2010-2011 Walter Reed Army Medical Center Base Guide

Page 1

Walter_Reed_Cover_2010.qxp

9/15/2010

11:46 AM

Page 1


Walter_Reed_Cover_2010.qxp

9/15/2010

11:46 AM

Page 2

Conveniently Located 2 1/2 miles north of I-495 & Less than 3 miles to NNMC

Included Amenities

BG14179WRA

q q q q q q q q q q q q q q

Pre-wired for cable & high-speed internet Newly redesigned kitchen & appliances Hardwood floors w/inlay Ceramic tiled bath 2" Plantation blinds Cherry finish kitchen cabinetry Self-cleaning ranges Side-by-side refrigerator Garbage disposal Stainless steel sinks Microwave Dishwasher Full-size washer & dryer Private entry patio w/additional storage

11460 Connecticut Avenue Kensington, MD 20895 www.rcptownhomes.com

Oversized 2 & 3 Story

Rental Townhomes on Beautifully Landscaped Grounds • 2½ & 3½ Baths • 3, 4 & 5 Bedrooms • 1,400 to 2,100 sq. ft.

301-949-4466


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 1

Contents Welcome to Walter Reed.

The 2010-2011 Walter Reed Army Medical Center (WRAMC) base guide is an authorized publication for members of WRAMC community. It is printed by Comprint Military Publications of Gaithersburg, Md., a private firm in no way connected with the Department of the Army, under exclusive written contract with the Walter Reed Army Medical Center Public Affairs Office. Comprint Military Publications is responsible for commercial advertising. Contents of this unofficial guide are not necessarily the official view of, or endorsed by, the U.S. Government, the Department of Defense, Department of the Army or Walter Reed Army Medical Center. The appearance of advertising in this publication does not constitute endorsement by the Department of the Army or the contractor of the firms, products or services advertised. Opinions expressed by the writers herein are their own and not to be considered an official expression by the Department of the Army. All editorial content of the guide is prepared, edited, provided and approved by the Public Affairs Office, Walter Reed Army Medical Center, 6900 Georgia Ave. NW, Washington, D.C. 20307-5001. Phone (202) 782-7177 or DSN 662-7177.

Major Walter Reed 1851-1902 . . . . . . . . . . . . . . . . . .2 Northern Regional Medical Command (Provisional) .3 Walter Reed Health Care System . . . . . . . . . . . . . . . .4 Principle of Shared Vision Embraced . . . . . . . . . . . .5 Main Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Walter Reed at War . . . . . . . . . . . . . . . . . . . . . . . . . .7 Patient Care, Health Care . . . . . . . . . . . . . . . . . . . . . .9 Patient Administration Directorate . . . . . . . . . . . . . .22 Clinical Education and Research . . . . . . . . . . . . . .23 Other Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25 Commanding General:

MG Carla G. Hawley-Bowland Public Affairs Officer: Chuck Dasey Deputy Public Affairs Officer: Terry J. Goodman Editor: Bernard S. Little

Contributing Photographers:

Adam Skoczylas Roger J. Mommaerts Jr. Craig Coleman Kristin Ellis Sharon Renee Taylor John R. Chew Sean Brennan

Contributing Photographers (cont.):

Bernard S. Little Michael Dukes Daniel Henry

Borden Institute . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 Chapels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31 Processing In . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32 Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33 Tricare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34 Administrative Services . . . . . . . . . . . . . . . . . . . . . .35 Recreational/ Other Services . . . . . . . . . . . . . . . . .43 Surrounding Area . . . . . . . . . . . . . . . . . . . . . . . . . .49 Telephone Directory . . . . . . . . . . . . . . . . . . . . . . . .53

Comprint Military Publications

9030 Comprint Court, Gaithersburg, MD 20877 (301) 921-2800 • dcmilitary.com

Base Guide Publisher: Matt Dunigan

Senior Account Consultant: Ryan Ebaugh

Advertising Consultants: James Constantine, Mike Spera

Graphic Designer: Barbara Goldsmith

1


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 2

Walter Reed Army Medical Center 2010-2011

Major Walter Reed 1851-1902

Walter Reed Army Medical Center is named after one of the most famous American physicians in history - Maj. Walter Reed. Born in 1851 in Belroi, Virginia to a church minister's family, Reed earned two medical degrees by his 20th birthday, the first from the University of Virginia, and the second from Bellevue Hospital Medical College in New York. In 1875, Reed applied for a commission in the Army as doctor. After passing the acceptance examinations, he served nearly 20 years at several remote posts on the American frontier, on the east coast and in the southern states. Reed treated Geronimo, the Native American leader of the Chiricahua Apache, and other Apache internees while stationed in Alabama. Reed also delivered his own children, one of whom, Walter Lawrence Reed, became an Army major general and inspector general of the Army from 1935 to 1939. In 1893, the Army transferred Reed to the Washington Barracks in Washington, D.C., and promoted him to major. He

2

also became curator of the Army Medical Museum, (established in 1862 and the predecessor to the Armed Forces Institute of Pathology, now located on the Walter Reed campus). Reed was a founding faculty member of the Army Medical School, also established in 1893. He taught at Columbian College Medical School (now George Washington University), attended lectures at Johns Hopkins in Baltimore, Md., and established a reputation as a leading physician and bacteriologist in the nation. He served on several important research teams, including the Army's typhoid board. In 1900, Reed served as head of the Yellow Fever Board in Cuba. This board proved the transmission of yellow fever was caused by the mosquito, and was largely responsible for stemming the mortality rates from yellow fever during the building of the Panama Canal. In 1902, Reed developed appendicitis and later died from its effects at age 51. He is buried in Arlington National Cemetery in his home state of Virginia.


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 3

Walter Reed Army Medical Center 2010-2011

Northern Regional Medical Command (Provisional) The commanding general of Walter Reed Army Medical Center also serves as commanding general of the Northern Regional Medical Command (Provisional), which covers 20 of the northeastern United States plus the District of Columbia. NRMC (Provisional) is one of the Army's five regional medical commands and is responsible for about 25 percent of its patient load in the United States. It provides leadership, planning and support for approximately 40 Army hospitals and clinics, which provide day-to-day health care in its area. The regional headquarters coordinates medical readiness with 200 reserve-component units in the region, working through 22 Army National Guard state area commands and six Army Reserve regional support commands. It also provides healthcare services in support of reserve-component training at 12 sites in the region. As leader of NRMC (Provisional), the Walter Reed Army Medical Center commander is responsible for the regional command as well as for the Walter Reed installation. The mission of the NRMC (Provisional) is to:

. Deploy a healthy force . Project a healthy, trained and equipped medical force . Optimize care for Warriors in Transition and all eligible beneficiaries . Enhance didactic and clinical Graduate Medical Education ("Grow the Bench") The NRMC's Vision is to be "America's leading regional health system focused on Soldier readiness and academic excellence while providing well-coordinated care for all eligible beneficiaries, and building health care teams and medical leaders of competence and character for a lifetime of service to the nation." The NRMC (Provisional) is slated to move to Fort Belvoir, Va., when Walter Reed Army Medical Center closes in September 2011.

3


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 4

Walter Reed Army Medical Center 2010-2011

Walter Reed Health Care System The Walter Reed Health Care System provides comprehensive health care for more than 150,000 Soldiers, other servicemembers, family members and retirees in the National Capital Area. Its hub is Walter Reed Army Medical Center, the clinical center of gravity of American military medicine. The system includes 10 major treatment facilities in three states. DeWitt Army Community Hospital at Fort Belvoir, Va., operates major clinical sites at Fairfax and Woodbridge, Va., as well as Rader Army Health Clinic at Fort Myer, Va., and a clinic at Fort A.P. Hill, Va. Kimbrough Ambulatory Care Center at Fort Meade, Md., operates Kirk Army Health Clinic at Aberdeen Proving Ground, Md.; Barquist Army Health Clinic at Fort Detrick, Md.; and Dunham Army Health Clinic at Carlisle Barracks, Pa. In addition, the system provides professional control, supervision and support for the DiLorenzo TRICARE Clinic at the Pentagon. Since its inception in 1995, the system has grown in scope and in clinical integration to promote ease of access, a high level of continuity between primary and specialty care, and a

4

special emphasis on measuring and improving the outcomes of care for patients with complex and high-risk disease states, putting patients at the center of key decisions about their care. The WRHCS staff of approximately 6,000 includes more than 600 Army physicians, half who are in training in more than 66 graduate medical specialty programs. Walter Reed trains the majority of the Army's physician subspecialists. In addition, it conducts training for many nursing and enlisted medical specialties. Its status as a worldwide referral center for patients with the most complex and challenging illnesses supports the high quality of its educational missions, and sustains the capabilities of its clinical staff. The Walter Reed Health Care System is also the Army's leading center of clinical research and innovation, attracting annual research support for such efforts as prostate disease research, coronary artery disease reversal, comprehensive breast care, therapy of traumatic brain injury, amputee care and limb salvage, advanced diabetes management, technical advances in robotic surgery, nursing care delivery, evaluation of balance disorders, telemedicine, treatment of chronic viral hepatitis, and many other programs.


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 5

Walter Reed Army Medical Center 2010-2011

Principles of shared vision embraced In September 2011, Walter Reed Army Medical Center shuts its doors in order to become the new Walter Reed National Military Medical Center (WRNMMC), which will be located in Bethesda, Md., where the National Naval Medical Center (NNMC) currently resides. The facility will be jointly staffed by members of the U.S. Army, U.S. Navy, U.S. Air Force and Department of Defense civilians. The genesis of this is Base Realignment and Closure 2005, announced May 13, 2005, which called for the realignment of WRAMC resources and staff to WRNMMC and Fort Belvoir Community Hospital (a larger facility replacing DeWitt Community Hospital at Fort Belvoir), and the closure of Walter Reed Army Medical Center by September 15, 2011. In August 2005, the military medical leaders in the National Capital Area (NCA) issued a shared vision of integration between NNMC, WRAMC and other military medical facilities in the NCA. "We envision one unified National Capital Area (NCA) military health care system," the leaders said. Jointly staffed inpatient campuses at WRNMMC at Bethesda (North) and Fort Belvoir, Va., (South) will provide high quality, efficient and convenient care for beneficiaries when the facilities open in 2011. The WRNMMC will serve as a world class academic medical center focused on highest quality tertiary care, Graduate Medical Education, and clinical research while serving as a worldwide military referral center. The Fort Belvoir Community Hospital will be the major satellite teaching hospital. Both campuses will be sized to provide health care at the closest facility to the beneficiary whenever clinically appropriate. There has been integration challenges to NNMC and WRAMC, but the shared vision on integration holds strong. The principles of the shared vision have guided the staffs at NNMC and WRAMC through the Program for Design process in 2006, and provided the needed framework for the architects during the design plans ("charettes") conducted in February and March 2007 for the new community hospital at Fort Belvoir and the new WRNMMC, respectively. During the same period, there have been changes in leadership at multiple facilities, but all continue to embrace and promote the principles outlined in the original shared vision. WRNMMC will be a world-class academic facility focused on the highest quality care, graduate health professional education and clinical research. Given that it is critical to the entire integrated NCA health care system, Medical Centers (MEDCENs) integration remains a major focus for NCA military medical facilities. Successful integration will contribute immeasurably to an inte-

grated health care system in the NCA that is unsurpassed in quality and relevant to NCA valued beneficiaries. The integration of the Medical Centers will not occur in a vacuum. A parallel process of integration with critical links must occur between the MEDCENs and the NCA to attain the goal of an integrated health care system. Health care services, readiness, GME (graduate medical education) and research are four very vital concepts that link the integration of the MEDCENs with the NCA. The involvement of the Uniformed Services University and Air Force medicine to the entire NCA integration effort is also critical and ongoing. In order to be successful with the integration process, all military medical facilities in the NCA must continue to provide the services and perform the functions that they do best: care of the Global War on Terrorism wounded heroes and patient and Family-centered care. Warrior Care has challenged both facilities to meet the evolving demands of providing care for traumatic brain injured, amputee, complex psychiatric patients, and polytrauma patients and their families. NNMC and WRAMC are at the forefront in these areas. The care of servicemembers injured during the defense of the nation has been and will always be the mission of NNMC and WRAMC and is a crucial part of their vision as they integrate. Incorporation of family-centered care into this new paradigm is vitally important to the success of integration in the NCA. Both will continue to provide quality primary and specialty care to all of their beneficiaries in a patient and Family-centered environment. The Department of Defense has counted on WRAMC and NNMC for their comprehensive health care needs. The centers have met this challenge and must continue to meet it as they move forward. The vision of the integration must be converted into an executable plan. As NNMC and WRAMC maneuver through this very complicated process, they must evolve to meet both NCA and MEDCEN integration challenges. These are truly exciting times and the realization of WRAMC/NNMC shared vision for the new WRNMMC as a worldclass academic facility focused on the highest quality care, graduate health professional education and research requires continued support and enthusiasm. The goal of an integrated health care system depends on the successful, collaborative efforts of the Medical Centers and the NCA as the transition moves forward together. Both facilities must remember the qualities, traditions and reputations of great service that made NNMC and WRAMC the icons of excellence they are today and capitalize on them as they move forward with integration.

5


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 6

Walter Reed Army Medical Center 2010-2011

Main Installation The main campus of Walter Reed Army Medical Center is in a residential area of northwest Washington between Rock Creek Park and Georgia Avenue near the Maryland-D.C. boundary. All patient-care activities, as well as most administrative services, are on the main installation. Walter Reed's grounds and architecture impress visitors. More than a thousand trees lead past colorful gardens. During the summer months, roses bloom in the Rose Garden next to Abrams Hall, barracks for Warriors in Transition. Most of the original buildings at Walter Reed are brick structures of Georgian Revival architecture set among wide lawns, winding roads and gardens. Before the opening of the current hospital building (the Heaton Pavilion Bldg. 2), only two temporary buildings and the Armed Forces Institute of Pathology departed from the early American theme. But the main medical center building and Abrams Hall are modern in design and concept. In the circle of the Hoff Memorial Fountain at the original

6

hospital entrance, Bldg. 1, a collection of flowers varies with the season. The stately Memorial Chapel, dedicated in 1931, joins the hospital chapel in providing for the religious needs of all faiths at Walter Reed. The Mologne House, which opened in 1988, is named for former Walter Reed commander Maj. Gen. Lewis A. Mologne. The 200-room hotel in Bldg. 20 at the intersection of Main Drive and 14th Street on the grounds of Walter Reed, now serves as the primary resident for many wounded warriors and their families recovering at Walter Reed. The Wagner Sports Center, which opened September 11, 2003, is named for Lt. Col. Karen Wagner, killed during the September 11, 2001 attack on the Pentagon. Wagner, 40, an avid a sports participant and enthusiast, spent the majority of her 17-year Army career at Walter Reed before transferring to the Pentagon in August 2001.


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 7

Walter Reed Army Medical Center 2010-2011

Walter Reed at War Walter Reed supports the Department of Defense in wartime, both by caring for ill or injured servicemembers who are evacuated to the medical center for specialty treatment and by sending its own staff members into harm's way. More than 1,000 Walter Reed Soldiers have deployed to Operations Iraqi and Enduring Freedom, staffing a variety of combat support hospitals in Iraq, Afghanistan and Kuwait. To fill vacancies Walter Reed staff members created at the medical center when they deploy, the Army mobilizes Army Reservists onto active duty and assigns them to work at the medical center. Meanwhile, the hospital staff began caring for servicemembers from both theaters of war operations shortly after combat began in March 2003. Walter Reed has treated more than 10,000 wounded, ill or injured patients from both operations. A major portion of Walter Reed's resources in treating battlefield casualties in the 21st century has been devoted to caring for amputees. In 2002, Congress appropriated funds specifically for an amputee care center at Walter Reed because of a high number of such casualties expected from Operation Enduring Freedom. Planning began in September 2003 for a separate building on the Walter Reed campus to bring together all amputee care

capabilities, including occupational and physical therapy, social work, psychiatry, nursing, Department of Veterans Affairs counseling and other specialties. Four years later, the Military Advanced Training Center, a state-of-the-art facility in the treatment and rehabilitation, opened its doors in September 2007. This facility offers comprehensive treatment incorporating some of the most advanced therapeutic and prosthetic techniques in the world. The center's goal is to return amputee patients to the highest functional levels possible. Walter Reed has treated 774 servicemembers who lost one or more limbs during Operations Iraqi Freedom or Enduring Freedom, or 90 percent of all amputee patients from both theaters.

Warrior Transition Brigade The Warrior Transition Brigade (WTB) was activated April 25, 2007. The WTB was the first Warrior Transition Unit established by the Army to provide command and control, primary care, and case management support for severely wounded, ill, or injured Soldiers. The WTB consists of three Warrior Transition Companies - Able Troop, Battle Company, and Chosen Battery.

7


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 8

Walter Reed Army Medical Center 2010-2011

The mission of the Warrior Transition Brigade is to provide command and control, primary care, and case management for Warriors in Transition to establish the conditions for their healing and to promote their timely return to the force or transition to a productive civilian life. The Warrior Transition Brigade is dedicated to assisting Warriors in Transition accomplish their mission, which is to heal. Warriors are assigned a Triad of Warrior Care, which includes a primary care manager (a doctor), a registered nurse case manager, and a squad leader. The Triad works together to develop a Comprehensive Transition Plan for each Warrior, which includes a plan for their medical care as well as participation in a work, education, or other cognitive development program. The Triad coordinates with medical specialties as well as other agencies (such as social workers, Army Wounded Warrior Program, federal recovery coordinators, Veterans Affairs, and others) to provide Warriors with support and education in the medical transition process. The primary care manager, a licensed independent provider (physician, nurse practitioner, or physician assistant) is the sole provider for the Warrior in Transition. The primary care manager develops an individual comprehensive treatment plan for the Warrior, diagnoses and treats a range of health concerns and coordinates care for preventive, primary and specialty health care services. The nurse case manager is a registered nurse who facilitates all medical care for the Warrior. The case manager promotes communication, collaboration and coordination in order to provide focused care by working with the Warrior, Family members, providers (primary care and specialists), the Physical Evaluation Board Liaison Officer (PEBLO), social worker, and the chain of command. The nurse case manager coordinates all appointments and consults for the Warrior in Transition. The nurse case manager is also a key link to other systems such as Veterans Affairs and the Physical Disability Evaluation System. The squad leader is an experienced noncommissioned officer who serves as the first line supervisor for the Warrior in Transition. The squad leader facilitates all administrative matters for the Warrior and the Warrior's Family. The squad leader ensures accountability for each Warrior in Transition, enforces military standards, ensures appropriate living conditions, and ensures Warrior compliance with the Comprehensive Transition Plan. Upon transition from inpatient to outpatient, Warriors inprocess to their individual company with the assistance of their squad leader. Warriors are individually counseled by their squad leader and others at various stages in their transition to ensure they understand their plan of care and their status in the process. Warriors participate in a series of briefings and class-

8

es that will, along with their counseling sessions and appointments, ensure they have as much information as possible about the transition process, their medical care, and their benefits. Some Warriors can expect to be referred to the Army Physical Disability Evaluation System to go before a Medical Evaluation Board (MEB) and/or a Physical Evaluation Board (PEB) at some point during their transition process. Whether or not they go through an MEB or PEB, their Triad will assist them in the transition process back to active duty or on to a productive civilian life.

Warrior Clinic The Warrior Clinic, located in Heaton Pavilion, Bldg. 2, provides primary care services, for acute care, minor illnesses, pain management, physical exams, wellness exams, and medication education for Warriors in Transition assigned to the Warrior Transition Brigade. Each company in the Warrior Transition Brigade has one primary care manager in the Warrior Clinic dedicated to providing a comprehensive treatment plan for each Warrior in Transition. The primary care managers, with the support of the other clinic staff, coordinate for all the medical care needs of all Warriors in Transition who are assigned or attached to the Warrior Transition Brigade.


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 9

Walter Reed Army Medical Center 2010-2011

Patient Care, Health Care

Clinical Departments and Services Military physicians who are nationally recognized for their skill, training and experience lead Walter Reed's departments and services. The medical center is accredited by the Joint Commission, College of American Pathologists, and American Society of Health Systems Pharmacists. It is an institutional member of the American Hospital Association. Walter Reed is a gateway to the world for medical care. Heads of state, senior government officials of the United States and many foreign dignitaries are among our patients. Every aspect of the hospital's day-to-day operations has been designed with the patient's welfare and comfort in mind, from centralized nursing units to the fully landscaped courtyards on the upper floors. Teams of registered nurses and paraprofessionals provide each patient with individual attention from admission to discharge.

