Dental Professional Advisory Committee
Meeting Minutes for 15 December06
Attendance Log – DePAC Voting Members
Name Attendance – initial Attendance - end
CDR George Bird E E
LCDR Stephanie Burrell P P
CAPT William Catelli E E
CDR Renée Joskow P P
CAPT Monina Klevens P P
CAPT Dave Labadie A A
CAPT Raymond Lala P P
Dr. Mary McEnery A A
LCDR Cristian Morazan E E
CAPT Gary Pannabecker P P
CAPT Coleman Palmertree P P
CAPT Hsiao Peng P P
CDR Tim Ricks P P
CAPT Jose Rodriguez P P
CDR Robin Scheper P P
CAPT William Stenberg P P
CAPT Steve Torna P P
CDR Vanessa Thomas P P
CDR Lynn Van Pelt P P
LCDR Stella Wisner P P
LCDR Phillip Woods P P
KEY: P – present for the entire meeting, E – excused absence, A – unexcused absence
Attendance Log – Ex-officio members
Name Role Attendance
Dr. Richard Christiansen Ex-Officio N
Dr. Lawrence Gettleman Ex-Officio P
RADM Chris Halliday Ex-Officio P
CAPT Nick Makrides Ex-Officio P
CAPT Mark Nehring Ex-Officio N
CAPT Deborah Noyes Ex-Officio N
KEY: P - Present to all or part of the meeting.
N – Not in attendance (neither “excused” nor “unexcused”)
Guest: RADM Knouse and CDR John Eckert
Welcome of new member-elect:
CDR Ricks welcomed the new member-elect – CAPT William Stenberg, CDR Coleman
Palmertree, and CDR Vanessa Thomas.
Review/approve previous meeting minutes:
The October and September minutes were approved as amended.
Review action items from October 2006
October Action Items Responsible Due Date Status
Contact RADM Furman at CAPT Klevens/ Sept 2006 Completed
OCCO and gain approval for RADM Halliday
the formation of an anonymous
call group to discuss women’s
DePAC Vice Chair nomination Eligible DePAC October 1, Completed
letter to CDR Ricks and CDR members 2006
Promotion Benchmark to CDR Ricks 9/22/06 Completed
By-laws changes to be CDR Van Pelt 12/1/06 Ongoing
corrected for the Dental
Category Web page
WG/SC year-end report to All WG/SC Chairs 12/1/06 Completed
Membership expectations LCDR Wisner October 2006 Completed
documents to all applicants
Written strategies on how to CAPT LaBadie 11/15/06 Completed
address deficiencies on basic
Chief Dental Officer’s Report:
RADM Halliday presented the report from the last Combined Surgeon General’s Policy
Advisory Council Meeting and Chief Professional Officers/PAC Chair’s Meeting, December 11,
1. There will be a Flag Officers’ retreat February 12th and 13th. The agenda is TBA.
2. Recognition was given to JOAG on their 5th anniversary.
3. The Office of the Surgeon General will soon release the following three documents:
Call to Action on Underage Drinking
Call to Action on the Relationship Between Correctional Health and Community
Call to Action on Females and their Mental Health
The release dates of these documents are to be announced, but the first document
maybe released during January 2007.
4. Acting Surgeon General Mortisugu reported on his recent trip to Atlanta for a meeting
concerning the environmental issues. After the meeting, he had an open microphone
session with Commissioned Corps Officers for approximately an hour with about 200
Officers attending the session. Acting Surgeon General RADM Mortisugu was
impressed by the large number of questions he received dealing with the Transformation
of the Commissioned Corps. The second meeting took place in Honolulu. This was an
exercise in conjunction with the military and civilian leaders on a joint response to an
Avian Flu Pandemic. RADM Moritsugu reported that the USPHS played a very visible
role in this response exercise. On the way back to Washington, DC, RADM Moritsugu
stopped in Las Vegas to meet with the International Meeting of Respiratory Therapists
and spoke on the priorities of the USPHS.
