U.S. Public Health Service: Its a Career and an Adventure!!! 1 RADM Timothy L. Ricks, DMD, MPH Chief Professional Officer, USPHS Assistant Surgeon General of U.S. DMD from University of Mississippi, MPH from University of Nevada-Reno, DPH residency from the Indian Health Service Board-certified Diplomate of the American Board of Dental Public Health Deputy Director of IHS Division of Oral Health and Continuing Dental Education Coordinator Over 60 awards, including 4-time national clinical dentist of the year in the Indian Health Service As Chief Dental Officer, helps provide guidance and oversight to over 1,000 dentists in 6 agencies in over 600 dental facilities 2 Mission and Core Values Protect, promote, and advance the health and safety of our Nation
Rapid and effective response to public health needs Leadership and excellence in public health practices Advancement of public health science Core values: leadership, service, integrity, excellence 3 Where Dentists Work 4 Indian Health Service Population 2.3 million American Indians and Alaska Natives Children, adolescents, and adults in 573 recognized Tribes Types of facilities 404 dental programs located in 35 states Most dental programs are co-located with medical programs Types of dental procedures Operative, endodontics, periodontics, exodontia, prosthodontics Levels of services are dependent on location Emphasis is on providing basic dental care to a vastly underserved population
Health Resources and Services Administration Oral Health Program Funding and Management Ryan White HIV/AIDS program for education and reimbursement ($11.8 million) Maternal and Child Health Services block grants to state programs ($667 million) National Health Service Corps loan/scholarship program ($310 million; includes 1,300 dentists/hygienists and 120 dental students) Health Center Program Treat rural and underserved populations (1 in 13 people in U.S.) 43% increase in dental visits to health centers in 2015 Nearly 1,400 health centers, 91% providing dental services Centers of Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Help people and communities prevent chronic diseases and promote health and wellness for all Count people with chronic disease, study ways to prevent and control disease, fund interventions, share information
Division of Oral Health Monitor and study oral health, diseases, and cancer Extend proven prevention strategies Guide infection control in dentistry Increase state oral health program capacity and effectiveness Dental Public Health Residency National Institute of Dental and Craniofacial Research Part of the National Institutes of Health in Bethesda, MD Basic, Translational, and Clinical Research Conduct and fund research training and career development programs Coordinate and assist research activities among community Timely transfer of knowledge gained and implications for health to the public, health professionals, and policy-makers Multiple Post-doctorate Fellowships Most eligible for living stipend and loan repayment https://www.nidcr.nih.gov/careers-training/dentists-physicians
U.S. Food and Drug Administration Medical and Dental Devices Ensure safety, efficacy, and security of dental products and devices Advance public health by helping to speed innovations that make products more effective, safer, and more affordable Help public get accurate, science-based information needed to use products Receive reports of adverse events, initiate recalls as needed Office of Medical Products and Tobacco Center for Devices and Radiological Health Center for Biologics Evaluation and Research Center for Drug Evaluation and Research Center for Tobacco Products Federal Bureau of Prisons Population More than 100 institutions across the U.S. 170,000 male and female inmates, variety of offenses
Types of facilities Stand-alone location to multi-institution Complexes High security Penitentiary to minimum security Prison Camp Medical Centers for medically complex Types of dental procedures Operative, endodontics, periodontics, exodontia, removable prosthodontics No Fixed Dental Prostheses (FDPs) U.S. Immigration and Customs Enforcement Health Service Corps Population Direct care for 13,500 detainees at 21 facilities across U.S. Case management for 15,000 detainees at 119 contract facilities Children, adolescents, and adult detainees Types of facilities Stand-alone facilities in urban and rural locations Most locations on Southern border, also Northeast and WA Types of dental procedures Operative, exodontia, limited endodontics No FDPs or prosthodontics
U.S. Coast Guard Population 41,000 Active Duty male and female Coast Guardsmen Members of Department of Defense assigned to USCG stations Types of facilities 26 clinics at USCG stations across the contiguous U.S. and Alaska Commissioned Corps dental officers, contract dentists at some locations Types of dental procedures Operative, endodontics, periodontics, exodontia, prosthodontics, implants USPHS Dentist Roles Clinical Clinic Staff Dentist or Specialist Administrative Chief Dental Officer Regional Consultant Program Management Public Health
