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Home » SOF News » Special Forces and Blue Cross/Shield Streamline Path for Future PAs

Special Forces and Blue Cross/Shield Streamline Path for Future PAs

by Jack Murphy · December 7, 2012 · Posted In: SOF News, USASOC
OspreyRGR
CHAPEL HILL – During multiple deployments as a U.S. Army Special Forces medical sergeant, David Costa said he provided care for civilian children with cuts and bruises, worked to stop bleeding from gunshot wounds and prepared patients for transport.

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“I’ve pretty much seen the country from one dust pile to the next,” Costa said of Afghanistan. He said he was been deployed eight times to the country or Iraq, and would “easily” do it again. He said he found the work rewarding.

He’s now a master sergeant at the Tactical Human Operations Rehabilitation and Reconditioning Program at Fort Bragg.

To build on the training of Special Forces medical sergeants like Costa, the University of North Carolina School of Medicine and the state’s largest insurer, Blue Cross and Blue Shield of North Carolina, announced a plan to create a two-year master’s degree program. The program would prepare veteran medical sergeants to be physician assistants.

“They deserve opportunities to continue their healing work when their military service ends, and when they get that chance, we will all benefit,” said Holden Thorp, chancellor of UNC-Chapel Hill, at a news conference at the Rizzo Conference Center in Chapel Hill.

The program would enroll its first class in 2015. It would start with about 15 students, said Dr. Amelia Drake, executive associate dean of academic programs at the UNC School of Medicine. The program needs approval from the UNC Board of Governors, and Drake said they’ll be seeking accreditation.

Read more: The Herald-Sun – UNC to train special forces vets as physician assistants

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Amur'ica
Amur'ica 5pts

The military already has the IPAP program where a soldier will PCS to Ft Sam for 29 months and complete their training. What is the benefit of this program over the IPAPA. Many 18Ds have completed this program.

Amur'ica
Amur'ica 5pts

And what i worry about this UNC program is a financial gain for both the insurance companies and the school. Will this lock these previous 18D into a career field such as rural/underserved areas of medicine?

dickftr
dickftr 5pts

I would like if it started by the second semester 2013.

usapatriotonthemove
usapatriotonthemove 5pts

Great Idea, It's about time someone started thinking outside the damn box. 

jcoggins23
jcoggins23 5pts

The PA profession was created by Dr. Eugene Stead at Duke in the 60s because he recognized the invaluable resource of the knowledge and experiences of the military corpsman/medic. The first 4 PAs in history were former navy corpsmen. As a PA, who went to Duke and met the man who founded the profession, I am glad to see a program going back to the profession's roots (even if it is at UNC).

hjw1dr
hjw1dr 5pts like.author.displayName like.author.displayName like.author.displayName like.author.displayName 4 Like

Seriously, programs such as this one by UNC-Chapel Hill funded by BCBS are forward thinking. What better way to harvest the hard earned experience and expertise of  medics and provide a vocational exit strategy that is fairly well paying and needed? The next step would be to apply medic experience toward credits toward Physical Therapist or nursing with an emphasis toward Nurse Practiioners. Those fields are under served, but require the equivalent of a masters degree in most states.

Nurse practioners are poised to fill the gap in the growing shortage of physicians (espeially in rural or under served areas). In rural areas, Nurse Practioners can make well into the 6 figures -- depending on experience and contracts with insurance/ government.  

dickftr
dickftr 5pts

 @hjw1dr Excellent ! I still store my medic training of  '75. I've used it on cattle and horses too.

RVN SF VET
RVN SF VET 5pts like.author.displayName like.author.displayName like.author.displayName like.author.displayName 4 Like

 @hjw1dr There are many jobs which are better-filled with veterans and disabled combat veterans. One example would be 911 operators and Coast Guard civilian radio operators. Someone who served in combat as an RTO or forward observer is far better equipped to handle emergency traffic for the Coast Guard. I use the Coast Guard as an example because I am familiar with the low quality of many of their uniformed radio operators manning fixed shoreside stations. In some areas there are volunteer civilians who do a much better job. The Coast Guard does not have an RTO school per se and it shows. This is just one example, but a veteran in a wheelchair is many times better qualified for this type of job than someone who is not classified as being disabled.