5. This was RADM Babb's last SGPAC/CPO combined meeting as the Director of OFRD.
He will report to his new duty station as the Regional Health Administrator in Kansas
6. LCDR Angela Shen from the Minority Officers Liaison Council (MOLC) gave an
updated report on the MOLC's findings from the Commissioned Corps composition by
race/ethnicity. The document/findings display the strength of the Commissioned Corps
and show a system that is attracting larger number of minority officers over time. Visit
the MOLC website http://www.molcusphs.org and view the section on demographics.
7. Transformation Update: RADM Knouss delivered an update on the Transformation of the
Commissioned Corps. We are on a Continuing Resolution (CR) and do not know how
long the CR will continue. There may be some difficult choices that need to be made in
terms of Transformation. RADM Knouss reiterated that readiness is a key component of
Transformation and the Secretary has readiness of the Corps as an initiative for the
Department. RADM Knouss also provided an update on Information Technology (IT)
systems development. The contractor, ORC Macro, continues to develop the
Commissioned Corps website, and permission has been granted to utilize Flash
technology to help give the site maximum functionality. With the new eCAD system,
recruitment and application efforts will be streamlined RADM Knouss emphasized that
we must focus attention on recruitment and we must concentrate on recruitment efforts,
on categories such as physicians, nurses, pharmacists and dentists, which are
experiencing the greatest percentages and numbers of vacancies. By the end of March or
early April, the new recruitment campaign should be unveiled. Continue to look the
Commissioned Corps e-Bulletins for updates on Transformation. The next e-Bulletin
issue will detail Information Technology projects related to Transformation. RADM
Knouse then provided the group with a Readiness update. The Commissioned Corps is
currently participating in four responses: Camp LeJeuene, NC providing Dental service,
Coleville, OR providing Behavior Health Service, and requests have been submitted from
Cass Lake and a site in the Aberdeen Area in ND (IHS). There has been a request from
the Office of Global Health for officers to provide services at overseas locations. RADM
Babb reported on the complexities of consolidating data needed to determine readiness
status of officers. Data must be obtained from queries to the President's Challenge,
Medical Affairs Branch MAB, OCCO for licensure, Blackboard for training modules,
and FEMA for training modules. There is concern that some of the FEMA modules
actually completed prior to June 2006 may not have been recorded in the latest migration
of data. Some officers who have completed the training modules are still showing up as
not meeting readiness requirements due to missing FEMA modules. Those officers need
to send the documentation of completion of the modules to OFRD. Email messages will
be sent, by the DePAC, to those officers not meeting readiness and may also be followed
up by phone calls to the officers from their chain of command. ALL Commissioned
Corps officers need to log onto the OFRD website and check their readiness status. CDR
Joskow indicated the OFRD web page will be updated on Wednesday of each week until
the end of December and there is a one week lag time for the information to go from
FEMA to OFRD. Officers need to also review the recently released extension of MC377
to review the current directives regarding readiness! Discussion also took place
regarding the timeline of release of policies impacting officer promotions. RADM
Halliday reported there are 177 dental officers who do not meet readiness status. CDR
Ricks reported 79% of the dental officers met readiness a couple of months ago and now
it is at less than 57%.
8. OCCO Update: RADM Furman distributed a list of the Commissioned Corps Accessions
and Losses (Attrition), Fiscal Years 2002 through 2006. CAPT Shackelford announced
the availability of an electronic file which contains the Commissioned Corps Values.
This file will soon be posted on the CCMIS website. If you would like a copy of the file,
please contact RADM Halliday.
9. OCCFM Update: Two new staff members have been added to OCCFM. The National
Defense Authorization Act for 2007 is being reviewed to see what pay provisions may
impact USPHS Commissioned Corps Officers. OCCFM is also looking at the proposed
40 year pay table to see what the impact would be upon the USPHS. The provision could
have implications upon the current 30-year retirement system. The latest issue of the
ROA magazine has an article on the pay table issues regarding 40-year retirements.
Remember that the information in the article should NOT be construed as being USPHS
guidelines. The next meeting of the Combined Surgeon General's Policy Advisory
Council Meeting and Chief Professional Officers/PAC Chair will be on January 25.
Agency Clinical Directors Reports
IHS: RADM Halliday reported that there are approximately 130 vacancies and about 29% of our
authorized positions are vacant for dentists at this time. CAPT Jim Schaffer has joined the staff
at Headquarters in October. CAPT Schaffer is assisting CAPT Lozon on recruitment efforts.
