USPHS Physicians Professional Advisory Committee (PPAC)
United State Public Health Service


  RADM David Rutstein, MD, MPH 
• Chief Professional Officer of the PPAC

• Chief Medical Officer of the USPHS

• Director: Office of Force Readiness and Deployment,
                 Office of the Surgeon General

5600 Fishers Lane, Room 18C-26
Rockville, MD 20857
Phone: (301) 443-3859
Fax: (301) 443-1525

david.rutstein@hhs.gov
Biography

Message
   
10/07/08 New!        
Message     12/28/07
Message
    01/10/07
Message     08/07/06

Message     09/27/05
Message
    06/17/05

____________________________________________
CAPT David Rutstein,  MD, Chief Professional Officer, USPHS Physicians
RADM David Rutstein, MD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Biography

October 1, 2007 CAPT Rutstein was promoted to the rank of RADM.

April 1, 2007, CAPT Rutstein was appointed Director of OFRD. He retains his positions as Chief Medical Officer for the PHS, and Chief Professional Officer of the PPAC.

CAPT David Rutstein was selected as the Deputy Chief Medical Officer (Physician Chief Professional Officer) effective June 1, 2005. As of July 26, 2005, the Deputy CMO of the PHS became the Chief Medical Officer (CMO), at the direction of the Surgeon General, who relinquished that title.

The CMO is responsible for providing leadership and coordination of US Public Health Service (PHS) medical professional affairs for the Office of the Surgeon General and the Department, as well as guidance and advice to the Physician Professional Advisory Committee on matters such as the recruitment, assignment, deployment, retention, and career development of PHS physicians. In addition, CAPT Rutstein is the Director of the Office of International Health Affairs and senior advisor to the administrator in the Health Resources and Services Administration (HRSA).

He began his medical education at Morehouse School of Medicine and graduated from Brown University Medical School. CAPT Rutstein completed residency training in family medicine at Natividad Medical Center in Salinas, California and is a diplomate of the American Board of Family Practice.

After completing residency training, CAPT Rutstein served for 13 years as a National Health Service Corps family physician in the state hospitals of Pohnpei and Yap, both in the Federated States of Micronesia. While in Micronesia, CAPT Rutstein directed a wide array of clinical and public health initiatives, substantially improving the health care and public health infrastructure in the country. In 2000, CAPT Rutstein returned from Micronesia to assume the Chief Clinical Officer and subsequently the Chief Medical Officer positions of the National Health Service Corps, with broad administrative and leadership responsibilities concerning clinical and public health issues. In 2003, he became the Deputy Associate Administrator for Health Professions in HRSA sharing responsibility for the development, distribution and retention of the health care workforce serving underserved populations in the United States. In 2005 he assumed his current position in HRSA.

In late 2005 CAPT Rutstein left HRSA and became the Deputy Director, Office of Disease Prevention and Health Promotion OS/OPHS, with his office in the PHS headquarters in Rockville, MD. He is currently serving on a detail to the White House.

CAPT Rutstein has been a regular corps officer since 2004, and has received numerous awards and honors, from within the PHS and the private sector. Some of these include the PHS Distinguished Service Medal, the PHS Outstanding Service Medal with Valor, the PHS Citation, the PHS Outstanding Unit Citation, the PHS Crisis Response Service Award, two PHS Isolated Hardship Awards, the PHS Foreign Duty Award and an Honorary Medical Degree as well as a Distinguished Alumnus Award, both from Morehouse School of Medicine.

In addition to his administrative responsibilities, CAPT Rutstein continues to serve as a family physician at East of the River Community Health Center in Washington, D.C. as well as an occasional instructor of both Advanced Trauma Life Support and Tropical Medicine/Public Health at the Uniformed Services University of the Health Sciences.
_________________________________________________________________________________________

Message from CAPT Rutstein 10/7/2008 New!

