U S Public Health Service Its a Career

U. S. Public Health Service: It’s a Career and an Adventure!!! 1

Mission and Core Values • Protect, promote, and advance the health and safety of our Nation – Rapid and effective response to public health needs – Leadership and excellence in public health practices – Advancement of public health science • Core values: – – Leadership Service Integrity Excellence 2

Where Dentists Work 3

Indian Health Service • Population – 2. 3 million American Indians and Alaska Natives – Children, adolescents, and adults in 573 recognized Tribes • Types of facilities – 404 dental programs located in 35 states – Most dental programs are co-located with medical programs • Types of dental procedures – Operative, endodontics, periodontics, exodontia, prosthodontics – Levels of services are dependent on location – Emphasis is on providing basic dental care to a vastly underserved population

Federal Bureau of Prisons • Population – More than 100 institutions across the U. S. – 170, 000 male and female inmates, variety of offenses • Types of facilities – Stand-alone location to multi-institution Complexes – High security Penitentiary to minimum security Prison Camp – Medical Centers for medically complex • Types of dental procedures – Operative, endodontics, periodontics, exodontia, removable prosthodontics

Health Resources and Services Administration • Health Center Program – Provides primary health care to underserved communities and vulnerable populations including children, rural residents, and those living in poverty (1 in 12 people in U. S. ) – Nearly 1, 400 health centers operating approximately 12, 000 service delivery sites with over 4, 800 dentists and nearly 2, 500 dental hygienists – In 2017, health centers served 6. 1 million dental patients • Ryan White HIV/AIDS (RWHAP) Program – 12, 395 dental providers received training and education on HIV oral health care through the RWHAP Part F Dental Reimbursement Program – 3, 453 dental providers received training and education on HIV oral health care through RWHAP Part F Community Based Dental Partnership Program • Maternal and Child Health Block Grant – 32 states and jurisdictions addressing National Performance Measures on oral health

U. S. Immigration and Customs Enforcement Health Service Corps (IHSC) • Population – Direct care for 16, 500 detainees at 15 facilities across U. S. – Case management for 15, 000 detainees at 119 contract facilities – Children, adolescents, and adult detainees • Types of facilities – Medical/dental units within ICE Detention Facilities – Dental clinics located in both urban and rural locations: WA(1), CA(1), AZ(2), TX(7), LA(1), VA(1), FL(1), and NY(1) • Types of dental procedures – Operative, exodontia, limited endodontics – No prosthodontics

U. S. Coast Guard • Population – 41, 000 Active Duty male and female Coast Guardsmen – Members of Department of Defense assigned to USCG stations • Types of facilities – 26 clinics at USCG stations across the contiguous U. S. and Alaska • Types of dental procedures – Operative, endodontics, periodontics, exodontia, prosthodontics, implants

Centers of Disease Control and Prevention • Division of Oral Health – Part of National Center for Chronic Disease Prevention and Health Promotion – Monitor and study oral health, diseases, and cancer (National Oral Health Surveillance System, National Health and Nutrition Examination Survey) – Extend proven prevention strategies – Guide infection control in dentistry – Increase state oral health program capacity and effectiveness • Dental Public Health Residency

National Institute of Dental and Craniofacial Research • One of 27 National Institutes of Health in Bethesda, MD • Funds research and supports research training – – Perform and support basic, translational, and clinical research Conduct and fund research training & career development programs Coordinate and assist relevant research and research-related activities Promote the timely transfer of knowledge gained from research • Variety of training and career development opportunities – Intramural training in Bethesda, MD – Extramural training across the nation supported by grants – https: //www. nidcr. nih. gov/careers-training

U. S. Food and Drug Administration • FDA Components – – Center for Devices and Radiological Health Center for Drug Evaluation and Research Center for Biologics Evaluation and Research Center for Tobacco Products • Dental Officer Roles – Device Evaluation • Ensure safety, efficacy, and security of dental devices • Receive reports of adverse events, initiate recalls as needed – Drug Evaluation • Ensure the availability, quality, & integrity of safe and effective dental drugs • Protect public health by promoting the safe use of marketed drugs

Professional Composition • Dentists – 167 Commissioned Corps – 317 Civil Service – 765 Contractors • Hygienists – 88 Commissioned Corps – 111 Civil Service – 371 Contractors 12

Specialties Specialty Total Anesthesiology 2 Public Health 18 Endodontics 14 Oral and Maxillofacial Pathology 1 Oral and Maxillofacial Surgery 21 Orthodontics and Dentofacial Orthopedics 16 Pediatric 52 Periodontics 5 Prosthodontics 11 *excludes BOP 13