Levels of care at the medical center range from surgical, medical, and pediatric intensive care units, through acute-care wards and rehabilitation units, to ambulatory surgery and a short-stay ward for patients who need less than 24 hours of hospitalization. In Walter Reed's operating rooms, surgical teams perform about 1,000 operations each month, from routine same-day cases to open-heart surgery, organ transplants, total joint replacements, and artery and vein repairs. The hospital's own central pharmacy provides outpatient and inpatient medications with each dose prepared, packaged and labeled separately. The pharmacy fills approximately 2,000 prescriptions a day. Most outpatient clinics are conveniently located on the first three floors of the medical center, near the 1,000-car under-

9


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 10

Walter Reed Army Medical Center 2010-2011

ground parking garage. Operating rooms, anesthesia services and intensive-care units are on the fourth floor, while other wards and some specialty clinics are on the fifth through seventh floors. Walter Reed's clinics provide treatment for active-duty servicemembers, family members, retirees and their family members. Department of Allergy and Immunology The Allergy-Immunology Department includes five services and a Department of Defense/Centers for Disease Control Center of Excellence: • The Allergy, Asthma and Immunization Clinical Service evaluates and treats patients of all ages with allergic and immunologic disorders, and provides adult immunization services and travel immunization for all ages.

10

• Allergy-Immunology Fellowship Training Program. • Clinical Laboratory Immunology Fellowship Training Program. • The Tri-service U.S. Army Centralized Allergen Extract Laboratory provides allergen extract vaccines for allergic patients worldwide. The lab's nationally recognized aerobiological sampling center prepares pollen and mold spore reports for local and national surveillance surveys and media networks. • The Tri-service Immunization-Allergy Technician Course provides enlisted medics and nurses from all branches of the Department of Defense with comprehensive training in immunization and allergy specialty treatment and patient care.


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 11

Walter Reed Army Medical Center 2010-2011

• The Vaccine Healthcare Center Network, in collaboration with the Centers for Disease Control and Prevention's National Immunization Program, develops comprehensive clinical services for vaccine safety surveillance, improved reporting of vaccine adverse events, and immunization health care. It also develops and implements educational outreach and continuous performance improvement programs. The Vaccine Healthcare Centers Network (VHC) is a DoD organization comprised of four regional offices specializing in vaccine safety clinical consultation, education and outreach, and research. Services include, but are not limited to: • causalty assessments for and reporting of rare vaccinerelated adverse events • briefings, in-services, and exhibits • Educational products: online immunization training & Immunization Tool Kit (ITK) • Anthrax and smallpox vaccines immunogenetic studies The Walter Reed Regional VHC is open from 8 a.m. to 4 p.m. Monday through Friday. It is located in Bldg. 41 (Old Red Cross building), Suite 21. For more information about the VHC, call (202) 782-0411, DSN 662-0411, or online at www.vhcinfo.org. After duty hours and weekends, VHC clinicians are available via the DoD Vaccine Clinical Call Center toll-free at (866) 210-6469.

studies and other diagnostic procedures. The Coronary Care Unit has the most modern monitoring systems available. It treats cardiac inpatients, while the Cardiac Short-Stay Observation Clinic manages the care of recovery patients who undergo outpatient procedures. Three computerized, digital cardiac catheterization laboratories diagnose cardiac disease at all age levels. The most frequent diagnostic procedure is coronary arteriography. The laboratories also perform interventional procedures, such as coronary angioplasty, balloon valvuloplasty, directional atherectomy, rotational atherectomy, intravascular stent placement, permanent pacemaker implantation, and radio frequency catheter ablation. The Cardiology Service's Coronary Artery Disease Reversal Program, or CADRe, provides comprehensive cardiovascular risk factor modification to adults with known coronary artery disease or those at risk for developing the disease. A clinical team of cardiologists, nurse practitioners, exercise physiologists, dietitians, clinical psychologists, and stress management instructors supervises all aspects of the program. Integrative Cardiac Health Project The Integrative Cardiac Health Project (ICHP) Center at Walter Reed Army Medical Center leads the way in cardiovascular disease prevention. The center is the first dedicated program of its kind in support of the DOD's desire to develop innovative approaches to achieve cardiovascular health in military beneficiaries. The center is on the forefront of developing personalized lifestyle change strategies combined with best medical practices to lower cardiovascular risk and improve overall health. It provides a unique set of services for its patients using an interdisciplinary team of specialists in cardiology, exercise physiology, nutrition, stress management, and sleep. The center's unique, integrative approach to patients plays a pivotal role in using personalized medicine to optimize health and human performance in our military and civilian personnel. The center is located in Bldg. 52, second floor. Appointments can be made by calling (202) 782.1555. Endocrinolgy Service

Cardiology Service The Cardiology Service provides diagnostic and therapeutic services to infants, children and adults with suspected and known heart disease. The Cardiology Clinic also performs electrocardiograms, treadmill tests, echocardiograms, Doppler

The Endocrinology Diabetes and Metabolism Service provides expert care to patients with disorders of the thyroid, pituitary and adrenal glands and to patients with diabetes, as well as reproductive and lipid disorders. It also offers an American Diabetes Association-certified patient education program, bone mineral densitometry, and fine needle aspiration biopsies of the thyroid. It is the sole endocrinology fellowship-training program for the Army. The Diabetes Institute, a section of the Endocrinology

11


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 12

Walter Reed Army Medical Center 2010-2011

Service, enhances medical care to patients with diabetes. It integrates primary care providers and specialists of the system into a disease management team that permits the highest quality of care and education for patients with diabetes mellitus so they will have measurably better outcomes. Physicians, diabetes educators with expertise in managing diabetes, and endocrine nurse practitioners throughout the Walter Reed Health Care System carry out this program.

oncology fellows, nurse practitioners, nurses, pharmacists, laboratory staff, a nutritionist, a case manager and a social worker. The service participates in major research projects through the Center for the Development of Oncologic Drugs and Therapeutics and as a principle member of Cancer and Leukemia Group B, a national cooperative oncology group. The service is divided into an outpatient clinic, outpatient chemotherapy section, research section and an inpatient unit. The inpatient unit cares for patients with all types of malignancies and is the home of the Army's only Blood Stem Cell Transplant Service, a fully accredited autologous transplant program. Infectious Disease Service

General Internal Medicine Service The Walter Reed General Internal Medicine Service provides a broad scope of inpatient and outpatient care to adult military beneficiaries through the General Internal Medicine Primary Care Clinics, Medical Evaluation and Treatment Unit, Wellness Services, Optometry Service, Inpatient Consult Service, and the Inpatient Medicine Ward. The General Internal Medicine Clinics constitute the adult primary care portal of the Walter Reed Family Health Center and the enrollment site at Walter Reed for TRICARE Prime adults. In addition to its quality patient care, the General Internal Medicine Service has a major academic focus. It supports the largest internal medicine training program in the Department of Defense, and its staff concentrates on disease prevention and improving health-care outcomes of high-risk patients. Many of its physicians perform clinical research projects, and all are involved in both medical-student and internal-medicine resident education. Hematology-Oncology Service The Hematology-Oncology Service provides care to adults with cancer, blood diseases, or both. It is multidisciplinary and is composed of staff hematologist-oncologists, hematology-

12

The Infectious Disease Service sees adult inpatients and outpatients through referral. The Infectious Disease Clinic treats outpatients for conditions such as unexplained fever, Lyme disease, hepatitis, tuberculosis, HIV or AIDS, syphilis, and other sexually transmitted diseases. The clinic also advises travelers to foreign countries regarding immunizations and other protective measures to prevent infection. Walter Reed is a Center of Excellence for the treatment of leishmaniasis, a parasitic infection acquired during foreign travel and military deployments. The service treats inpatients hospitalized for serious conditions such as pneumonia, meningitis, bone and joint infections, tuberculosis, infections of the kidney and bladder, heart and blood infections and encephalitis including West Nile Virus infection. It also provides expertise regarding the prevention and treatment of infections caused by biowarfare agents such as smallpox and anthrax. Infectious Disease Service works closely with Infection Control and Preventive Medicine to minimize the spread of disease to patients and staff.

Nephrology Service The Nephrology Service consists of a multidisciplinary team of physicians, nurses, and medical support personnel who provide diagnosis and treatment of kidney diseases. Its services


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 13

Walter Reed Army Medical Center 2010-2011

include dialysis, kidney biopsy, transplantation management, and a teaching clinic for patients approaching chronic dialysis. Nephrology Service also has the only Army training program for physician specialists in kidney disease. Pulmonary and Critical Care Medicine Service The Pulmonary and Critical Care Medicine Service provides patients with the most modern care in adult respiratory diseases, sleep disorders, and intensive care medicine. The service is part of the National Capital Consortium P&CCM Fellowship Program, teaching internists how to become outstanding subspecialists. Its staff includes board certified pulmonologists and intensivists, nurse practitioners, and respiratory therapists. Many are award-winning educators and nationally recognized researchers. The Pulmonary Disease Service treats a wide variety of breathing disorders for both inpatients and outpatients, including chronic obstructive lung disease, asthma, vocal cord dysfunction, lung cancer, sarcoidosis, sleep disorders, tuberculosis and interstitial lung disease. The service provides pulmonary function, cardiopulmonary exercise, and bronchoprovocation testing; bronchoscopy; and pulmonary health education. The Sleep Disorders Center provides comprehensive diagnostic testing and treatment for the full range of sleep disorders. P&CCM physicians provide care for critically ill patients in the Medical Intensive Care Unit with a wide variety of disorders including respiratory failure, gastrointestinal bleeding, chest pain, stroke, myocardial infarction and overwhelming infections. Rheumatology Service Walter Reed rheumatologists treat more than 100 types of diseases, including rheumatoid arthritis, osteoarthritis, gout, lupus, back pain, osteoporosis, fibromyalgia, and various types of tendinitis. Rheumatologists are internal medicine physicians with specific training and experience in diagnosing and treating arthritis; other diseases of the joints, muscles and bones; and inflammatory conditions of other body parts associated with immune-system abnormalities. Rheumatology staff has broad experience in caring for patients with all categories of rheumatic disease and is well known for doing the medical detective work necessary to discover causes of pain and swelling often associated with immune system abnormalities. As leaders in the field, Walter Reed's rheumatologists understand the importance of determining the source of patients' musculoskeletal and immune problems, allowing effective therapy to begin early in the course of their disease.

Department of Neurology The Department of Neurology provides the most modern diagnosis and management for patients with disorders affecting the brain, spinal cord, peripheral nerves and muscles. The board-certified staff of adult and child neurologists provides outpatient and inpatient care for all ages of patients, including subspecialty services for epilepsy, headaches and migraine; Parkinson's disease; neuro-ophthalmologic disorders; neuromuscular diseases, dementia and other neurobehavioral disorders; traumatic head injury, and inpatient neurointensive care. Locations include the Adult Neurology Clinic, the Defense Headache Center, Diagnostic Neurophysiology Clinic, National Capital Area Inpatient Neurology Ward and the NCA Child & Adolescent Neurology Clinic. The department also educates physicians as residents and fellows to become military neurologists and neurology subspecialists, teaches neurologic medicine to Uniformed Services University of the Health Sciences medical students, and conducts a wide variety of clinical research projects. The department joins with other WRAMC activities to provide some services that either are not available elsewhere in the Department of Defense or are more highly capable than at other sites. These include epilepsy surgery (cerebral surgery and vagus nerve stimulator implantation), comprehensive headache management, and neuromuscular disorder (botulinum toxin, or botox) treatment. The multicenter Defense & Veterans Head Injury Program is centered in the Walter Reed Department of Neurology.

Department of Nursing Nursing at Walter Reed comprises approximately 1,500 staff members who work in the 15 inpatient nursing units and more than 30 outpatient clinics. Walter Reed nursing provides a con-

13


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 14

Walter Reed Army Medical Center 2010-2011

tinuum of care, in both inpatient and outpatient settings, to servicemembers, retirees, and families. Nursing staff includes both military and civilian registered nurses, licensed practical nurses and assistive personnel. The Perioperative Nursing Section includes the Operating Room nurses and technicians and Central Material Service that support more than 14 surgical specialties, including cardiothoracic surgery, organ transplantation, neurosurgery, and total joint surgery. The OR incorporates new technologies that include telemedicine and robotic surgery. The Critical Care Nursing Section, the largest critical care setting in the Army Medical Department, includes three specialty intensive care units and three step-down units. The section delivers such highly specialized care as acute and chronic hemodialysis, pediatric intensive care, post-operative cardiothoracic surgery care, mechanical ventilation, cardiac and intracranial pressure monitoring, and post-anesthesia care. The Ambulatory Nursing Section offers outpatient services in nearly 30 specialty clinics and the Emergency Department. Specialty clinics include allergy-immunology, pulmonary, cardiology, plastic surgery, otolaryngology, and orthopedics. Nurses in many clinics conduct programs in collaboration with their physician counterparts, such as the HIV Antiretroviral Medication Adherence Program within the Infectious Disease Clinic. The Surgical Neuroscience Nursing Section hosts the Amputee Center of Excellence for the care of patients who have undergone amputations. This section also cares for patients with traumatic brain injury, general surgery, vascular surgery, transplanted organs, orthopedic injuries, multiple trauma, plastic surgery, and total joint replacements. The staff also cares for pre-operative and outpatient surgery patients and outpatients requiring infusions or transfusions of various medications and blood or blood products. The Medical Psychiatric Nursing Section includes four distinctive wards: General Medicine, Oncology/Hematology, Eisenhower Executive Nursing Suite, and Psychiatry. A new addition in 2003 was the intensive outpatient psychiatric day program. The Oncology Ward serves as the Army-wide referral center for cancer care and for stem cell transplantation services. The Pediatric Section serves the largest pediatric ward in the Army. It also includes Walter Reed nursing care in the pediatric specialty and general outpatient clinics, such as pediatric hematology and oncology and pediatric sedation. The Infection Control Section conducts active disease and infection surveillance within the medical center. This section takes the lead in preventing infections associated with health care and provides consultation and education to all staff members to maintain a safe and healthy working environment. Nursing Performance Improvement activities improve the

14

quality of patient care and develop professional nursing practice at Walter Reed while supporting the organizational vision of being the preeminent military health care facility in the nation. Nursing PI works closely with the Walter Reed Performance Improvement Office to ensure that issues in patient care are evaluated thoroughly to prevent recurrence and improve care to our patients.

Preventive Medicine Service The Preventive Medicine Service consists of the Army Public Health Nursing Clinic, the Occupational Health Clinic and the Environmental Health, Industrial Hygiene and Health Physics Sections. The Environmental Health Section provides a variety of services to prevent and control disease throughout the Military District of Washington, including water quality surveillance; food service and child care service sanitation inspections; pest surveillance, and swimming pool sanitation inspections. The section also monitors the heat stress index at the Walter Reed installation and, on request, training for food sanitation, heat or cold injury prevention, and field sanitation teams. The Health Physics Section ensures that radiation doses are maintained as low as reasonably achievable by monitoring radioactive material inventories, transportation, administration and disposal; monitoring employee radiation exposures; surveying radioactive materials and radiation equipment; and providing radiation safety training. The section also staffs the Radiological Advisory Medical Team for the Department of Defense.


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 15

Walter Reed Army Medical Center 2010-2011

The Industrial Hygiene Office provides services for the National Capital Area to recommend controls for chemical, physical, and biological hazards in the workplace; increase productivity; reduce work related absenteeism; and promote a healthier workplace. Army Public Health Nursing Army Public Health Nursing provides a wide range of population-based programs and services that promote the health and readiness of all beneficiaries. Major services include communicable disease surveillance, and reporting and investigation for control of tuberculosis, sexually transmitted infection, HIV, rabies and other communicable disease. Counseling and education to recipients of emergency blood products in theater and to blood donor candidates who have positive communicable disease screening test results, are also provided by APHN. Health consultation for all Child and Youth Services programs and evaluation of children with special health care needs for appropriate child care placement are provided by APHN. Coordination of health observances that promote the health of the community is a service of APHN, who also provide assistance in the completion of Post Deployment Screenings for all deployed servicemembers and civilians. Army Public Health Nursing is located in Bldg. 1 (the old hospital), third floor, in Wing B. Clinic hours are Monday through Friday from 7:30 a.m. to 4 p.m. The telephone number is (202) 782-3964. Department of Obstetrics and Gynecology The Department of Obstetrics and Gynecology includes four divisions: • The Division of Gynecology provides general gynecological surgical services in addition to outpatient specialty and preventive medicine services. Our staff physicians are all skilled in traditional surgical procedures as well as the newer, minimally invasive techniques such as laser surgery, laparoscopy and hysteroscopy. Many of these procedures are performed as same-day surgery, meaning most patients will not require hospital admission. All of the Gynecology staff is board certified or eligible in the specialty of Obstetrics and Gynecology. The WRAMC Gynecology Clinic provides both primary gynecologic health care and specialty gynecology referral services. Additionally, we provide outpatient obstetrical care for patients, with inpatient delivery at the National Naval Medical Center in Bethesda. Patients can have their outpatient care from either one of the staff obstetrician-gynecologists or a certified nurse midwife. The goal is to have our patients followed by a single provider for the duration of their outpatient obstetrical care.

• The Division of Gynecologic Oncology provides complete, comprehensive, and current care to our patients with gynecologic malignancies. Walter Reed's Division of Gynecologic Oncology is a founding member of the Gynecologic Oncology Group, a multi-institutional cooperative cancer treatment group dedicated to the study and treatment of gynecologic malignancies sponsored by the National Cancer Institute. Walter Reed's Division of Gynecologic Oncology offers more than 80 clinical and basic-science-related research protocols. Because of our outstanding research and outcomes driven patient care, the division is recognized nationally as a Center of Excellence in Gynecologic Oncology. • The Division of Reproductive Endocrinology and Infertility diagnoses and treats pituitary prolactinomas, hypothalamic disease, hypothyroidism, primary and secondary amenorrhea, osteoporosis, insulin resistance, menopause, menstrual disorders, dysfunctional uterine bleeding, polycystic ovary syndrome, pelvic pain, hirsutism and contraception. The division provides the full range of diagnostic and therapeutic protocols for female and male infertility. Surgical therapy includes laparoscopic and open tubal anastomosis, laparoscopic treatment of ovarian, tubal and pelvic disease, myomectomy, and hysteroscopic management of uterine disease. With copayment through the ART Institute of Washington at Walter Reed, active duty couples receive treatment with cutting-edge technology such as in-vitro fertilization, intracytoplasmic sperm injection, and assisted hatching. Pregnancy rates are consistently in the top 10 percent nationally. • The Division of Female Pelvic Medicine and Reconstructive Surgery provides complete diagnostics and comprehensive conservative and surgical therapy to patients with pelvic floor dysfunction. Pelvic floor dysfunction includes urinary incontinence and voiding dysfunction, fecal incontinence and defecatory dysfunction, pelvic organ prolapse, sexual dysfunction and pelvic pain. We offer minimally invasive approaches as well as standard vaginal and abdominal approaches to pelvic floor reconstruction. The division also provides expertise in pelvic floor neurophysiology and offers comprehensive electrodiagnostic testing of the pelvis. A dedicated pelvic floor physical therapist is available to help manage pelvic floor disorders. Department of Orthopaedics and Rehabilitation The Department of Orthopaedics and Rehabilitation provides comprehensive musculoskeletal care to more than 250,000 beneficiaries. The department offers clinical medicine and orthopaedic surgery, educates and trains future health care providers for the military, and conducts research that furthers

15


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 16

Walter Reed Army Medical Center 2010-2011

the world's understanding of musculoskeletal medicine and surgery. It has its own Orthotic and Prosthetic Laboratory that constructs artificial limbs and braces by prescription.

pain conditions, limb amputations and pediatric disabilities. Physical Medicine and Rehabilitation takes over where other specialists leave off to develop comprehensive treatment plans to manage these difficult conditions. • The Occupational Therapy Service provides assessment and rehabilitation to maximize daily life functioning, improve physical and psychosocial abilities and promote health maintenance and injury prevention. Board certified and credentialed providers and neuromusculoskeletal evaluators treat patients with orthopaedic, neurological and psychosocial impairments. Occupational therapists and assistants use rehabilitation to train patients in activities of daily living, exercise, visualmotor and perceptual skills, and functional behavior activities. In addition, they provide adaptive equipment training and fabricate upper extremity orthotics to promote function and improve occupational performance. • The Physical Therapy Service consists of a team of physical therapists and assistants who offer comprehensive inpatient and outpatient care to maximize physical functioning and relieve pain. Board-certified specialists provide neuromusculoskeletal assessment, acute and chronic pain relief, and extensive pre-operative and post-operative rehabilitation. Specialty programs in geriatrics and pediatrics aim to meet the needs of our diverse beneficiary population. The service also offers classes on back care, weight loss and other wellness subjects.