With the two of them, we should have a solid ground on trying to get to as many school and
dental functions as possible, RADM Halliday stated. Like all other OPDIVs, the IHS is on a
Continuum Resolution (CR), with 38% of the budget through February 15. RADM Halliday
indicated the Continuum Resolution will not hinder recruitment activities. The American Dental
Association has approached the IHS to develop a Dental Access Summit for American Indian
and Alaska Natives in June or July of 2007. The planning committee consists of member from
the ADA Council on Access, Prevention and Intergovernmental Relations (CAPIR), the Alaska
Tribal Health Consortium, IHS Headquarter Staff, Dental Schools, Tribal Health Boards and IHS
Area Dental Officers, with the primary goal to develop strategies to increase access of care for
American Indian and Alaska Natives and also to develop pipeline to encourage American Indian
and Alaska Natives students to consider careers in dentistry.
BOP: CAPT Makrides reported that the BOP Readiness percentage has decreased. CAPT
Makrides indicated there is a plan to contact officer and assist them to meet Basic Readiness.
There are only 2 officers left from the displacement reported several months ago. CAPT
Makrides reported one of the officers is anticipated to be placed with the Coast Guard and the
other officer will be placed in another BOP facility. CAPT Makrides reported the upcoming
release of the Call to Action on Correctional Health and Community Health, impact of this
document on BOP dental services is unknown at this time.
RADM Knouss presented an update on Transformation. There was an overview article in the
eBulletin about a month that summarized the historical perspective of Transformation. Another
article will be published in the next issue of the eBulletin outlining the various accomplishments
of the Transformation officer teams. Additionally, in a few weeks, there will be an article in the
eBulletin specifically describing all the Information Technology (IT) System development and
another article to discuss communication strategies. Officers should be able to access the
Transformation Implementation Plan on the CCMIS Web Site. The plan is a complete collection
of the all the implementation workgroup reports. The Assistant Secretary of Health ASH in
conjunction with the Agency Heads, considered the recommendations in some of the reports that
addressed the goal that majority of the clinical positions would be held only by Corp officers.
The ASH considered suggesting making the 50% of clinical positions to be held by Corp
officers but it was decided that there not sufficient force management planning system in place at
this time to be able to exercise that option. Each agency was asked to submit a plan by June
2007 to outline the process to increase hiring Corp officers. At that time, the success of those
plans will be assessed before proceeding with other alternatives. Corps leadership has received
the plans for the various agencies and already has commitments to hire approximate 250 officers.
We are unsure what we will receive in Appropriation this year but we are hopeful we will be able
to increase the Corp size by 4% by the end of this fiscal year. We are hoping to increase the
number to 6600 by the following fiscal year. We are making progress and the 12 Transformation
officers are working on a variety of issues such as functional grouping of the officers and the
creation of the Functional Advisory Committee (FAC). We are developing new approach to
assignment, to billet systems and to force management planning tool. But most importantly with
regards to the PAC, there is a start to develop variety of additional invocation of the professional
requirements of being in the Corp. We have to rely on the professional leadership of the Corp to
fulfill. For example, in terms of our career develop and officer profile, we need to know what
information should go into the officer's profile in order to match the officer with potential jobs.
We need to know what career benchmarks and indicators are needed for career development in
your profession. We will need very detailed benchmarks, promotion guide and career tracks.