Participation in Organized Dentistry • PHS Dentists participate in state dental associations and 29 other organized dental associations – American Dental Association (ADA) – Academy of General Dentistry (AGD) – American Association of Public Health Dentistry – American Academy of Pediatric Dentistry *ADA and AGD have PHS delegates representing the Commissioned Corps 14

USPHS Dentist Roles • Clinical – Clinic Staff Dentist or Specialist • Administrative – Dental Director/Chief Dental Officer (local, region, national) – Program Management • Public Health – – – Population-based interventions Natural disaster response Research (NIDCR) Regulatory (FDA) Policy/guidelines (CDC) 15

Personnel Systems • • Civil Service Commissioned Corps Direct Tribal Hire Contract Dentist • Student Externships 16

Civil Service Dentists • Federal government employee of agency – – – Salary and benefits paid by U. S. government (set by Congress) Paid vacation and sick leave, 10 annual federal holidays 40 -hour work week with overtime (unless receiving market pay) For dentists, Title 38 market pay is now available in the IHS and FDA Career advancement and relocation expenses Work in all agencies except USCG • Find open positions on usajobs. gov – Filter for agency or location 17

Civil Service Pay and Benefits GS Grade Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7 Step 8 Step 9 Step 10 GS-11 $53, 858 $55, 653 $57, 449 $59, 245 $61, 040 $62, 836 $64, 631 $66, 427 $68, 222 $70, 018 GS-12 $64, 554 $66, 706 $68, 858 $71, 009 $73, 161 $75, 313 $77, 465 $79, 617 $81, 768 $83, 920 GS-13 $76, 762 $79, 321 $81, 880 $84, 439 $86, 998 $89, 556 $92, 115 $94, 674 $97, 233 $99, 792 GS-14 $90, 711 $93, 734 $96, 758 $99, 782 $102, 805 $105, 829 $108, 853 $111, 876 $114, 900 $117, 924 GS-15 $106, 700 $110, 256 $113, 813 $117, 370 $120, 926 $124, 483 $128, 039 $131, 596 $135, 152 $138, 709 • Annual Base Pay from chart above, increases as approved by Congress • Some agencies pay locality pay based on location (e. g. Denver adds 25. 47%) • Some agencies pay Title 38 Market Pay to more closely match median dentist salaries (e. g. total pay may be approximately $120 -200 K) • Matching 401 K (TSP) contributions up to 5% of base pay • Retirement plan (percentage of highest 3 years) 18

Commissioned Corps Dentists • Commissioned on Active Duty in USPHS Same basic pay and benefits as Active Duty military 30 days paid vacation, 10 annual federal holidays, unlimited sick days 40 -hour work week generally Natural disaster and significant event deployments Career advancement and relocation expenses paid Many of the same benefits as the military (Space-A travel, commissary access, etc. ) – Work in all USPHS agencies – – – • Application Process – Contact recruiter (1 -888 -225 -3302 or cchelpdesk@hhs. gov) – Lengthy medical, financial, and FBI clearance screening process 19

Commissioned Corps Pay and Benefits Pay Grade <2 2 3 4 6 8 Years of Service 10 12 14 16 18 20 22 O-10 0. 00 0. 00 15800. 10 O-9 0. 00 0. 00 15078. 60 15296. 40 O-8 10668. 90 11018. 70 11250. 60 11315. 40 11604. 90 12088. 20 12200. 70 12659. 70 12791. 70 13187. 10 13759. 50 14287. 20 14639. 40 O-7 8865. 30 9276. 90 9467. 70 9619. 20 9893. 40 10164. 60 10477. 80 10790. 10 11103. 60 12088. 20 12919. 20 O-6 O-5 O-4 O-3 O-2 O-1 6722. 70 5604. 30 4835. 40 4251. 60 3673. 50 3188. 40 • • • 7385. 70 6313. 50 5597. 40 4819. 32 4183. 80 3318. 90 7870. 50 6750. 00 5971. 20 5201. 40 4818. 30 4011. 90 7870. 50 6832. 50 6054. 00 5671. 50 4981. 20 4011. 90 7900. 50 7105. 50 6400. 80 5943. 60 5083. 80 4011. 90 8239. 20 7268. 40 6772. 80 6241. 50 5083. 80 4011. 90 8283. 90 7627. 20 7236. 00 6434. 40 5083. 80 4011. 90 8283. 90 7890. 90 7596. 30 6751. 20 5083. 80 4011. 90 8754. 30 8230. 80 7846. 50 6916. 80 5083. 80 4011. 90 9586. 80 10075. 20 10563. 30 10841. 40 8751. 30 8998. 50 9243. 60 9521. 40 7990. 50 8073. 90 6916. 80 5083. 80 4011. 90 Monthly Base Pay from chart above, Congress approves change Annual Incentive Pay ($20, 000 for general dentists) Annual Retention Bonus ($13, 000 -$25, 000 depending on 2, 3, or 4 -year commitment) Probably Accession Bonus of at least $150, 000 with 4 -year commitment Thrift Savings Plan contributions up to 5% of base pay (non-matching) Post-9/11 GI Bill benefits (transferrable to spouse/child with commitment) 20