 

I don't think there is enough thought being applied to the best civilian equivalency positions for disabled veterans. I bring this up because the UNC program shows this type of thought applied to a different class of veteran. I would point out that a disabled 18D is equally well-qualified for diagnostic work as is one who is not disabled. The VA is perfectly capable of supporting this type of program. Of course, the same for mechanics and other disciplines.

hjw1dr
hjw1dr 5pts like.author.displayName like.author.displayName 2 Like

 @RVN SF VET  Totally agree.  I'd love to get  in there and dig away at or streamline matching vets (those disabled or otherwise) with applied exit careers. So much more could be done. 

 

FYI: A portion (about 30%)  of my business is contracted to do vocational evaluations for civilians and government employees in rehab (those who were identified eligible for disability, but wish to return to work (located in Texas only) ..  We work with all sorts of agencies,Federal and State (Texas) and have contacts with corporations and small businesses for supported work. Surprisingly a local University has also approached us to set up a vocational exit program for graduates.

But Veteran Admin has been a black hole. We have proposed programs several times but get nowhere. All I can assume is that they are keeping everything in house due to pending budget cuts. It's a political swamp. Very frustrating, as I would love to offer services to returning vets. 

 

RVN SF VET
RVN SF VET 5pts like.author.displayName like.author.displayName 2 Like

Duke University had the first PA program (around 1970) and the classes were predominantly Army SF veterans. Some of those PAs went on to become doctors (one was part of the Grenada "rescue"). The intent of this program is to provide rural areas with medical support. They haven't mentioned it on the news down here, but when they talked about the need for rural medical care, I wondered if they intended to make such service mandatory if you got a free ride at UNC. Isn't there a class of Navy Corpsmen who are trained for independent duty as the only medic on a ship like those who serve on submarines? I had the impression that they too had advanced training. Are the highly trained PJs also 18Ds?

SaysMyDerbyWife
SaysMyDerbyWife 5pts

 @RVN SF VET I think you are referring to Independent Duty Corpsmen.  I don't know the MOS number or Rate Code that the Navy uses, but they are not as well trained as 18D's (course is not as long), but do go on smaller vessels, remote locations, etc. to provide a level of care above the average Hospital Man.  

RVN SF VET
RVN SF VET 5pts like.author.displayName 1 Like

 @SaysMyDerbyWife Thank you. That was the designator I was reaching for. I believe that most of these folks could be brought up to a common standard and then take the university course. Right now, the federal government pay a premium to various medical professionals who serve in certain rural areas. I met some vacationing here in Eastern NC and they were from Kentucky and Tennessee. They say that the only drawback to their locations is that they do not get to engage with other doctors and specialists who populate urban areas. This need is fast becoming greater as medicine becomes corporate medicine. Large hospital corporations are buying up medical practices with the doctors becoming hospital employees. When you get MBAs running medicine, there are many undesirable policies that result. Believe it or not, the Federal Trade Commission has gotten off its posterior and is suing some of these corporations for their anti-competitive practices. There are worse things than Obamacare. I'm old enough to remember when Blue Cross/Blue Shield was a non-profit insurer. Things were much better then and practices didn't have to have large "backoffices" dedicated to handling insurance billing.

50run50gun
50run50gun 5pts like.author.displayName like.author.displayName like.author.displayName 3 Like

Real world experience goes a long, long way. This is a great idea.

shagstar
shagstar 5pts

a question for the today's Army guy's,,,37yrs ago i was a 91/b,,i think today it's a 68/w,,how long is the school now?

