometime

Joint commission. most military next year. the Fayetteville

treatment facilities use it as their medical Home is located at the

accrediting organization. We Woodland complex at 2350

We are grateful that you continue are proud of our staff for this Bentridge lane in Fayetteville.

to choose Womack Army medical accomplishment! please see the the Hope mills medical Home

center for your health care needs. related article on page three in is located at the millstone town

each and every one of your this issue. center at 3351 South peak

encounters with our organization drive in Hope mills. Our Family

is extremely important to us. One Blood donation continues to members are excited to see these

of our top priorities is to improve be one of our core missions at clinics in the community where

your access to quality health care Womack Army medical center they live. For more information,

and to exceed your expectations and overseas. if you or your loved please call (910) 907-6000.

in compassionate and caring ones can donate, please call the

service. We value your input and Fort Bragg Blood donor center at We look forward to continue

welcome your thoughts and ideas (910) 396-9925 or log on to serving you and your family.

on how we can better serve you www.militaryblood.dod.mil. please visit our website at

and your family. www.wamc.amedd.army.mil or

Summer is always a busy visit us on facebook at

Womack Army medical center transition time for us. this is www.facebook.com. Have a

recently underwent the Joint typically when most of our military happy, healthy summer!

On tHe cOver commission Accreditation staff makes permanent change of

OcS candidate matthew process. the Joint commission station (pcS) and moves to other

Hyten takes care of patient has accredited hospitals for military treatment facilities. let us Brian canfield

devin rodriguez. more than 60 years, and today help orient you to your Womack cOl, mS

it accredits approximately 4,168 Army medical center health care commander

(photo by cindy Burnham)









WomAck Army mEdicAl cEntEr

Growing with Fort Bragg and our community

Womack Army medical center

“growing with Fort Bragg and our community”

is published quarterly

for Womack at Fort Bragg, north carolina.

the publication is published by the Fayetteville Observer.



this quarterly publication is a product of the public Affairs Office at the appearance of advertising does not constitute

Womack Army medical center. For more information on Womack Army endorsement by the department of defense or

medical center, please call 910-907-7247 or e-mail us at Womack Army medical center.

pao.wamc@amedd.army.mil. the information is current at the time of publication.

Our staff is darlene Fair, JoAnn Hooker and Shannon lynch. circulation: 87,600.







2 | WOMACK ARMY MEDICAL CENTER | WWW.WAMC.AMEDD.ARMY.MIL

Womack undergoes joint accreditation The Joint Commission





W

omack Army medical surveys processes

center recently in these patient care

underwent the areas:

Joint commission

Accreditation process. the Joint

commission has accredited

• Environment of care

hospitals for more than 60 years, • Emergency

and today it accredits approximately management

4,168 general, children’s, long-term

• Human resources

acute, psychiatric, rehabilitation

and specialty hospitals and • Infection prevention

378 critical access hospitals and control

through a separate accreditation • Information

program. Approximately 82

management

percent of the nation’s hospitals

are currently accredited by the • Leadership

Joint commission. most military • Life safety

treatment facilities use the Joint

commission as their accrediating • Medication

organization. the joint accreditation management

is for three years. • Medical staff

Womack Army medical center has • National patient safety

been accredited for more than 15 goals

years. • Nursing

“the accreditation process validates • Performance

what we already know, and that is improvement

that we provide our patients with pHOtO BY cindY BurnHAm • Provision of care,

the highest quality and the safest The Quality Service Division includes (standing) Jean Brown and Brenda Hallet and

(sitting) Patricia Roman-Guardiola and Linda Hayes. treatment and services

care possible,” said michelle rose,

chief of Quality Services division • Record of care,

at Womack Army medical center. the deputy commanding general was ravaged by several devastating treatment and services

“Six surveyors over a period of five of Xviii Airborne corps, mg tornadoes.

rodney Anderson, welcomed the • Rights and

full days looked in every nook and

surveyors with an overview of Fort “We are very proud of our military, responsibilities of the

cranny to replicate care provided

Bragg’s mission and gave them an civilian, contract and red cross individual

from the patient’s view.”

introduction to the diverse patient staff members who continue to • Transplant safety

every staff member from population that Womack Army provide our community with high

housekeeping to the commander medical center serves. quality health care in a competent • Point of care testing

is subject to be interviewed and and compassionate manner,”

their credentials reviewed by the “the surveyors had an opportunity canfield said.

surveyor. to visit the Hope mills medical

Home and were very impressed

“the survey is unannounced, there with the community-focused care

is no way to study for the test and provided,” canfield said.