From: Rutstein, David (OS)
Sent: Tuesday, October 07, 2008 5:31 PM
To: COMMCORPS_MEDOFFCRS@LIST.NIH.GOV
Subject: Medical Category Update


Colleagues:

Greetings from Rockville, Maryland! It's been about 10 months since my last
message to the Corps' physicians. Unchanged from my previous message,
medical officers continue to serve admirably in diverse capacities
throughout the Corps. As clinicians, epidemiologists, administrators,
regulators, researchers and managers, medical officers remain the heart of
our Service. Regardless of geography or hierarchy, most of us work in
positions of critical importance to communities or programs, dedicated to
the health and well-being of others. In addition, we are highly represented
in leadership roles, occupying many highly visible and critical
Agency/Office positions. Overall, we remain the central component of the
only uniformed service dedicated to public health.

Still, there have been some changes of interest to the medical category.
More changes are on the horizon.

Retention and Recruitment
Unfortunately, our numbers continue to decline. Today, 07 October 2008,
there are 975 medical officers in the Corps, which represents 15.7% of all
the officers (6,214) on active duty. So far, in calendar year 2008, we've
experienced a net loss of 35 medical officers, a contraction that remains
on par with an approximate annual loss of 50 officers over the last 5
years. Furthermore, many medical officers are currently retirement eligible
(26.7%) and many more will be so within the next 5 years (52.5%). As is
true for the other uniformed services, fewer physicians are in the
traditional pipelines to become new medical officers.

We've made some headway in implementing some policies designed to address
this declining force strength. Resulting from the White Paper produced by
the Physician Professional Advisory Committee (PPAC), the medical special
pay rates were restructured and increased. Over 90% of the medical officers
in the Corps are eligible to take advantage of these pay increases. We hope
to move forward on the remaining suggested changes articulated in the White
Paper as well.

The Assistant Secretary for Health and the Acting Surgeon General approved
a two-year pilot initiative to increase the accession of physicians into
the Corps by removing some impediments. This pilot will make it easier for
physicians who have already decided to separate from other uniformed
services to enter the Corps via inter-service transfers. Established,
practicing physicians from the private sector should also have an easier
time entering the Corps. The pilot will be evaluated at its conclusion to
determine if its objectives were met. We now must focus greater recruitment
efforts on physicians completing residencies.

Also approved and initiated was the Assignment Inceptive Pay (AIP) pilot.
AIP is a financial incentive to serve in a critical public health
assignment. Largely under the control of Agencies and Offices, officers in
selected assignments may receive additional monthly pay (maximum:
$3,000/month). The assignments must be: isolated/hardship, or; hazardous,
or; hard-to-fill assignments that can only be filled by a medical or dental
officer, or; designated by Agencies as 'Critical Needs Assignments'. CCI
631.02 (http://dcp.psc.gov/eccis/documents/cci6_3_1_02.pdf) delineates the
details of the AIP pilot. The submission timelines for the pilot are very
short but Agency liaisons have been briefed and general instructions were
posted today on the CCMIS website. The potential exists for many medical
officers to benefit from AIP. Medical officers should contact their Agency
liaisons for further guidance about AIP. This pilot will also be evaluated
after a two-year period.

Promotions
Medical officers eligible for competitive promotion this coming year have
been notified by the Office of Commissioned Corps Operations. Notifications
were posted on each eligible officer's Secure Area of the Commissioned
Corps Management Information System (CCMIS) website (http://dcp.psc.gov).
In addition, 2009 Promotion Benchmarks are available on the CCMIS website
(http://dcp.psc.gov/PY2009.aspx). Medical officers eligible for competitive
promotion should prepare their files by updating résumés and ensuring
readiness. Each officer must also be certain to complete a Commissioned
Officer Effectiveness Report, access to which is also located in the Secure
Area of the CCMIS website. Relevant regulations and forms regarding
promotions are located in the promotion information webpage
(http://dcp.psc.gov/ccbulletin/articles/promotions_table_of_contents.aspx).
The PPAC website also contains valuable promotion information (http://usphs-
ppac.org/ProfessionalAdvancement.htm
).