The department comprises four services: • The Orthopaedic Surgery Service offers initial and followup care in the General Orthopaedic Clinic and sub-specialized care and surgery by board-certified orthopaedic surgeons in eight other specialties that include foot and ankle, hand surgery, oncology, pediatrics, shoulder, spine, sports medicine and total joint replacement. Walter Reed is the orthopaedic surgery tertiary referral center for the East Coast and Europe. • The Physical Medicine and Rehabilitation Service provides care through a multi-disciplinary team approach that includes nursing, social work, speech therapy and psychiatry. Conditions commonly treated include back and neck pain, sports injuries and musculoskeletal disorders, stroke, chronic

16

Department of Pathology and Area Laboratory Services The Department of Pathology provides a full range of medical laboratory services in both anatomic and clinical pathology. It is accredited by the College of American Pathologists and the American Association of Blood Banks. The various laboratories serve the needs of the clinical departments and


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 17

Walter Reed Army Medical Center 2010-2011

services at Walter Reed and are a major reference-testing site for medical facilities throughout the Northern Regional Medical Command (Provisional). The department hosts a pathology residency training program, the Department of Defense fellowship in blood banking, the Army medical technology training program and a Phase II program for medical laboratory technicians. The Infectious Disease Laboratory is certified by the Centers for Disease Control and Prevention (Laboratory Response Network at Level B with confirmatory capability for biothreat organisms). This laboratory is also an integral part of the triservice infectious disease fellowship. The Blood Bank and Blood Donor Center collects and processes blood and blood products to support an active blood transfusion service. It is licensed by the Food and Drug Administration. The Blood Bank also serves as an integral component of the hospital's bone marrow transplant program Department of Pediatrics The Department of Pediatrics at Walter Reed Army Medical Center and its integrated partner at the National Naval Medical Center offer the entire range of primary care and subspecialty services in pediatric medicine. Walter Reed is the center of excellence for subspecialty pediatrics in the National Capital Area and offers care in asthma care, developmental pediatrics, endocrinology, cardiology, critical care, hematology-oncology, gastroenterology, nutrition, infectious disease, nephrology, neurology, pulmonary medicine, and general pediatric and subspecialty surgery. Walter Reed Army Medical Center offers the only comprehensive 18-bed pediatric inpatient care in Washington, DC and is the site for the only regional military pediatric critical care unit. Our sister institution, National Naval Medical Center, offers the services of primary care services, adolescent medicine clinic, and a 24-bed level III neonatal intensive care unit are available at the Bethesda campus. Walter Reed and National Naval Medical Center are the sites of the Department of Defense's largest graduate medical education activities. Through the National Capital Area Pediatric Consortium, Walter Reed offers a rigorous clinical training program in general pediatrics plus advanced fellowship training programs in endocrinology, gastroenterology, hematology/oncology, infectious disease, neonatology, and neurology. The pediatric residency and fellowship programs, which accept applicants from all three services, are fully accredited by the Accreditation Council for Graduate Medical Education. The spirit of collaboration between the Army, Navy, Air Force and the Public Health Service is evident amongst the department's talented and eclectic staff. They have expertise

and experience in virtually every subspecialty in pediatric medicine and surgery with close professional, educational, research, and educational affiliations amongst the two medical centers and the Uniformed Services University medical school. Department of Pharmacy The Department of Pharmacy at Walter Reed Army Medical Center provides a variety of functions for patients and the medical staff regarding medication therapy. The department is composed of the following services: Pharmacy Administration; Ambulatory Care Pharmacy, Acute and Critical Care Pharmacies, Clinical Pharmacy, Hematology-Oncology Pharmacy, Nuclear Pharmacy, Pharmacy Supply and Support, Clinical Research Pharmacy, and Pharmacy Informatics. Walter Reed now offers prescription refills on its Web site, www.wramc.army.mil, and by phone at (800) 248-6337. For general pharmacy information, phone (202) 782-6121 or 6122. The pharmacy fills approximately 55,000 outpatient prescriptions a month and prepares more than 30,000 intravenous medications monthly. Using innovative technology and staff resources, the department has become a leader in the military pharmacy community The department offers three accredited residency programs to train graduate pharmacists, many of whom request Walter Reed Pharmacy as their first choice as a training site. The department maintains affiliation agreements with several colleges of pharmacy, where many Walter Reed pharmacists are clinical adjunct faculty members. Many of the department's clinical pharmacists also work in expanded practice roles to improve medication therapies throughout the facility. The Department of Pharmacy is in Heaton Pavilion (Bldg. 2, main hospital). Both the Ambulatory Care Pharmacy and Pharmacy Supply and Support Services are on the first floor. Pharmacy Administration and Pharmacy Informatics are on the second floor. The Acute Care Pharmacy is on the second floor and Critical Care Pharmacy on the fourth floor. The Clinical Pharmacy Service is on the sixth floor. The HematologyOncology Pharmacy, Nuclear Pharmacy, and Clinical Research Pharmacy are all on the seventh floor. Dental Clinic The Hospital Dental Clinic is in Area 1-D on the first floor of Heaton Pavilion (Bldg. 2, main hospital). The clinic offers active-duty service members a full range of diagnostic,consultative and restorative dental services, including comprehensive general dentistry, endodontics, periodontics, pedodontics, orthodontics, prosthodontics, and oral and maxillofacial surgery. The clinic is open Monday through Friday from 7:15 a.m. to

17


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 18

Walter Reed Army Medical Center 2010-2011

4:30 p.m. Phone (202) 782-6815. For emergencies after regular duty hours, call the Walter Reed Emergency Department at (202) 782-1199 or 3927. Emergency and Operational Medicine Emergency and Operational Medicine is composed of the Emergency Department and Emergency Medical Services. Besides its daily clinical focus, the service also specializes in preparation for response to chemical or biological incidents and other weapons of mass destruction. The military staff takes part in all emergency-preparedness exercises in the region to ensure Walter Reed's readiness for mass casualty situations. The Emergency Department provides emergency care 24hours a day, seven days a week, to all patients who need treatment. All physicians are board certified in emergency medicine, and the nursing staff has special training and experience in emergency nursing care. Consultants from all medical specialties are available when an Emergency Department staff physician requests them. The department's Chest Pain Unit allows the staff to evaluate suspected heart disease faster and more accurately in urgent situations without transferring the patient from the Emergency Department to other areas of the hospital. Emergency Medical Services provides Basic Life Support services and responds to all callers requesting an ambulance on the Walter Reed installation. All staff members are nationally registered emergency medical technicians and carry modern equipment, including automatic external defibrillators, to treat sudden cardiac death. EMS provides inter-facility transfers from Walter Reed and helps coordinate patient transport to Walter Reed, within Army policy restrictions. EMS also coordinates patient care and ambulance support for air evacuation missions. For more information, phone (202) 782-1199 or 3928. Sick Call Walter Reed highly encourages servicemembers to make an appointment with their primary-care provider or another provider by calling Patient Appointments first at (202) 7827761. If an appointment is not available promptly, sick call for active-duty servicemembers takes place in the General Internal Medicine Clinic on the first floor of Heaton Pavilion (Bldg. 2, main hospital), Area 1-B, Monday through Friday from 6:30 a.m. to 4:30 p.m. Servicemembers should bring their ID card and medical records with them. Enlisted servicemembers in the grade of E-6 and below should bring a sick slip from their company headquarters or duty section except in emergencies. Officers and noncommissioned officers in the grade of E-7 and

18

above should notify their supervisor before reporting to sick call. Patients who are assigned to Walter Reed and have chronic or non-acute problems should make a non-urgent appointment to be seen by their primary care manager in General Internal Medicine by calling (202) 782-7761. Emergencies will be seen in the Emergency Department at any time. Phone (202) 782-1199. Occupational Health Clinic The Occupational Health program promotes health and reduces the risk of illness arising from the individual-job relationship. This includes preventive medical surveillance for both military and civilian staff members who are exposed to toxic materials, infectious agents, noise or visual hazards, or other harmful influences of the work environment. Occupational Health Services also provides treatment of occupational illness and injury, entry-on-duty examinations, birth-month annual review services, reproductive-hazards examinations, health counseling for individuals or groups, and work-site inspections. The clinic is in Heaton Pavilion (Bldg. 2), third floor, Wing E. It's open Monday through Friday from 7 a.m. to 4 p.m. Phone (202) 782-3611 or 3668. After clinic hours, any Walter Reed civilian employee may receive emergency health care in the hospital Emergency Department. Military Advanced Training Center The Military Advanced Training Center, which opened in September 2007, offers servicemembers and beneficiaries who are undergoing rehabilitation cutting-edge equipment and advanced therapy. With sophisticated computer and video-monitoring systems and the latest prostheses, MATC provides enhanced care to amputees and individuals who have lost limb function. The 31,000-square-foot facility houses physicians, nurse case managers, therapists, psychologists, social workers, benefits counselors and representatives of the Department of Veterans Affairs - more than 15 specialties, collectively. Additionally, theMATC includes a climbing wall, incline parallel bars, vehicular simulators, a Fire Arms Training Simulator (FATS), physical therapy athletic and exercise areas, an occupational therapy clinic, prosthetic training and skills training areas, prosthetic adjustment and fitting rooms and separate exam rooms for all amputee-related care. The 225-foot indoor track surrounding the second floor interior boasts the world's first overhead oval support system. In the MATC's Center for Performance and Clinical Research, known as the gait lab, caregivers record a wide


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 19

Walter Reed Army Medical Center 2010-2011

Wellness Services The ''Prevention Is PRIME" Wellness Services offers a variety of multi-disciplinary health promotion and health education programs led by qualified providers from Community Health Nursing, Family and Internal Medicine, Medical Nutrition Therapy, Pharmacy, Physical Therapy and Psychology. Enrollees can receive their TRICARE Prime health promotion benefit from this staff that is ready to help them identify their risk factors, address their personal health practices, respond to their bodies' warning signs, participate in preventive interventions, and enhance their self-care skills. ''Prevention Is PRIME" Wellness Services provides both individual and group instruction for health promotion, prevention, and disease management. Wellness Services is located in Heaton Pavilion (Bldg. 2, main hospital), Ward 73. It's open Monday through Friday from 7:30 a.m. to 4:30 p.m. Phone (202) 782-0907 or 1773. Eligibility for Medical Care

range of performance measures. Data collected by engineers will play a significant role in assuring prostheses fit properly and enhancing patient function. Another MATC innovation is the Computer-Assisted Rehab Environment designed to build a virtual environment around a patient performing tasks on a platform with imbedded treadmill and force plates mounted to the hydraulic base similar to a helicopter simulator. The CAREN uses a video-capture system similar to the traditional gait lab integrated with an interactive platform that responds to the patient's every move. The $10 million center augments the capabilities of other WRAMC facilities and supports the Army's goal to return to duty multi-skilled leaders who personify the Warrior Ethos. Complex Wound and Limb Salvage Center The Complex Wound and Limb Salvage Center (CWLSC) treats patients with acute and chronic wounds with a special focus on the Wounded Soldiers. We see patients daily and use a variety of advanced healing techniques to heal wounds and improve outcomes. Our multidisciplinary staff includes physicians, nurse practitioners, wound nurses, and physical therapists. The center is located in the MATC building on the first floor. The office number, to make appointments or for more information, call (202) 356-1080.

The Military Installation Identification Card Issuance Activity establishes an individual's eligibility for medical care in military facilities. The facility commander will confirm the patient's identity and eligibility, and verify entitlement through DEERS, the Defense Enrollment Eligibility Reporting System, or by identification card verification. Everyone, including Soldiers in uniform, must show satisfactory evidence of their eligibility status. A valid ID card and enrollment in DEERS will establish eligibility. Children under 10 must be enrolled in DEERS, but are not routinely issued an ID card. Those eligible for medical care at Walter Reed include active-duty servicemembers, their family members, retired servicemembers and their family members. Those who are not eligible for care can be treated only for emergencies, in the Emergency Department, and must pay for treatment. In addition to the above patient categories, a few others are eligible for care as allowed by Army regulations. The Patient Administration Directorate, Bldg. 2 (main hospital), Room 2D01, validates all questionable cases. Department of Radiology The Department of Radiology at Walter Reed Army Medical Center provides the highest quality diagnostic and therapeutic interventions available anywhere. The department is equipped with state-of-the-art imaging equipment in computed tomography, magnetic resonance imaging, and ultrasound and is fully capable of providing the full spectrum of radiology services to our beneficiaries.

19


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 20

Walter Reed Army Medical Center 2010-2011

The department's Digital Imaging Network Picture Archiving and Communication System allows radiology subspecialists to review and provide consultation on images acquired throughout the region and overseas. The American Board of Radiology certifies all faculty members, and fellowship-trained physicians with particular interest and expertise in those areas represent all major subspecialties of radiology. In addition, the department is a major training site for radiology physicians and technologists for the Army and Navy. Department staff members perform and interprets approximately 130,000 studies annually. The department also offers an electron-beam heart-view coronary artery screening program and is now opening a virtual-colonoscopy colon-screening program. These are the only programs of their kind in the Department of Defense. Diagnostic Radiology Service provides MRI and MRI spectroscopy, MRI of the breast, multi detector computed tomography, ultrasonography as well as vascular and interventional radiology procedures. The evaluation and treatment of disease of women takes place in our modern Women's Imaging Center. The Nuclear Medicine Service offers all standard nuclear medicine studies and many unique procedures and therapies not offered at other military facilities. The Radiation Therapy Service offers external beam radiation treatments for benign and malignant tumors in adults and children in all body sites. The service is the only one in the Army that offers stereotactic radiosurgery and radiotherapy treatments for central nervous system lesions. Army Audiology and Speech Center The Army Audiology and Speech Center, established in 1947, is the Department of Defense's largest and most diverse center for evaluation, rehabilitation and research in disorders of speech-language, hearing and balance. The center provides a wide range of clinical diagnostic and rehabilitative services for more than 20,000 patients a year with communication and balance disorders. The AASC dispenses hearing aids for active-duty and retired patients with hearing problems, and provides minor hearing aid repairs. The pediatric audiology program identifies hearing loss in pediatric patients, and provides services to parents, educators and health professionals necessary to foster normal speech and language development. The AASC has a comprehensive balance lab for evaluating dizziness and balance disorders. It is a cochlear implant center, providing services for identifying, implanting, and rehabilitating patients who need a cochlear implant. AASC is also a leader in force health protection, managing the Army Hearing Conservation Program for National Capital Region and providing consultative services for the Army's North Atlantic Region.

20

AASC speech-language pathologists evaluate and treat patients with swallowing, neurological, fluency, and voice disorders. The center has one of the most extensive swallowing and voice labs available and provides the only services of its kind in the Department of Defense. Speech-language pathologists assist teams throughout Walter Reed in managing patients with swallowing disorders, craniofacial anomalies, tracheotomy and head injury. AASC is also the only Department of Defense facility that conducts clinical research for communication disorders. Areas of research include hearing aid benefit and clinical trials, auditory perception and processing, and speech perception and processing. The clinical impact of this research program has improved assessment of speech and voice disorders, documented the efficacy of current hearing aid technology, and developed tools to assess fitness for duty. Cardiothoracic Surgery Service This National Capital Region Specialized Treatment Service provides comprehensive surgical services to patients who need heart or lung surgery. It does more than 250 cardiac operations per year and an equal number of general thoracic surgical procedures. They include coronary artery bypass surgery, both with the use of cardiopulmonary bypass and beating heart; all arterial revascularizations with the use of internal mammary artery, radial artery and gastroepiploic artery; valvular repair and replacement; aortic reconstruction; complex congenital repairs; minimally invasive vein harvesting; and video-assisted thoracic surgical procedures including sympathectomy for hyperhidrosis palmaris bilateralis, VATS lobectomy and minimally invasive treatment of a host of pleural diseases, both benign and malignant. Newer technologies include the use of a fully robotic surgical system to perform telepresence robotic cardiothoracic surgery. Ophthalmology Service The Ophthalmology Service at Walter Reed is a modern, well-equipped unit that features a full range of general and specialty services. The Eye Clinic treats patients with a wide range of disease processes, ranging from strabismus in children to cataracts and macular diseases in adults. The service uses the latest surgical techniques to rehabilitate vision for patients from all over the world. World-renowned consultants support a strong and experienced staff in corneal and external disease, pediatric ophthalmology, oculoplastic surgery, orbital disease and surgery, neuro-ophthalmology, vitreo-retinal diseases, glaucoma, cataract surgery and laser refractive surgery. Future military ophthalmologists are trained through the nationally accredited Walter Reed residency program.


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 21

Walter Reed Army Medical Center 2010-2011

The service's Center for Refractive Surgery provides the latest in laser refractive surgery while investigating research questions applicable to the military. Organ Transplant Service Walter Reed's Organ Transplant Service is the Army's Specialized Treatment Service center for renal transplants. It has provided transplantation services to patients with end-stage renal disease for more than 30 years and is now the Department of Defense's only solid-organ transplant program. The service also performs pancreas transplantation for patients with Type 1 diabetes and renal failure, and liver transplantation for patients with end-stage liver disease. The Organ Transplant Service is a multi-disciplinary team consisting of transplant surgeons and physicians, nurse coordinators, social workers, pharmacists, and immunologists who combine efforts to provide optimum care for this complex patient group. The service also provides surgical and urologic care for patients with end-stage organ disease. Care of both hemodialysis and peritoneal dialysis access in cooperation with the Interventional Radiology Service has increasingly become a specialty of the service. The service has expanded its research activities dramatically by collaborating with the National Institutes of Health to develop new immunosuppressive therapies. Several exciting protocols have shown great promise in preventing rejection. The liver transplant team provides transplantation at Georgetown University Medical Center in Washington and includes pediatrics and living-related donation. Plastic Surgery Service The Plastic and Reconstructive Surgery Service at Walter Reed is the largest and busiest in the military health care system. The service provides plastic surgery to correct deformities caused by trauma, birth defects, and cancer treatment. Plastic surgeons see their own patients and assist other surgeons by performing immediate reconstructions in conjunction with other surgical procedures. The Plastic Surgery Clinic provides appointments for general reconstructive problems. In addition, a weekly cleft lip/palate and craniofacial clinic offers a multidisciplinary evaluation for children with birth defects of the head and neck. Plastic surgeons also are actively involved in the Comprehensive Breast Center, offering breast reconstruction to patients with breast cancer.

medical applications. The staff of the 3D Applications Center uses programs and machinery to create an extremely accurate anatomical model from an individual patient's CT scan. Models are produced and shipped within 48 hours of receipt of appropriate CT scans, making the process available to any military medical center. These models have allowed for pre-surgical planning, pre-fabrication of fixation plates and custom cranioplasty plate design and fabrication. Surgeons have indicated that these models have demonstrated a reduction of two to six hours per surgical procedure, which not only benefit the patients by reducing blood loss and other risks due to surgery, but in addition the hospital by allowing more operations/surgical procedures to be performed everyday. Telemedicine The Telemedicine Directorate develops and manages information management technologies that extend the reach of Walter Reed specialty health care to patients throughout the Northern Regional Medical Command and around the world. Using research-proven protocols and image-capture devices such as digital cameras and video-teleconferencing equipment, technicians in seven states and at 10 overseas sites take clinical images of patients or their X-rays. They transmit those images by satellite or land line to Walter Reed, where specialists review them and give advice to the referring physician. Current clinical applications for remote consultation in the region include dermatology, podiatry, sleep medicine, gastroenterology, cardiology, child and adult psychiatry, pathology, and radiation-oncology tumor board management. In addition, the directorate provides the regional medical command with a well-established distance-learning program using both the Internet and video-teleconferencing equipment. This program transmits about 500 clinical lectures per year throughout the region. The research program for the directorate includes more than 70 funded projects that cover a broad range of clinical specialties. The directorate also provides centralized support to the region with Internet Web-based programming. The Walter Reed Web site, www.wramc.army.mil has more than 200,000 pages of content, with clinical material for both patients and providers. Sites in the United States having telemedicine links to Walter Reed include 16 Army installations; the National Naval Medical Center at Bethesda, Md.; and the Pentagon. Current and previous overseas locations include Iraq, Afghanistan, Kuwait, Bosnia, Croatia, El Salvador, Haiti, Honduras, Macedonia, Panama, Somalia, and Sweden, as well as Landstuhl Regional Medical Center, Germany.

