2003 AANGFS Business Meeting Minutes–May 3, 2003

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AANGFS Board of Governors Meeting:

0800—1100 May 3, 2003

ANG Hilton Conference Room

San Antonio, Texas

Attendees:

LtCol Clee Lloyd: clloyd@teleport.com

Col Jim Chow: chowjc@aol.com

Col Ray Webster: rwebstermd@aol.com

Col Marsa Mitchell: marsamitch@aol.com

LtCol William Pond: wwpond@aol.com

LtCol Ralph Warren: rwarren76@post.harvard.edu

Col Reid Muller: reidmuller@sprintmail.com

Col Michael Brothers: brothers@accesscom.net

Col Harry Robinson: h.robinson5@aol.com

Col William Wood: wwood@midsouth.rr.com

, woodchw@bellsouth.net

BGen Annette Sobel: asobel@sandia.gov

Col Richard Terry: scopedoc@aol.com

MGen Dennis Higdon: dahigdon@aol.com

Col Randal Falk: randall.falk@post.harvard.edu

Maj Brian Pinkston: Brian.Pinkston@ang.af.mil

I. Call to order--BGen Sobel —the meeting was called to order by BGen Annette Sobel.

The format was collegial, informal and results oriented.

II. Presentation and approval of minutes from last meeting--LtCol Pond and BGen

Sobel presented minutes of the last meeting.

A. Minutes were unanimously approved with not additions or corrections.

III. Reports

A.

Secretary’s Report—LtCol Pond

1. Secretary maintains the membership database: Col Dodson and other periodically make inquiries regarding the status of the membership

2. As of 2 May 2003

Air National Guard Flight Surgeons attending AANGFS educational meeting approximately 100

Living members with dues current with current mailing address=146

Living members with dues not current with current mailing address=174

Total dues paying members=311

Air National Guard with current mailing address receiving newsletter=320

Total number in AANGFS database=367

B. Treasurer's Report (Attached)--Col Martin (in absentia having had to leave the preceding day due to duty requirements with 1 st Air Force).

1. Balance $10,914.79

2. Banquet attendance was 55 with expenditure of $2,550.00.

3. Anticipated receipts of approximately $2,000.00 for a break even.

4. LtCol Pond reported that $525.00 had been received in additional dues.

C. Webmaster's Report--Col Muller

1. Will investigate password protected secure site. To get password, send email Reid and he will send password.

2. Case of the month is being removed due to lack of submissions.

3. Will get CD and a lot of the lectures and place on the website. May try working in conjunction with accrediting organization to get CME. Clee Lloyd questioned who would approve the CME per such as the military university or

AETC Randolph.

4. LtCol Ralph Warren suggested that this may be a way to get non-attendees

RSV credit. Reid also suggested making the information available on CD.

5. All of the presentations were collected from the AANGFS program on Friday,

May 2, 2003 (Major Pinkston) and will be made available on the website.

6.

LtCol Warren inquired about a commander’s tool kit.

7.

Assistance from a technical nature are addressed to Gerry Harmon’s son,

Scooter.

8. The dermatology tutorial will also be placed on the website.

9. Database will also be placed.

10. Payment issue was discussed. Do we want to pay dues online? To pay by

Pen Pal must have the actual link. Since the Air Force Reserve Flight

Surgeons reportedly does this, BGen Sobel or Col Muller will ask Larry Allen regarding online payment.

D. Historian Report--LtCol Wyrick —no report

E. Newsletter Report--LtCol Pond

1. Many favorable comments were expressed regarding the quality and usefulness of the AANGFS Newsletter.

2. LtCol Pond ascribed the success to the many fine authors who submitted articles and information that is of value to the readers.

3. The Board wished to continue the joint newsletter with the Air Force Reserve

Flight Surgeons’ Association.

4. Col Robinson expressed a desire to continue the effort as long as it can be done without cost to the Alliance.

5. In order to encourage membership at the initial flight surgeon education, a one year free subscription and membership would be given to those Guard flight docs completing the Aerospace Medicine Primary Course.

6. The midsummer information update request was very successful.

The additional expense of approximately $150.00 was associated with collection of $2,000.00 in dues.

A self-addressed envelope along with the application was enclosed with the last newsletter.

(The additional cost per issue was $0.405-- $0.098 for the application,

$0.04 for the envelope and $0.27 for the additional postage to include it with the newsletter.)

