INTERNATIONAL ASSOCIATION OF MILITARY FLIGHT SURGEON PILOTS
IAMFSP NEWSLETTER WINTER 2005/6
Lt Col Mark Adams, Headquarters Director Army Aviation, Middle Wallop
Stockbridge, Hampshire SO20 8DY, United Kingdom
We are rapidly approaching our May Aerospace meeting. Thanks to the persistent hard work of Pete Mapes, Dwight Holland, and many others we have an outstanding panel lined up for Orlando. Kris Belland and I greatly appreciate the efforts that you all have contributed to IAMFSP and to AsMA.
The fact that we are a constituent organization has made it possible for your group to successfully nominate and elect IAMFSP members to key leadership positions within AsMA. As a result, IAMFSP has been able to exert a very positive influence on the course of AsMA.
It is important to maintain our membership base. Please take every opportunity to recruit new and old members to AsMA and to IAMFSP. Rod Borgie has been collecting and updating our membership information. Rod needs your help with keeping the membership addresses current.
We are planning the IAMFSP business meeting and social in Orlando. That will probably be held Wednesday evening. Unfortunately there is no way to de-conflict with the many competing organizational functions. This year we want to report the status of IAMFSP but our goal is to keep the business to a minimum. That way we can have more time dedicated for fun and hopefully a very interesting guest speaker. Kris Belland and I are requesting nominations for the IAMFSP Officer positions. We need a volunteer to take the Newsletter job. Mark Adams has been very generous but he needs a break.
VICE PRESIDENT REPORT
Great guns! Boy does time go by fast, it seems like yesterday we were in Kansas City. Orlando should be a good experience, Dave Hiland is busting butt to ensure that Orlando is even better than Kansas City. Lots of IAMFSP stuff happening behind the scenes. First we have received word back from IRS that we have approved for Tax Free status, so please consider donating, or having sponsors donate to IAMFSP. Mike Simmons as Treasurer has done gang-busters of a job, so please pay your dues, and consider donating to the cause. The program is well on its way to be OUTSTANDING, great work from Glenn Hover and Dwight Holland. Dwight continues to be involved on many levels of AsMA, and a stalwart to IAMFSP as a past president, Historian, and Co-Chair for our panels, good-guy-great-guy. We have also facilitated CAPT Steve "Legs," Schallhorn who is a world renowned laser eye surgery specialist to present a panel at AsMA this year, so IAMFSP is increasing its presence across the entire convention. Mark Adams continues to prepare the newsletter for us, well beyond any reasonable expectations, we do definitely need someone to step up to the plate to produce next year's newsletter. Ed Park has been keeping our web site up to speed, and doing a great job. Rod Borgie as Secretary has been doing some excellent work getting our data base back up to speed, working closely with Steve Hadley. We do need volunteers to run for Newsletter Editor, Secretary and Treasurer next year, would strongly suggest we consider having Ed, Rod and Mike continue for another year for continuity purposes. Working on getting a special quest speaker to say a few words at the IAMFSP meeting. The goal will be to burn through business as soon as possible, and move on to socializing.
All the best, looking forward to see you in Orlando.
Kris M. Belland
Director for Specialty Care
Charleston Naval Hospital
Work: (843) 743-7961/62
PAST PRESIDENT REPORT
“From the Back Seat"
The nice thing about serving as an immediate Past-President is that you feel relief that you handed the organization off to strong leaders, pride in where its going, and are still engaged enough to be able to help out a little. I am excited about our 2-Session Panel Program for IAMFSP this year-- there is a full plate on every HSI topic from CFIT and airframe-specific matters to footage from a space HSI-related accident. Lt Col Glenn Hover, USAF at Brooks is the session Co-chair and has been a key partner in getting these papers together this year. We hope you enjoy the panels. The immediate Past-President also serves as the Awards Chair. As a new job for me this year since May, I have been busy making sure that several of our most deserving members have been nominated for AsMA Fellow, and have also submitted one long-standing IAMFSP member for an AsMA-level academic award. I hope that all of our candidates for these awards and honors do well, and I look forward to seeing your names in lights on Honors Night! IAMFSP has had a very strong record of successful award nominees, and I hope this continues.