3D Center The 3D Medical Applications Center applies rapid prototyping techniques such as Stereolithography and 3D printing to

21


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 22

Walter Reed Army Medical Center 2010-2011

Patient Administration Directorate Data Quality Section The Data Quality (DQ) section comprises two areas, the Ambulatory Data Module (ADM) Section and the Ambulatory Procedure Visit (APV) Cell. The DQ section serves as the subject matter expert in the development and implementation of programs and projects that concentrate on business practices which result in improving data reliability, validity, and timelines at every level within the organization. Activities include planning and conducting statistical analyses and studies concerning the trends and the impact of changes in clinical and workload data. The DQ section also monitors and tracks the hospital's compliance based on the bench marks set by external agencies.

Medical Records Administration Division The Medical Records Administration Division (MRAD) is one of the largest sections within Patient Administration. It consists of Coding, Medical Records Assembly and Analysis, Outpatient/Inpatient Records, Special Actions, Medical Audit/ Research and Statistics. The staff provides coding support and training for outpatient clinics, ambulatory procedure clinics, and inpatient wards. The MRAD performs maintenance of paper records, files and retrieves records for appointments, and retirees' records based on specified timelines. Patients can also receive copies of medical records through Special Actions. The Special Actions and Outpatient Record Sections are located on the 1st floor in Building 2, Room 1R08. The hours of operation are 7:30 a.m. to 4:30 p.m. (Monday - Friday). The phone number for Outpatient Record Section is (202) 782-6160; the phone number to Special Actions is (202) 782-6147.

Uniform Business Office Uniform Business Office (UBO) provides services in the areas of Medical Services Account (MSA), Third Party Collection Program (TPCP) and Medical Affirmative Claims (MAC) programs. Claims submitted by the Hospital to private health insurance will not result in an increase in a patient's premium. The money collected is used to purchase additional equipment, expand the pharmacy formulary, or hire additional staff to enhance the medical services provided to the patient.

22

Patients admitted to the hospital may deposit funds and/or certain valuables in the Patient Trust Fund for safe keeping. The Patient Trust Fund is a component of the Medical Services Account. The MSA hours of operation are Monday - Friday from 7:45 a.m. to 4:30 p.m. The Patient Trust Fund can be accessed after hours through Admissions and Dispositions Section.

Patient Affairs (Medical Evaluation Board) Section The Medical Evaluation Board office is dedicated to educating and guiding Soldiers through the Disability Evaluation System (DES). The DES is designed to ensure a seamless transition of our wounded, ill, or injured from the care, benefits, and services provided by the DoD to those provided by the Department of Veterans Affairs (DVA). The DES is designed to replace the legacy MEB System. A Servicemember enters the MEB process through the initiation of the DoD/VA Disability Evaluation Pilot Referral Form. This office also processes Temporary Disabled Retirement List (TDRL) Re-evaluations for DC, Maryland, Pennsylvania, and West Virginia. Also, this section conducts all the Fitness for Duty requests for Reserve Component Soldiers within our geographical area of responsibility, as well as, arranging care for approved line of duty Soldiers.

Patient Accountability Branch The Patient Accountability Branch (PAB) is a diverse section reaching out to patients and staff through a variety of ways. The Admissions and Dispositions Office is open 24-hours-a day and is located on the second floor in room 2D01. The PAB section establishes, accounts for, and maintains tracking for all active duty and DoD beneficiaries who are admitted to the facility. The PAB is also charged with in processing Wounded Warriors in transition from OIF/OEF on a weekly basis. The following services also fall under the Patient Accountability Branch: Soldier Assistance Center (SAC) support, casualty affairs processing, mortuary affairs services, GWOT tracking, patient travel orders administration, and line of duty initiation. For additional information, please contact the staff at (202) 782-6140.


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 23

Walter Reed Army Medical Center 2010-2011

Clinical Education and Research Walter Reed Army Medical Center has a long-standing reputation as one of the finest teaching institutions in the country. A fundamental mission of the hospital is to train physicians and other health care professionals for service to the Army and the nation. Walter Reed serves as the Department of Defense's largest resource for the training of young physicians and other health care professionals as well as for the continuing education of the experienced care provider. Walter Reed selects its medical intern class carefully each year from medical school graduates who rank high in their class. Interns serve either categorical internships working within a specific specialty, or they may rotate among the hospital's many specialty services. The medical center also con-

ducts intern programs for dentists, dietitians, and occupational therapists. Walter Reed also conducts approximately 60 residency and fellowship programs for Army, Navy and Air Force physicians, as well as residencies in dentistry, pharmacy, health care administration, psychology, and a social work fellowship in child and family training. Other professionals also participate in programs in blood banking, clinical laboratory officer training, radiology and dialysis technician training, and clinical pastoral care As part of their training, and in preparation for additional military duties after their graduation, all residents participate in a "military unique" curriculum that provides service- and spe-

23


WRMC_Editorial_2010.qxp

9/15/2010

11:21 AM

Page 24

Walter Reed Army Medical Center 2010-2011

cialty-specific education critical for functioning as a medical officer during deployment, national crisis, war, or overseas assignment. Walter Reed's programs are among the top rated in the United States, and its graduates have a first-time pass rate of more than 95 percent on their specialty board examinations. Approximately 400 teaching staff members who are board certified in their respective specialties supervise the trainees' clinical care and encourage the residents and fellows to do clinical and bench research while at Walter Reed. Faculty and residents frequently publish articles in the Journal of the American Medical Association, New England Journal of Medicine, and other specialty journals. Graduate medical education at Walter Reed has grown significantly since its start in 1947 with small medical and surgical residency programs to prepare medical officers for certification by American specialty boards. Nursing Education and Staff Development Service provides continuing education and staff development opportunities to meet the learning needs of more than 6,000 health care staff members, including more than 1,400 nursing staff at Walter Reed. The service conducts seven programs to prepare nurses with new military and nursing skills, and update their current knowledge. As a major Army Phase II site for training certified registered nurse anesthetists, Walter Reed prepares skilled providers through the U.S. Army Graduate Program in Anesthesia Nursing and the Uniformed Services University of Health Sciences Nursing Anesthesia Program. Graduates earn a Master of Science in Nursing on completing the 18-month program. With readiness at the forefront of education, military and civilian nurses learn specialized skills and earn new occupational codes in the 14-week Phase II of the Critical Care Nursing Course. The 16-week Perioperative and Psychiatric/Mental Health Nurse Courses prepare skilled nurses for assignments in the United States, overseas and in deployment. The 20-week Dialysis Technician Course awards the M3 skill identifier to Army practical nurses and prepares them to provide dialysis to patients in hospitals and field settings. The 52-week Phase II of the U.S. Army Practical Nurse Course prepares graduates to take the practical nurse licensure examination after intensive clinical and classroom training. Nursing Education conducts resuscitation courses, Health Care Specialist (91W) training, and the Instructor Training

24

Course for providers and instructors at the medical center. NESD manages the automated training database that monitors training and licensure requirements for Walter Reed staff members. The Department of Clinical Investigation oversees Walter Reed's clinical investigation and research program involving human, animal, and laboratory related studies. DCI provides support to clinical investigators in the areas of research review; biometrics; automation support; research administration; funding; education and training; research laboratory support; and publication clearance. DCI directs, supports and reviews medical research and education programs with related activities throughout the medical center and the North Atlantic Region. Walter Reed physicians are involved in research investigating a wide array of challenging clinical conditions, including the human immunodeficiency virus, or HIV; viral hepatitis; prostate, breast, thyroid, gynecological and hematological cancers; cardiovascular disease, head injury; and deployment related illnesses. Hospital clinicians also do research involving surgical techniques and procedures. Many Walter Reed physicians collaborate with investigators from the Uniformed Services University of the Health Sciences and Walter Reed Army Institute of Research as well as civilian institutions. The department also supports researchers through laboratory, computer and statistical assistance and through various research courses. Educational offerings include a research course for Walter Reed clinicians covering ethical issues, current regulations, and design considerations in conducting medical research. The department also offers a molecular biology course that introduces current concepts and provides hands-on experience with specific molecular biology laboratory techniques. Four times a year, DCI biostatisticians teach a series of introductory, handson seminars to familiarize researchers with Statistical Product and Service Solutions software and its applications to data management and analysis. The Nursing Research Service carries out many nursing research projects, externally funded through the TriService Nursing Research Program and the Telemedicine and Advanced Technology Research Center. Current study topics include nurse staffing and patient safety, research utilization, telenursing, and the work environment in Army hospitals. At NRS, doctorally prepared nurse researchers support nursing research and scholarly activities conducted by nurses throughout Walter Reed.


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 25

Walter Reed Army Medical Center 2010-2011

Other Units Armed Forces Institute of Pathology The Armed Forces Institute of Pathology, a tri-service organization on the Walter Reed campus, is the nation's leading laboratory for pathology. The AFIP's wide-ranging mission includes research, consultation, and education to serve the military and the civilian community worldwide. The AFIP is an international resource in the field of diagnostic pathology in medicine, dentistry, and the veterinary sciences, with a combined staff of almost 800 military, federal civilian, and contract employees. It is the reference center in pathology for the Departments of Defense and Veterans Affairs. AFIP's Directorate for Advanced Pathology, the heart of the institute, includes 27 departments and four groups. Each year, the institute receives more than 50,000 difficult cases for second-opinion consultation. More than half are from active-duty servicemembers or their Family members. AFIP's pathologists make major or minor changes in diagnosis in nearly half these cases, many of which present potentially high-risk medicolegal problems. The directorate's other departments study aspects of pathology from molecular levels to skin (dermatopathology) and everything in between. The center leads or collaborates on many Department of Defense Health Affairs-directed medical

programs. This involvement reflects the staff's world-class reputation in the world of pathology. Further evidence is the numerous honors, lectureships, and special awards they receive, and the offices they hold in national and international societies. The largest department in the AFIP is the Armed Forces Medical Examiner System. The AFMES is responsible for conducting forensic medico-legal death investigations for the Department of Defense and other federal agencies. Specialty divisions include the Forensic Toxicology Division, the Mortality Surveillance Division, and the DoD DNA Registry. The Forensic Toxicology Division is also responsible for providing quality assurance and quality control for the entire Department of Defense Drug testing program. In education, the AFIP staff is devoted to teaching physicians worldwide about emerging diseases, the various tumors they encounter, toxic agents in the environment and the molecular components of disease. The AFIP offers nearly 70,000 hours of continuing medical education annually and in 2003 offered more than 62,000 contact hours, including distancelearning programs. Additionally, almost all the radiology residents in the United States and even some from overseas attend our six-week radiology pathology correlation course. In research and development, AFIP experts examine or develop new technologies and procedures to deliver the best

25


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 26

Walter Reed Army Medical Center 2010-2011

possible patient care in diagnostic pathology. Much of the approved research is in collaboration with other healthcare entities in government, academia and industry. The AFIP evolved from the Army Medical Museum, which was founded in 1862 to undertake a systematic collection and study of the anatomical and disease-related specimens produced as a result of the Civil War. From 1893 to 1902, the museum's curator was Maj. Walter Reed while he was also a faculty member of the Army Medical School. During its first session, he taught clinical and sanitary microscopy and was the director of the pathological laboratory. The museum became the National Museum of Health and Medicine in 1989. While always located in Washington, D.C., it has moved several times and is now on the campus of Walter Reed. Today the museum - the "soul" of the institute and the successor to the founding Army Medical Museum - preserves, collects and interprets the objects, specimens, photographs, and documents chronicling the history and practice of medicine over the centuries. Among the most popular anatomical specimens and historical artifacts on display are those related to President Abraham Lincoln. These include the bullet that ended his life, the probe used to locate the bullet, the bloodstained cuffs from the museum surgeon who attended the autopsy and bone fragments from Lincoln's skull. The Museum also highlights the evolution of military medicine in its public programs and exhibitions. The museum's interactive exhibits and historical collections document the history and practice of medicine over the centuries. The museum is in Bldg. 54 on the Walter Reed main campus and is open from 10 a.m. to 5:30 p.m. every day of the year except Dec. 25. Phone 202-782-2200 or visit its Web site at www.nmhm.washingtondc.museum. For more information about the AFIP, visit the Web site at www.afip.org, or contact the AFIP Public Affairs Office at (202) 782-2113 or 2115.

Armed Forces Pest Management Board The Armed Forces Pest Management Board, or AFPMB, is a Department of Defense function under the direction of the Office of the Deputy Under Secretary of Defense for Installations and Environment. AFPMB ensures deployed combat forces have the most effective disease vector control and pest management capabilities to prevent adverse effects on troops, weapons systems, supplies, equipment and installations, using environmentally sound techniques to reduce risk. A senior officer selected from one of the military service branches directs AFPMB; duty rotates among the services. Army, Navy, and Air Force officers and scientists staff it jointly. The AFPMB offices, located at Forest Glen, include two

26

sections: the Directorate and the Defense Pest Management Information Analysis Center. The AFPMB Web site is www.afpmb.org.

Center for Prostate Disease Research The Center for Prostate Disease Research Clinical Trials Research and Treatment Center at Walter Reed provides the most advanced clinical research and treatment for patients with prostate cancer and disease. This direct patient-care facility enhances the center's ability to conduct clinical research, expand its database, and continue its education and training programs. Congress established the CPDR in 1991 to help combat the increasing rate of prostate disease. The program now manages the largest, most comprehensive prostate cancer database in the country and has made several landmark research findings that have helped to improve diagnosis and treatment in the past decade. This Department of Defense program is affiliated with the Uniformed Services University of the Health Sciences, the Armed Forces Institute of Pathology, the Henry M. Jackson Foundation for the Advancement of Military Medicine, and Army, Navy, and Air Force medical centers throughout the United States. For more information about the CPDR and its programs, visit the Web site, www.cpdr.org.

Comprehensive Breast Center The Walter Reed Comprehensive Breast Center, located on Ward 55 of Heaton Pavilion, Bldg. 2 (main hospital), is an outgrowth of the Clinical Breast Care Project, a congressionally mandated military-civilian collaboration. The Breast Center provides breast cancer screenings, diagnostic procedures, andcomprehensive services. Broad in scope and research-centered, the Breast Center provides all patients with the opportunity to participate in clinical studies aimed at understanding the genomic (genetic) changes that occur in all breast cancers. Breast cancer patients receive treatment from all their health care providers in the center, avoiding unnecessary multiple visits and clinic appointments. The center's Risk Reduction Program specializes in identifying women who are candidates for its prevention approaches. The most modern conference and video-teleconferencing facilities in the Breast Center link its health care providers to its off-site research locations, ensuring strong collaborations between the people treating the patients and the researchers looking for new approaches in the cure for breast cancer.


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 27

Walter Reed Army Medical Center 2010-2011

The skilled DHCC health care team of internists, nutritionists, occupational and physical therapists, psychologists, social workers, psychiatrists, chaplains, and other specialists operates the nation's only Specialized Care Program for service members returning from deployments. This intensive, three-week, outpatient program offers a multidisciplinary treatment approach in a comfortable small group setting to those affected by persistent and often unexplained symptoms. The center's Web site, www.pdhealth.mil, provides the most up-to-date deployment health information available for service members, family members, health care providers and everyone who cares about veterans.

National Capital Area Defense and Veterans Brain Injury Center The Defense and Veterans Brain Injury Center is a group of seven traumatic brain injury programs in Department of Defense and Department of Veterans Affairs hospitals and a civilian TBI rehabilitation program. DVBIC sites collaborate to provide services and support to help active-duty service members, veterans and their eligible beneficiaries with TBI return to duty, work and community. The center provides expert case management and to ensure individualized, evidence-based treatment for each patient to maximize function and decrease or eliminate disability. Traumatic brain injury is a major cause of life-long disability and death. In earlier wars, TBI accounted for at least 14 percent of surviving combat casualties. In addition to its headquarters at Walter Reed, DVBIC sites are located in California, Florida, Minnesota, Texas and Virginia, with additional research programs in California, New York and North Carolina. Visit www.DVBIC.org for updates on clinical treatment, research and educational programs/materials available from DVBIC.

Deployment Health Clinical Center The Deployment Health Clinical Center is a comprehensive, tri-service outpatient program which serves returning servicemembers and Family members who are experiencing postdeployment health concerns. It works with its patients, their Families and their doctors to find answers, improve health care and enhance the quality of life after military deployments. The center offers a caring program that includes medical evaluation and treatment, veteran and clinician education, and strategies for improving the quality of post-deployment health care delivered within all Department of Defense health care facilities.

Naval Medical Research Center The Naval Medical Research Center's mission has remained the same since it was established in 1942 as the Naval Medical Research Institute: to enhance the health, safety, readiness and performance of Navy and Marine Corps personnel. NMRC and its subordinate laboratories conduct basic and applied biomedical research in infectious diseases, biological defense, combat casualty care, bone marrow, and military operational medicine. In addition, NMRI and its overseas laboratories support global surveillance, training, research and response to emerging infectious disease threats as part of the expanded Department of Defense Mission. The original research institute was a tenant command of the National Naval Medical Center in Bethesda, Md. It was disestablished on Oct. 1, 1998, and the Naval Medical Research Center was established as a headquarters command with responsibility for the Navy Dental Research Institute at Great Lakes Naval Base, Ill.; the Navy Infectious Disease Research Commands in Cairo, Egypt, and Jakarta, Indonesia; and the Navy Infectious Diseases Detachment in Lima, Peru. From the beginning, the institute's research focus included heat stress and exposure limits for hot and humid shipboard environments. It also studied safety equipment, including protective clothing, flight goggles, safety belts, and repellents for sharks and for insect vectors of disease. NMRI studied the Japanese survivors of the atomic bomb and became deeply involved in developing methods for treatment of radiation exposure. These efforts led to the establishment of the Armed Forces Radiobiology Research Institute. During the 1950s and 1960s, the institute became involved in training monkeys, and later human astronauts, for space flight. It also developed a telemetry suit for transmitting astronauts' physiological data. The Navy Tissue Bank was established at NMRI, developing freeze-drying techniques for pre-

27


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 28

Walter Reed Army Medical Center 2010-2011

serving tissue for grafting and other reconstructive surgery. During the Vietnam War, thousands of wounded Soldiers were treated with tissue that was collected, preserved and shipped from the Navy Tissue Bank. The National Marrow Donor Program was established in 1986 with the Navy as lead contracting agent. In 1990, the C. W. Bill Young Marrow Donor Recruitment and Research Program became a permanent part of the NMRI scientific regimen. In 1990-91, NMRI scientists became involved in biological defense research. In 1995, USA Combat Developer selected biological defense rapid assays developed by NMRI as its technology of choice. The institute's biological defense scientists helped UNSCOM inspectors determine evidence for Iraqi weaponization of biological threat agents. In 1995, a space shuttle Discovery payload included an experiment developed by NMRI Immune Cell Biology Program scientists investigating the growth and development of bone marrow stem cells. That same year the Endeavor included a second set of experiments developed by NMRI scientists. In 1997, NMRI immune cell biology scientists collaborated with university and private-sector partners to test novel medical therapy to prevent rejection of transplanted organs. Research continues in the Daniel K. Inouye Building, co-located with the Walter Reed Army Institute of Research in the Forest Glen section of Silver Spring, Md.

Guard. It also provides dental services in 33 dental clinics on 22 installations in the region. The command has subordinate dental activities, or DENTACs, at Fort Bragg, N.C.; Fort Drum, N.Y.; Fort Eustis, Va.; Fort Knox, Ky.; Fort Meade, Md.; West Point, N.Y.; and at Walter Reed. In addition, there are three dental clinic commands, at Carlisle Barracks, Pa.; Fort Lee, Va.; and Aberdeen Proving Ground, Md.; and 12 U.S. Army Reserve annual training sites.