7. Total cost of this edition of the newsletter was $564.76 computed as follows:

$0.098 per printed page (AANGFS charged only for ink and paper--no charge to the AANGFS for the use of the duplexing laser printer purchased by LtCol Pond)

12 page newsletter cost is $1.17 per issue

printing cost of 318 newsletters is $373.96

mailing cost 318 newsletters is $190.80

(12 pages per newsletter + $0.60 postage per newsletter) x 318 newsletters =$564.76

(FYI. Office Depot in Fort Wayne charges $0.820 per page for color which if used would have yielded a cost of $9.84 per issue.)

F. Vice President's Report--LtCol Wyrick

—no report

G. Membership Task Force Report--Col Terry —please see discussion in New

Business

H. ADFAC Report--Col Terry

I. Operational Issues Report (CCATT, SME etc.)--Col Guerdan

—no report, deployed and operational

J. Team Aerospace Report-- Col Paletta —no report

K. President's Report and Wrap Up

IV. Leadership Comments

A. ANG Asst SG--MGen Higdon

General Higdon comments: General Harmon and Mitchell send their regards.

AMSUS & AsMA: Leaders will continue to make commitment at both organizations. Policy impact is yet to be decided. Clee Lloyd will be Assistant to

Wilford Hall in San Antonio. General Rogers will be leaving. General Harmon to succeed Higdon. ANG Assistant to ACC will be Col Ray Webster. Dental

Assitant will be Col Ramsey Salon in Florida replacing Col Phil Abshere. USAFE

Assistant not yet decided. SPACECOM Assistant will be Col Sandy Carlson,

MSC graduate of Academy. Asst to AMC/SG will be Col Norm Elliott, AB, former

C130, commander and SAS. Corp neutrality will require that all positions be opened up to leadership. Flight surgeons with background will continue to be competitive. General Mitchell’s roll will evolve and may be in line for consideration in the human resources billet (2 star). Need mentoring process for upcoming leaders. Leadership track information should be presented for the alliance members. This would be a good AANGFS Newsletter article. Assistants will be meeting with NOVA (surgeons’ general meeting) and attached to senior leaders. There are 68 physician commanders and 14 nurse commanders. End of the year will be the transition. MGen Higdon has spent 100 days active in the last 6 months. State Air Surgeons’ organization needs some work. Harry

Robinson is the vice president. 2002 meeting in Louisville was excellent. Two state air surgeons

’ courses are held each year at the Guard. SAS organization arose to get executive leadership. SAS have legitimate jobs for specific purposes. All SAS must be a flight surgeon. Should the SAS organization be within the AANGFS? SAS have met with the Assistants at AMSUS. Weapons council to represent regional issues to bring consensus at ADFAC. Need mentoring for future leaders.

B. ANG Asst ACC--BGen Harmon

C. ANG Asst AMC--BGen Mitchell

D. ANG SG--Col Falk : General Leadership discussion of various issues (These are contemporaneous notes that reflect the flow of the discussion, wwp)

BG Sobel —need to run one program. Will not do AsMA due to expenses.

Program originally set as 6-9 on Saturday evening. Program will be diluted if set for RSV. Reid Muller--ANG is a 5 th wheel. Junior folks do not come to HSM.

More success at ASMA. Where will HSM be since if AsMA is not tied? Many of the members are active in AsMA which is a small section of the total membership. Next year, HSM will be separate. Col Randy Falk has been pushing the jointness. The lifeblood of the organization is humanitarian,

Inspections, deployments, more value. Many of the senior physicians have an obligation to come to HSM. Reid: the ones trying to groom go to AMSUS. Is there a problem sending people to AMSUS for funding?

Outside the box: Clee: Originally to support ASMA. ATLS ACLS is a good recruiting tool. Reid is attending a meeting at USHUS. RSV requirements have been recently elucidated. Navy and Army guard has an RSV.

Falk: will provide courses that young docs need. Reserves did not attend HSM but will attend. The organization will not survive unless Guard and Reserve both come to the scientific meeting. Yesterday, the attendance yesterday was O5 and above. The HSM cuts cost. Brings the resource people for HSM and the flight surgeon.

AFRIC has a course for RSV. Last year the AFRES had their own course.