On the larger AsMA Home front, our finances and membership are continuing to lose ground (relative to any standard benchmarks) rather slowly, and consistently. As an AsMA Council Member-at-Large, I have been very vocal in the past 2 years both inside Council and in the Executive Committee last year for suggestions with regard to better "Systems Management" practices for AsMA. Some of the ideas were adopted, and some were not. The fact that it took over three years for my (and others) first suggestions to >re-finance our much too-high mortgage to a much more competitive market rate highlights the slowness with which AsMA can move—even when it is clear that it is in the interest of the organization to do so. By re-financing, then later paying off the mortgage, we saved AsMA over $1,000-1,500 per month-- but we had three years of "opportunity costs" hidden at over $30,000 due to the delays of paying too much, for too long. In the end, we paid off 1/2 of the home office mortgage, then paid off the rest this year. It was a good move. Thankfully, we now have a better, more formal financial plan in place, and I hope (and expect) that if the Finance Chair/Committtee adhere to this, we will not have future basic problems such as this. We also have some investment monies matters to tackle, but I think with time we will get back on track... AsMA sure can use the money to fund its numerous operations. Organizations with some money have more degrees of freedom, and relative "power"- so the Finance side of AsMA should not continue to be benignly neglected as a "back-burner" type of issue.
I have some thoughts on AsMA-level Membership matters since we are still showing year- over-year declines, but will save those for my next column. Yesterday, the AsMA Council received a note from our Executive Director Dr Russ Rayman that Ms. Jackie Carter's position will be deleted, and replaced with an Office Manager type of function. Jackie has been with us for 27 years and is retiring. She is a wonderful lady-- we will all miss her and her loyal support of AsMA over many, many years. In fact, it is hard for me to think of AsMA without her. On the other hand, we really do need an office manager, and if we find the right one, it will certainly be a move in the right direction. Godspeed, and thanks so much for your service to all of us in AsMA, Jackie!
I'd like to remind our members that we (IAMFSP) supported Dr Mike Bagshaw to become an AsMA Vice-President, and now AsMA President, and MIKE IS DOING AN EXCELLENT JOB as AsMA President. He has to balance trying to get change incorporated into the AsMA system, without breaking the organization while doing so. As most of you know-- this is a fine line that all good leaders walk--arguing for, and getting-- reasonable changes without destabilizing the underlying organization they serve. Organizations that do not change with the times die. A good friend and loyal AsMA supporter has recently >referred to AsMA as having become a bit "sclerotic" organizationally
>in some areas, with the need to be more "agile", and I tend to agree. However, I also see opportunity and a great future ahead, if we are all willing to pitch in, participate, recruit new members, and offer
constructive suggestions to help reverse some of these trends.
On a "hot-tip" type of note-- the Space Medicine Branch has received confirmation that Dr Greg Olsen will speak at the Annual Thursday Luncheon and Business meeting. Many of you are in that organization. Please get your luncheon tickets early since that luncheon will quickly sell out. Dr Olsen was the 3rd -ever space tourist, and will share his story of the long road to get into space. I think you will agree it is time well spent.
I hope everyone has a fine end-of-winter, and am looking forward to seeing you all in Orlando at our sessions and the annual Business Meeting.
Maj Dwight Holland, Ph.D., USAFR
Air Force Research Laboratory/Human Effectiveness Directorate
Greetings from sunny San Diego! For those who don’t know, I began cheerfully executing the job of secretary last year and have enjoyed getting to learn about all the members of this fantastic organization. I would love to get to know more of you; hence, I am updating a 6-year-old database of members. A big thank you to all who responded to my email information request.
There is, however, still a big void of updated material. I am finishing some updates currently and will be sending out the roster (excel format) to those who responded to my email. I request that you review your information for accuracy. If you are reading this and do not receive a roster, or you know information of some of our MIA members on the roster, please contact me at firstname.lastname@example.org. The final check will be done at Orlando this year.
Although my title as VS-41 flight surgeon will change to radiology resident this summer, my email and other contact info will remain unchanged. I appreciate the opportunity to serve and look forward to meeting all in person at Orlando this year.
“Have I finished the Capability Gap Analysis WHAT?”