North Atlantic Regional Veterinary Command The North Atlantic Regional Veterinary Command, headquarted on the Main Installation at Walter Reed, is responsible for food inspection and animal care in Washington, D.C., and the same 21 northeastern states as the region's medical and dental commands, plus a unit in the Azores. As in the rest of the Army, the primary mission of the Veterinary Corps is food inspection for such activities as dining facilities, commissaries, and snack bars. NARVC veterinarians also provide care for military working animals, such as bomb and drug detection dogs, the mascots of the Army and Navy military academies, and the horses that pull the caissons for traditional military funerals at Arlington National Cemetery. They also provide limited veterinary care to eligible beneficiaries at veterinary treatment facilities on Army, Navy, and Air Force installations in the 21-state region. NARVC has four subordinate commands: the Allegheny District at Carlisle Barracks, Pa.; the Mid-Atlantic District at Fort Eustis, Va.; the National Capital District at Fort Belvoir, Va.; and the Northeast District at Fort Monmouth, N.J. The command's headquarters is in Bldg. 1 (old hospital) on the main Walter Reed installation.

U.S. Army Dental Activity Walter Reed North Atlantic Regional Dental Command The North Atlantic Regional Dental Command headquarted on the main installation at Walter Reed, is responsible for providing dental care to active-duty beneficiaries in 21 states and the District of Columbia. It also coordinates dental readiness and wellness and provides professional fillers to the Active and Reserve Components and to multi-component units throughout the region. The command provides dental support at nine power-projection platforms in the region as part of mobilizing and demobilizing Soldiers of the Army Reserve and National

28

The U.S. Army Dental Activity Walter Reed is a subordinate command of the North Atlantic Regional Dental Command and the U.S. Army Dental Command. The DENTAC coordinates dental services for the National Capital Area, including Walter Reed, Fort Belvoir, Fort Myer, the Pentagon, and Fort McNair. Priority of care goes to active-duty servicemembers. Care for other beneficiaries is limited to treating emergencies and supporting Walter Reed inpatients and medically compromised patients. Dental care includes a full range of diagnostic, consultative and restoritive care. Dental specialty support includes oral


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 29

Walter Reed Army Medical Center 2010-2011

medicine, oral and maxillofacial pathology, comprehensive general dentistry, endodontics, periodontics, pedodontics, orthodontics, prosthodontics, and oral and maxillofacial surgery. Teaching is an integral part of the DENTAC mission. The command provides residency training in oral and maxillofacial surgery through its affiliation with the combined Army-Navy Oral Maxillofacial Surgery Residency Program. It also offers an annual postgraduate dental continuing education course in oral diagnosis, oral medicine, and oral pathology; and a biennial postgraduate course in oral and maxillofacial surgery. It provides speakers for dental continuing education programs sponsored by the Navy Postgraduate Dental School in Bethesda, Md., and the Armed Forces Institute of Pathology on the Walter Reed campus. These programs, in conjunction with clinical research and consultation, enhance the clinical skills of Army Dental Corps officers and other dentists throughout the United States.

U.S. Army Physical Disability Agency The U.S. Army Physical Disability Agency, part of the U.S. Army Human Resources Command, manages the Army's physical disability evaluation system and provides prompt processing of Soldiers who must leave the Army because of a service-connected disability. The agency develops and implements policies, procedures and programs related to physical disability issues and makes sure applicable laws, policies and directives are interpreted uniformly. By reviewing physical evaluation board proceedings, the USAPDA also ensures that Soldiers' cases are decided fairly and are substantially the same as members of other services under similar conditions. The agency operates three Physical Evaluation Boards: at Walter Reed; at Fort Sam Houston, Texas; and at Fort Lewis, Wash. More information about the USAPDA is available by clicking on "Physical Disability Evaluation System" at the agency's Web site, https://www.perscomonline.army.mil/t agd/pda/pdapage.htm

U.S. Military Cancer Institute The United States Military Cancer Institute is a tri-service, collaborative endeavor to enhance patient care and research among military beneficiaries. The headquarters is in (old hospital) Bldg. 1 at Walter Reed. The institute is composed of military cancer specialists and civilian scientists from the medical departments of the Army, Navy and Air Force. They are working together to answer important questions about the

cause and treatment of cancer. A particular interest of the institute is the area of cancer epidemiology, prevention and control. It chose this focus because prevention of cancer is better than its treatment, even when the treatment is successful. Prevention lessens suffering, preserves the wellness of the military, and decreases the economic costs of this disease. For further information, consult our Web site, www.usmci.org.

Walter Reed Army Institute of Research The Walter Reed Army Institute of Research at Forest Glen, is the oldest and largest of the laboratories in the U.S. Army Medical Research and Materiel Command. It was founded in 1893 as the first school of preventive medicine in the United States and has evolved into the military's premier biomedical research laboratory. Its primary focus is on research that delivers life-saving products to the war fighter. Today, WRAIR pursues a research program extending from basic research through product development with emphasis on militarily relevant infectious diseases, combat casualty care, operational medicine, field medical, dental and dental trauma care, and medical defense against chemical and biological agents. In the study of infectious diseases and biological threats, research includes basic molecular biology, epidemiology and vaccine development for diseases such as malaria, HIV/AIDS, diarrheal diseases, leishmaniasis and dengue fever. Prevention of exposure (repellent research and vector surveillance for mosquitoes and sand flies) and prevention education are key elements to soldier health. Vaccine studies are carried out world-wide in areas endemic for these infections. Research benefits the Soldier and civilian populations in areas unstable due to the debilitating effects of infectious disease. WRAIR investigates mechanisms of and innovative care for traumatic injuries due to blast or traditional combat. Investigators have researched new methods for moving blood and blood products, improved storage techniques and regimens for resuscitation. The characteristics of blast injury, unique benefits of body armor and specialized treatment are also being discerned. Basic studies in neurobiology and psychology elucidate determinates of behavior and response to psychological stress and aid in sleep management. Studies so far have quantified combat psychiatric injuries, methods to prevent them and means to benefit performance. Much of WRAIR's work takes place in its main laboratory in Bldg. 503 at Fort Detrick's (Md.) Forest Glen section in Silver Spring, Md., loocated with the Naval Medical Research Center (see separate listing above). Elements of the Institute have

29


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 30

Walter Reed Army Medical Center 2010-2011

operated beyond the main post since Maj. Walter Reed led the Yellow Fever Commission to Cuba from 1900 to 1901. WRAIR special field activities are currently in Thailand, Kenya, and Germany. Field sites exist throughout Asia and Africa. Research in these laboratories provides critical knowledge to protect war fighters deployed overseas. WRAIR is also responsible for scientific and administrative oversight of laboratories that focus on directed energy bioeffects, military dentistry, and operational stress. The directed energy detachment is co-located with the Air Force at Brooks City Base in San Antonio, Texas. The Dental Detachment is

co-located with the Navy at Great Lakes Naval Base, Ill. where Complementing the successful in-house research produced by WRAIR is its responsibility for managing a broad program of external research. Contracts and cooperative agreements with leading university and industrial laboratories greatly expand the Medical Research and Materiel Command's capability in psychiatry, combat casualty care, and infectious disease and drug development research. The Walter Reed Army Institute of Research, through a combination of teaching, research, and product development, exemplifies preventive medicine in its broadest context: identifying potential medical threats, developing specific prevention and treatment methods, instructing others in their application, and constructing drugs and vaccines which simplify the task of conserving the fighting strength. The institute still maintains an educational mission by hosting residencies and fellowships in military preventive medicine, military medical research, clinical pharmacology, and others. College, high school and middle school science programs educate local students about scientific research through hands-on activities and laboratory participation, Phone (301) 319-9259 or 7195 for more information.

Borden Institute The Borden Institute, an agency of the U.S. Army Medical Department Center & School, is located on the Walter Reed Army Medical Center campus in Delano Hall, Bldg 11. There is also a satellite office at Fort Sam Houston, Texas. The Borden mission is to publish the Textbooks of Military Medicine, a series of medical books covering the spectrum of applied biomedicine, including the ballistics of wounding; medical aspects of chemical, biological, and nuclear warfare and terrorism; war psychiatry; deployed critical care and anesthesiology; occupational and physical rehabilitation; human physiology in harsh environments; preventive medicine; and unique aspects of healthcare for recruits. Borden also publishes specialty titles, such as War Surgery in Afghanistan and Iraq, A Series of Cases, 2003-2007; the

30

Military Advanced Regional Anesthesia and Analgesia (MARAA) Handbook; the Emergency War Surgery handbook; Urology in Vietnam; and more recent historical works including the WRAMC Centennial Pictorial History and History of the US Army Dental Corps. In addition to print versions, most textbooks and specialty books are available in PDF, fully searchable, on the Institute's Web site, www.bordeninstitute.army.mil. Founded for the purpose of documenting and publicizing advances in military medicine, Borden continues to cover timely medical issues and emerging treatments from lessons learned in the current conflicts, with forthcoming projects on topics such as care of the amputee and behavioral health in combat.


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 31

Walter Reed Army Medical Center 2010-2011

Chapels The Department of Ministry and Pastoral Care at Walter Reed provides religious and spiritual support 24 hours a day, seven days a week, through assigned ward chaplains and oncall staff, for all faith groups and individuals. The department offers religious services for Roman Catholic, Protestant, Jewish and Islamic faiths. Services of other faiths are available in the local community. Chaplains coordinate their ministry with interdisciplinary teams that support patients, their families and staff members. They provide counseling, prayer, sacraments, rites, ordinances, religious literature, and pastoral visits with patients, family members and staff. Walter Reed has two chapels. The larger of the two is Memorial Chapel, which is at the intersection of Dahlia and 14th Streets on the main installation. The Hospital Chapel is on the third floor of Bldg. 2 (main hospital). Stained glass windows from the original hospital chapel are on display in the corridor. Services are conducted daily. In addition, a small prayer room adjacent to the chapel is open 24-hours-a day. The Clinical Pastoral Education program is a yearlong, clinically based course of study for chaplain residents from the Army and Air Force. The program provides intense clinical training in using pastoral-care techniques in a hospital setting. The CPE Center is located in Bldg. 41. How to contact a chaplain: For assistance during duty hours, call (202) 782-6305 or visit the chaplains' offices on the third floor of Heaton Pavilion Bldg. 2, Area 3C. After duty hours, call the administrative officer of the day at (202) 782-7309.

Religious Services Memorial Chapel: Catholic Mass Sunday at 9:30 a.m.

Protestant Service Sunday at 11 a.m.

Hospital Chapel: Catholic Mass Monday through Friday at noon Sunday at 11 a.m. Episcopal/ Anglican Eucharist Service Wednesday at 7:30 a.m. Protestant Services Wednesday at 12:30 p.m. Sunday at 9:30 a.m.

Jewish Service Friday at 11:30 a.m. Islamic Service Friday at 1 p.m. Inspirational Moment 15-minute devotional Monday through Friday at 6:45 a.m.

31


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 32

Walter Reed Army Medical Center 2010-2011

Processing In Processing In All newly assigned Walter Reed permanent party Soldiers and students must report to the Medical Center Brigade Personnel Administrative Center (S1) and receive paperwork to complete in-processing. The S1 customer service area is in Bldg. T2 in Room 158. The S3 customer service area is in Room 154A, and the S4 customer service area is in Room 101. After 4:30 p.m. and on weekends, Soldiers should report to the information desk in the second-floor lobby of the Main Hospital, Bldg. 2. The Staff Duty NCO will sign-in the Soldier, provide quarters and lodging information and instruct the Soldier to report to the S1 in ACUs on the morning of the next duty day. The S-1/PAC telephone number is 202-782-7881. Walter Reed Soldiers will begin in-processing at the S1, receive an appointment for in-processing at the Military Personnel Division, Bldg. 11 (Delano Hall), complete all brigade requirements and then report to their company orderly room. Soldiers will follow the in-processing checklist they receive at the S1 and return the completed checklist to their company orderly room in Building T2.

Command Orientation and Annual Required Training New staff members - including servicemembers, civilian and contract employees, and volunteers - must attend the Command Orientation and Annual Required Training program within 30 days after their arrival at Walter Reed. The entire program is offered twice each month on Wednesdays in Bldg. 2 (main hospital), Joel Auditorium, Room 2H02, from 7:30 a.m. to 3:30 p.m. All new employees may take the Birth Month Annual Review training on-line at https://www.elearn.narmc.amedd. army.mil/ but must still attend the Command Orientation part of the program from 1:30 to 3:30 p.m.

TRICARE North Prime Enrollment Servicemembers newly assigned to Walter Reed, WRAIR, AFIP, and DENTAC meet with Walter Reed Managed Care staff during inprocessing to enroll in TRICARE North Prime. Enrollment is not automatic; it is necessary to complete an application form. The active-duty sponsor may also enroll family members during inprocessing or wait a few days, discuss Prime options with the family members, and then go to a local TRICARE Service Center. There is a 30-day window from arrival date to complete enrollments for accompanying family members. The sponsor should also update Defense Enrollment Eligibility Reporting System (DEERS) information within this period. Enrollment forms and assistance are available from the TRICARE North contractor at 1-877-TRICARE (1-877-8742273), at their online service center, www.healthnetfederal services.com, or from Walter Reed's TRICARE Service Center in Heaton Pavilion, Bldg. 2, main hospital, third floor, Suite 3D. Phone (202) 782-4393. Regular duty hours for most of the medical center are 7:45 a.m. to 4:30 p.m. Monday through Friday. Since many activities provide 24-hour service, supervisors will outline specific duty hours.

Insignia

Your company commander or first sergeant will specify duty uniform regulations for company duties or troop formations.

Walter Reed Soldiers assigned to U.S. Army Medical Command units wear two distinctive items of insignia. The MEDCOM insignia is maroon and white for the Class A uniform and subdued for the battle dress uniform. It is worn on the left shoulder sleeve. The unit crest is centered halfway between the seam and the bottom of the epaulet on the Class A uniform. Enlisted Soldiers also wear the insignia in the center of the flash on the beret.

Identification Card Section and DEERS Enrollment

Leaves and Passes

The I.D. Card Section serves active duty servicemembers, retirees, reservists, Army veterans and their family members, as well as Walter Reed civilian employees. It also provides

Requests for leaves and passes for both officers and enlisted Soldiers are submitted through their immediate supervisors and forwarded to their assigned company headquarters.

Uniforms

32

assistance on Defense Enrollment Eligibility Reporting System enrollment and verification. The section is in Bldg. 11, Delano Hall, Room 1-86. Open Monday through Friday from 8 a.m. to 4 p.m. Phone (202) 782-7758 or 7759.


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 33

Walter Reed Army Medical Center 2010-2011

Housing Housing and parking The Housing Referral Office provides personalized housing locator service assisting DOD Military and Civilian Personnel in obtaining non-discriminating, adequate, affordable housing in the civilian community. All arriving military personnel must contact the Housing Referral Office before negotiating a contract for off-post and non-government housing. For further information contact the Housing Referral Office, Monday through Friday from 7 a.m. to 4 p.m. at (202) 7823153 or (202) 782-3117.

Privatized Housing The Military Housing Privatization Initiative (MHPLI) Act passed in 1996 provides the military service with alternatives to eliminate inadequate family housing. The Residential Communities Initiative (RCI) program is a critical component in providing world class communities through public-private partnerships. Walter Reed Army Medical Center has partnered with GMH Military Housing to obtain private sector expertise, creativity, innovation and capital for our service members and their families housing needs. GMH Housing is located in Silver Spring, Maryland, approximately three (3) miles from the installation. For further information visit GMH website at www.wramchomes.com or call (301) 649-9700.

Transportation Parking

Parking on the main installation is severely limited, as it is in most of the Washington area. Carpooling reduces traffic and parking congestion, saves both gas and nerves, and reduces overall exhaust emissions. You must have a parking permit to park in designated parking spaces on post. The Walter Reed Parking and Vehicle Registration Office issues parking permits to all authorized Walter Reed and tenant-activity staff. Rumbaugh Garage is at the rear of Bldg. 2 (main hospital) and is reserved for officers, civilian physicians, active-duty interns assigned to Walter Reed, senior civilian employees, some senior noncommissioned officers and Uniformed Services University of the Health Sciences students on rotation at Walter Reed. Abrams Hall, Bldg. 14, has an underground garage with three levels of access-controlled parking for barracks occupants and some employees. The federal Metrocheck program offers a monthly subsidy to qualified Soldiers and federal employees who use van pools or take public transportation to Walter Reed. Off-post parking is also severely limited. A two-hour limit on nonresidential parking is in effect on most of the streets surrounding the main campus. Violators of on-post parking are liable for ticketing and towing by Walter Reed police. District of Columbia police ticket off-post violations. The underground garage in front of Heaton Pavilion

33


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 34

Walter Reed Army Medical Center 2010-2011

(Bldg. 2, main hospital) is reserved for patients, visitors, volunteers, department chiefs and disabled parking. A limited number of parking spaces for patients with vehicles 6 feet 11 inches or taller is available on Dahlia Street in front of Heaton Pavilion (Bldg. 2). For more information about parking on the Walter Reed installation, visit the Vehicle Registration Office at (202) 7826978 or 8151.

Vehicle Registration

Please bring the proper documents with you when you register a vehicle at Walter Reed. You must provide the following items to register for permanent staff parking: • Valid Department of Defense military or civilian identification card • Valid state driver's license • Valid vehicle registration card • Current proof of insurance • Current proof of emissions test for vehicles older than 1993

To receive a temporary parking placard you must provide the following items: • Valid driver's license • Current vehicle registration card • Power of Attorney if the vehicle is not registered in your name.

Metrocheck Program All federal agencies in the National Capital Region offer qualified employees a monthly stipend as a transit or vanpool subsidy to help reduce traffic congestion and air pollution. Walter Reed participants receive this transit subsidy, commonly called the Metrocheck program, depending on the distance from home to work. The program is open to all servicemembers and federal (civil service) employees. Generally, staff members who take part must give up their parking permits to receive the subsidy. For more information about the Metrocheck program, see www.dtic.mil/ref/html/NCRTransitpass.html or call the Walter Reed Transportation Office at (301) 295-7644.

TRICARE Your Military Health Plan Information about TRICARE is available on Walter Reed's Web site at www.wramc.army.mil. Visitors are also welcome at Walter Reed's TRICARE Service Center in Heaton Pavilion, Bldg. 2, third floor, Suite 3-D, for help with enrollment or claims issues. Phone (202) 782-4393 or DSN 662-4393. TRICARE is a regionally administered Department of Defense managed-care health program with three options: Prime, Extra, and Standard. Active-duty service members must enroll in Prime. Eligible family members and retirees may choose whichever of the three options best suits their needs. Prime requires completing an enrollment form. Extra and Standard do not. Walter Reed is part of the TRICARE North Region and works with the regional contractor, Health Net Federal Services, to offer TRICARE. Walter Reed is a Prime site for active duty and eligible family members and retirees. How to enroll: In TRICARE North, all Prime enrollments require paperwork to be mailed to Health Net. Active-duty service members newly assigned to Walter Reed must complete this paperwork with 30 days of arrival. Active-duty service members receive enrollment forms during inprocessing.

34

Forms are also available from Health Net online at www.healthnetfederalservices.com, and at Walter Reed's TRICARE Service Center in Heaton Pavilion (Bldg. 2, main hospital), third floor, Suite 3-D. Phone (202) 782-4393 or DSN 662-4393. TRICARE for Life is a program available to beneficiaries who are 65 and older. Those who enroll in Medicare Parts A and B are automatically considered users of TRICARE for Life. Under this program, they may see civilian providers in the community, use Medicare as the first payer for services, and get TRICARE as a second payer to pay for their Medicare deductibles and cost shares. There are also six Uniformed Services Family Health Program sites in the Department of Defense. These sites enroll Medicare-eligible beneficiaries as well as active duty family members, and retirees and their family members under age 65. Those who enroll give up access to military treatment facilities for the duration of their USFHP enrollment. Four of these programs are in the TRICARE North Region. The closest to Walter Reed is offered through Johns Hopkins Medical Services Corp. Information on that program is available at (800) 80-USFHP.


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 35

Walter Reed Army Medical Center 2010-2011

Administrative Services Army Community Service The Army Community Service Center helps the total Army family by providing services to maintain stability and meet the challenges of military life. Readiness services are available to active-duty and retired service members, their family members, Army civilian employees and reservists on active duty. ACS is on the lower level of Doss Memorial Hall, Bldg. 17 and is open Monday through Friday from 7:45 a.m. to 4:30 p.m. Phone (202) 782-3412.