Leadership Change
My term as your Chief Medical Officer will end in June 2009, and now is the
time to identify the next medical officer to serve in this capacity.
Agencies and Offices within and outside the Department of Health and Human
Services have been encouraged to submit nominations of qualified medical
officers. Many Commissioned Corps liaisons have communicated this
opportunity to eligible medical officers under their purview. CCI 23.4.6
(http://dcp.psc.gov/eccis/documents/CCPM23_4_6.pdf) delineates the
nomination criteria and process. To facilitate their nomination, interested
medical officers should obtain supervisory approval and communicate with
their Agency/Office liaisons. Ideally, the next Chief Medical Officer will
be selected by the end of this calendar year so as to allow adequate
overlap. I look forward to working with the selected medical officer to
ensure a productive transition.

I am continually impressed by the caliber of our category: physicians who
have chosen to practice their professions in the arena of public service.
The history of public health is replete with your accomplishments, as will
be its future. As always, I welcome your questions, concerns, advice and
counsel. Please feel free to contact me by email at david.rutstein@hhs.gov
or by telephone at 301.443.3859. It has been and will remain an honor for
me to serve you.

All the best,

David Rutstein, M.D., M.P.H.
RADM, USPHS
Chief Medical Officer

_____________________________________________________________

Message from CAPT Rutstein 06/17/2005

Colleagues:

It gives me great pleasure to write to you in my new role as Chief Professional Officer for the Medical Category of the United States Public Health Service. I am honored to have been chosen for this 4-year position and will strive to be worthy of the confidence placed in me by our Surgeon General, VADM Richard Carmona. I am particularly aware of the critical period in the Corps’ history in which I assume this position—a post 9/11 era during which the Corps has been called upon to undergo a major transformation. In carrying out my duties (which include providing leadership and coordination of medical professional affairs for the Office of the Surgeon General and the Department of Health and Human Services, as well as guidance and advice to the Physician Professional Advisory Committee on matters such as the recruitment, assignment, deployment, retention, and career development of US PHS physicians), I will need the support, insight and creative ideas of all of you, the physicians in the Commissioned Corps. I welcome your advice and counsel.

All of you (there are 1,112 officers in the Medical Category as of today) are integral to the Commissioned Corps. Your work in diverse assignments profoundly affects the people of the United States, as well as populations around the world. You shepherd critical research and regulatory projects through giant bureaucracies, conduct ongoing disease surveillance activities, accept difficult and sometimes dangerous assignments, care for underserved and disenfranchised populations, promote health and prevent disease—and you do all this with little or no public recognition. Regardless of the agency to which you are assigned, you have chosen service over material reward, and demonstrate day in and day out a genuine desire to serve humanity, particularly those in greatest need. I am humbled by the awesome responsibility of representing all of you, a collective cadre without equal, anywhere.

In recent years, the Corps has seen a decline in the number of physicians entering service. This is particularly alarming given the public health challenges facing the nation. The rising burden of non-communicable diseases continues to strain our health care resources, especially for the underserved. Obesity, diabetes and heart disease continue to rage forward in our nation. Meanwhile, we face an ever increasing threat of infectious diseases—diseases that are no longer contained by geographic or political boundaries. More than one million Americans are now living with HIV and recent experiences with SARS and West Nile Virus may pale into insignificance should influenza once again attain pandemic proportions. Recent events around the globe have highlighted the degree to which HIV/AIDS, tuberculosis, malaria, poverty, natural disasters of near Biblical proportions and political instability in resource poor countries continue to threaten the health of the entire human race.

Our organizational response must include the recruitment and retention of globally-minded physicians, and we must assist those already in the Corps to develop a greater appreciation of the health threats looming abroad. Equally important is the need for the Corps’ physicians to develop a greater sensitivity and knowledge of public health issues—issues facing our nation and the planet it shares with others. The fascination with curing disease, the dedication to all patients, and the willingness to endure personal hardship for the noble calling of medicine must be effectively extended to the domestic and international practice of public health.