We will need a solid statement concerning training requirements and recommendations for your
profession. Most of all, we will need your participation in recruitment for the Corp particularly
for dentists. We will be launching a new recruitment campaign in March or April 2007. We
have developed a significant amount of new material for dentists in particular. One of the thing I
run into when talking with other PACS, officers tend to represent their agency in recruitment
activities. We will need to rely on you to be general recruiters for your profession and not just
your profession within your agency. I hope this is a comfortable fit for all of you in the Dental
PAC because it is extremely important for us to be successful. We need to rely on you to help
the Transformation officers in developing the KSA (Knowledge, skills and abilities) that will be
helpful in terms referring officers who meet job related KSA to be able to forward the name of
qualified candidates for those positions. This will be extremely helpful in terms of assigning
officers to position and help rotate officers out by finding other jobs that are compatible with the
officer in terms of career advancement and interest. We will need to rely on you to assist with
the development of a set of billet components in order to adequately describe the positions before
the position is advertised. The timeline for these activities are contained in the memo was
distributed to all officers along with the copy of the Transformation Implementation Plan. The
Deputy Secretary included a memo that outlines the two milestones which are being translated
into different set of objectives, activities and tasks that are compatible with the Secretary’s
initiative tracking for the department. Transformation under the guide of Corp renewal is part of
the Secretary’s top nine initiative for this year. Readiness is included as well. We will need to
comply with putting together those objectives in such a way that the Secretary will be able to
track them on a regular basis. Finally, we need to briefly mention our communication strategy.
Many of you might be aware that we are going out with profiles of officers to sell to local media
to improve public awareness starting with the eBulletin article focus on the Transformation of
the Corp. We are also opening part of a web site that will allow officers a chance for ask
questions and make suggestion on Transformation. The new web site is being developed such
that it will be a single entry point for the public in terms of application to the Corp and for
internal Corp management. As part of the application process, we are hoping to get the eCAD
system online by April 2007. This system will allow applicant to apply online which will
streamline the process to 8-12 weeks for appointment and assignment of new officers.
Question: Are there any plans to increase support and funding for the recruitment
effort in terms of travel?
Answer: We are asking for $10 million with the appropriation committee but if we
remain on the continuous resolution for the fiscal year then we will most likely not
see that amount approved. If we are unable to appropriate more funding then we will
maintain our Transformation activity at the current level. The eCAD will proceed
because this is being funded by a different resource.
Question: It has been difficult to recruit for dentists in the field primarily due to the
Civil Service Title 38 Pay scale. Title 38 pay scale is approximately $25,000 to
$30,000 higher than the pay of the Commissioned Corp pay scale. With the large
amount of student loans, a dentist may take the higher pay. Are there strategies being
develop to address bonuses for dentists and should the category be preparing
strategies to help retain senior officers longer than 20 years?
Answer: We have an Assignment Incentive Pay Authority that has not been
exercised which will allow $3000 per month for certain types of assignment.
According the Indian Health Service (IHS) in term of budget, it would be easier to
pay a monthly amount rather than a yearly amount. We are looking into a variety of
things including a robust system that will allow for family assistance and support.
The Chief Professional Officer (CPO) Board is meeting twice a week with the
Transformation officers therefore there will be opportunity input through the CPO to
the policy development process. The primary question would be: Since the bonuses
will be paid out of a central account, will the agency be willing to foot the bill on the
2006 DePAC Chair Year-end Report
CDR Ricks expressed his appreciation to RADM Kleinman and RADM Halliday for their
leadership and mentorship. CDR Ricks also expressed his thank you to the
WG/SC Chairs, Vice-Chairs and Co-Chairs for their work and dedication to DePAC;
CAPT Pannabecker for his support, mentorship, and his friendship throughout his tenure with
DePAC; CDR Joskow for her dedication and support during 2006; CDR Van Pelt for her role as
the Executive Secretary for 2006; LCDR Phillip Woods for his work as the Executive Secretary
for the PAC Chairs’ Group; and all of the outgoing DePAC members for their work - Dr. Mary
McEnery, CDR Robin Scheper, CAPT Gary Pannabecker and CAPT Jose Rodriguez.
General Accomplishments of the 2006 DePAC:
Elected as Chair of the PAC Chairs’ Group, and served in that role July-December.