By Maj Yvonne Brandt, USAFR, Aerospace Physiologist, and Maj Anthony Tvaryanus, USAF, MC, FS
It’s time to blow this taco stand and go fly. Finally, you have a chance to get away from patient care, waivers, flight physicals and ‘slip the surly bonds of earth’. Your cup runneth over.
WHAT? Colonel Debbie Downer says you need to fill out a Capability Gap Analysis Worksheet. Wa waaaahh.
Class A mishaps cost the Air Force 35 fatalities and $700 million per year (USAF Scientific Advisory Board, 2004). Over 90 percent of fatalities and 70 percent of aircraft losses are attributed to human error. The USAF is implementing a program that will reduce human error and optimize performance called Human Systems Integration (HSI) (not to be confused with Health Service Inspection (HSI) or Hyperspectral Inspection (HSI).) The idea of HSI is not new. Since the beginning of manned flight over 100 years ago, human systems considerations have been critical to mission success. Historically, concerns included hypoxia, hypothermia, noise/vibration, acceleration, and universal selection criteria (aptitude and medical). While those categories are still pertinent today, human systems considerations also encompass new missions, changing concepts of operations (CONOPS), changing new demands on the human operator and advances in technology.
Human Systems Integration (HSI) puts the warfighter at the center of the design process-equipping the warfighter rather than manning the equipment. HSI fuses the domains of manpower, personnel, training, human factors engineering, environment, safety, occupational health, survivability, and habitability in a combined effort to optimize total system performance. For example, what are the implications of increasing the complexity of a particular job? A manpower solution is to increase the manning for that position. A personnel solution is to place a more knowledgeable, highly skilled and capable person into the position. The training solution is to provide additional training for the performer. Finally, the human factors solution would be to redesign the job so that it was less complex. Optimizing the system using a single domain is insufficient. One must consider the interactions among the multiple domains. HSI allows these considerations to occur early in the design process to optimize total system performance.
AFMC is instituting Human Systems Integration (HSI) in all USAF weapon systems development and acquisition processes through a program called Airman Performance Integration or AIRPRINT. AIRPRINT will be conducted through an air staff level office. It will have responsibility for HSI on all AF programs and will perform formal assessments at major program milestones.
While the intricacies of AIRPRINT are being worked out, the Performance Enhancement Directorate at the 311th Human Systems Wing is currently working HSI issues and establishing roles that will eventually be carried out by the AIRPRINT office. It is composed of three divisions: HSI CONOPS division (PEC), Performance Enhancement Research Division (PER) and Warfighter Operations Division (PEX). (See attached HSI brochure)
PE has already achieved several successes. Although the current generation of unmanned aircraft systems (UASs) has not been a model of HSI, significant initial progress has occurred in introducing HSI into these programs. Much of the ground work has been in gathering the empirical data necessary to allow evidence-based decision making. PE is actively working to coordinate and leverage multiple HSI domains as the Air Force explores new selection and training paradigms for UAS operators, redesigns basic operator tasks, and addresses ground control station design for the next generation of systems. However, the true impact of these initial efforts may not be fully realized for several years to come – when fewer UAS operators are better able to exploit more UASs relative to today’s capabilities and assets.
Let’s sum up. You now know that HSI also means Human System Integration, a little history about HSI, AIRPRINT’s role, and PE’s organization. This leads us to the Flight Surgeon’s HSI role. AFI 48-101, paragraph 126.96.36.199.3.7 requires the SGP to: ‘Identify, collect, and forward to MAJCOM, the human weapon system (HWS) capability gap analysis for all installation/base operational missions’. You are then directed to Attachment 2, the Capability Gap Analysis Worksheet. If these questions leave you with a desire to reach for razor blades, assistance is available. You can find a HSI 101 on-line training at https://afkm.wpafb.af.mil/ASPs/CoP/EntryCoP.asp?Filter=HP-HS contained in “eLearning Courses” in the upper right corner below the calendar contained within the HSI Community of Practice. This should give you a clearer picture of the information requested on the GAP analysis worksheet and you can put the razor blades down. As directed by AFI 48-101, this worksheet is to be forwarded to MAJCOM level and it should eventually make it to the HSI practitioner in PE.
