UNIQUE COMMISSIONED CORPS ASSIGNMENTS I DIDN’T KNOW WE DID THAT!

1. UNIQUE COMMISSIONED CORPS ASSIGNMENTSI DIDN’T KNOW WE DID THAT!

2. CDR Amy DuBois, MD, MPH, FACS Assignment: Medical Epidemiologist with President’s Emergency Plan For AIDS Relief (PEPFAR) in Guyana and Mozambique (2005-2011) Agency: CDC Division of Global HIV/AIDS, Office of the Director Tour: 2 years renewable up to 6 years in one country/8 years overseas

3. Job Duties & Description • Manage and provide technical leadership to USG inter-agency global HIV/AIDS programming • Cultivate collegial relationships with the Host Nation government, Universities, non-governmental organizations, US Embassy officials, and offices of international organizations (UNAIDS, WHO, World Bank, Global Fund for AIDS/TB/Malaria et al.) • Provide technical assistance on a range of multi-disciplinary issues: clinical guidelines, national strategy development, monitoring and evaluation, surveillance, operational research, quality assurance, health information systems, coordination of programs and donors • Serve as project officer for grants to local and international partners • Serve as a diplomatic representative of the United States Government and advise the Ambassador on health issues

4. Public Health Significance of the Assignment • Global health is a priority for HHS http://www.globalhealth.gov/global-programs-and-initiatives/global-health-strategy/index.html • Global health threats impact the US population in today’s inter-connected world and global economy • Global Health programs are specifically targeted at underserved populations • Health diplomacy builds positive relationships for USG around the world • Serving in the US Mission overseas provides opportunities to work directly with DOD and demonstrate who we are and what we do as PHS Officers and a sibling Uniformed Service

5. Building health systems, mentoring, supporting public health education, staffing VIP visits, representing USG

6. How Do I Sign Up? • Officially, USAJobs.gov but severe limitations to site functionality; your fellow officers are your most valuable resource • Contact programs directly: http://www.cdc.gov/globalhealth/employment/career_in_GlobalHealth.htm http://www.fda.gov/AboutFDA/CentersOffices/OfficeofGlobalRegulatoryOperationsandPolicy/OfficeofInternationalPrograms/ucm240745.htm http://www.fda.gov/AboutFDA/CentersOffices/OfficeofGlobalRegulatoryOperationsandPolicy/OfficeofInternationalPrograms/ucm245229.htm • Challenges/Opportunities for life overseas with PHS • Language skills • Medical and Security Clearances • Family members: employment, housing, schools, culture shock • Tricare Prime Overseas • Compensation and entitlements • Overseas COA Chapters

7. CAPT Aubrey K. Miller, MD, MPH Assignments: Director, Environmental Emergencies & Disasters: OASH/Region 8 RHA(5 yr Special Position) Senior Medical Officer & Toxicologist EPA Region 8 (5 yrs, indefinite term) Senior Medical Advisor to the Director NIH/NIEHS (current, indefinite term) Focus: Environmental health emergencies & disasters Experiences: KY & OH flood, Grand Forks flood, Libby, Montana, Typhoon Pongsana, Hurricanes Lili & Katrina, Salt Lake Olympics, World Trade Center, Anthrax Response, H1N1 Response, Oil Spill Response – for CDC, FEMA, EPA, FDA, HHS/OER, & PHS

8. Job Duties & Description • Environmental exposure & health effects research • Rapid surveillance & research, epi investigations, risk assessment & communication • Emergency response & management technical assistance & coordination • Strategic, tactical, & operational support • Support for incident command, senior leadership, decision-makers • Senior Medical Advisor to the NIEHS Director on various environmental health issues • Issue analysis & policy development • Represent Institute at HHS, federal partners, academia, NGOs, communities • Facilitation & coordination of priority issues (e.g., DWH response)

9. Public Health Significance of the Assignment • Impacts of environmental hazards and disasters continue to affect millions each year and remains a priority of the public and USG • Our ability to prevent, prepare, respond, and recover from these challenges will save lives & prevent disease/injury & promote public health • Challenging & complex assignments ranging from boots on-the-ground responses to operational support to strategic analyses & decision-making • If done well we can build resiliency & infrastructure of our communities & simultaneously improve public health and reduce environmental impacts. • There are opportunities for serving in various environmental health & disaster response positions across multiple agencies including: HHS/ASPR, NDMS, NIH, CDC, FDA, IHS, Coast Guard, FEMA, DHS, EPA, DOD

11. CDR Paul Jung, MD, MPH • Assignment: Chief of Epidemiology • Agency: Peace Corps • Tour: renewable 2 year detail through HHS/OGHA (total 3 years) • Assignment: Public Health Investigator • Agency:U.S. House of Representatives, Committee on Energy & Commerce, Subcommittee on Oversight & Investigations • Tour: renewable 6 month detail through CDC/W (total 3 years)

12. Job Duties & Description • Monitored health of 7,700 Volunteers in >70 countries • Supervised international disease surveillance system • Conducted special studies on Volunteer health • Fatalities (2009 paper of the year, Journal of Travel Medicine) • Anti-malarial chemoprophylaxis • Tuberculosis risk • Mental Health accommodations • Investigated fraud, waste and abuse • Direct-to-Consumer pharmaceutical advertising • Questionable suppression of pharmaceutical clinical trial data • Conflicts of interest on government advisory panels • Human subjects protection in biomedical research • Mismanagement of medical device approvals • Questionable health insurance industry practices • Use of Bisphenol A in infant formula packaging

13. Public Health Significance of the Assignment DTC Advertising • Two misleading DTC television ads removed from air • PhRMA revised DTC advertising policy ENHANCE/Vytorin Trials • Revealed premature unblinding of trial data in Vytorin Clinical Trials Human Subjects Protection • Questionable private, for-profit IRB went out of business • Subcommittee hearing on IRB exposed significant flaws in human subjects protections BPA in Infant Formula • All major infant formula manufacturers agreed to remove BPA • FDA agreed to review safety of BPA in food packaging

15. CDR Daniel A. Singer, MD, MPH, FACP Assignments: • Epidemic Intelligence Service Officer - CDC • Luther Terry Fellow – HHS/OPHS • HHS liaison to the Department of State – HHS/OS • Senior Medical Policy Advisor • Associate Director for Global Health – NIH/NICHD Details: • White House Medical Unit • World Health Organization – Polio Eradication • Office of Foreign Disaster Assistance (USAID) • Iraq - U.S. Physician Partnership Program (HHS/OS) • U.S. Global Health Initiative (State Dept.)

16. Public Health Significance of the Assignment • Use epidemiologic tools to address emerging health threats • Use scientific evidence to inform real-world health policies • Enhance scientific capacity in low & middle income countries • Promote public health to non-health audiences • Advance health diplomacy • Caveats! (politics and personalities)

18. How Do I Sign Up? • Take the initiative • The most interesting assignments are never posted! • Network nicely • Be Helpful • Follow developments in your agency, across HHS, and in the news • Sign up for listserves of opportunities • LIST.NIH.GOV • CCEPI_LIST • CCVACANCIES • COMMCORPS_MEDOFFCRS • PHSPHYSICIANS • http://www.globalhealth.gov/about-us/careers/index.html

19. Questions? CDR Amy DuBois DuBoisA@state.gov CAPT Aubrey K. Miller Aubrey.Miller@nih.gov CDR Paul Jung PHSdoc@gmail.com CDR Daniel A. Singer singerda@mail.nih.gov