I'll go ahead and start the introduction of Dr. Broadman. She's residency trained and board certified in internal medicine and occupational and environmental medicine. She's a fellow of the American College of Osteopathic Internists and the American College of Occupational and Environmental Medicine, and she is a new member for us, as I remember. She specializes in the prevention and management of occupational and environmental injury, illness and disability, and promotion of health and productivity of workers. Dr. Broadman has experience in both automotive and hospital industries and in disability management. Her passion is vigilant prevention and compassionate treatment of patients, families, and communities. She is active in state and national professional societies and is the first medical liaison officer at the Department of Homeland Security's Federal Law Enforcement Centers in Glencoe, Georgia. Through strategic partnerships with DHS components and other government organizations, the Federal Law Enforcement Centers prepares the Federal Law Enforcement community to safeguard the American people and our values. As medical liaison officer for the Office of Medical Oversight, Dr. Broadman strives to make healthier, safer, and more resilient the collect. Please welcome Dr. Broadman, and she is working for what it is like working for the government, an OCDocs Perspective. Good afternoon, everyone. Thank you for having me. My title is Working for the Government, an OCDocs Perspective. As she mentioned, I'm double-boarded in occupational medicine and internal medicine. I was a contract doc at Chrysler, at the Chief Grand Cherokee Plant, it's the last place I worked. I also worked in regular hospital-based occupational medicine. I have worked at SEDGWC, which is a claims management organization. Some people are nodding, yes. Currently, I'm the MLO, the Medical Liaison Officer at FLETC. This picture in there is just to show, this is my first day of work at FLETC. My hair is still straight. I have since given up on that. I'm just coming off of working from home for two years. You can see the fullness in my face of not moving. My steps were approximately 1,800 a day, working from home, and the crazy hours, and now I'm closer to 5,000 a day. I look completely different. The locations for the federal law enforcement training centers, Glynco, Georgia, Artesia, New Mexico, Charleston, South Carolina, Cheltenham, Maryland, Gaborone, Botswana, National Capital Region training operations. And then we also have state, local, and tribal law enforcement training all over the country. We send teams everywhere throughout the world. And we also have partnership relationships with other nations. Yesterday, I was on a call, last week I was on a call with Canada, and Australia, and New Zealand to talk about their, how they train their police during COVID. This is a little bit about Homeland Security. I'm not gonna go over everything on there, but I would like to, can you, you can't see the, is there a, can I point? Right in the middle. In the middle. Oh, back, the top. Okay, great. So we have the secretary, and that's, we call him S1. And then under the secretary is the deputy secretary, chief of staff, and then further executive secretary, and then the military officer. And then these are just a bunch of the directorates underneath Homeland Security. I'm gonna jump down to where I fit in. And these are, we call these the component organizations. Cybersecurity, U.S. Customs and Border Protection, or Border Patrol is under that group. Citizenship and Immigration, FEMA, U.S. Coast Guard, the ICE, Immigration and Customs Enforcement, U.S. Secret Service, and TSA. All of these bottom organizations, these are, we call these the DHS components, and they all have two medical officers and deputies under them. Like Border Protection has at least three, whoop, sorry. Okay. That's okay. Border Protection has at least three people working under them, so they're actually hiring a lot more doctors because they're seeing, that's okay, we're seeing the importance. Okay. This is a little bit about what the Department of Homeland Security does. This is the U.S. Marshals. This is one of our training organizations, and they work with the police. And this is in Honolulu. This is preventing trafficking. This one is the Border Protection. We don't just secure the borders. They also are flown in when there's a disaster. People don't think about the borders. We fly, didn't want to patrol the borders, so that's a picture of that. And then the last one is, this is part of FEMA, and they build, this is a response to Hurricane Ida. Coast Guard is part of us. So this is a kind of dramatic picture of a rescue swimmer in cold water gear. And they practice at our different training sites. And I provide the medical support for that. And then the U.S. Coast Guard, this is structural supplies to construct a range. So they're everywhere. Secret Service, they do advanced forensics, and they also have their own lab. They do handwriting, as that slide indicates. And then also Secret Service, they do traditional physical protection, not just the president. FBI, we work, we have partner organizations, and they work at FLETC. We have 118 partner organizations. We have our own firing ranges. We go through $5 million worth of ammunition a year, a lot of guns. It's almost as much as Dr. Burkles. Yes, we call it cars, guns, and boats. Again, we have a lot of the