Webster. Is there a way to have a once a year course and then to make available via distance learning. Guard has only wanted funded quotas. Maybe should have annual tour days to complete RSVs. Sobel: cannot afford to bring others to other venues. For AANGFS survival. Have now had 2 meetings with

HSM. Yesterday was an excellent learning experience. Need to fly in for several days of meetings. Guard spends HSM fee of $100,000.00. Need a meeting planner. ACLS and ATLS are combining with CSTARS being done in medical centers. ATLS free standing costs a lot of money. The combined Guard and

Reserve program was excellent but may be a dinosaur. MGen Higdon suggests having contact with Reserves. Look at the conference center at Biloxi, Volk

Field, Keesler, Savannah. Falk supports the program out of Harvard. Use annual training days for the flight surgeon. Need to plan ahead for large meetings especially if planning to have AFRES. Suggested having 2 people to work with Falk and the offer to reserve. Need to invite other corps. Reserves will be coming to AMSUS. Need to re-look at AMSUS. AMSUS has been a very high cost meeting. Falk, “when I mention it to the financial, the spears come out.”

Every year, the pocketbook dies. AMSUS will not allow any scheduling conflict with Opening Ceremonies or first day. Would have us waste days to come to their international forum. No AANGFS program at AMSUS. AMSUS is

programmatics to be done at AMSUS. General James and Taylor are coming tomorrow. HSM is the leadership of aerospace medicine.

Terry: strongly advises that we take the lead in the CME for the flight surgeons of the guard, especially since 50% of the commanders are not flight surgeons.

Yesterday should have been more of a flight doc program. Need a forum to bring issues to the attention of the leadership. Why did the message not get out earlier. Conflict with schedules. Physicians do well with a weekend program. If flight surgeons are supposed to be leaders, then they must attend flight surgeon as well as leadership meetings. Maybe Friday Afternoon and Saturdays. Mueller and Warren will work with Falks office. 2 days front loaded, Friday and Saturday for AANGFS. Nurses could also have a meeting. POC for meeting is Mark Gall and Brian Pinkston needs full time support. Put the commanders course into

HSM and the AANGFS. Commanders awards will be at AMSUS.

Terry: Motion: In 2004 prior to the HSM in Colorado, AANGFS will develop 2 day program to fulfill RSV requirements with letter to all commanders endorsing course with course directed by AANGFS President with assistance SGO and

AANGFS Program Committee. Passed unanimously.

May break the HSM/AsMA link. Not inappropriate to send AsMA on annual training days.

Robinson: need consensus regarding 2005. Everyone is paying $200.00 to support AsMA. AANGFS will continue the association with AsMA.

Board meetings will continue. The AFRES and Active duty do support AsMA.

Would like to see more liberal standards for older pilots and support for the SME.

Flight medicine. Need to have senior level leaders attend AsMA as Board of

Directors.

Alliance should seek input into the standards developed by the active Duty Air

Force. Air Force relies heavily on the committees of AsMA. If not a fellow in

AsMA, will not get on the committees. Must become a known entity. Robinson: have BOG at AsMA. Webster is a RAM. Will Sobel continue to be a constituent organization with AsMA. Lloyd: AsMA have a very labarythine CME approval process. Annie will discuss with Russ Ramon.

V. Old Business

A. AANGFS picture party--LtCol Wyrick

B. PME update and thoughts--BGen Harmon

1. Recruiting AANGFS members and discussion —

2. Col Terry Would like to make the membership solicitation yearly.

3. He also suggested sponsorship, a great idea already used by some members.

4. Col Terry was to be working on new members.

5. Membership of the SAS should encourage membership. Col Robinson will address the issue.

6. For new AMP graduates (Guardsmen graduate about 45 per year), Dr.

Pinkston will supply the list, and then BGen Sobel will visit AMP course.

LtCol Lloyd would also be a good choice. May also rotate with unit commanders from surrounding states.

7. Newsletter editor will send newsletter and CD to the new AMP attendees.

8. BGen Sobel will generate the membership package.

9. Give new flight docs one year free membership?

C. Training: ease of getting flight docs to schools and courses

D. Deployment issues

E. FEMA Issues

VI. New Business

A. AMSUS 2003 Issues

B. HSM/AsMA 2004 Issues

C. Membership nominating committee: LtCol Clee Lloyd as immediate past president will do so and solicit volunteers

D. Flight surgeon badge requirements: Current ANG/SG consolidated log letter attached. Col Muller and Major Pinkston will look in to issue. (late entry, Col

Muller checked with his local HOSM for draft of proposed regulation from which they are working, information attached, Thanks Reid)

VII. Other items

.

VIII. Adjourn

Leadership issues:

Flight surgeon badges: Randy Falk Pinkston

Elections/nominating committee is Clee Lloyd:

Terry: Mike Paletta to do ADFAC, quarterly. Decisions affect information to the

Guard. General James will be in position for several years. ADFAC. Issues might not make it to the Director. Relationships are important. Line primary and secondary members alternate. Wing commanders must go through ORI.