Population-based interventions Natural disaster response Research Policy/guidelines 13 Personnel Systems Civil Service Commissioned Corps Direct Tribal Hire Contract Dentist Student Externships 14 Civil Service Dentists
Federal government employee of agency Salary and benefits paid by U.S. government (set by Congress) Paid vacation and sick leave, 10 annual federal holidays 40-hour work week with overtime (unless receiving market pay) For dentists, Title 38 market pay is now available in the IHS Career advancement and relocation expenses Work in all agencies except USCG Find open positions on usajobs.gov Filter for agency or location 15 Civil Service Pay and Benefits GS Grade
$138,709 Annual Base Pay from chart above, increases as approved by Congress AND Locality pay based on location (e.g. Denver adds 25.47%) AND Additional Title 38 Market Pay to more closely match median dentist salaries (e.g. total pay may be approximately $120K) Matching 401K (TSP) contributions up to 5% of base pay Retirement plan (percentage of highest 3 years) 16 Commissioned Corps Dentists Commissioned on Active Duty in USPHS Same basic pay and benefits as Active Duty military 30 days paid vacation, 10 annual federal holidays 40-hour work week without overtime Natural disaster and significant event deployments Career advancement and relocation expenses
Work in all agencies Application Process Hired by an agency, then commissioned as an officer Lengthy medical, financial, and FBI clearance screening process 17 Commissioned Corps Pay and Benefits Cumulative Years of Service Pay Grade 0-8 0-7 0-6 0-5 0-4 0-3 2 or less Over 2
Over 3 Over 4 Over 6 Over 8 Over 10 Over 12 Over 14 Over 16 Over 18 Over 20 Over 22 10,398.60 10,739.40 10,965.60 11,028.60 11,310.90 11,781.90 11,891.40 12,339.00 10,467.40 12,852.90 13,410.90 13,925.10 14,268.30 8,640.60 9,041.70 9,227.70 9,375.30 9,642.60 9,906.90 10,212.30 10,516.80 10,822.20 11,781.90 12,591.90 12,591.90 12,591.90 6,552.30 7,198.50 7,671.00 7,671.00 7,700.40 8,030.40 8,073.90 8,073.90 8,532.60 9,343.80 9,819.90 10,295.70 10,566.60 5,462.40 6,153.60 6,579.00 6,659.40 6,925.50 7,084.20 7,434.00 7,690.80 8,022.30 8,529.60 8,770.50 9,009.30 9,280.20
4,713.00 5,455.50 5,820.00 5,900.70 6,238.50 6,601.20 7,052.70 7,403.70 7,647.60 7,788.00 7,869.30 7,869.30 7,869.30 4,143.90 4,697.10 5,069.70 5,527.80 5,793.00 6,083.40 6,271.20 6,580.20 6,741.60 6,741.60 6,741.60 6,741.60 6,741.60 Monthly Base Pay from chart above, Congress approves change Tax-free locality pay based on location/rank (e.g. $2,500 per month in Denver) Annual Specialty Pay ($20,000 up to $125,000) with commitment Signing Bonus ($150,000 to $300,000) with 4-year commitment Matching 401K (TSP) contributions up to 5% of base pay Retirement plan (percentage of highest 3 years) Post-9/11 GI Bill benefits (transferrable to spouse/child with commitment) 18 Other Personnel Systems Direct Tribal Hire
Employee of specific tribe Negotiated salary, benefits, and work week comparable to civil service IHS loan repayment eligible Dental procedures and hours approved by tribe Openings found at https://www.ihs.gov/dentistry/currentopenings/ Contractors Hired directly by agency or tribe Employment salary and work period established by contract Responsible for paying income tax and FICA quarterly No workplace retirement benefits Work in BOP, IHS, IHSC, USCG 19 Student Externships
IHS Externship Program Third-year dental students Various locations in Alaska and around U.S. Apply in January and complete externship that Summer (https://www.ihs.gov/dentistry/dentalexternships/) Senior Commissioned Officer Student Training and Extern Program (SRCOSTEP) Full O-1 pay and benefits for fourth year of dental school Job placement with sponsoring agency and relocation expenses after graduation Active Duty commitment for twice the time sponsored Apply in Sept Oct of third year (https://www.usphs.gov/ student/srcostep.aspx) 20 Special Benefits National Health Service Corps Loan Repayment Program Up to $60,000 toward eligible loans for 2-year commitment Must serve in community-based site in Health Professional Shortage Area (HPSA) Civil Service and Commissioned Corps eligible (https://nhsc.hrsa.gov/loan-repayment/how-to-apply)
Loan Repayment (IHS) Up to $40,000 toward eligible loans for 2-year commitment Civil Service, Commissioned Corps, and Direct Tribal Hire eligible (https://www.ihs.gov/loanrepayment/) 21 Special Benefits Long-term Training opportunities Assigned to a role not previously mentioned (e.g. CDC Global Health Program or Epidemic Intelligence Service) for specified period Attend advanced education opportunity or residency program 22 Agency Contact Information BOP: BOP-HSD/[email protected] CDC:
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