You may be thinking ‘I’ll jump right on that in all my extra free time’. True, this will be challenging for the over tasked SGP. However, this is a tasking for all of Team Aerospace. You have the flight surgeon, physiologists in Human Performance Training Teams (HPTTs) who are designed for this very purpose, bioenvironmental engineering (BEE) and public health. Secondly, consider pre-existing processes such as the Occupational Health Working Group (OHWG) that already conduct inspections of many base functions. HSI needs are base wide and cannot be limited to the flying world. After all, the flyer cannot fly without maintainers, health care, personnel--the list goes on.
Human systems integration is a process we have all thought about. Who hasn’t voiced desires of wanting to make a difference but lack the power to institute change? The Capability Gap Analysis worksheet is the most effective voice the flight surgeon has to optimize Air Force weapon systems. The USAF is on the cusp of optimizing performance never experienced before in history. General Travis states in his 27 February 2004 Skywriter Article that “In the battle space of the future we must find, fix, target, track, engage and assess agile targets in single-digit minutes”. To achieve that objective, the flight surgeon will have to take an active part as a legitimate HSI specialist to complete the HSI circle. This will allow the USAF to reap real success by maximizing air and space power.
See HSI brochure attachment
US NAVY PROGRAM REPORT
2006 began with the addition of a new AMDD (AeroMedical Dual Designator) to our cadre. LT Tim Oeltmann, USN whose prior experience as a USMC AH1W Cobra Flight Instructor, has been selected and billeted to Marine Air Group 39 at Camp Pendleton, CA. Enroute he will receive refresher training in the AH1W. His new job will eventually include an assignment at the AH1W FRS. We have 21 program participants, 7 are actively flying in their AMDD capacity.
Other USN AMDD’s are billeted at TRAWING 6 (VT-4) LT Chris Joas, as a NFO/Flight Surgeon - Instructor. NAS Patuxent River (VX-20) LT Eric Brumwell,NFO/Flight Surgeon, NAWC China Lake, CA (VX-9) CDR W.D.Agerton, Naval Aviator/Flight Surgeon – Operational Test Director, and Naval Strike Air Warfare Center, CDR Bill Davis, Fallon Nevada, Naval Aviator/Physiologist, VS-41 S3 FRS, LCDR Rod Borgie, Naval Aviator/Flight Surgeon San Diego, CA, and VAQ-129 LCDR Billy Ledbetter, Naval Aviator/Flight Surgeon, EA6B FRS.
VX-9 AMDD projects include, Joint Advanced Laser Eye Protective Visor, Joint Protective Aircrew Ensemble, Joint Service Aircrew Mask, and Life Preserver Unit – Experimental as well as many other aeromedical test projects.
Quite a few AMDD’s matriculated to residency training in the last year and hopefully be returning to the program in future years. The program also claims our IAMFSP President CAPT David Hiland as Commanding Officer of the Navy Environmental Health Center, and another IAMFSP Officer: CDR Kris Belland as the Director for Specialty Care at Naval Hospital Charleston, SC.
The program is undergoing a ground up rewrite of the governing instruction that will improve the administrative process in aquiring new AMDD’s and hopefully additional funding.
<<January 2006 Navy Program Report.doc
It has been a busy few months for all of us. Unfortunately, a second trainee SAMs has withdrawn from flying training and has chosen to return to General Practice, so we thank now both Simon and Jashan for their brief but valuable contributions to our cadre and wish them well for the future. We are down to eight regular service members, and no new entrants into the program envisaged until 2008. As always, we are on the lookout for new recruits.
Everyone else is well and working hard. The fielding of Apache continues and we are waiting still for a decision on the replacement for our ageing Lynx aircraft.
Kind regards to all
I must apologise for the delay in distributing the previous newsletter due to some ‘electronic’ difficulties between myself and the webmaster. Inevitably this edition had to be delayed also. There are some contributions missing but Dave wanted this edition out now, to leave time for a further newsletter prior to AsMA. The next edition will be out at the end of April or early May. Please consider telling us of your news and have your submissions to me before the middle of April if possible.
So what has happened in aviation to raise the spirits? Well Steve Fossett is at it again aiming to fly further than any aircraft in history in the Virgin Atlantic GlobalFlyer. He is due to touch down in this country in 48 hours from now.
Best wishes to you all.