11-401 in process of change

Respectfully Submitted,

LtCol William W. Pond, MD

Secretary, AANGFS

Alliance of Air National Guard Flight Surgeons

Annual Business Meeting:

1400 November 11, 2002

Room 207/208

Louisville KY Convention Center

President, BGen Annie Sobel called the meeting to order. By consensus, format was informal, collegial and results/consensus oriented.

Vice president & historian, LtCol Brett Wyrick, SAS, Hawaii encouraged Alliance membership.

He also encouraged senior members to get their junior members into the organization. He suggested bringing younger docs to HSM/AsMA. As historian, he also requested records.

Richard Terry has done an outstanding job of compiling and organizing information that he then passed on to Brett. Brett also announced that there will be a picture party at AsMA for which he will schedule the time and provide the pizza.

Secretary, LtCol Bill Pond reported that minutes from prior meetings are available for inspection. Minutes will also be available on the website. LtCol Pond distributed (at no cost to the AANGFS) CDs to officers and Board members and other interested members. These CDs contain the current AANGFS database in Access 2002, database converted to Access 2000 and newsletters to back to 1998.

Newsletter Editor, LtCol Bill Pond reported that the newsletter is in excellent health.

Outstanding contributors make for an outstanding publication. Technical improvements continue since the editor now has access to a duplexing tabloid sized laser printer that allows color printing on high gloss paper. Printing costs are substantially less ($0.098 per page) than commercial ($0.87 per page) since the AANGFS is charged only for paper and ink. Mailing costs is $0.37-0.60 depending upon the number of pages. With the permission of the Board, during the summer a mailing was sent to update the database. This has saved substantial

AANGFS funds by eliminating unnecessary mailings. With the permission of the Board, membership solicitation with an enclosed, addressed return envelope was a resounding success.

LtCol Pond delivered membership checks of almost $2,000.00 to VP Brett Wyrick. BGen Gerry

Harmon emphasized the importance of contributions to the newsletter.

Col Kirk Martin, Treasurer had to leave before the meeting but he left the information to be presented by Brett Wyrick. Balance in the account is $12,519.49. (Prior to receipt of membership dues and prior to paying for Newsletter printing and mailing.)

Multiple Issues Forum:

BGen Harmon talked about recruitment, PME. AWC may not be required for Col in the medical corps. General Jumper now requires AWC or senior service school, but this may not be the case in the future. The issue is being studied. AWC is required for promotion to general officer.

PME may need to be tailored for the particular field. All advanced education is not the same.

Col Terry echoed thoughts regarding recruiting new flight docs. The flight docs may be more

inclined to come to HSM. BGen Sobel tasked Col Terry to look into the issue. One member expressed concern about losing people to the army guard due to bonuses. Another talked about getting the senior docs and commanders to recruit. Another talked about difficulty in getting docs to school. LtCol Wyrick talked about Maj Pinkston being the POC for docs wanting to go to school. Col Pasternak talked about giving new flight docs a 1 year membership. The

Alliance is still talking about the same issues of recruitment. Unless people have a buy in, there is no reason to participate. Participation in the organization is what gets members fired up. Get docs to AsMA, get them involved, and make them leaders. Jim Nelson from Ohio talked about

PME, multiple organizations, perception of the AANGFS as a club, the value of the organization, the difficulties that other organizations experience. The organization must have value. The issue is one of money, but younger members cannot come because they do not have experience to bring it.

Action: BGen Sobel appointed Membership Task Force Chairman: Richard Terry with report at next meeting.

Col Bruce Guerdan reported on the educational program for AsMA on the Sunday. Speakers will be combination of operational and educational. Hanger 9 Barbeque on the Sunday evening.

Anniversary dates are usually formal. Formal banquet is usually held with the change of officers. Annie suggested keeping informal at AsMA 2003 but the formalities be saved for

AsMA 2004. Whinnery lecture Col David Jones & Dr. Bob Rosano(?) re post traumatic stress.

Col Guerdan re CCATT training. Col Falk then commented.

ADFAC: Col Terry is the flight doc representative. This is a line function. Bruce Guerdan is the

“belly button” for operational issues (SME, CCATT), Mike Poletta for team aerospace. The line has needs that are similar to the medics. Change is coming. AANGFS nominating committee is composed of Col Terry (chairman) and the past presidents. No nominations yet since terms are for 2 years. Work with the FEMA regions for synergy.