I look forward to working with all of you as we address these and other important challenges. Feel free to contact me with your thoughts and ideas. I can be reached by email at david.rutstein@HHS.GOV or by telephone at (240) 443-6588. I am confident that, working together over the next 4 years, the Medical Category of the Commissioned Corps will grow and flourish, commensurate with its vital role and considerable influence, in protecting, promoting, and advancing the health and safety of the Nation.

All the best,

CAPT David Rutstein
Chief Professional Officer, Medical Category

______________________________________________________________________________________

From: CAPT David Rutstein [david.rutstein@HHS.GOV]
Sent: Monday, August 07, 2006 2:36 PM
To: COMMCORPS_MEDOFFCRS@LIST.NIH.GOV
Subject: Message From Chief Medical Officer

Physicians of the Commissioned Corps

Colleagues:

It has been nearly a year since my last letter to you as the Chief Medical Officer of the United States Public Health Service (USPHS). A great deal has happened in the USPHS over the last year including:
  • The public health emergencies created by hurricanes Katrina, Rita and Wilma along our Gulf Coast and the laudable response of the Commissioned Corps
  • The attainment of our 70% readiness goal across the Corps (we are at 73.5% now) the increased promotion rates afforded the medical
    category
  • The announcement on January 18, 2006 by Secretary Leavitt of the Transformation of the Commissioned Corps and the swearing-in of our new Assistant Secretary for Health, ADM John Agwunobi
  • The increased visibility of the Corps as a result of The Federal Response to Hurricane Katrina: Lessons Learned released by the White House in February
  • The departure of VADM Richard Carmona, the 17th Surgeon General of the
    United States at the conclusion of his term
  • The designation, from within our ranks, of RADM Kenneth Moritsugu as the Acting Surgeon General
  • The appointment, also from within our ranks, of RADM W. Craig Vanderwagen as the Assistant Secretary for Public Health Emergency Preparedness
Each of these events is significant. No doubt, their collective influence on the future of the Commissioned Corps and medical category will be profound.

Meanwhile, medical officers throughout the Corps continue to serve with excellence in diverse and significant ways. In the last few months I have had the pleasure of visiting the National Institutes of Health (NIH) and the Centers for Disease Control and Prevention (CDC) for the sole purpose of meeting, advising and learning from medical officers, and have been inspired by the capacity of our officers and our category. I am grateful to the medical officers at the NIH and CDC for their willingness to arrange and host these visits - visits that served to improve communication and address concerns. I look forward to upcoming visits to several locations within the Indian Health Service as well as to the Food and Drug Administration for the same purposes, and to meeting more of you at these and other locations.

You have received this letter via the new Listserv (commcorps_medoffcrs@list.nih.gov)
established by your Physicians Professional Advisory Committee (PPAC).

Its purpose is to facilitate better communication from your Chief Medical Officer and/or your PPAC to all the medical officers within the Commissioned Corps. Understanding that you may already be overwhelmed with emails that arrive to your inbox, we will use this listserv judiciously. You will only receive major communications relevant to the medical category, and for now, communications will be one-way - from us to you. We are working on a variety of issues relevant to the medical category and you will be hearing from me about these and other issues as they progress.

As always, should you wish, I encourage you to contact me directly with your thoughts and concerns at david.rutstein@hhs.gov or by telephone at 240.443-6588.

Ours is a category within the USPHS that is held in the highest esteem, from within the Corps and outside it. Daily, our officers advance the science, health and strength of our Nation - and I amgrateful to all of you for your continued pursuit of excellence in service to humanity. The future of the USPHS is bright, in large part due to the collective devotion to service, excellence and leadership you demonstrate as medical officers within the Corps.

