Headquarters
Department of the Army
Washington, DC
22 October 2015
*Army Regulation 601-142

Effective 22 November 2015

Personnel Procurement

Army Medical Department Professional Filler System

By Order of the Secretary of the Army:

MARK A. MILLEY
General, United States Army
Chief of Staff

GERALD B. O'KEEFE
Administrative Assistant to the
Secretary of the Army

History. This publication is a major revision.

Summary. This regulation provides guidelines to identify, assign, train, and qualify Active Army Medical Department personnel to round out Army units with the professional filler system for training events and military operations.

Applicability. This regulation applies to the Active Army, the Army National Guard/Army National Guard of the United

States, and the U.S. Army Reserve, unless otherwise stated.

Proponent and exception authority. The proponent of this regulation is The Surgeon General. The proponent has the authority to approve exceptions or waivers to this regulation that are consistent with controlling law and regulations. The proponent may delegate this approval authority, in writing, to a division chief within the proponent agency or its direct reporting unit or field operating agency, in the grade of colonel or the civilian equivalent. Activities may request a waiver to this regulation by providing justification that includes a full analysis of the expected benefits and must include formal review by the activity's senior legal officer. All waiver requests will be endorsed by the commander or senior leader of the requesting activity and forwarded through their higher headquarters to the policy proponent. Refer to AR 25-30 for specific guidance.

Army internal control process. This regulation contains internal control provisions in accordance with AR 11-2 and identifies key internal controls that must be evaluated (see appendix C).

Supplementation. Supplementation of this regulation and establishment of command and local forms are prohibited without prior approval from Headquarters, Department of the Army (DASG-HR), 7700 Arlington Boulevard, Suite 5145, Falls Church, VA 22042-5145.

Suggested improvements. Users are invited to send comments or suggested improvements on DA FormDA FormDepartment of the Army form 2028 (Recommended Changes to Publications and Blank Forms) directly to Headquarters, Department of the Army (DASG-HR), 7700 Arlington Boulevard, Suite 5145, Falls Church, VA 22042-5145.

Distribution. This publication is available in electronic media only and is intended for command levels C, D, and E for the Active Army, the Army National Guard/Army National Guard of the United States, and the U.S. Army Reserve.

*This regulation supersedes AR 601-142, dated 9 April 2007.