Revised category-specific benchmarks for PY ‘07
Facilitated the development of the Career Development Review Board by distributing
information to different agencies/OPDIVs
Provided Dental Category representation on Transformation workgroups and WIPTs
Developed template for formal recognition of DePAC members, ex-officio members, non-voting
members, agency and organizational liaisons
Developed and implemented tracking mechanism for DePAC member attendance and
Provided counseling to officers not meeting basic readiness, through e-mail and phone
Created the Readiness and Deployment Workgroup
Career Development Subcommittee
Released the Career Development Resource Guide, a guide for Commissioned Officers and Civil
Provided input, as part of the Benchmark Revision Workgroup, into the shared benchmarks under
Precepts 1, 4, and 5
Assisted in the counseling of dental officers at the COA Conference
Worked with the Commissioned Corps Joint Career Development Committee to provide a best
practices document and training/resource summary
Finalized and disseminated the Call to Active Duty Survey
Finalized and disseminated the Exit Survey
Continually worked on matching protégées and mentors and mailed welcome packets to
new Call to Active Duty dental officers
Managed the nomination and selection of the PHS ADA Delegate for the second year
Facilitated the placement of 100% of interested officers on DePAC workgroups and
Processed new membership for the 2007 DePAC
Created the Awards Board of Consultants, designed to help review award nominations
Received and nominated a record 29 officers for the Dental Category Awards, the first
year that all awards categories had nominations
Revised and improved scoring system for award nominations to reduce bias
Published the USPHS Dental Newsletter three times
Identified and mentored new newsletter editors to assure continuance of this important
Identified and trained new webmaster for the Dental Category webpage
Facilitated and published DePAC and agency workgroups on the webpage
Dental Informatics Workgroup
Established informatics contacts with each of the major operating divisions that have a
Reviewed a number of dental informatics technical reports and participated in the
development of the first standard for the electronic periodontal attachment
Readiness and Deployment Workgroup
Established bi-monthly review of OFRD readiness reports on dental officers
Listserver survey on availability of immunizations sent to dental officers
Listserver survey on cooperation of service units in IHS sent to dental officers
Created flow sheet explaining procedure for obtaining reimbursement for immunizations
if no MTF or Tricare provider available.
Established quarterly e-mail reminder on readiness requirements.
Sent e-mail reminder to acquire influenza vaccination
Established formal guidelines for DePAC action for unready officers
Call to Action Subcommittee
Submitted an article on national licensure and access to care for the newsletter
Minority Issues Subcommittee
Drafted and finalized the MIS Survey
Developed and disseminated “Partnership Letters” to minority dental organizations
Worked toward the development of the mentoring board for minority officers
Women’s Issues Subcommittee
Recruited and supported participation of 2 new members.
Finalized survey instrument to describe issues that would justify action and continuation of the
Proposed new forum for anonymous discussion of issues affecting civil service and commissioned
corps women in dentistry.
Chair-Elect Introductory Report
CDR Joskow expressed her appreciation to CDR Ricks for his leadership, his mentorship, and
his friendship during his tenure with the DePAC. CDR Joskow recounted the accomplishments
of CDR Ricks as the DePAC Chair and as a clinician. CDR Joskow indicated she will propose
streamlining the DePAC monthly calls and the WG/SC reports.
There is an Orientation Meeting to be scheduled with the new members in January. CDR Van
Pelt will forward the information. CDR Joskow is extremely excited about the upcoming year
and look forward to working with the 2007 DePAC.
Vice-Chair-Elect Introductory Comments
CDR Van Pelt expressed her appreciation to CDR Ricks for his leadership and guidance for 2006
and look forward to working with CDR Joskow in 2007.
WG/SC recognition - the templates were forward to the WG/SC Chairs for the
WG/SC members who contributed 80% to the WG/SC (voting and non-voting
Category Awards - the recommendation will be forward to RADM Halliday in the
next couple of weeks.
New member orientation – if any current DePAC member would like to attend the
orientation, please inform CDR Joskow or CDR Van Pelt. CDR Joskow requested
that we continue with the mentoring of current members with the new member.
CAPT Peng volunteered to mentor CDR Palmertree. CAPT Klevens will mentor
CDR Thomas. CDR Van Pelt and CDR Ricks will mentor CAPT Stenberg.
CDR Joskow announced that CAPT Isabel Garcia, DDS, Diplomat of American
Dental Public Health and MPH, has been appointed as the NIDCR Deputy Director
Designee. CAPT Garcia has been the Director of NIDCR Office of Science of Policy
and Analysis and principle advisor to the Director for NIDCR and other Executive
Staff. She managed the institute scientific planning evaluation, coding and reporting
activities and developed the current NIDCR strategic plan and implementation plan of
the institute strategic plan to eliminate health disparities. She is also the Director of
the Dental Public Health Program at NIDCR. CDR Joskow also reported that RADM
Kleinman will be retiring at the end of December as an Admiral from the U.S. Public
Health Service and served as the Deputy Director of NIDCR. She was also the
Deputy to the NIH Roadmap for many years.