All the best,

CAPT David Rutstein
Chief Medical Officer, USPHS

_______________________________________________________________________________________

From: CAPT David Rutstein [david.rutstein@HHS.GOV]
Sent: Wednesday, January 10, 2007 4:49 PM
To: List CCRF
Subject: OFRD Message to Commissioned Officers of the USPHS

Colleagues:

It gives me great pleasure to write to you in my new role as Acting Director of the Office of Force Readiness and Deployment (OFRD). I am honored to have been asked to serve in this position and will strive to be worthy of the confidence placed in me by our Acting Surgeon General, RADM Kenneth Moritsugu. I have enormous shoes to fill. RADM John Babb, who served as the previous OFRD Director, is a man of spotless integrity, selfless devotion to the service of this Nation, proven ability, and a well-trained mind – made all the more impressive by his exemplary humility. No doubt, I will be consulting him often as I attempt to build upon what he so expertly created. The Corps, the Department, and the Nation are better off because of RADM Babb.

I am particularly aware of the critical period in the Corps’ history in which OFRD engages in this work—a post-9/11 and post-Katrina era during which the Corps has been called upon, under Secretary Leavitt’s guidance and direction, to undergo a major transformation. As a part of this transformation, Secretary Leavitt has made increasing the operational capacity of the Corps a high priority and has made the Corps’ renewal one of his top priorities for the remainder of his term in office. Officers and civilians throughout the Department, with the support of all the Agencies in which Commissioned Officers are assigned, continue to work tirelessly to make the Corps better able to respond to a wide variety of public health emergencies. OFRD and its excellent staff will continue to play a vital role in ensuring that you, the human assets brought to bear during public health emergencies, are trained, rostered, deployed and supported in the best possible ways, and that this takes place with minimal disruption to agency-specific missions.

While carrying out my responsibilities in OFRD, I will also continue in my role as Chief Medical Officer of the U.S. Public Health Service. In carrying out all my duties I will need the support, insight and creative ideas of all of you, the officers of the Commissioned Corps. I welcome your advice and counsel. Please feel free to contact me for any reason at david.rutstein@hhs.gov or by telephone at 301.443.6588.

All the best,

David Rutstein, MD, MPH
CAPT, USPHS
Director (Acting), OFRD
_____________________________________________________________________________________

-----Original Message-----
From: Rutstein, David (OS)
Sent: Friday, December 28, 2007 3:56 PM
To: COMMCORPS_MEDOFFCRS@LIST.NIH.GOV
Subject: Medical Category Update

Colleagues:

As we approach the end of calendar year 2007, I want to briefly update you as to the status of the medical category of the U.S. Public Health Service's Commissioned Corps.

Today, 28 December 2007, there are 1,010 medical officers in the Corps, which represents 16.85% of all the officers (5,993) on active duty. We are the second largest of the 11 categories of the Corps.

The medical category remains vital to the Corps. We are distributed throughout 11 different Agencies within the Department of Health and Human Services (HHS) and in another 6 Departments/Organizations outside HHS. We are engaged in the delivery of clinical care; disease surveillance and prevention; regulatory work; research; policy development; health care and/or project administration; in combinations of some or all of these; and, in public health emergency deployment (on response teams or as individuals), where physician participation is required for the provision of clinical and non-clinical services.

Our ranks are distributed as follows: 37 Lieutenants; 190 Lieutenant Commanders; 253 Commanders; 504 Captains; 16 Rear Admirals (Lower) and 10 Rear Admirals (Upper).

Regardless of rank or discipline, we occupy an inordinate number of the leadership positions within HHS and non-HHS agencies at which medical officers are assigned. We occupy many of the senior leadership positions of the Corps. However, over the past several years we have seen a gradual but steady decrease in the number of medical officers within the Corps, amounting to a net loss of approximately 50 medical officers per year.