Brett Wyrick moved to recognize lecturers with a plaque up to $200.00.

Reid Muller from New York talked about website www.angfs.com

. Current version of flight surgeon’s guide updated to include EMEDS, WMD.

Final Issue: AMSUS discussion.

Guard CCATT Organization:

Gerry Doyle, William Pond & Bruce Guerdan will look into it.

Respectfully Submitted,

LtCol William W. Pond, MD

Secretary, AANGFS

AANGFS Board of Governors Meeting:

1730 November 11, 2002

Room 207/208

Louisville KY Convention Center

Educational Meeting Effort Expenditure and Logistics:

Background: Preparation for an educational meeting requires significant time and energy.

Dividing energy between AMSUS & HSM/AsMA is difficult. The program at AMSUS 2002 is a transition year. Due to logistical issues, more Guard activities and education is transferring from autumn AMSUS to spring HSM/AsMA. HSM/AsMA will be the focus of energy for the

AANGFS.

Action: AANGFS will prepare the educational program at HSM/AsMA with Air Force Reserve

Flight Surgeons invited. AANGFS will no longer provide an educational program at AMSUS.

Educational Meeting Content:

Background: All flight surgeons including junior ones must have continued skill education and verification as specified by the RSV (Readiness Skills Verification) skill set for 48G3. Because of the small number of flight surgeons at each unit and lack of unit-level training, such training is best accomplished at a central location. Commanders must have justification to send flight docs to meeting. Periodic RSV skills sets must be accomplished, some as a minimum of every 2 years. The Air Force Reserves had for several years an Aeromedical Sustainment Course that was then merged with the Team Aerospace Meeting (TAOS), but the number of positions available for Guardsmen was very limited.

Action: Consideration will be given to formulating the Educational program to meet Air Force

Readiness Skills Verification requirements as part of the AsMA/HSM program. Documentation will be given to each flight doc.

Interchange of information:

Background: Members felt that an open exchange of information among commanders, advisors, assistants, and flight docs is beneficial. The session with LtGen Taylor was very productive.

Action: AANGFS President, BGen Sobel will communicate request by AANGFS. BGen

Harmon will relay this to the Advisors & Assistants. A 2-hour time block will be scheduled at

HSM/AsMA, probably best left to MGen Higdon.

Social Event:

Background: The annual social event should be accomplished at the location attended by the most AANGFS members. More, especially the younger ones, will be attending HSM/AsMA.

Action: AANGFS will host the social event at HSM/AsMA. The formal social event will be scheduled for the change of AANGFS officer years, i.e., 2003 will be informal, 2004 will be formal.

Respectfully submitted,

LtCol William W. Pond, MD

Secretary, AANGFS

5.11 Flight Surgeon Badges

The local Host Operations System Manager (HOSM) is authorized to approve all assignment of flight surgeon ratings as long as the flight surgeon meets criteria. These criteria are as follows:

Chief Flight Surgeon: At least 15 years rated service as a flight surgeon and at least 750 total hour, or 132 months of operational flying duty as a flight surgeon or pilotphysician in aircrew position indicator “5” (API-5).

Senior Flight Surgeon: At least 7 years rated service as a flight surgeon and at least 350 total hours, or 72 months of operational flying duty as a flight surgeon or pilotphysician in API “5”. Note, this change deleted the testing requirement for the award of the Senior Flight Surgeon rating.

Flight Surgeon: Medical students must be a graduate of the aerospace medicine primary course and complete their one-year post graduate training. Note: The aviation service date for medical students will begin on the class starting date of the Aerospace

Medicine Primary Course.

Working HOSM Proposal

C D LIN

E

A B E

Rating

(Note 1)

Rated Service or

Military

Formal Flying Time

Training (Note (Note 3)

OFDA (Notes Application

4, 5, and 16) Required

2)

33 Chief Flight At least 15 At least 750 144 Months No

Surgeon years rated total hours operational service as a logged as a flying duty as flight surgeon, flight surgeon permanent or a flight surgeon or award of

USAF Senior flight surgeon

Pilot-

Physician

(Notes 6

13-15) and rating, 1 year on active flying status

(ASC 8A and

API 5), and

34 Senior Flight At least 7 At least 350 72 months No

Surgeon years total total hours operational rated service logged as a flying duty as as flight flight surgeon a flight surgeon, or permanent award of

USAF flight surgeon or pilotphysician

(Notes 6 and

13-15) surgeon rating,

1 year on active flying status (ASC

8A and API

5), and

35 Flight

Surgeon

None No USAF officer None graduate of the

Aerospace

Medicine

Primary

Course,

Unrestricted

Medical

License, and awarded

AFSC 48XX

F

Other Requirements and Remarks (Note

6)

Qualified for aviation service

(active or inactive

FSC) or considered a rated asset in the

ARC and medically qualified Flying

Class II. Pilotphysicians see para

2.9.