Among ACS Readiness Services: • Information, Referral & Follow-up provides timely, comprehensive information on both military and civilian community resources that help individuals and families meet basic needs and improve their quality of life. • The Family Advocacy Program promotes effective family functioning by focusing on preventing and treating child, spouse and elder abuse. It provides training, education and public awareness. • The Exceptional Family Member Program offers information, referral and transition assistance to Soldiers who have one or more family members with special physical, emotional, educational or developmental disabilities or delays. • The Financial Readiness Program offers a variety of serv-

ices geared toward teaching Soldiers and family members basic, intermediate and advanced financial skills. This program helps Soldiers and their families develop spending plans and money management skills. It also provides a workshops and training to assist and educate soldiers and their families. • The Relocation Readiness Program provides current information, guidance, counseling, education and training during all phases of the relocation process. Services include Walter Reed information packets, on-line information about all military installations, a lending closet, levy and in-processing briefings, and a newcomers' orientation. • The Employment Readiness Program provides comprehensive career coaching, job search assistance, skill assessments, and training on how to market yourself and your skills. It also offers workshops, training and guidance in federal, local, state and private employment opportunities. • The Transition Assistance Program provides information to separating Soldiers and their family members about benefits and entitlements as well as job search assistance. The program is a partnership among Walter Reed, the Department of Labor and the Department of Veterans' Affairs. • The Mobilization and Deployment Readiness Program provides support to commanders of Active and Reserve Component forces during pre-deployment, mobilization, deployment, homecoming, stability and support operations.

35


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 36

Walter Reed Army Medical Center 2010-2011

Other services include Army Family Team Building, Army Family Action Plan, and Installation Volunteer Coordinator. The ACS Volunteer Program encourages individuals to contribute their own unique resources to help the agency carry out its overall mission.

Army Emergency Relief Army Emergency Relief provides financial assistance for active-duty military members and their dependent family members; retirees and their dependent family members; and U.S. Army Reserve Soldiers and National Guard Soldiers on continuous active duty for more than 30 days and their Family members. AER offers assistance during verifiable emergencies for food, rent, loss of funds, essential car repairs, medical or dental expenses, required emergency travel, funeral expenses, utility payments and other household emergencies. AER also provides undergraduate-level scholarships to children of Soldiers, based on financial need. Further information on scholarship programs is available from AER Headquarters at www.aerhq.org. Army Emergency Relief is in the Army Community Service Center, Doss Memorial Hall (Bldg. 17), lower level. It's open Monday through Friday from 8 a.m. to 4 p.m. The telephone number is (202) 782-4383 or 3415.

The Red Cross and its volunteers also assist hospital staff, patients and families in many areas of the medical center. Youth programs, health and safety, and disaster relief training are examples of other vital services. The Red Cross office is on the third floor of Heaton Pavilion, Bldg. 2, Room 3E05. It's open Monday through Friday from 8 a.m. to 4 p.m. The telephone number is (202) 782-6362. After hours, call toll-free (877) 272-7337. For health- and safetyservice classes, call (703) 584-8431

Child and Youth Services Walter Reed Child & Youth Services provides full-day, partday, and hourly care in a developmental setting for children from 6 weeks through 12 years old. Children from 6 weeks through 4 years receive care in the Child Development Center, Bldg. 169, at Forest Glen near the post exchange and commissary. Children in first grade through fifth grade receive care at School Age Services, Bldg. 130, in the Glen Haven Housing Area. For enrollment information phone (202) 782-0565.

Civilian Personnel Advisory Center

American Red Cross The American Red Cross provides emergency assistance for active-duty service members and their families. This assistance includes a worldwide emergency communications network, counseling, and referral service including emergency financial assistance.

36

The Civilian Personnel Advisory Center is on the second floor of Delano Hall, Bldg. 11. Applicants and current Federal employees seeking employment with the Army or Walter Reed Army Medical Center should visit the World Wide Web site, www.cpol.army.mil. For inquiries about personnel matters at Walter Reed, call (202) 782-4660. Defense Military Pay Office National Capital Region Walter Reed Satellite Office is in Bldg. 11.


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 37

Walter Reed Army Medical Center 2010-2011

The Defense Military Pay Office-National Capital Region Walter Reed Satellite Office provides continuous military pay support for Soldiers assigned or attached to Walter Reed, including Operation Iraqi Freedom and Operation Enduring Freedom Soldiers, their families, and non-medical attendees. The office supports the Walter Reed installation through inand outprocessing, permanent change of station travel, pay inquires, transition and retirement, casual payments to OIF and OEF soldiers, invitational travel order payments to family members, and temporary duty support to medical patients and non-medical attendants. The Finance Office is in Delano Hall, Bldg. 11, Room G-94. Phone (202) 782-7285 or DSN 662-7285.

Equal Employment Opportunity Office The Walter Reed Army Medical Center (WRAMC) Equal Employment Opportunity Office (EEO) oversees and monitors compliance of EEO and Affirmative Employment policies, practices, and procedures that affect all civilian employees and applicants for employment at WRAMC (to include all assigned tenants). Our mission is to ensure all employees, stakeholders and applicants have access to equal opportunities to engage in fair competition for employment opportunities and other EEO programs administered by WRAMC. EEO administers a customer focused program that prevents and eliminates discrimination, ensuring fair competition regardless of race, age, sex, color, religion, national origin, physical/mental disability, or reprisal. Branches of the EEO office include the Complaints Processing Program (which includes Alternative Dispute Resolution), Training and Diversity, Special Emphasis Programs, and Compliance and Data Review. The EEO office is on the second floor of (old hospital), Bldg. 1 in Room B-220. Phone (202) 782-3343.

Equal Opportunity Office The Equal Opportunity program formulates, directs, and sustains a comprehensive effort to maximize human potential to ensure fair treatment for military personnel, family members, and Army civilians without regard to race, color, gender, religion or national origin, and to provide an environment free of unlawful discrimination and offensive behavior. The Equal Opportunity Office is in (old hospital), Bldg. 1, Room A-224. Phone (202) 782-7381 or 5080.

Executive Services Executive Services located in Heaton Pavilion, Bldg 2, 3rd Flr., is a full service directorate aimed at providing command-

level support for all distinguished visitors. Our primary mission is to raise the awareness of Walter Reed's core missionWarrior Care. Through our professional staff, we ensure each visit to WRAMC reinforces our commitment to world-class health care to our military family. From managing the healthcare needs of senior leadership to organizing events for the Warriors in Transition, this five-section department specializes in coordination, planning, and executing events that include distinguished visitors from the president of the United States to general officers, to members of Congress, and civic groups who want to thank the Soldier, the Sailor, the Airmen, and the Marine for their service. The directorate includes Executive Health, Protocol, Visitor's Bureau, and Special Events.

Inspector General The Inspector General's (IG) Office serves the Northern Regional Medical Command (Provisional) which includes the Walter Reed Health Care System and the Walter Reed installation, except the Walter Reed Army Institute of Research (WRAIR), which receives support from the Fort Detrick Inspector General. The IG supports commanders, civilians, Soldiers, and Families by providing or conducting: • Assistance to clarify misinformation and correct improper procedures. Complainants should always attempt to resolve issues through their chains of command or other appropriate agencies before contacting the IG. • Inspections requested by a commander to identify systemic issues, root causes, and to recommend corrective actions. The NRMC IG office assists in the execution of the

37


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 38

Walter Reed Army Medical Center 2010-2011

Organizational Inspection Program for the Commanding General. • Inquiries and investigations into alleged fraud, waste, abuse of authority, reprisal, violations of regulations, and other matters that cannot be otherwise resolved by the complainant. • Teaching and training - the preferred way of passing lessons learned from the IG functions to others. The IG staff is available for professional development classes. No appointment is necessary. Complainants can contact the IG for assistance during the following hours: Monday, Tuesday, Wednesday and Friday from 8:00am - 4:00pm and Thursdays from 1:00pm-4:00pm. Call (202) 782-3529 for more information. The IG office is located on the first floor in Building 1 (old hospital), Room E102, next to the Pentagon Federal Credit Union.

Claims: For information or assistance with household goods claims, call the Claims Office at (202) 782-1683 or 1684 or visit the old hospital Bldg. 1, Room D-201. The Claims Office is open Monday through Friday from 8 a.m. to 4 p.m. Legal Assistance: Powers of attorney and notary services are available without an appointment in Bldg. 1, Room D-201. The office is open Monday through Friday from 8 a.m. to 4 p.m. For help with legal problems such as domestic relations, leases, taxation, residency, or will preparation, call the Legal Assistance Office at (202) 781-1550 to schedule an appointment or to obtain a referral. Center Judge Advocate staff members make ward visits to inpatients who desire to make a will or grant someone a power of attorney and who are unable to come to the office due to their medical condition. Information and forms for living wills and durable power of attorney for health care are available from ward nurses or the Admissions Office. Soldier's Legal Counsel: These attorneys advise and represent Soldiers who request a formal review of the results of their informal Physical Evaluation Board. Soldiers undergoing disability processing who have questions should contact our office at (202) 782-1676.

Soldier Family Assistance Center (SFAC) The Soldier Family Assistance Center (SFAC) is acomprehensive centralized coordinating office that provides a variety of services for Warriors in Transition and their Family members, who come to WRAMC to visit and aid in their recovery. The SFAC supports the Hospital and Warrior Transition Brigade Commands, by developing, coordinating and providing designated services that address complex administrative and personal needs involving Warriors in Transition and their Family members. Services provided by the SFAC to WTs and their Families:

Legal Services The Office of the Center Judge Advocate provides legal advice and services to the commander and staff of Walter Reed Army Medical Center and all subordinate, assigned, attached, or tenant organizations. Specific areas of legal responsibility include military justice, administrative law, medical and other claims, health law, environmental law, acquisition law, legal assistance, labor law and Soldier representation at the Physical Evaluation Board. Open Monday through Friday from 7:45 a.m. to 4:30 p.m. Phone (202) 782-5810.

38

• Family Assistance and Support • Finance (Military Pay, Travel Pay & Per Diem Reimbursements) • Travel Services - Air Transport • Military Travel/Convalescent/Family Close-out Travel • Military Personnel - Inpatient Services • Army Emergency Relief (AER)


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 39

Walter Reed Army Medical Center 2010-2011

• ID Cards/DEERS enrollment • Legal Assistance (Counseling, Wills, Powers of Attorney, Guardianship, Claims) • Donations Management (Receiving, inventorying and dispersing) • Computer Access • Respite Care Room • Casualty Affairs Coordination (T&TOs & NMAs) • Traumatic Serviceman's Group Life Insurance (TSGLI) • Combat Related Special Compensation (CRSC) • Pay and Allowances Continuation (PAC) • AW2 (Army Wounded Warrior Program) • Component Liaison NCOs (National Guard) • Education - Inpatient Liaison • Child, Youth and Schools Services Liaison (CYSS) • Social Security Administration • Information and Referral Services

level personnel services to more than 4,000 servicemembers assigned to Walter Reed Army Medical Center, the Armed Forces Institute of Pathology, Walter Reed Army Institute of Research and several other tenant units in the Washington, D.C. area. There are five branches in the MPD: Strength Management, Personnel Service and Operations, Personnel Processing and Personnel Automation. They provide Soldier support in such areas as reclassifications, assignments, promotions, in- and out-processing, transitioning from the Army, evaluations, orders, military personnel records management, awards, identification cards and Defense Enrollment Eligibility Reporting Services (DEERS) processing. Call (202) 782-4812 or 4862 Monday through Friday from 8 a.m. to 4 p.m. (closed Wednesday afternoon), or fax your request to (202) 782-6384.

Patient Advocacy Service Office The Patient Advocacy Service Office is the liaison between patients, their families, and the medical center staff. Its primary goal is to work out problems and concerns at the lowest possible level while protecting the rights of patients and maintaining their privacy and dignity. The office is also a source of information for patients and their family members. Through the Patient Representative Office, patients and family members can voice concerns and exchange ideas and opinions. It also gives patients and family members the opportunity to compliment the staff and offer suggestions. The office is in Heaton Pavilion, Bldg. 2, Room 3B01. Open Monday through Friday from 8 a.m. to 4 p.m. Phone (202) 782-6866.

• Bilingual Staff • Ground Transportation (Taxi Services) Phone: (202) 782-4435 or 4437 • Logistics - Ground Transportation & Housing/Lodging Location: Main Hospital - 3G04 Phone: 202-782-2071 Toll Free 1-866-546-1310 Fax: 202-782-4585 • Hours: Monday through Friday from 7 a.m. to 9 p.m.; Saturday from 9 a.m. to 5 p.m.; and Sunday from 11 a.m. to 7 p.m.

Military Personnel Division The Military Personnel Division is on the lower level and first floor of Delano Hall, Bldg. 11. It provides installation-

39


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 40

Walter Reed Army Medical Center 2010-2011

Directorate of Human Resources (DHR) Transition Assistance Services The USAG established the Transition Employment Assistance Management Service (TEAMS) Division as a unique and robust interagency, multidisciplinary approach, designed to provide a broad array of transition and employment assistance, expertise, set in a "one stop" service environment. Transition and employment assistance is made available to Walter Reed's entire transitioning population with special emphasis on Wounded, Injured and Ill (WII) Servicemembers and their Family members. Transition assistance is accomplished using Department of the Army (DA) civilian professional staff, key federal and State agencies, private sector employers and service providers, veterans' service organizations, and Department of Defense (DoD) and medical support staffs to effectively achieve continuity in transition assistance. TEAMS' was also established and logically linked to provide the Warrior Transition Brigade (WTB) support service. TEAMS managed transition assistance includes, but not limited to the below services and benefits: transition assistance; employment assistance; employment training assistance; veterans benefits assistance; and assistive technology assistance. TEAMS manage integrate transition assistance activities and academic content with career and skill-based themes through primary stakeholders of transition assistance, career academies or multiple pathway models for transition assistance consistent with workforce development. For more information, call (202) 782-4462.

on all aspects of public and command information and community relations at Walter Reed. The office is in the old hospital, Bldg. 1 , Room C-110; phone (202) 782-7177. The Public Affairs Office is the sole Walter Reed activity responsible for distributing internal and external information about the medical center. The PAO is the official spokesperson for the center and its command-affiliated units. The Stripe, Walter Reed's newspaper, is published every Friday except during the Christmas and New Year's holidays. The deadline for submitting information is noon on Monday before the Friday of publication. For more information, call the Stripe office at (202) 782-7420. The Community Relations Officer serves as liaison between the commander and the local community, and works with community leaders to resolve concerns about the WRAMC campus; prepares written remarks for command group public speaking engagements; reviews medical manuscripts, case reports, presentations and abstracts prior to release to the public; and coordinates requests for WRAMC staff to speak at public events. Media Relations assists with answering queries and coordinating visits by news media and other outlets.

Army Career and Alumni Program

The Army Career and Alumni Program (ACAP) was created by the Army to provide world-class transition and job assistance services to the Soldiers and civilian employees and their family members who have selflessly served their nation. The program is mandated by Congress and embedded in Army and DoD policy. The Army's ACAP goals also include support to the manning of the total Army, supporting the Army's Active Component recruiting. ACAP helps Soldiers to intelligently compare their Army earnings, benefits, and potential for growth with what they can reasonably expect to achieve in the private sector. The office is in Delano Hall (Bldg. 11), Rm. G04. it's open Monday through Thursday from 7:30 a.m. to 4 p.m., and Friday from 7:30 a.m. to 3 p.m. For more information, call (202) 356-1012 ext. 40120.

Public Affairs Office The Public Affairs Office advises the commander and staff

40

WRAMC History Office The mission of the Walter Reed Army Medical Center History Office and Archives is to identify, collect, catalog, and preserve the rich history of Walter Reed for present and future


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 41

Walter Reed Army Medical Center 2010-2011

research and education. In addition, the History Office shares the 100-year legacy of Walter Reed with the public through educational outreach initiatives and historical products. As the hospital prepares to move to Bethesda in 2011, it is important to have a documentary record of the many past achievements and special events that have taken place at Walter Reed since it first opened in 1909.

Reenlistment The Northern Regional Medical Command senior career counselor is in Bldg. 1 (old hospital), Room 106-C. Names of reenlistment NCOs and officers for individual units are posted on company bulletin boards. For more information, call the career counselor at (202) 782-8474.

Travel Carlson Wagonlit Travel is in (Delano Hall), Bldg. 11, Room 1-97, as part of the Transportation Division offices. Carlson provides a full range of schedules, reservations and ticketing for worldwide travel, plus car rental services and hotel reservations for official and emergency leave travel only. Phone (202) 882-0303.

Veterinary Clinic The Walter Reed Veterinary Treatment Facility is available for the care of privately owned animals belonging to active-

duty servicemembers, retirees and those authorized for medical care under the Defense Enrollment Eligibility Reporting System. The facility at Forest Glen and offers care by appointment only. Limited services are also available at Fort Detrick. Care includes immunizations, health certificates, treatment of zoonotic (transmissible to humans) conditions, and limited sick-call appointments. No hospitalization or boarding facilities are available. Call (301) 295-7643 for information and appointments.

Educational Services The Education Services Division is located on the third floor of Bldg. 11 (Delano Hall). The Education Center includes: education counselors, testing section, computer laboratory, college representatives, and classroom facilities. Digital training facilities for military and civilian training are on the ground floor of Bldg. 1 (old hospital) in Wing D. Counseling Support is available Monday, Tuesday, Wedensday and Friday from 7 a.m. to 4 p.m. and Thursday from 10 a.m. to 4 p.m. Testing Support is available Monday, Tuesday, Wednesday and Friday from 7:30 a.m. to 3:30 p.m. and Thursday from 10:30 a.m. to 3:30 p.m. The computer lab is open Monday through Friday from 7 a.m. to 6 p.m. The Digital Training Facilities is open Monday through Friday from 8 a.m. to 4 p.m. Army Education Counselor's primary mission is to advise and counsel Soldiers on their educational goals. They are trained to determine cost-effectiveness considering the availability of Tuition Assistance (TA) funds and course options such as on-post, local schools, eArmyU, and Distance Learning (DL) courses. Education Counselors review Soldiers' previous academic history to determine a successful education course of action. Counselors can also provide support with transcript evaluations, Federal Financial Aid and GI Bill benefits. Tuition Assistance is available 24/7 at www.GoArmyEd.com A Defense Activity for Non-Traditional Education Support (DANTES) and Army Personnel Testing section is available to servicemembers and eligible civilians. Testing is administered on an appointment basis. The Credit-by-Examination program includes College Level Examination Program General and Subject Examinations, DANTES Subject Standardized Tests and Excelsior Exams. SAT and ACT examinations for undergraduate programs are also available. The Test Examiner also serves as a proctor for examinations for military personnel. Spouses and civilians are also encouraged to use the proctoring services provided. Army Personnel Testing is also available; this includes the Defense Language Proficiency Tests (DLPT), Armed Forces Classification Test (AFCT) and other MOS / reclassification tests.

41


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 42

Walter Reed Army Medical Center 2010-2011

Computer Laboratory A 16-station computer laboratory is available Monday through Friday from 7 a.m. to 6 p.m. for all community members at no cost. The laboratory provides Internet access, many standard software applications and other computer-based training for individual use. Computer specialists are available to help during regular duty hours.

Digital Training Facilities The Digital Training Facilities (DTF) has two classrooms with 16 workstations per room; each room is also equipped with a video conferencing system. The Digital Training Facilities manager provides onsite assistance for the workstations. Providing space availability, the DTF manager can provide support with Army e-Learning courses. These classrooms can also be reserved and used for training.

Post-Secondary Programs On post academic representatives provide advice and enrollment assistance for all students. Traditional and non-traditional class settings are available, which leads to licensure, certification, undergraduate and graduate degrees. All institutions are members of the Servicemembers Opportunity Colleges (SOC) and agree to be military-friendly in their policies, procedures and tuition prices.

42

• Montgomery College provides general education requirements and other traditional courses leading to an associate's degree and certificate programs. • The University of Maryland University College offers online and traditional courses leading to an associates, bachelor's and graduate level degrees. • Old Dominion University offers non-traditional distance learning programming at the junior and senior levels for 17 undergraduate and 10 graduate degree programs. It also offers the Military Career Transition Program leading to a master's degree and Virginia teaching credential.


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 43

Walter Reed Army Medical Center 2010-2011

Recreational/Other Services Karen Wagner Sports Center

Sports

The Karen Wagner Sports Center (Bldg. 32) includes a gymnasium, three racquetball courts, a cardio theater consisting of various pieces of cardio equipment such as treadmills and bikes, a weight area consisting of weight resistant equipment, an aerobics room, men and women saunas and men and women locker rooms. A variety of sport programs such as basketball and volleyball are offered. Aerobic classes such as spin and step are also available. In addition there are various programs such as walking programs that can be done with a group or individually. A professional staff is available to assist with the use of equipment, to sign you up for classes and to answer any questions that you may have.

