Posted on Sep 21, 2019
How does the Army plan to support mission while getting rid of an MOS?
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I was at my battalion S1 taking care of something for a soldier of mine; the gentleman asked me what my MOS was and informed me the official message just came out that the Army is getting ride of the following MOS’s 68D (Surg Tech), 68U (ENT Tech), 68N (Cardio Tech). I why that Army is getting rid of 68U and 68N, but not the 68D as they are deployable and kinda have an important job in the OR.
In this car would the Army just hire contactors to fill roles down range or would a medic end up filling that spot.
In this car would the Army just hire contactors to fill roles down range or would a medic end up filling that spot.
68D: Operating Room Specialist
MOS
Posted 6 y ago
Responses: 4
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SPC (Join to see) use your CAC and log onto the branch proponent mil suite and see what doctrine/MOS change is going on. They'll merge MOSs and reconfigure doctrine. Perhaps under this new DHA concept, a joint capability will be leveraged.
There must be a proponent decision to the CSA for major DOTLMPF change like this.
There is nothing I found that 68D is going anywhere. USAREC still has the MOS for recruiting. But I'm an old gray beard and not inside the AKO JKO sphere anymore.
There must be a proponent decision to the CSA for major DOTLMPF change like this.
There is nothing I found that 68D is going anywhere. USAREC still has the MOS for recruiting. But I'm an old gray beard and not inside the AKO JKO sphere anymore.
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They've been saying that for years, it will he years before it happens as well.
A few years ago, back in 2013 or so, those MOSs were ASIs of 68W, much like F2, flight paramedic, falls under 68W. The people who managed these ASIs came to the conclusion that it would be easier to manage them and keep them in the hospital if they had their own MOSs. After all, why train someone for a year to be an LPN or a Cardio Cath tech for them to go back out on the line to be a 68W later?
What really happened is that the promotion rates for those jobs plummeted because they are ultra low density MOSs. I don't know of that's the particular reason that AMEDD has proposed to merge the MOSs again, but I'd bet it's a substantial factor. There are other factors that probably contribute to it as well. If they become an ASI again the branch manager can control who comes into the ASI because they review and approve all the training. When it's an entry level MOS you have to accept whatever genius or idiot the MEPS puts in that seat. By already be 68W qualified you are ensuring that there will be less failures. By requiring letters of recommendation from the chain of command you can ensure the character of the soldiers you place into these sensitive positions is of a high quality. In the higher ranks you don't need an LPN to be in the hospital. They can perform just find as an NCO on the line. That opens up more positions for promotion by combining the two together.
So, while it may seem like a strange change to you, AMEDD has been splitting and combining hospital and field medics for decades. When I became a medic in 2006, the Army had just combined the field medic and hospital medic (91B & 91C) into combat medic (91W).
A few years ago, back in 2013 or so, those MOSs were ASIs of 68W, much like F2, flight paramedic, falls under 68W. The people who managed these ASIs came to the conclusion that it would be easier to manage them and keep them in the hospital if they had their own MOSs. After all, why train someone for a year to be an LPN or a Cardio Cath tech for them to go back out on the line to be a 68W later?
What really happened is that the promotion rates for those jobs plummeted because they are ultra low density MOSs. I don't know of that's the particular reason that AMEDD has proposed to merge the MOSs again, but I'd bet it's a substantial factor. There are other factors that probably contribute to it as well. If they become an ASI again the branch manager can control who comes into the ASI because they review and approve all the training. When it's an entry level MOS you have to accept whatever genius or idiot the MEPS puts in that seat. By already be 68W qualified you are ensuring that there will be less failures. By requiring letters of recommendation from the chain of command you can ensure the character of the soldiers you place into these sensitive positions is of a high quality. In the higher ranks you don't need an LPN to be in the hospital. They can perform just find as an NCO on the line. That opens up more positions for promotion by combining the two together.
So, while it may seem like a strange change to you, AMEDD has been splitting and combining hospital and field medics for decades. When I became a medic in 2006, the Army had just combined the field medic and hospital medic (91B & 91C) into combat medic (91W).
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With the reverse PROFIS process for TDA assigned 68D's, the changes from CSH to Field Hospitals and the FST's the MOS will not be going away. I have heard about the MOS going away since I re-classed into it and the the only change I see is that there will be more TO&E assigned 68D's compared to current allocations.
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For a FY20 action, someone in DHA or the branch proponent offices has to have a working decision brief. https://federalnewsnetwork.com/defense-main/2019/04/dod-plans-to-cut-18000-uniformed-health-positions-but-no-clear-plan-to-replace-them/
DoD plans to cut 18,000 uniformed health positions, but no clear plan to replace them | Federal...
The military is already starting to downsize its uniformed medical cadre, but there is no clear plan to replace the 18,000 positions it’s eliminating with civilian providers.
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SSG (Join to see)
I've also seen some MOSs remain even though I never hear about that MOS being utilized in theater (army laundry specialists for example).
I understand some MOSs can be better managed by civilians but then the DoD has to be hard on those civilian replacements to actually perform. This article looked at Tricare for a possibility, they're so-so. But overall I don't think they should be looking at what's bare minimum numbers for battlefield operations. If that's the case, this sort of manning decision should come from other career fields in the military. They could combine MOSs, some MOSs in the army are being converted to RC only and even then would serve best by being an ASI or better integrated with similar MOSs.
I can see if they said they'll take certain not top priority medical specialties across DoD and either have one branch man that MOS or provide oversight for Joint Medical Capabilities reasons in theater. Just my takeaway from the article sir.
I understand some MOSs can be better managed by civilians but then the DoD has to be hard on those civilian replacements to actually perform. This article looked at Tricare for a possibility, they're so-so. But overall I don't think they should be looking at what's bare minimum numbers for battlefield operations. If that's the case, this sort of manning decision should come from other career fields in the military. They could combine MOSs, some MOSs in the army are being converted to RC only and even then would serve best by being an ASI or better integrated with similar MOSs.
I can see if they said they'll take certain not top priority medical specialties across DoD and either have one branch man that MOS or provide oversight for Joint Medical Capabilities reasons in theater. Just my takeaway from the article sir.
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LTC Jason Mackay
SSG (Join to see) - when they talk Tricare, they are talking non-deployed missions. They have to have a uniformed service member. One cold argue that contractors are already far "forward". I think you'll find senior leaders back tracking off this after the depth and breadth in Afghanistan and Iraq and the associated issues that posed.
People confuse what they see homestation with deployed health care. The people in "admin" hospital settings are actually wartraced through PROFIS to a tactical formation like a CSH, C Company, or An FST. when the mission comes up they are ripped out of the cushy hospital setting and jammed in an expeditionary role in one of those type of treatment units down range, often as a complete pick up team due to nondeployable hot swapping.
Many, including decision makers, don't fully understand this. The role in Garrison is secondary but it gets all the focus because of they ICE surveys and balanced scorecard impacting complaints in Garrison. No realization that they are essentially being borrowed from the tactical formations they are wartraced to.
People confuse what they see homestation with deployed health care. The people in "admin" hospital settings are actually wartraced through PROFIS to a tactical formation like a CSH, C Company, or An FST. when the mission comes up they are ripped out of the cushy hospital setting and jammed in an expeditionary role in one of those type of treatment units down range, often as a complete pick up team due to nondeployable hot swapping.
Many, including decision makers, don't fully understand this. The role in Garrison is secondary but it gets all the focus because of they ICE surveys and balanced scorecard impacting complaints in Garrison. No realization that they are essentially being borrowed from the tactical formations they are wartraced to.
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