Qualified aviation for service

(active or inactive

FSC) or considered a rated asset in the

ARC and medically qualified Flying

Class II. Pilotphysicians see para

2.9.

Qualified for aviation service and medically qualified

Flying Class II

36 Graduate of None like training conducted by other military

US service and holds a designation

None Yes Qualified by the

USAF

General

Surgeon and medically qualified

Flying Class II comparable to

USAF flight surgeon

NOTES:

1. Only USAF commissioned officers may receive USAF ratings.

2. Compute years of rated service from the date the officer received the basic USAF rating

(normally graduation date of UFT). Do not include breaks in aviation service. Breaks include periods of suspensions, disqualifications, separation, resignation, or relieved from aviation service.

3. Time logged in the specific aeronautical specialty only and student time logged in training leading to award of the basic rating. For example, navigator or student navigator time does not count for advanced pilot ratings.

4. OFDA credited after date of entry into training leading to the basic rating. For example,

OFDA credited as a navigator is not creditable toward advanced pilot ratings.

5. Individuals may earn OFDA months toward award of advanced ratings after their 18th year of aviation service. Officers in continuous or conditional ACIP status after the 18 th

year of aviation service must occupy an active flying position (API -1, 2, 6, 7, and 8) for at least 15 days in a given month, and perform OFDA-creditable flying duties which adhere to the conditional ACIP requirements in the DoDFMR 7000.14-R, Volume 7, Part A, DoDFMR).

6. Flight surgeons (API 5) months on status badge-credit must adhere to the DoDFMR flight requirements in order to credit a month of flying.

7. When an AF member qualifies for the Astronaut qualifier, the Astronaut Qualifier symbol may be worn (superimposed) on the rated badge they are eligible to wear. This is not a separate

USAF rating.

8. Former Naval and Marine Corps flight officers who completed the basic Naval Flight Officer and Radar Intercept Officer courses and received the USAF Observer rating, may request award of the USAF Navigator rating.

12. The ASD, which determines continuous ACIP, will be based on the date the initial AO was published IAW current directives at one of the FTU’s. An ASD cannot be established until an officer has been assigned to a formal flying course at one of the designated FTUs.

13. Rated members who possess the command/master/chief rating as of the effective date of this instruction are grandfathered.

14. Rated members, who possess a senior rating as of the effective date of this instruction, must accrue 144 months OFDA for the command/master rating.

15. All other rated members must accrue 72 months OFDA for the senior rating and 144 months

OFDA for award of the command/master/chief ratings.

16. After 7/15 years of rated service, use the 16 th

of a month when meeting OFDA requirement

(prior to 18 year gate) or date of flight when member reached hour milestone requirement for effective date of AO.

2.9. Pilot-Physicians. Flight surgeons that also perform duties as pilot-physicians are eligible for advanced ratings both as flight surgeons and pilots. They may apply any USAF pilot years of aviation service, OFDA, and flying hours accrued before attaining flight surgeon status toward advanced pilot ratings. After attaining pilot-physician status, all hours flown as a pilot, and operational flying duty credit accrued as a pilot, may be "dual-credited" toward advanced pilot and flight surgeon ratings as long as the member is on AOs as an active pilot-physician

(authorized a FAC 9). Hours flown as a flight surgeon, however, may be applied only towards advanced flight surgeon ratings.

For example: Major Lloyd was approved for pilot-physician status, and was assigned a FAC 9.

Prior to her assignment to a FAC 9, she accrued 2500 total pilot hours. She has flown 50 hours as a pilot and 10 hours as a flight surgeon since assignment to the FAC 9 position.

The 2500 pilot hours accrued prior to the officer becoming a qualified pilotphysician may be applied only towards an advanced pilot rating.

The 50 pilot hours flown since assignment to the FAC 9 position may be used towards both advanced flight surgeon and advanced pilot ratings.

The 10 hours flown as a flight surgeon since assignment to the FAC 9 position, however, may be applied only towards the advanced flight surgeon rating.

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