With the exception of the Medical Service Corps, an officer up to two grades below or one grade above the required position grade is an authorized substitution. (For example, an officer in the grade of lieutenant colonel (LTC), major (MAJ), captain (CPT) or first lieutenant may fill a position requirement for a MAJ. Conversely, an officer may fill a position requirement two grades up or one grade down from his or her current grade. (For example, a MAJ may fill a position requiring a colonel (COL), LTC, MAJ, or CPT). MEDCOMMEDCOMUnited States Army Medical Command may require a position to be filled at the tasked grade or may waive the grade requirement. The PDS has a tiered approach that identifies specific specialties that will be managed by MEDCOMMEDCOMUnited States Army Medical Command (Tier I); RHCs (Tier II); and MTFMTFMilitary treatment facility commands (Tier III). However, any recommended substitutions within PDS must comply with table 1 and any changes after a tier is locked must be approved by HQ, MEDCOMMEDCOMUnited States Army Medical Command, Personnel Operations Branch (MCHR–MO). HQ, MEDCOMMEDCOMUnited States Army Medical Command approves all substitutes by another specialty for 61J General Surgeons even if the substitution is in accordance with table 1. In addition, the following requirements must be met: general surgery residency training program may be substituted for a 61J, General Surgeon (100 percent). 61L Plastic Surgeons who have completed a general surgery residency program or an integrated program consisting of 3 years general surgery and 3 years plastic surgery may also be substituted for a 61J General Surgeon (100 percent). 61L Plastic Surgeons who have trained in ENT and plastic surgery, but have not trained in general surgery, will be utilized at the 25 percent substitution level. of any or all of the 61J General Surgeons is authorized by 61K Thoracic Surgeons, 61L Plastic Surgeons, or 61W Peripheral Vascular Surgeons as long as the requirements specified in subparagraph a, above, are met. 61L Plastic Surgeons that have been trained in ENT and plastic surgery, but not trained in general surgery, are not authorized in a FST. substitute for one of the three 61J General Surgeon requirements in a FST. 61W Peripheral Vascular Surgeons are authorized provided they meet the requirements specified in subparagraph a, above. Obstetrician-Gynecologists and 60K Urologists who have completed a surgical oncology fellowship. Obstetrician-gynecologists or 60K Urologists. Fellowship training is not required for substitution in this situation. will be utilized at the 25 percent substitution level in a non-FST element. rary fill in CSHs and FSTs. of LTC or COL and approved by MEDCOMMEDCOMUnited States Army Medical Command. grade levels below or one grade level above the required position grade is an authorized substitution. (For example, Soldiers in the grade of sergeant first class (SFC), staff sergeant (SSG), sergeant (SGT) or specialist may fill a position requirement for a SSG). Conversely, Soldiers may fill a position requirement one grade up or two grades down from his or her current grade. (For example, a SSG may fill a position requiring a master sergeant, SFC, SSG, or SGT.) MEDCOMMEDCOMUnited States Army Medical Command may designate some positions be filled at the tasked grade or may waive the grade requirement. substitution of listed specialty to MEDCOMMEDCOMUnited States Army Medical Command. MTFMTFMilitary treatment facility deputy commanders for nursing will validate the officer’s current competency in the tasked specialty for any recommended substitutions. MEDCOMMEDCOMUnited States Army Medical Command may reassign deploying PROFIS requirements to another region to maximize stabilization when all deployable personnel have previously deployed. least two remaining positions are filled by 61H Family Physician, 62A Emergency Medicine, 62B Field Surgeon, 60P Pediatrician (general and fellowship trained), 61N Flight Surgeon (Army Flight Surgeon Primary Course trained 62B Field Surgeon or equivalent), or 61F Internist. Surgeon, but are not currently occupying 61N Flight Surgeon slots, may be used to satisfy 61N Flight Surgeon requirements provided they attend a 61N Flight Surgeon refresher course. one of the 65D Physician Assistant requirements only if at least three remaining providers are either 65D Physician Assistants or 62B Field Surgeons (does not include 65D Physician Assistants or 62B Field Surgeons who are in command and control positions). 66P Family Nurse Practitioners selected to fill these 65D Physician Assistant requirements must meet supplemental trauma training requirements before deploying as established by Chief, Health Policy and Service Division, MEDCOMMEDCOMUnited States Army Medical Command. 73B Clinical Psychology requirements in a combat stress control detachment. These positions may fill PROFIS requirements, but will complete the Nursing Preceptorship Program at their initial assignment before deployment. This criterion applies only if AOCAOCAirborne Orientation Course inventory can support the requirements within the RHC. These officers require special public health and/or preventive medicine training that the other 64 series AOCs do not require.

The function covered by this evaluation is the management of PROFIS and competencies of PROFIS managers. The purpose of this checklist is to assist PROFIS managers in evaluating the key internal controls identified below. This checklist is not intended to address all controls. Answers must be based on the actual testing of key internal controls (for example, direct observation, review of files or other documentation, analysis, sampling, simulation and interviews). Answers that indicate deficiencies must be explained and corrective action indicated in supporting documentation. These controls must be formally evaluated at least once every 5 years. Certification that this evaluation has been conducted must be accomplished on DA FormDA FormDepartment of the Army form 11–2 (Internal Control Evaluation Certification). land Support Missions MODS modules? retirement losses within PDS and replace them within 20 working days after departure? PROFIS module? within 72 hours of reporting to the assigned unit? module within 72 hours of departure? This evaluation is the initial internal control evaluation for the PROFIS Program. Help make this a better test for evaluating internal controls. Submit comments to The Surgeon General (DASG–HR), 7700 Arlington Boulevard, Suite 5145, Falls Church, VA 22042–5145.