A Decade of Progress
The United States Army Medical Department
1959-1969
A DECADE OF PROGRESS
The United States Army
Medical Department
1959-1969
Prepared and published under the direction of
Lieutenant General HALB. JENNINGS, JR.
The Surgeon General, United States Army
Editor in Chief
Colonel WILLIAM S. MULLINS, MSC, USA
Editor for A Decade of Progress
ROSE C. ENGELMAN, Ph. D.
OFFICE OF THE SURGEON GENERAL
DEPARTMENT OF THE ARMY
WASHINGTON, D.C., 1971
The Historical Unit, United States Army Medical Department
Colonel WILLIAM S.MULLINS, MSC, Director
CHARLES J.SIMPSON, Executive Officer
HAZEL G. HINE, Chief, Administrative Branch
ERNEST ELLIOTT,JR., Chief, Editorial Branch
RODERICK M.ENGERT, Chief, General Reference and Research Branch
ROSE C. ENGELMAN, Ph.D., Chief, Historians Branch
GERALDINE B.SITES, Acting Chief, Information Activities Branch
Major RALPHLADESTRO,MSC, Chief, Special Projects Branch
Library of Congress Catalog Card Number: 70-610424
For sale by the Superintendent of Documents, U.S. Government Printing Office
Washington, D.C. 20402-Price $2.25
Stock Number 0823-0044
Contents
STATEMENTBY THE SECRETARY OF THEARMY
Chapter
I. The Beginning of an Era
Change of Command
Magnitude of the Task
The Role of The Surgeon General
Concept of Operations: The Five Pillars of Military Medicine
The Office of The Surgeon General
History and Tradition
Medical Historical Program
A Proud Name Restored
II. Professional Care and Related Activities
Standards of Patient Care
Army Health Experiences and Trends
Admissions
Noneffective Rates
Hospitalization Rates
Medical Workloads
Dental Workloads
Hospital Clinic Care
Changing Concepts
Solving the Outpatient Problem
General Medicine
Teaching Hospitals
Visits to Medical Facilities
Surgery
Open-Heart Surgery
Visits and Missions
Preventive Medicine
Communicable Diseases
Common respiratory diseases and influenza
Malaria
Enteric diseases
Meningococcal meningitis
Melioidosis
Immunization activities
Army Health Nursing
Environmental Medicine and Engineering
Occupational Health
Entomology
Nursing Service
Dental Service
Preventive Dentistry
Dental Resources
Radiology
Psychiatry and Neurology
Support Activities
Pathology and Laboratory Activities
Pharmacy
Physical Standards
One Directive for Medical Fitness
Medical and Physical Evaluation Boards
Armed Forces Examining Stations
The Medically Remedial Enlistment Program
The Military Blood Program Agency
Donor Motivation
Conferences and Meetings
Whole-Blood Support in Emergencies and Crises
Dominican Republic
Southeast Asia
Dependents` Medical Care Program
From Medicare to CHAMPUS
Administration and Financing
III. Modernization of Facilities and Equipment
A New Generation of Hospitals
Early Plans
Cutting the Red tape
Army Health Facility Concept
Status of Army Hospitals in Mid-1959
Hospital Construction
Fiscal year 1960
Fiscal year 1961
Fiscal year 1962
Fiscal year 1963
Fiscal year 1964
Fiscal year 1965
Fiscal year 1966
Fiscal year 1967
Fiscal year 1968
Fiscal year 1969
Equipment Planning
Hospital Equipment Program
Accreditation of Army Hospitals
Membership in the American Hospital Association
Research and Development Command
Minor Construction
Funding problems
Master Planning Board
Major Construction
Walter Reed Army Institute of Research
Consolidation and centralization plans
Other Major Construction or Projects
Brooke General Hospital
Walter Reed Army Medical Center
William Beaumont General Hospital
Fitzsimons General Hospital
Minor Facilities
Expansion of Continental U.S. Army Hospitals
IV. Personnel
The Surgeon General`s Personnel Policy
Military Personnel
Authorization and Strength
Measures To Overcome Critical Shortages
Walter Reed Army Institute of Nursing
Recruitment program of the Army Medical Specialist Corps
Career Planning
Medical Corps
Dental Corps
Army Nurse Corps
Medical Service Corps
Veterinary Corps
Army Medical Specialist Corps
Measures To Retain Career Military Personnel
Civilian Personnel
Recruitment Policies
Career Management Programs
Support of Federal Employment Policies and Programs
V. Education and Training
Professional Training
The Army Residency Program
The Army Internship Program
The Army Fellowship Training Program
Military Postgraduate Courses
Postgraduate Courses at Civilian Institutions
On-The-Job Training
Service School Courses
Military Training
Training of Foreign Nationals
Training Aids
Training Guidance
Enlisted Training
VI. Administration and Management
Management Improvement Programs
Hospital Command Management System
"Find-it, Fix-it"-A New Approach to Internal Review
Hospital Methods Improvement Program
Administrative and Professional Management Improvement Program
Management Information Systems
Mechanized Financial Accounting
Automatic Data Processing Systems
VII. Medical Supply
The Medical Supply Function
Reorganization Within The Surgeon General`s Jurisdiction
Mobilization Reserve, Pre stockage, and Medical Assemblage and Replacement Programs
Spectacle Fabrication
NBC (Nuclear, Biological, Chemical) Medical Materiel Programs
Procurement Activities
Funding and Accounting
The Military Assistance Program
Medical Supply Support of Emergency Operations
VIII. Army Medical Research and Development
Objectives
Management of the Program
Highlights of Progress
Malaria program
Other infectious diseases
Parasitic infections
Burn research
Combat surgery
Blood preservation
Dental research
Medical material
Environmental medicine
Skin diseases
Goals in Sight
IX. Meeting the Challenge in War and Peace
Combat Readiness
Emergency Missions
Lebanon Operation, July 1958
The Cuban Crisis, October 1962
The Dominican Republic Crisis, April 1965
Mercy Missions
Chile Disaster Relief Operations
Earthquake Disaster, Skopje, Yugoslavia
Earthquake and Flood Disasters, Alaska
Medical Support in South Vietnam
Field Medicine
Civic Action
Number
Figure
1. Lieutenant General Leonard Dudley Heaton, The Surgeon General, United States Army, 1959-1969.
5. Walter Reed Army Medical Center, Washington, D.C.
6. Munson Army Hospital, Fort Leavenworth, Kans.
7. Kirk Army Hospital, Aberdeen Proving Ground, Md.
8. Letterman General Hospital, Presidio of San Francisco, Calif.
10. Medical Field Service School, Brooke Army Medical Center, Fort Sam Houston, Tex.
12. Hypodermic jet injection gun, developed by the U.S. Army Medical Research and Development Command, being used to administer an inoculation.
15. The 15th Field Hospital at Puerto Montt, Chile, May 1960.
16. Personnel of the 15th Field Hospital assist earthquake victims in Puerto Montt, Chile, May 1960.
17. Members of the 8th Evacuation Hospital in Skopje, Yugoslavia, following the earthquake in 1963.
18. South Vietnamese and American soldiers load a casualty into an HU-1B helicopter ambulance.
20. 8th Field Hospital, Nha Trang, South Vietnam,17 March 1966.
21. General Heaton during a visit to South Vietnam November 1967.
22. Aerial view of the 45th Surgical Hospital, South Vietnam.
23. General Heaton observed patient care at an Army hospital in South Vietnam during a visit in November 1967.