the only way to pass the test is to

provide quality, safe care on a daily patients in the community are

basis,” rose said. “By earning full now able to receive care in the

accreditation last week, we are community where they live and

confident that all of our patient care where their children go to school,

delivery systems exceed all criteria.” thus making access to care

convenient and flexible. the Joint

“every staff member directly commission surveyors were able

contributed to the success of the to see just how ready Womack is

survey,” said cOl Brian t. canfield, to adjust to the impact of natural

commander, Womack Army disasters, because the survey

medical center. began on monday after Fayetteville



WOMACK ARMY MEDICAL CENTER | WWW.WAMC.AMEDD.ARMY.MIL | 3

Womack has elite

residency program



W

omack Army medical

center has recently

become one of the

Army’s six clinical and

Operational psychology residency

(cOpr) post-graduate training

programs for officers holding

doctorate degrees in psychology

(phd or psyd).



the newest program joins other

Army affiliated cOpr programs

at tripler Army medical center,

madigan Army medical center,

Brooke Army medical center,

Walter reed Army medical center

and d. d. eisenhower medical

center.

pHOtO BY cindY BurnHAm

three officers are currently CPT (Dr.) Matthew Brooks asks CPT (Dr.) Barbara Merchant about a project as CPT (Dr.) Christian Merchant takes notes.

participating in the residency

program, and Womack’s program

(Survival, evasion, resistance,

is planning to expand to four next

and escape) psychology and

year. the post-doctoral residents

performance enhancement.

are selected competively from

interested applicants graduating

the 12-month, full-time residency

from one of the united States

focuses primarily on adult mental

Army’s five American psychology

health services, operational

Association accredited clinical

and occupational consultation

psychology internship programs.

and assessment services. the

these individuals are active

residents receive a wealth of

duty uniformed officers, who are

knowledge to prepare them

assigned to the residency program

to function completely and

on official military orders.

independently in a variety

the residents train in clinical and of clinical, occupational and

operational psychology. they consultative settings in and outside

spend six months at Womack Army the Army setting.

medical center’s department of organizational capabilities, assignments at any military

Behavioral Health and then rotate “Womack has the only American differing cultures and a variety installation,” said cOl (dr.) Frank

across the installation, spending psychological Association of duties offer the psychologists christopher, deputy commander

a majority of the remaining six Accredited program in both clinical countless opportunities to advance for clinical Services at Womack

months at the united States Army and Operational psychology,” said their skills,” ingram said. “Fort

cdr (dr.) victoria ingram, u.S. Army medical center.

Special Operations command Bragg has 10 percent of the

(uSASOc). public Health Service, deputy Army with a mixed population of Womack Army medical center

chief of Behavioral Health at Soldiers.”

While at uSASOc, the residents’ is proud to offer this advanced

Womack Army medical center, the

training is focused on learning “When the residents complete level of psychological education

cOpr program director.

skills related to operational the program, they are eminently in support of our Soldeirs and

psychology, i.e., Special Forces “Our accreditation is for seven prepared to take the most supporting organizations across

Assessment and Selection, Sere years. the variety of units, demanding clinical and operational Fort Bragg.

4 | WOMACK ARMY MEDICAL CENTER | WWW.WAMC.AMEDD.ARMY.MIL

Interservice Physician Assistant Program (IPAP)



T

he interservice physician

Assistant program (ipAp)

includes students from

the Army, Air Force,

navy and the coast guard. the

ipAp curriculum consists of two

phases. phase 1 is the didactic

phase at Fort Sam Houston in

San Antonio, texas. phase 2 is

in a clinical setting in one of the

military medical centers across the

country, which includes Womack

Army medical center at Fort

Bragg. in phase 2 the students

put into practice what they learned

in the classroom during phase 1

while they rotate through different

specialty and subspecialty clinics.

they are precepted and mentored

by physicians and physician

assistants who are subject matter

pHOtO BY cindY BurnHAm

experts in their field. Dr. Asim Raja, right, views x-rays with CWO William Kilgore, a resident in the Interservice Physician Program.



the students are a combination

of officers, warrant officers Additionally, the students have a physician Assistants). they must the ipAp is currently ranked 13th

and officer candidates (non- four-component directed study pass this difficult exam in order to nationally according to the 2011

commissioned officers.) they course. the first component is a practice as a certified physician u.S. news and World report.

rotate through the following master’s level paper presentation assistant not only in the military Womack Army medical center,

clinics: general surgery, where they discuss their thesis but in a civilian setting as well. along with phase 1 and other

orthopedics, podiatry, that they completed during phase phase 2 sites, have a goal to