ArcticWarrior
ArcticWarrior 5pts like.author.displayName like.author.displayName 2 Like

 @shagstar

 I think it depends on the ASI.

 We had an old 18D ( SFC. T ) as our doc and that dude was awesome, I think he did some trauma work in civie hospitals at one time,could do an umbilical hernia with a K-Bar. One time when my toe nails fell off on my right foot during a EIB march he patched me up to do my water survival test the next day, dude was everything from high tech to witchdoctor. In the cold weather he was a life saver, and limb and digit saver. And he could ruck and fight with the best of them even though he was an old timer ( Sorry doc ; ) ) 

  Good to see opportunities for the Docs in the dirt.

hjw1dr
hjw1dr 5pts

 @JackMurphyRGR   How do you crank out these terrific stories?  fast fingers? :) 

LauraWalkerKC
LauraWalkerKC moderator 5pts like.author.displayName like.author.displayName like.author.displayName 3 Like

 @hjw1dr  @JackMurphyRGR Jack's a sekret DARPA program. 

hjw1dr
hjw1dr 5pts like.author.displayName like.author.displayName 2 Like

 @LauraWalkerKC  @JackMurphyRGR    A DARPA program, huh? Guess explains why he's so logical. Well, most of the time... lol 

HM1 (FMF) Ret.
HM1 (FMF) Ret. 5pts like.author.displayName like.author.displayName like.author.displayName like.author.displayName 4 Like

Three of the guys that taught me allot about combat medicine were SEAL's a PA Lt and a Nurse that were prior SEAL HM's and a nurse Lcdr that was a SEAL GM. They after getting over the young guys enthusam and hunger for war stories took the time to train their Corpsman and had a style of leadership that made me seekout the FMF to find it again. The blueside was lacking minus these 3 leaders and a program that is going to hopefully put bars on the collars of better leaders has restored my faith in Navy medicine, well on the blueside at least.

LauraWalkerKC
LauraWalkerKC moderator 5pts like.author.displayName like.author.displayName like.author.displayName like.author.displayName 4 Like

Great program - BCBS has always been solid for me & mine.  Happy to see them stepping up in such a practical way.  Hope it is a massive success and inspires more companies to do the same.

Txazz
Txazz 5pts like.author.displayName like.author.displayName like.author.displayName 3 Like

Exciting news and want to see more of these opportunities for medically trained Vets.  How awesome is this!  Thanks for sharing, Jack.

shagstar
shagstar 5pts like.author.displayName like.author.displayName like.author.displayName like.author.displayName 4 Like

what a great opportunity,,you couldn't ask for better candidates.  excellent decision UNC 

PeteLett
PeteLett 5pts

I'm curious, will this program also be available to SEAL medics who have completed the full 18D course?

FeatheredandLethal
FeatheredandLethal 5pts

 @PeteLett They'll be too busy making movies and video games to get their PA degree

PeteLett
PeteLett 5pts

 @FeatheredandLethal I meant besides them haha.

JackMurphyRGR
JackMurphyRGR moderator 5pts like.author.displayName 1 Like

 @HM1 (FMF) Ret.  @FeatheredandLethal  @PeteLett SEALs are probably the best taken care of unit within the military so I'm not too worried about it...

HM1 (FMF) Ret.
HM1 (FMF) Ret. 5pts

@FeatheredandLethal @PeteLett Well I won't troll the form, but I won't also not say that while it was a joke it was a little tasteless. It is like going to a gradguation and making a crack about the standards. Thanks for the humor, but back to the topic; I hope that SEAL 18D's are included too.

FeatheredandLethal
FeatheredandLethal 5pts

 @HM1 (FMF) Ret.  @PeteLett  @FeatheredandLethal It's a joke, kinda.  If you cant chuckle and shrug that off then...