Walter Reed Army Medical Center has a diversified sports program consisting of unit level intramural leagues in softball, basketball, soccer, and volleyball. There is post level competition in flag and tackle football, softball, basketball, golf, dodgeball, volleyball, bowling, and soccer. The post level teams for several sports consist of a women's team and a men's team and are also traveling teams. The WRAMC Sports Office is the headquarters for the Washington Area Military Athletic Conference (WAMAC), a conference that is comprised of many of the military installations within the National Capital Region. The goal of the conference is to offer a higher level of military sports to our service members. The varsity program participates in the WAMAC conference. The sports office is located at the Karen Wagner Sports Center (Bldg 32) and is open Monday through Friday 9 a.m. to 6 p.m. For information call (202) 782-3369 .

The Karen Wagner Sports Center is open Monday through Friday 5 a.m. to 8 p.m., and Saturday 9 a.m. to 5 p.m. The facility is closed on Sundays and holidays. For information call (202) 782-3369.

43


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 44

Walter Reed Army Medical Center 2010-2011

Post & Patient Library The Post library offers nonfiction and fiction reading for all ages. Other materials available in addition to books include a wide selection of periodicals and magazines, over 200 DVDs including the latest releases at no charge, fiction and nonfiction tittles on CD, large print books and a special book leasing collection that always has all the current best seller and high interest books. The library has computers with internet access, Army Knowledge Online system, Net library (e-books) and a variety of other on-line databases. Other library services include reference and reader's advisory, children's outreach and summer reading program, interlibrary loan, ward service and special collection services. The library also supports the Army Continuing Education System with a large collection of study guides. The Post and Patient Library is in the old hospital, Bldg 1. It's in Room D-110. It's open Monday through Friday from 8 a.m. to 4:30 p.m. The telephone number is (202) 782-6314.

Fitness Center

Auto Skills Center The Auto Skills center provides the space and tools for service members, their families, retirees, and DOD employees to do their own repair work. Additionally, the Auto Skills Center will perform minor repair and maintenance operations for you. Call for information and to make an appointment for their repair services. The Auto Skills center is in Bldg. 88 across from the fire station. It's open Tuesday and Thursday from noon to 9 p.m., Wednesday from noon to 7 p.m. and Saturday from 9 a.m. to 4 p.m. The telephone number is (202) 782-7433/4972

44

The Walter Reed Fitness Center offers a large variety of cardio-pulmonary equipment, including treadmills, cross-trainers, bikes and steppers. It also has an extensive free-weight area and two circuits of resistance equipment. Equipment orientation classes take place several times a week. The center also offers several self-directed programs throughout the year for those who need motivation. Trainers create individual exercise programs upon request. The center is in Bldg. 88. It's open Monday through Friday from 5 a.m. to 8 p.m., Saturday from 9 a.m. to 4 p.m., and Sunday from 10 a.m. to 2 p.m.; closed on federal holidays. The telephone number is (202) 782-7022.

Leisure Travel Services/Information Tickets & Reservations (ITR) The Leisure Travel Services/Information Tickets & Reservations (ITR) office supports all of your leisure travel activities. ITR has discounted tickets for AMC and Regal movie theatres, special attractions, museums including the Air and Space Museum, monument tours and amusement parks including King's Dominion, Six Flags (Largo, MD), Walt


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 45

Walter Reed Army Medical Center 2010-2011

Disney World and Universal Studios Florida. They also have available great seats to many of the area's major sports teams including the Washington National and Wizards, ski lift tickets and more. Discounted cruises, vacation packages, hotel reservations and car rentals can also be arranged through Leisure Travel/ITR. The Office is located in Delano Hall (Bldg. 11), Room 1-120. Hours of operation are Monday: 7 a.m. to 3 p.m., Tuesday, Wednesday and Friday: 8 a.m. to 4 p.m., Thursday: 9 a.m. to 4:45 p.m. The facility is closed weekends and holidays. For information call (202) 782-0600.

Facilities Barber Shops The hospital barber shop is on the third floor of Heaton Pavilion (Bldg. 2) in Room 3G06. It is open Monday through Friday from 7:30 a.m. to 5 p.m. Phone (202) 722-2209. An additional shop is in the west wing of the old hospital, Bldg. 1 on the first floor. It is open Monday through Friday from 9 a.m. to 5 p.m. Phone (202) 723-1897.

Beauty Salon The hospital beauty salon is on the third floor of the Heaton Pavilion (Bldg. 2) in Room 3G03. Salon is open Monday through Friday from 10 a.m. to 4 p.m. Phone (202)722-9225.

Credit Union Pentagon Federal Credit Union provides worldwide, 24-hour service and a full range of financial products at competitive rates. All Army and Air Force officers, everyone who works at or uses the facilities of Walter Reed or Forest Glen, and their immediate relatives are eligible to join. For more information, see www.PenFed.org Automatic teller machines are outside the Walter Reed branch office in (old hospital) Bldg. 1, and at Forest Glen outside Bldg. 161 (Laundry and Dry Cleaning Facility). All are free to members using Pentagon Federal Credit Union ATM or Check Cards. The Pentagon Federal Walter Reed branch is on the first floor of (old hospital) Bldg. 1 in Room E-127. Open Monday through Friday from 8:30 a.m. to 4 p.m. Phone (800) 247-5626.

Dining Facility The hospital dining facility is on the third floor of Heaton Pavilion (main hospital), and is open to patients, active-duty service members, civilian employees and guests. Dining facility hours, daily except as noted: Breakfast: 6 to 10 a.m. Full Breakfast: 6 to 9 a.m. Continental Breakfast Only: 9 to 10 a.m. Lunch: 11 a.m. to 3 p.m. Full Service: 11 a.m. to 2 p.m. Short Order: 2 to 3 p.m. Dinner: 4 to 6:30 p.m.

Walt’s Express

Walt's Express, near the entrance to the dining facility, offers made-to-order deli sandwiches as well as many ready-to-go meal choices, including, salads, pizzas, hot dogs, sandwiches and beverages. Walt's open Monday through Friday from 10:15 a.m. to 1:30 p.m.; sandwich bar opens at 10:45 a.m.

Flower Shop The flower shop is off the first-floor main lobby of Heaton Pavilion (Bldg. 2). Open Monday through Friday from 9 a.m. to 5 p.m.; Saturday from 9 a.m. to 3 p.m. Phone (202) 722-7878.

Medical Library The Walter Reed Medical Library provides a wide variety of knowledge-based information services that support patient care, clinical and management decision-making, graduate medical education, patient and family education and medical research for the Walter Reed community. The library has more than 7,000 medical books in its collection and subscribes to more than 450 journals in print and digital format. In addition, the library offers on-line resources that are accessible through any desktop computer linked to the hospital network. These resources provide access to several information databases as well as the full text of the materials they index. Among the resources provided: • Ovid: Access to traditional databases (MEDLINE, CINAHL , PsycINFO) and evidence based medicine collections (Cochrane Library, etc.), as well as to the full text of 200 medical and nursing journals.

45


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 46

Walter Reed Army Medical Center 2010-2011

• ProQuest: Access to the full text of more than 700 medical, nursing, and psychology journals. • MDConsult: Using MEDLINE to search the full text of 50 medical journals, it also includes the full text of 40 medical textbooks, 600 peer-reviewed clinical practice guidelines, and more than 3,000 patient handouts. • Alt-Health Watch: Text of articles from more than 150 journals discussing alternative and complementary medicine. • Stat!Ref: Access to more than 30 medical and pharmaceutical reference books. • Health & Wellness Resource Center: Full text of magazines, newsletters, newspapers, pamphlets and reference books on consumer health issues and subjects. • UpToDate: Continuously updated online resource providing more than 6000 peer-reviewed, fully-referenced topic reviews in primary care, internal medicine, family practice, obstetrics-gynecology and numerous subspecialties. The Medical Library, located in Heaton Pavilion, Bldg. 2, Area 2-G, is open Monday through Thursday from 8 a.m. to 8 p.m.; Friday from 8 a.m. to 5 p.m. Phone (202) 782-6238 or 6239.

Mini Mall Shoppette Located in the west wing on the first floor of the old hospital (Bldg. 1), is open Monday through Friday from 9 a.m. to 5 p.m. Phone (202) 723-0369. Barber Shop: Open Monday through Friday from 9 a.m. to 5 p.m. Phone (202) 723-1897. Burger King: Open Monday through Friday from 6:30 a.m. to 2:30 p.m.

Mologne House The Mologne House, named for former Walter Reed commander Maj. Gen. Lewis A. Mologne, is a 200-room hotel in Bldg. 20 at the intersection of Main Drive and 14th Street on the grounds of Walter Reed. It serves as the primary residence for our wounded warriors and their families. The hotel offers a restaurant, lounge, meeting space and free parking. Each room has two double beds, private bath, cable TV, coffee maker, mini-refrigerator, iron, ironing board, and first-class service. (202) 782-4600.

46

Guest House The Guest House in Doss Memorial Hall is an annex of the Mologne House and is on Main Drive in Bldg. 17. This bedand-breakfast type facility provides 34 rooms for people visiting the hospital. The Guest House has rooms with private bath, rooms with a shared bath and rooms with a community bath.

The Inn at Delano Hall The Inn at Delano Hall is another Mologne House annex and is on Main Drive in Delano Hall, Bldg 11. This facility provides 52 rooms for people visiting the hospital. The Inn has rooms with a private bath and rooms with a shared bath. Servicemembers and their families coming for medical purposes receive priority in all accommodations. All other reservations are made only when space is available. We offer special consideration in reservations for families of seriously ill patients. Because of the primary purpose of our facilities, we are a non-smoking facility and are unable to accept pets. For reservations and information, please call (202) 782-4600 or DSN 662-4600.


WRMC_Editorial_2010.qxp

9/15/2010

11:22 AM

Page 47

Walter Reed Army Medical Center 2010-2011

Post Office The U.S. Postal Service Walter Reed Branch offers stamps, money orders, parcel post, express mail, postal insurance, and all other postal services. It is located in the old hospital, Bldg. 1, Room B-133. Open Monday through Friday from 9 a.m. to 4 p.m. Phone (202) 782-3768.

PX Hospital Store The PX Hospital Store is on the third floor of Heaton Pavilion, Bldg. 2 in Room 3G05. Open Monday through Friday from 9 a.m. to 5 p.m.; Saturday from 10 a.m. to 2 p.m.; closed Sunday. Phone (202) 882-0802.

Forest Glen Section

Fisher Houses Walter Reed has two Fisher Houses. The Fisher House Foundation, a charitable organization created by Elizabeth and Zachary Fisher of New York, donated the facilities. They provide a home away from home for Families of seriously ill patients receiving care at Walter Reed. Each Fisher House has between eight and 11 bedrooms with private bath, plus kitchen, living room, dining room, and laundry facilities. The phone number is (202) 545-3201 or (202) 545-3218. The Walter Reed Department of Social Work makes all referrals to the Fisher Houses.

Morale, Welfare and Recreation Conference Center

The Family Morale, Welfare and Recreation Conference Center is a commercial support facility that includes meeting space, breakout rooms, full-service business center, complete catering services. The center is available for conferences, special events, trade shows, vendors' fairs, conventions, hail and farewell parties, wedding receptions and reunions. Services are available to active-duty servicemembers, retirees, family members and DOD federal employees. The MWR Conference Center is located on the second floor of (Delano Hall), building 11. The phone number is (202) 782-7610.

Fort Detrick's Forest Glen section is in Silver Spring, Md., approximately four miles north of Walter Reed Army Medical Center the main installation. Forest Glen has a land area of 164 acres. It includes a contemporary area and a mixed commercial district. The contemporary area is home to the Walter Reed Army Institute of Research, Naval Medical Research Center, and Patient Simulation Center. Forest Glen also includes the medical center's post exchange, commissary, child development center, arts and crafts center, Fisher House, fabric care facility, motor pool, installation support functions, and a large outdoor recreation and picnic area. The shopping center serves not only Walter Reed and National Naval Medical Center servicemembers, but much of the retired military community of greater Washington as well.

Forest Glen Facilities Arts and Crafts The Arts & Crafts Center features a wood shop, ceramic studio, do-it-yourself framing studio, general crafts studio, a B&W darkroom and a sales store selling hardwood lumber, plywood, framing supplies, ceramic supplies and more. The staff has expertise in a wide range of media and offers walk in one on one assistance as well as formal classes for children and adults. For more information call or visit the Center during regular business hours or go onto their website at www.wramcartsandcrafts.com. It's telephone number is (301) 295-7386 The center is open to all active duty military, retirees and DOD civilians, their dependents and guests.

47


WRMC_Editorial_2010.qxp

9/15/2010

11:23 AM

Page 48

Walter Reed Army Medical Center 2010-2011

The Arts & Crafts Center is in Bldg 163 next to the Childcare Center. It's open Tuesday through Thursday from 11 a.m. to 9 p.m., and Friday and Saturday from 9:30 a.m. to 6 p.m.

Outdoor Recreation

The Outdoor Recreation program, located at Forest Glen, includes programs for skiing, white water rafting and canoeing. A variety of camping equipment is available to rent to include tents, Coleman stoves, and sleeping bags. There is an RV storage area where, for a fee, one can store a small boat, an RV etc. Equipment for picnics such as horse shoes, basketballs, volleyballs plus net and softball gloves, balls and bats are also available to rent. There are three picnic pavilions that may be reserved and rented for functions. Also located at the Outdoor Recreation area are two softball fields, an outdoor basketball court and a small Fitness Center, which has aerobic equipment such as treadmills, bikes and steppers. Operational hours are Monday through Friday 6 a.m. to 6 p.m. The telephone number is (202) 441-3218.

Automatic Teller Machine

A Pentagon Federal Credit Union ATM is outside the Laundry and Dry Cleaning Facility, Bldg. 161. It is free to members using Pentagon Federal Credit Union ATM or Check Cards.

Barber Shop

The Barber Shop is open Tuesday through Friday from 9:30 a.m. to 6 p.m.; Saturday from 9 a.m. to 4 p.m. Phone: (301) 587-5909

Beauty Salon

The Beauty Salon is open Tuesday through Friday from 9:30 a.m. to 6 p.m.; Saturday from 9 a.m. to 4 p.m. Phone(301) 565-0500.

Fabric Care Facility

The Fabric Care Facility is in Bldg. 606 at Forest Glen and offers five-day service on individual bundle laundry. Piece rate is also available. Only hospital duty white uniforms are laundered free. No dry cleaning. Open Monday through Friday from 7 a.m. to 4 p.m. Phone (301) 295-7630 or 7631.

Fisher Houses

The Fisher House Foundation, a charitable organization created by Elizabeth and Zachary Fisher of New York, donated Walter Reed Fisher Housesy. They provide a home away from home for Families of seriously ill patients receiving care at Walter Reed. Each Fisher House has between eight and 11 bedrooms with private bath, plus kitchen, living room, dining room, and laundry facilities. Phone (301) 295-7374 (Forest Glen) and (202) 356-7564 (main installation). The Walter Reed Department of Social Work makes all referrals to the Fisher Houses.

PX at Forest Glen

PX Main Store, Class Six, and Military Clothing Sales The Specialty Class Six and Military Clothing Sales stores are open Tuesday, Wednesday and Friday from 9 a.m. to 6 p.m.; Thursday from 9 a.m. to 7 p.m.; Saturday from 8 a.m. to 5 p.m.; and Sunday from 10 a.m. to 4 p.m.; closed Monday. Phone (301) 565-0900.

Service Station

The Exchange Service Station is open Tuesday through Friday from 9 a.m. to 6 p.m.; Saturday from 8 a.m. to 4 p.m. The telephone number is (301) 588-1602. The station is closed Sunday and Monday; 24-hour fuel is available.

Commissary

The commissary is open Tuesday through Friday from 9 a.m. to 7 p.m.; Saturday from 8 a.m. to 5 p.m.; and Sunday from 10 a.m. to 4 p.m.; closed Monday. Phone (301) 295-7358, ext. 3008.

48

Sports

The fitness center at Forest Glen is in Bldg. 156. It's open Monday through Friday from 9 a.m. to 6 p.m.; closed Saturday, Sunday and holidays. The telephone number is (301) 295-7709.


WRMC_Editorial_2010.qxp

9/15/2010

11:23 AM

Page 49

Walter Reed Army Medical Center 2010-2011

Surrounding Area SO MUCH TO SEE AND DO! WASHINGTON, D.C. WASHINGTON Bureau of Engraving and Printing

14th and C Streets S.W., Washington 202-874-3019 www.moneyfactory.com

In this self-guided "the buck starts here" tour you can see millions of dollars of paper money printed, as well as bins of shredded bills. Open Monday - Friday, 9 a.m. - 2 p.m. Guided tours take 40 minutes. Closed Saturdays, Sundays and federal holidays. Free, but tickets are required. Call to make reservations for tours. Closest Metro is Smithsonian.

Jefferson Memorial

900 Ohio Drive, SW Washington 20024 202-426-6821 or 202-619-7222 Open daily. Closed Christmas and New Year's Day.

John F. Kennedy Center for the Performing Arts

2700 F Street N.W., Washington 20566 800-444-1324 o 202-467-4600 www.kennedy-center.org Overlooking the Potomac River in Washington the nation's busiest arts facility, presenting more than 3,300 performances each year for audiences numbering more than 2 million. The Kennedy Center continues to fulfill his vision by producing and presenting an unmatched variety of theater and musicals, dance and ballet, orchestral, chamber, jazz, popular and folk music, and multi-media performances for all ages. The Kennedy Center contains the Opera House, Concert Hall, Eisenhower Theater, the Terrace Theater, Hall of Nations, and the American Film Institute Theater. The Millennium Stage presents free performances in the Grand Foyer every night at 6 p.m. Open daily for public viewing, 10 a.m. - 4:30 p.m. For group tour information, call 202-416-8341. Shuttle available from Foggy Bottom-GWU Metro.

Franklin D. Roosevelt Memorial 900 Ohio Drive S.W., Washington Metro: Smithsonian

The Franklin Delano Roosevelt Memorial is a landscape of four outdoor rooms with granite walls, statuary, inscriptions, waterfalls and thousands of plants, shrubs and trees along the famous cherry tree walk on the Tidal Basin in West Potomac Park. Each of Roosevelt's four terms in office are portrayed by American sculptors whose works in bronze bas-relief and sculptured figures relate memories of the man and his times to an enclosed landscape emphasizing ornamental trees and shrubs native to the mid-Atlantic region. There are park rangers available from 8 a.m. to midnight every day except Christmas.

National Air and Space Museum

6th St. and Independence Ave., S.W. Washington 20560

49


WRMC_Editorial_2010.qxp

9/15/2010

11:23 AM

Page 50

Walter Reed Army Medical Center 2010-2011

Steven F. Udvar-Hazy Center

near Dulles International Airport 14390 Air & Space Museum Parkway Chantilly, Va. 202-357-2700 www.nasm.si.edu The National Air and Space Museum is open daily, except Dec. 25. General admission is free. Closest Metro is Smithsonian Exhibits include the Wright Brothers' flyer, the Spirit of St. Louis, the Langley Theater IMAX films, the Einstein Planetarium, as well as hundreds of other aviation and space exhibits. Cafeteria and restaurant facilities are available. The new construction of the National Air and Space Museum Udvar-Hazy Center near Dulles International Airport opened in December 2003. The new facility displays hundreds of additional artifacts and offers events, educational programs, IMAX films and more.

BG14173WR

www.nara.gov

50

See the Declaration of Independence, the Constitution and the Bill of Rights, among the more than three billion records and documents housed here. Main exhibit hall open daily, 10 a.m. - 5:30 p.m. Free.

National Gallery of Art

6th Street and Constitution Avenue, N.W. www.nga.gov 202-737-4215 Open daily. Closed Christmas and New Year's Day. Take a taste of the finer things in life and view the collection of Renaissance paintings, Dutch masterworks, French impressionism, as well as 20th century paintings and sculptures in this national gallery. Nearest Metros are Archives, Federal Center, SW, or Judiciary Square.