Other Personnel Systems • Direct Tribal Hire – – – Employee of specific tribe Negotiated salary, benefits, and work week comparable to civil service IHS loan repayment eligible Dental procedures and hours approved by tribe Openings found at https: //www. ihs. gov/dentistry/currentopenings/ • Contractors – – – Contracted directly by federal agency or tribe Employment salary and work period established by contract Independent contractor (tax responsibilities) No workplace retirement benefits Work in BOP, USCG, IHSC 21

Student Externships • IHS Externship Program – Third-year dental students – Various locations in Alaska and around U. S. – Apply in January and complete externship that Summer (https: //www. ihs. gov/dentistry/dentalexternships) • Senior Commissioned Officer Student Training and Extern Program (SRCOSTEP) – Full O-1 pay and benefits for fourth year of dental school – Job placement with sponsoring agency and relocation expenses after graduation – Active Duty commitment for twice the time sponsored – Apply in Sept – Oct of third year (https: //ww. usphs. gov/student/srcostep. aspx) 22

Special Benefits – Loan Repayment • Indian Health Service Loan Repayment Program – $20, 000 per year toward eligible loans for 2 -year commitment, annually renewable – Civil Service, Commissioned Corps, and Direct Tribal Hire eligible (https: //www. ihs. gov/loanrepayment) • National Health Service Corps (NHSC) – For dental clinicians to pay off educational debt – For dental students to pay for current tuition and fees – Visit https: //www. nhsc. hrsa. gov to learn more and sign up to be notified when the application cycle opens 23

Special Benefits – NHSC Loan Repayment • Loan Repayment Program – Loan repayment assistance for eligible educational loan debt – Dentists (DMD or DDS) and dental hygienists eligible to apply – Up to $50, 000 for 2 -year full-time commitment or $25, 000 for half-time service commitment – Must serve at NHSC-approved site in designated Health Professional Shortage Area (HPSA), eligible sites at https: //connector. hrsa. gov • Scholarship Program – Up to 4 school years of financial support for dental students (DMD or DDS) – Includes tuition, fees, monthly stipend, and other reasonable educational costs 24

Special Benefits – Continuing Education • Long-term Training opportunities – Assigned to agency not previously mentioned for specified period – Attend advanced education opportunity or residency program sponsored by the agency (some agencies) – Dental public health residencies at CDC and NIDCR • Continuing Dental Education – Some agencies have very robust continuing dental education programs that are free of charge. For example, the IHS offers over 250 inperson, online, and webinar courses each year; the duty station usually pays for travel to in-person courses. 25

Agency Contact Information • BOP: CAPT Michael Johnson, mwjohnson@bop. gov • CDC: Mr. Casey Hannan, clh 8@cdc. gov • FDA: Dr. Fred Hyman, fred. hyman@fda. hhs. gov • HRSA: CAPT Renée Joskow, rjoskow@hrsa. gov • IHS: Dental. Jobs@ihs. gov • IHSC: CAPT Todd Tovarek, todd. m. tovarek@ice. dhs. gov • NIDCR: Dr. Jonathan Horsford, jonathan. horsford@nih. gov • USCG: CAPT Scott Brown, scott. w. brown@uscg. mil 26

Current Openings • BOP: https: //www. bop. gov/jobs/positions/index. jsp? p=Dentist • CDC: https: //www. usajobs. gov/ • FDA: https: //www. usajobs. gov/ • HRSA: https: //www. hrsa. gov/hr • IHS: https: //www. ihs. gov/dentistry/index. cfm/currentopenings/search/ • IHSC: https: //www. usajobs. gov/ • NIH: https: //www. usajobs. gov/ • USCG: https: //www. gocoastguard. com/active-duty-careers/officeropportunities/programs/dental-officer 27