JOAG Report - submitted by LCDR Mehrdad Amani. CAPT Dean Coppola was selected by the
JOAG Voting membership (20) as the new JOAG Senior Advisor. He was selected from a highly
exceptional group of officers.
JOAG conducts a monthly meeting on the Second Friday of each month from 1300 hours to
1500 hours Eastern. JOAG has transitioned to an every other month general membership since
October 2006 to allow the Voting membership to participate in JOAG planning sessions. JOAG
Website (www.JOAG.org) has been updated with a new look, making it more user friendly than
before, and great resource for Junior Officers . There is a direct link to the DePAC web site. The
BOTC materials team will provide the JOAG brochure to LT Michelle Everett so that they can
be provided at BOTC classes.
Awards - JOAG is requesting nominations for the Junior Officer of the Year and the JOAG
Excellence Award to be presented at the annual COF Scientific and Training Symposium to be
held in Cincinnati, OH, June 3-7, 2007.
The VADM Richard H. Carmona Inspiration Award recognizes a Senior Officer who
exemplifies outstanding leadership by example, mentorship and empowerment of junior officers,
unwavering support of the Commissioned Corps and its mission, and overall inspiration and
motivation to the PHS community.
If you know any outstanding officer deserving recognition of theses awards, please review the
criteria available on the JOAG website www.JOAG.org and turn in your nomination no later
than February 23, 2007. All nominations will be considered! Self-nominations are welcome
(except for Richard H. Carmona Inspiration Award).
1. Career Development Subcommittee (See Year-End Report) - CDR Scheper reported she
will be more than happy to work with the new Chair to make the transition.
2. Mentoring Workgroup (See Year-End Report)
3. Membership Workgroup (See Report) - LCDR Wisner did not have any additional
information to add.
4. Recruitment/Retention/Appointments WG (See Year-End Report)
5. Women’s Issues Subcommittee (See Year-End Report) - CAPT Klevens did not have any
additional information to add. The WIS Survey has been approved.
6. Minority Issues Subcommittee (See Report) - LCDR Burrell reported the highlights of
the recent meeting: the approval of the survey, promotion standards were discussed,
reminded all officers to complete the 2006 COERS, update the OPF if officer is applying
for assimilation, discussed the new circular regarding Basic Readiness, and discussed that
an officer needs to be deploy in order to qualify for the field medical badge.
7. Operations Subcommittee (See Report)
8. Awards Workgroup (See Report) - CDR Van Pelt did not have additional information to
9. Communications Workgroup (See Report) - CAPT Torna did not have additional
information to report. CDR Palmertree indicated he is working on finalizing the
newsletter. CAPT Torna expressed his appreciation to CAPT Saville, CAPT Peng and
CDR Palmertree on their contribution to the newsletter.
10. Dental Informatics Workgroup (See Report) - No additional information at this time.
11. Readiness and Deployment Workgroup (See Report) CDR Ricks indicated he is not sure
if the WG still plans to send out the quarterly reminder concerning meeting basic
readiness. The WG is in the process of analysis spreadsheet what items officers are
missing in terms of meeting basic readiness.
1. RADM Halliday had sent a Thank You letter to RADM Babb on behalf of the Dental
Category for his support to the dental category and wishing him well with his new
2. If anyone is interested in reading more about the 40 year retirement, go to the web site:
Review of January Action Items
January Action Items Responsible Due Date Status
1 By-laws changes to be CDR Van Pelt 12/31/06
corrected for the Dental
Category Web page
2 WG/SC Assessment report to All WG/SC Chairs 12/15/06
3 Orientation of the new DePAC CDR Joskow and 1/15/07
Members CDR Van Pelt
4 Follow up with RADM Furman CDR Joskow 1/5/07
to confirm the MIS/WIS
Surveys are approved