HM1 (FMF) Ret.
HM1 (FMF) Ret. 5pts like.author.displayName 1 Like

@PeteLett @FeatheredandLethal That was a little harsh...

flhtse05
flhtse05 5pts like.author.displayName like.author.displayName like.author.displayName like.author.displayName 4 Like

Outstanding! Kudos to the University and Blue Cross Blue Shield.

StormR
StormR 5pts like.author.displayName like.author.displayName 2 Like

This is great news!

ColonelProp
ColonelProp 5pts like.author.displayName like.author.displayName 2 Like

Excellent - well done UNC.

HM1 (FMF) Ret.
HM1 (FMF) Ret. 5pts like.author.displayName like.author.displayName 2 Like

Bout Time!!

LauraKinCA
LauraKinCA 5pts like.author.displayName like.author.displayName 2 Like

 @HM1 (FMF) Ret.

 I remember talking to you about wishing for something like this to fast track medics and take advantage of their great OTJ training. Hopefully, this will be a successful program that is replicated at other universities. How are you by the way? Been a while.

HM1 (FMF) Ret.
HM1 (FMF) Ret. 5pts like.author.displayName 1 Like

@LauraKinCA Busy as hell running my company, but good. I really think they should add Surface, Recon, and Sub Surface IDC's to that list, but still a step in the right direction. I think UNC will probably be acrediting the courses that's why it is just thees for now. Hope all is well with you too.

HM1 (FMF) Ret.
HM1 (FMF) Ret. 5pts like.author.displayName 1 Like

@LauraKinCA @HM3usn99 Done.

LauraKinCA
LauraKinCA 5pts like.author.displayName 1 Like

 @HM1 (FMF) Ret.    @HM3usn99

 You are now officially being followed :) I also sent you a tweet. Once you follow me back and Twitter recognizes it all, send me a DM and I will give you the scoop.

HM1 (FMF) Ret.
HM1 (FMF) Ret. 5pts like.author.displayName 1 Like

@LauraKinCA Shoot me a tweet @HM3usn99 I will private message it to you.

LauraKinCA
LauraKinCA 5pts like.author.displayName 1 Like

 @HM1 (FMF) Ret.  

 Things are goo, thanks. A bunch of the regulars are planning a meet up in June and would love it if you want to join us. If so, let me know and I can get you an email to use for contact.

jct95
jct95 5pts like.author.displayName like.author.displayName like.author.displayName like.author.displayName like.author.displayName 5 Like

That's f***ing awesome

jrexilius
jrexilius moderator 5pts like.author.displayName like.author.displayName 2 Like

 @jct95  agreed.

VermontPT
VermontPT 5pts like.author.displayName like.author.displayName like.author.displayName 3 Like

Kudos to David Costa and BlueCross/Blue Shield. This, my friends, is wonderful and yet another reason why not going to 'universal healthcare' and moving forward with a system that includes independent health insurance companies is best for America. You would not see Uncle Sam footing the bill for this program. I work in healthcare and with the coming of the Affordable Care Act (ObamaCare) in the new year, one of the changes you are going to see is a shift to physicians using more 'mid-level' providers such as PA's and Nurse Practitioners. I hope that after a successful first class, they are able to increase the class size from 15, because studies have shown that the US will have a shortage of 52,000 physicians by 2025 (and that doesn't include the shortage ObamaCare will bring) Here's the link to back up those numbers: http://thehill.com/blogs/healthwatch/public-global-health/268985-study-us-faces-doc-shortage-of-52000-

 

(And thanks Jack for writing this piece...I'm putting in for a civilian PT job with DoA at Fort Bragg...it didn't specify if it was THOR3, but good to know about it because those are the highly motivated folks I want to be working with) 

JackMurphyRGR
JackMurphyRGR moderator 5pts like.author.displayName like.author.displayName like.author.displayName 3 Like

 @VermontPT I didn't write this, I'm just reposting to help spread the word.

VermontPT
VermontPT 5pts like.author.displayName 1 Like

 @JackMurphyRGR Thanks for sharing, then.

 

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