1. the second is a professional there are currently 19 students in

occupational therapy, physical become ranked on the top five

topic of benefit for the physician the phase 2 program at Womack

therapy, behavioral health, ent in the near future by developing

assistant profession. the third Army medical center. Fourteen are

(ear, nose and throat), allergy, students to become future

is a medical topic of personal currently rotating through various

dermatology, ophthalmology, leaders and confident physician

interest to the student. the fourth clinics; five recently graduated and

obstetrics/gynecology, pediatrics, assistants.

component is a culmination of the newly commissioned officers

family medicine, radiology and

their professional attributes based are awaiting their attendance “We train them to represent the

emergency medicine. the internal

on their performance throughout to the Basic Officer leadership

medicine and long term care professions of arms, medicine

phase 2. upon successful course at Fort Sam Houston prior

rotations are done through the and teaching, and to provide the

veterans Administration (vA) completion of phase 2, they all to going to their first duty stations

highest quality of health care while

hospital in Fayetteville. receive a master of physician as pAs.

in a quality learning and teaching

Assistant Studies (mpAS) degree environment,” said cOl (dr.) Frank

the students have two additional from the university of nebraska “Our students are highly qualified

to treat our patients because of christopher, deputy commander

elective rotations, of which medical center (unmc).

their well- rounded education and for clinical Services, Womack

cardiology and operational

Additionally, the officer candidates experience,” said mAJ (dr.) Amelia Army medical center.

medicine (working with a

practicing physician assistant and warrant officers are duran-Stanton, the ipAp clinical

coordinator at WAmc. “We hope to the Womack Army medical center

on Fort Bragg) are the most commissioned as first lieutenants.

incorporate everything they learn ipAp phase 2 website can be

popular. the phase 2 students are Once unmc and the ipAp confirm

their completion, they are able into delivering the best patient care. accessed through www.wamc.

required to perform at least 160

to take the pAnce (physician they are also required to maintain amedd.army.mil/dme/gme/ipAp.

additional emergency medicine

Assistant national certifying a higher standard of conduct For more information on becoming

hours outside of their specific

emergency medicine rotation, exam), a computer-based, and professionalism during their an Army pA, this link has up-to-

perform at least 120 procedures multiple-choice test administered program because not only are date information on how to reach

and complete at least 1,200 by the nccpA (national they students, they are also in the this goal: www.usarec.army.mil/

patient encounters. commission on certification of military during their matriculation.” armypa/.



WOMACK ARMY MEDICAL CENTER | WWW.WAMC.AMEDD.ARMY.MIL | 5

Womack trains future Army optometrists

W

omack Army medical

center (WAmc) has

the Army’s newest

Optometry residency

program. the Army’s other

one-year programs are located

at Brooke Army medical center

and at West point. Optometry

school is four years (following

undergraduate preparation), and

leads to the doctor of Optometry

(Od) degree, and the residency

is a one year program. currently,

completion of a residency

program is optional; optometrists

who graduate from an accredited

school of optometry and pass

national and state licensing

boards are fully capable of

independent practice.



this is the inaugural year for the

Womack Army medical center

residency in primary eye care.

the program recently hosted pHOtO BY pAmelA HYmer

a team from the Accreditation CPT (Dr.) Bret Lehman checks a patient’s vision.

council on Optometric education,

who accredited the program for department, traumatic brain

a seven-year term. currently, injury (tBi) clinic, pathology

Womack has one resident in the clinic, dermatology clinic and

program, cpt (dr.) Bret lehman. refractive eye surgery clinic. Other

opportunities include military

“the current resident is the first

medical training, including the

optometry resident to participate

combat casualty care course,

in the program,” said ltc

and participation in humanitarian

(dr.) Adrienne Ari, chief of the

missions. this year lehman spent

Optometry clinic and the director

two weeks in the dominican

of the Optometry residency

republic with a medical team,

program. “it is similar to medicine

providing eye care to hundreds of

fellowships.”

patients who otherwise would not

the resident spends most days get care.

at Womack seeing patients.

interested Army optometrists can

However, one of the more exciting

apply for residency programs

opportunities for the resident

through the medical Service

is his weekly clinical day at the

corps’ long term Health

university of north carolina,

education training Board.

working in the ophthalmology

Application materials are due

clinic. At unc, the resident trains

in February for a July start the

in advanced medical contact

following year. the board results

lens fittings, participates in grand

are published in June, one year

rounds, and has an opportunity

prior to the start date to allow

to work with ophthalmology

time for reassignment. the results

subspecialists and residents.

for the current board should be

Additional rotations at WAmc released shortly with the name of

include the emergency the 2012 resident.