WRMC_Editorial_2010.qxp

9/15/2010

11:23 AM

Page 51

Walter Reed Army Medical Center 2010-2011

White House

1600 Pennsylvania Ave. N.W. Washington 20500 202-456-2121 Construction on this hallowed residence began in 1792 and ended with much patriotic fanfare in 1800. Though never inhabited by George Washington himself, the White House was nevertheless conceived by the father of our nation as a holy fortress from which to guard against the tyranny of "big government" and "social programs." The President's house, one of the most popular sights in D.C. Only the public rooms on the ground floor and the state floor may be visited, and the hours are limited. The White House may be closed at various times due to security concerns and special events. Nearest Metros are the Farragut West, McPherson Square or Metro Center.

You Will Love Coming Home to

$ 99 Security Deposit for Approved Applicants! 1,2 & 3 BR Apartments, Secured Entrances! Fireplaces! Huge Closets and Additional Storage! Full Size Washer & Dryer in Every Unit!! Beautiful Pool, Fitness Center, Tennis Courts! Close to Shopping, Transportation and Schools! Very Pet Friendly!! 18832 Bent Willow Circle 301-540-0080 Germantown, MD 20874

Government, Military & Healthcare Providers qualify for our preferred Employer Discount of

5% off

All Rentals

BG14175WR

Our multi-million dollar renovation is well underway and we can’t wait to show off our new look! Stop by our Leasing Center and let us show you what we have to offer. We know you will be glad you did!

www.EncoreWheatonStation.com

APARTMENT HOME AMENITIES • Newly designed open floor plans • Amazing Kitchens with shaker style maple cabinets and breakfast bar • Energy Star Kenmore appliances • Full size washer and dryer • Plush wall to wall carpeting • New panoramic-view energy efficient windows • Entertainment size balconies and patios • High efficiency heat pumps - you control your comfort • Spacious walk-in closets • Custom color paint - you select the color and one wall is on us! • National award winning service team

COMMUNITY AMENITIES • Great location - 2 blocks from Wheaton Metro Station • Verizon FiOS and Comcast Cable available • Beautiful park like setting • Resident community facility with: - Fitness Center - Cyber Café - Relaxing Zen Garden and activity area - No Amenity Fee • Resident controlled building access • Ample free parking & reserved parking • Pet friendly • Walk to shopping • Online rent payment

1-866-576-9490

10905 Amherst Avenue | Silver Spring, MD 20902

51


WRMC_Editorial_2010.qxp

9/15/2010

11:23 AM

Page 52

BG16523WR

BG16641WR

Walter Reed Army Medical Center 2010-2011

Arlington National Cemetery Memorial Bridge and Jefferson Davis Highway Arlington, Va. 22211 703-607-8000 www.arlingtoncemetery.org

52

Tomb of the Unknowns, Amphitheater, Arlington House and the grave of President John F. Kennedy. Changing of the guard at the tomb every half hour in the summer and every hour the rest of the year. Many other famous Americans are buried at the cemetery along with 175,000 fallen Soldiers, Sailors, Airmen and Marines from every war and conflict in our history. A guided tour bus runs daily.


WRMC_Editorial_2010.qxp

9/15/2010

11:23 AM

Page 53

Telephone Defense Switched Network (DSN) (Autovon) . . . . . . . . . . . . . . . . . . .662 TDD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(202) 782-0126 American Red Cross (Walter Reed station) . . . . . . .(202) 782-6362/6363 afterhours emergencies . . . . . . . . . . . . . . . . . . . . . . .(202) 782-6499 Army Community Service . . . . . . . . . . . . . . . . . . . . . . .(202) 782-3412 Army Wounded Soldier and Family Hotline . . . . . . . . . .1 (800) 984-8523 Chapel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(202) 782-6305 Central Appointments . . . . . . . . . . . . .(202) 782-7761; 1(800) 433-3574 Equal Employment Opportunity Office . . . . . . . . . . . . . . .(202) 782-3343 Emergency room . . . . . . . . . . . . . . . . . . . . . . . . .(202) 782-1199/3927 Fire Department (emergency only) . . . . . . . . . . . . . . . . .(202) 782-3317 Fire Department (Forest Glen) . . . . . . . . . . . . . . . . . . . .(301) 295-7543 Fisher Houses (WRAMC) . . . . . . . . . . . . . . . . . . . . . . . .(202) 356-7564 Forest Glen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(301) 295-7374 Information Desk, WRAMC . . . . . . . . . . . . . . . . . . . . . .(202) 782-3501 Information, WRAIR . . . . . . . . . . . . . . . . . . . . . . .(301) 319-9259/7195

Military Police, WRAMC . . . . . . . . . . . . . . . . . . . .(202) 782-7511/12/13 Military Police, Forest Glen . . . . . . . . . . . . . . . . . . . . . .(301) 295-7545 Prescription Refill . . . . . . . . . . . . . . . . . . . . . . . . . . .1(800) 248-6337 Public Affairs Office (WRAMC) . . . . . . . . . . . . . . . . . . . .(202) 782-7177 History Office, WRAMC . . . . . . . . . . . . . . . . . . . . . . . . .(202) 782-6144 Housing Referral Office . . . . . . . . . . . . . . . . . . . . .(202) 782-3153/3117 Privatized Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . .(301)-649-9700 Mologne House . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(202) 782-4600 Media Relations, WRAMC . . . . . . . . . . . . . . . . . . . . . . .(202) 782-9351 Community Relations . . . . . . . . . . . . . . . . . . . . . . . . . .(202) 782-6133 Soldier and Family Assistance Center (SFAC) . . . . . . . . .(202) 782-7309 Stripe newspaper . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(202) 782-7420 Veterinary Clinic . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(301) 295-7643 Warrior Transition Brigade . . . . . . . . . . .(202) 782-0069/4461/4468/6714 WRAMC Administrative Officer of the Day . . . . . . . . . . . .(202) 782-7309

Name

Location

Hours of Operation

Phone Number

3-D Medical Applications Center

Bldg 1 Rm. 1X36/1H32/5D07

(202) 356-1012 Ext. 27765/27766

Adult Inpatient Psychiatric

Ward 54

(202) 782-1554 or DSN 662-1554

Adult Outpatient Psychiatric Service

Bldg 6 (3rd floor)

7:45 A.M - 4:30 PM (Monday - Friday)

(202) 782-6061

Allergy Immunology

Bldg 2, 1st floor, Suite 1J

Monday-Wednesday, Friday: 07:30AM - 04:30PM ; Thursday:07:30AM - 12:00PM

202-782-6850

Ambulatory Nursing

Ambulance and Aeromedical Section

Anesthesiology

Bldg 2 (Heaton Pavillion) 4th Floor. Ward 4A

Bldg 2 (Heaton Pavillion) 4th Floor. Ward 4A

202-782-0039; 202-782-0487

Army Audiology and Speech Center

Bldg 2, 6th floor

7:00 A.M - 4:00 P.M. (Monday - Friday)

(202)782-6643/6644

Army Public Health Nursing

Bldg 2, Rm 4F24

7:30 A.M - 4:30 P.M (Monday - Friday)

(202) 782-2964

Behavioral Health

Bldg 6 (Borden Pavilion), 3rd Floor

7:30 A.M - 4:30 P.M (Mon,Tue,Wed,Fri), 7:30 AM 6:00 PM (Thur)

(202) 782-6061

Cardiology

Bldg 2, 3rd Floor, 3L suite

07:30 AM - 04:30 PM (Monday - Friday)

202-782-3832

Cardiothoracic Surgery

Bldg 2 (Heaton Pavillion) 4th Floor.

7:00 AM - 6:00 PM (Monday - Friday)

202-782-6433/ 6434/8484

Chaplains Office

Bldg T-2, Rm 11

Child and Adolescent Psychiatry Service

Bldg 6, 2nd Floor (Borden Pavilion)

7:30 AM - 4:30 PM (Monday - Friday)

(202) 782-3501

Clinical Investigation

Bldg. 6, 4th Floor

Monday - Friday 08:30 AM 05:00 PM

(202) 782-6389

Clinical Psychology

Bldg 2, 3d Floor, Room 3B01

07:45 AM - 04:30 PM

Congestive Heart Failure

3rd Floor (3L) Bldg 1

08:00 AM - 04:00 PM

(202) 782-6750

(202) 782-6305 or (202) 782-7309

(202) 782-3501 202-782-9876/3833

53


WRMC_Editorial_2010.qxp

9/15/2010

11:23 AM

Page 54

Telephone Name

Location

Hours of Operation

Phone Number

Critical Care Nursing

next to the Operating Rooms, the Acute Care (STAT) Laboratory, Cardiac Catheterization and the Special Procedures Departments

(Monday - Friday) 0600-2200, Monday - Friday.

(202) 782-3566/ 1441/1445/1491

Dental Clinic

Bldg 2 (Heaton Pavillion) 1st Floor, Room 1D

7:15 AM - 4:00 PM (Monday - Friday)

(202)782-6815

Deployment Health Clinical Center

Bldg 2, 3rd Floor, Rm 3G04

Dermatology

Bldg 2, 1st Floor, Rm 1J59

Diagnostic Imaging

Bldg 2 clinics 1-X, 1-G and 4-X.

Endocrinology

Building 2, 7th Floor, Clinic 7D

07:30 AM - 04:30 PM (Monday - Friday)

202-782-6770

Environmental Health

Bldg 1, WRAMC

8:30 AM - 4:30 PM (Mon,Wed,Fri), 7:30 AM 4:30 PM (Tuesday,Thursday)

(202) 782-3966

Exceptional Family Member Program

Main Campus, Bldg 41

Extract Lab

Bldg 512, Forest Glen Anex, Maryland

Forensic Psychiatry

07:45 AM - 04:30 PM (Monday - Friday)

(202) 782-6173 (202) 782-6945

7:30 am-4:30 pm

(202) 782-4184, DSN 662-4184

Bldg 6 (Borden Pavilion), 3rd Floor

7:30AM - 4:00PM (Monday - Friday)

(202) -782-8038

Gastroenterology

Building 2 (Heaton Pavillion); 7th Floor, Clinic 7F

07:00 AM - 04:00 PM (Monday - Friday)

202-782-6765 202-782-6766

General Medicine

Building 2 (Heaton Pavillion) 1st Floor

General Surgery

Building 2 (Heaton Pavillion) 5th Floor.

Gynecologic Oncology

Bldg 2, 6th Floor Rm: 6764

Gynecologic Specialty Services Health Physics Office

Bldg 41, Rm 38

Health Psychology

Bldg 6 (Borden Pavilion), 3rd Floor

Hematology/Oncology

54

202-782-6563/ 866-559-1627

Building 2 (Heaton Pavillion) 7th Floor.Ward 78

In Vitro Fertilization

Bldg 1, Floor 2, Rm A232

Infection Control Service

Bldg 2 (Heaton Pavillion)

07:00 AM - 04:30 PM (Monday - Friday)

1B Clinic: (202) 782-6887; Ward 73: (202) 782-1773; Ward 74: (202) 782-1774 202-782-6542/4968

07:00 AM - 04:00 PM Monday thru Friday

(202) 782-8432, (202) 782-7761, (202) 782-8513

0745-1500

(202) 782-3501

7:45 AM - 4:30 PM (Monday -Friday)

(202) 356-0058

7:30 AM - 4:30 PM (Monday - Friday)

(202)- 782-0065

07:45 AM - 04:30 PM (Monday - Friday)

202-782-6752/4950 (202) 782-6198, (202) 782-9244


WRMC_Editorial_2010.qxp

9/15/2010

11:23 AM

Page 55

Telephone Name

Location

Hours of Operation

Phone Number

6th Floor, Rooms 6863/6864

0630-1500 Monday - Friday

Infectious Disease

Building 2 (Heaton Pavillion), Ward 63

07:00 AM - 04:30 PM (202) 782-1663; (Monday-Friday)

(202) 782-6740

Medical, Psychiatric Nursing

Bldg 2, seventh floor

24 hrs a day, 7 days a week

202-782-1775/0266

Medicine

Building 2 (Heaton Pavillion)

Nephrology

Building 2 (Heaton Pavillion) 4th Floor, Ward 48

07:30 AM - 04:00 PM (Monday - Friday)

202-782-6462; 202-782-6463

Neurology

Bldg 2 (Heaton Pavillion) Ward 61

08:00 AM - 04:30 PM Monday - Friday

202-782-1661

Neuropsychology

Bldg 6 (Borden Pavilion), 3rd Floor

7:30 AM - 4:30 PM (Monday - Friday)

(202) -782 -0065

Neurosurgery

Bldg 2, 6th floor

8:00AM-4:00PM M-F

202.782.6611

202-782-8423

Nuclear Medicine Nursing

Bldg 1, 2nd Floor

(202) 782-6870

Nursing Education and Staff Development

Bldg 1 (the Old Hospital), "D Wing", 3rd Floor

202-782-7111/1539

Nutrition Care

Bldg 2 Rm 3F53

202-782-6336

Obstetrics and Gynecology

Bldg #2 ,1st floor, Room 1M

Monday-Friday: 08:00AM06:00PM, Every other Saturday: 09:00AM-12:00 PM

(202) 782-6201

Occupational Health Services

Bldg # 2, Room 3E07

7:45 AM - 4:00 PM (Monday - Friday)

(202) 782-3611

Occupational Therapy

Bldg 2(Heaton Pavilion), Rm 3J04

Monday-Friday. 07:00 AM04:00 PM

(202) 782-6374

Office of Center Judge Advocate

Bldg 1 2nd Floor

8:00 AM- 4:00 PM

(202) 782-1550

Ophthalmology

1F Bldg 2

7:30 AM-4:30 PM M-F

202-782-6964/5

Optometry

Ward 74 , 7th floor , Bldg1

0700-1600

202-782-4955

Oral and Maxillofacial Surgery

Building 2 (Heaton Pavillion) Clinic 1-D

7:30 AM - 4:00 PM (Monday - Friday)

202-782-6823

Organ Transplant

Bldg 2 (Heaton Pavillion) 4th Floor, Ward 48

7:00 AM - 4:00 PM (Monday - Friday)

202-782-6462/6463

Orthopaedic Surgery

Bldg 2 (Heaton Pavilion), Rm 5A/B

Monday-Friday. 07:30 AM04:30 PM

Orthopaedics and Rehabilitation

Bldg 2 (Heaton Pavillion), Rm 2J41

Monday - Friday 07:30 AM 04:30 PM

202-782-5851

Orthotics and Prosthetics

Bld 2(Heaton Pavilion), Rm 3H

Monday-Friday. 07:45 AM12:00 PM; 01:00 AM-04:30 PM

(202) 782-6385

Otolaryngology

Bldg 2 (Heaton Pavillion) 6th Floor

7:30 AM - 4:30 AM (Monday - Friday)

202-782-6638/6639

Otolaryngology

Bldg 2 (Heaton Pavillion) 6th Floor (6b)

7:30 AM - 4:30 AM (Monday - Friday)

202-782-6638/6639

Pain Management Clinic Pathology and Laboratory Services

(202) 782-6616 / 6361 Bldg 2, 2nd Floor

7:00 am- 5:00 pm M-F W 7:00am-8:00 pm

202.782.6915/ 6917/7430

55


WRMC_Editorial_2010.qxp

9/15/2010

11:23 AM

Page 56

Telephone Name

Location

Hours of Operation

Phone Number

Patient Advocacy Service

Bldg 2, 3d Floor, Room 3B01

07:45 AM - 04:00 PM (Monday - Friday)

(202) 782-6866, DSN: 662-6866

Pediatric Psychology

Bldg 6 (Borden Pavilion), 2nd Floor

7:30 AM - 4:30 PM (Monday - Friday)

(202) 782-5961

7:30 A.M - 4:00 P.M (Monday - Friday)

(202) 782-6101

Pediatrics

Bld 2 (Heaton Pavillion) 1st Floor, Area 1K

Performance Improvement

Bldg 2 (Heaton Pavilion), 2nd floor in Room # 2H14

Perioperative Nursing

Bldg 2, 4th floor

24 hrs a day, 7 days a week

(202) 782-6478/79

Peripheral Vascular Surgery

Bldg 2 (Heaton Pavillion) 6th Floor, Ward 64

8:00 A.M - 4:00 P.M. (Monday - Friday)

202-782-6537/38

Pharmacy

Bldg 2 (Heaton Pavillion) 1st Floor

8:00 A.M - 8:00 P.M (Monday-Friday), 8:00 A.M 4:00 P.M (Saturday)

Physical Medicine and Rehabilitation

Bldg 2(Heaton Pavilion), Rm 3J

Monday-Friday. 07:30AM04:30 PM

(202) 782-6369

Physical Therapy

Bldg 2 (Heaton Pavilion), Rm 3J28

Monday. 07:00AM-04:00PM

(202) 782-6371

Plastic and Reconstructive Surgery

Bldg 2 (Heaton Pavillion), 5th Floor, Room 5D01

7:30 A.M. - 4:30 A.M (Monday - Friday)

202-782-6560/ 6561/8808

Practical Nurse Course

Bldg 41, the historical Old Red Cross Building.

7:00AM-4:00PM

202-782-7095

Radiation Oncology

Bldg 2(Heaton Pavilion), 1-H

(202) 782-0168

Bldg 2 (Heaton Pavillion) 2nd floor of the hospital adjacent to the main center elevators.

202-782-0202 / 0204

(202) 782-2377 or 2379

Radiology Refractive Eye Center

Reproductive Endocrinology and Infertility

Bdg 1, 2nd Floor,Rm A226

07:00A.M - 04::30 P.M Monday thru Friday

(202) 782-3360, (202) 782-7754, (202) 782-7752

Rheumatology

Building 2 (Heaton Pavillion) 7th Floor, Ward 77

07:45 AM - 04:30 PM (Monday - Friday)

202-782-6734/6735

Social Work

Bldg 6 (Borden Pavillion) 1st Floor (Child Clinic)

7:30 A.M. - 4:30 P.M (Monday - Friday)

202-782-6378

Surgery

Bldg 2 (Heaton Pavillion)

8:00 A.M. - 4:00P.M. (Monday - Friday)

Surgery and Neuroscience Nursing

Bldg 1, 2nd Floor

Telepsychiatry and Community Mental Health

Bldg 6 (Borden Pavillion), 2nd Floor

202-782-3501 7:30 AM - 4:30 PM (Monday - Friday)

Travel Clinic

56

(202) -782 -3501 (202) 782-1663; (202) 782-6848

Urology

Bldg 2 (Heaton Pavillion) 4th Floor, 4F

6:45 A.M - 7:30 P.M. (Monday - Friday)

202-782-6406/6407/0615

Urology Stone Center

Bldg 2 (Heaton Pavillion) 4th Floor, 4F

6:45 A.M. - 4:30 P.M (Monday - Friday)

202-782-6406/6407


Walter_Reed_Cover_2010.qxp

9/15/2010

11:46 AM

Page 3

Receive $500 off 1st full month Rent plus added specials!! “Where convienience, comfort and health are called home! The Geogian Apartments offers a wide range of Apartments homes to fit your needs. Living here may change your quality of life! Call and make an appointment so that we can help you get settled into your new home!!” * * * * * * * * * *

GOVERNMENT AND MILITARY DISCOUNTS ROOFTOP SUNDECK & POOL WITH DRAMATIC VIEWS STATE OF THE ART HEALTH AND FITNESS CLUB EXECUTIVE BUSINESS CENTER - COMMUNITY ENTERTAINMENT AND PARTY ROOM OFFERING FULLY RENOVATED AND TRADITONAL APARTMENTS HOMES! FLOOR TO CEILING WINDOWS 24 HOUR MAINTENANCE – 24 HOUR CONCIERGE TWO BLOCKS FROM THE SILVER SPRING METRO PRIVATE PARKING WITH CONTROLLED ACCESS – ZIP CARS OFFERING STUDIO, ONE AND TWO BEDROOM APARTMENTS

Now leasing: Studio

1 BR

2 BR

8750 Georgia Avenue Silver Spring, MD 20910 www.GeorgianAptsSilverSpring.com email - georgian@greystar.com

Call a leasing specialist today for Military incentives

877.831.2789

WEDNESDAY NIGHT Walter Reed Employees

10% off Any Time with ID

www.ElAguilaRestaurant.com BG16639WR

Fajita and Drink Specials

“Authentic Salvadoran, Mexican, and Tex Mex that is full of flavor, combined with friendly service.” - Montgomery County Sentinel


Walter_Reed_Cover_2010.qxp

9/15/2010

11:47 AM

Page 4

Darcars appreciates your service to our country

$500

BG14170

Military Rebates Available


Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.