Partly in response to this trend, and partly because of unprecedented opportunity to address the issue, we convened a special pay working group of the Physician Professional Advisory Committee (PPAC) to draft a White Paper in which we proposed the re-structuring of the special pays available to medical officers within the Corps. We hope the net result will be a simpler system of generally higher medical special pay that will more closely approximate the pay levels of physicians in the civilian world (Federal and non-Federal); is more consistent with the needs of the Commissioned Corps and the Agencies which utilize medical officers; and provides greater incentive for officers to remain on active duty after reaching 20 years of creditable service. The White Paper underwent numerous revisions as a series of town meetings, open forums and Webinars were conducted to elicit widespread category input. While this process is far from complete, the White Paper is finished and will be sent forward to the Commissioned Corps and Departmental leadership for consideration and, hopefully, adoption of some or all of its provisions. We believe the result will be to stimulate recruitment of more physicians into the Corps and promote the retention of those that are already commissioned.

This past year we have seen physicians assume senior Corps' leadership posts, including:

* the appointment of Donald Wright, MD, MPH as the Acting Assistant Secretary for Health
* the appointment from within our ranks of RADM Steven Galson as the Acting Surgeon General
* the appointment, also from within our ranks, of RADM Sam Shekar as the new Senior Advisor for Transformation.

I am confident that the current set of skilled and dedicated leaders will facilitate the continued growth of the Corps.

Secretary Leavitt challenged the Corps to reach 6,600 officers by January 2009. To do this, a special recruiting focus has been placed on 4 categories within the Corps: Medical, Dental, Nursing, and Pharmacy.

Greater human and financial resources have been devoted to recruitment and the processes for accession into the Corps have been streamlined. This portends well for growth of the medical category in the coming year - a growth that will benefit the Corps and the Agencies in which Corps officers are assigned, within and external to HHS.

With the conclusion of this calendar year, the Chairmanship of the Physician Professional Advisory Committee (PPAC) will change. CAPT Jeffrey Kopp will be stepping down after a truly stellar year of PPAC leadership. During his tenure, CAPT Kopp distinguished himself as a gifted and passionate advocate for the breadth of medical officers within the category. His establishment of the Medical Officer Web Portal and drafting and distribution of regular and informative PPAC newsletters served to significantly increase the communication with and between Commissioned Corps physicians, regardless of their programmatic or geographic assignment. In addition to conducting regular PPAC meetings, CAPT Kopp also personally represented the medical category on the Discipline and Retention WIPT, participated on various WPDG conference calls during the year, and he attended, contributed to, recorded and summarized for the category the combined monthly meetings of the SGPAC/CPO Board and PPAC Chairs. And, perhaps his final crowning achievement this year on behalf of the category was his shepherding of the medical special pay White Paper I referenced earlier. We are a better category and Corps because of CAPT Kopp's diligence and commitment to a spirit of service this past year, and we all are deeply indebted to him.

CDR Narayan Nair will assume the PPAC Chairmanship during calendar year 2008. CDR Nair is an exemplary physician and a dedicated public servant. I have no doubt that CDR Nair will guide the PPAC with aplomb, and in his characteristically understated way, will be invaluable to the PPAC and to the entire medical category. Please give CDR Nair all your support as he takes on the sizable responsibility of leading the PPAC.

Medical officers wishing greater involvement in PPAC activities, or seeking information about the Corps' medical category should visit the excellent PPAC web site at http://usphs-ppac.org.

Having completed 2 ½ years of my 4-year term as your Chief Professional Officer, I am convinced more than ever of the collective value you bring to the country as public health physicians. I repeatedly learn of the outstanding achievements, the innovative discoveries and the heroic actions made by medical officers of the Commissioned Corps and I am continually amazed by the skill, intelligence and passion for service evinced by you, my colleagues. I am proud to serve with each and every one of you. Please accept my best wishes for a joyous Holiday season and happy New Year as we work together to protect, promote, and advance the health and safety of our Nation.

Sincerely,

RADM David Rutstein
Chief Medical Officer, USPHS
david.rutstein@hhs.gov

 

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Last Updated: October 9, 2008
Contact Web Master:
CAPT Judith L. Bader, MD, USPHS