6 | WOMACK ARMY MEDICAL CENTER | WWW.WAMC.AMEDD.ARMY.MIL

A day in the life of a

Family Medicine

Resident



W

omack Army medical government. Students are

center is home to on active duty and receive

the largest Army the pay and allowances

Family medicine of a second lieutenant (or

residency program. Yearly, eight ensign) while in medical

to 11 residents graduate from the school. the education is

three-year Accreditation council valued at approximately

for graduate medical education $200,000 for the four years,

certified program. medical and results in a post-

residents may work up to 80 hours residency service obligation

per week providing care to our of five years.

beneficiary population.

if a student participates

the Army hosts Family medicine in the Health professions pHOtO BY cindY BurnHAm

residencies at Womack Army Scholarship program, the CPT (Dr.) Michael Arnold takes care of patients Donald and Beatrice Blair.

medical center, Fort Belvoir, carl student may go to any

r. darnell Army medical center, accredited university that internal medicine, surgery and 27 to 30 residents going through

Fort Benning, eisenhower Army awards the medical doctor (md) surgery subspecialties, in both the the program. each resident

medical center, madigan Army degree, and their commitment outpatient and inpatient arenas. maintains an enrolled patient

medical center and at tripler Army to the Army (following specialty “We train the residents to give our panel during their residency and

medical center. training) is for four years. the Army patients the most up-to-date and delivers to their patient panel

will pay 100 percent of their tuition

advanced medical care available,” comprehensive patient-centered

Applicants are selected for for a graduate level education plus

said mAJ (dr.) Angelita callahan, care.

participation in the residency a generous monthly stipend of

residency director for the program.

through a national “match” $2,000.

We have 11 faculty members that

program that attempts to take After the three years of residency, are trained in family medicine. All

upon acceptance of the

the needs of new medical school they graduate and are eligible to of the faculty members have years

scholarship in either program,

graduates and matches those to take the national board certification of experience and are chosen to

prospective physicians become

the needs of the Army. exam for family medicine. if they

commissioned officers with the be part of the faculty.

pass the two-day intensive testing,

Students may utilize the rank of second lieutenant (or

then they become board certified “the members are hand chosen

department of defense’s ensign) and begin their military

family physicians. At that time, for this program based on their

scholarship program, the Health service. they are promoted to

they will be assigned to units and knowledge and their clinical

profession Scholarship program, the rank of captain (or lieutenant)

clinics throughout the Army, and skills. they supervise inpatient

to attend civilian medical school when they receive their doctor of

most of them will deploy within the wards, they are responsible

or they may attend the uniformed medicine degree.

first year after graduation. for the residents during their

Services university of Health

As a new resident, they serve clinical rotation, and they teach

Services at Bethesda, md. “most will be sent to iraq and

their first year as an intern, then procedures in family medicine

two years as resident physicians. Afghanistan serving as unit

if they attend the uniformed physicians working side-by-side to include: minor skin surgery,

they spend this time doing gynecological procedures,

Services university of Health with combat medics saving lives,”

intense clinical training in family vasectomies, circumcisions and

Services, which is the only said callahan.

medicine, emergency medicine,

federal medical school, the tuition cardiac stress testing,” added

obstetrics and gynecology,

is completely paid for by the each year Womack has a total of callahan.



WOMACK ARMY MEDICAL CENTER | WWW.WAMC.AMEDD.ARMY.MIL | 7

OBGYN residency coming soon



W

omack Army medical center council for graduate medical education,

has been approved as a new site the organization that provides accreditation

for an obstetrics and gynecology for medical residency programs in the

residency. this will be a four- united States. this initiative will provide our

year program that will train physicians in all patients with state-of-the-art care and allow

aspects of routine and complicated obstetric the training for u.S. Army physicians in this

and gynecologic health issues. Additionally, specialty at the Army’s busiest obstetrics and

they will receive training in the subspecialties gynecology program.

of maternal fetal medicine, reproductive

endocrinology and infertility, gynecologic

oncology and urogynecology.



With the exception of maternal fetal medicine,

Fort Bragg will be the only facility in the

Maternity Fair

region for such specialized care for women. Saturday, September 17th

Womack’s inaugural residency class will start

from 10:00 a.m. to 1:00 p.m.

with three residents at the first year level and

two at the second year level. In the clinic mall.



three resident physicians per year will For more information call

be authorized at Womack. this program 907-7349 or 907-6198.

received its approval from the Accreditation









8 | WOMACK ARMY MEDICAL CENTER | WWW.WAMC.AMEDD.ARMY.MIL



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