Coast Guard boats, and then we also train the Border Protection, the people to drive the boat or navigate the boats, and cars, guns, and boats. So, and we also teach the New Yorkers how to drive. You should see them on the driving range. It's pretty funny. So there's, so yeah, and I've been in some of those cars. It's really interesting for me to be part of that. Well, let them know how to drive. It's really, it's really quite the experience. Well, that's all. That was a joke. Well, that's all. That was a joke. I know. You know what the biggest epithet in New York I've ever heard of? What? Is Jersey driver. Jersey driver, okay, okay. And this is also interesting. This is our TAC-Med group. If somebody gets injured when they are out training, we usually have a couple of paramedics that jump in. They'll come into the medical unit with their IVs already started. So this is a group that takes care of themselves. They're really fun to work with. So these are some of the challenges I see at Plexi. Heat illness. So the big one is rhabdo, heat exhaustion, heat cramps. Rhabdo can be self-inflicted. I had one guy that did 200, we calculated 220 lunges, you know, lunges. And he, yeah, he gave himself rhabdo. And it was like almost, it was classic textbook. He did it on Saturday, me and his buddy. And on Monday they reported saying, you know, my legs are really sore. And they checked the urine and it was deep color and they put him in the hospital. So it's very interesting. Yeah, we've had some pretty bad cases of rhabdo. We have, I call it the two kinds of rhabdo. We have tropical heat rhabdo, with so Georgia, you know, Charleston, National Capital Region. And then we have the dry heat in New Mexico. So it's different challenges. And I mean, I've had Georgians actually have some heat illness. People, just because you're raised in the South doesn't mean you're outside and you know, and we have a physical techniques division and they acclimatize them for two weeks, especially in the middle of the summer to avoid some of this. One of my, I'm doing a big research project at FLETC on rhabdo. We'll take a look, when are most of the injuries? And the preliminary has been, it's mostly in people who are overweight or obese, which would be expected. But, and then the other thing is it's happening early in their training too. So we're noticing a pattern with that. Oh, okay, I'm good right now. And then infectious diseases, COVID, flu. So we have dorms at Artesia, Charleston and Glencoe. So COVID is a really big deal for us. It continues to be a big deal. Right now, one of our big challenges is what to do with quarantine and vaccination status. Because if you are up to date, so you've had your two main shots, plus the booster, you don't have to quarantine. And you can get the vaccine and you're immediately up to date. Remember when you got the first two, you have to wait two weeks to be considered fully vaccinated. Up to date, you get the vaccine, you're vaccinated. You're up to date and you don't have to quarantine. So it's going to be a logistical interesting thing for us to figure out when have you last had COVID? Because then you're considered up to date by CDC for three months. And are you up to date? And then fully vaccinated. And then we have some run backs running through there. So you can imagine for teaching, if you have to stop the whole class for five days and then test on the sixth and then wait for PCR to come back. So that's now eight days. It's quite the challenge. And then musculoskeletals, sprains, strains and fractures, psychiatric diagnoses. Sometimes they bring it with them. PTSD, depression, because they've had a prior occupation job that might've exposed them. We have a lot of people who support their second career when they're coming into this. And then I wanted to talk a little bit about government jobs. The big site to look at is usajobs.gov. And the other one that had some government jobs is indeed.com. But I think the best place are connections. This was an example that I just happened to get in my mail and I, can you set the pointer? All right. Okay, that's all right. So I know that it's really tiny writing. You've got the job announcement number. You can just point, yeah, job announcement number. They have, they all have a series. GS 15 is general service 15. You can't go any higher than that. Does anyone have anything to add? Or you're just nodding, okay. And then this is the open close date is when they're accepting applications. And that's usually midnight. It would be midnight on the 13th. Now look at that great salary range, $44,000. I mean, I see the look on your face. I'm like, yeah, that's the salary range is pretty low. However, there are recruitment incentives and you can ask for those upfront. And then the public, sometimes they like veterans or something and they can put it down. Thank you very much. And so this is just a guy who probably, I don't know where he got my name, but he found me and he just sent me this job announcement thinking that I might apply. And this is where the application process starts. I think that you need to prepare to apply. The first place to start is what I would call a detailed master curriculum detail. You need a profile paragraph written in the third person. So you're almost describing yourself like you're a God. I am the God of this and I did this and I have that. And it's very uncomfortable for most doctors to write about because we're not taught to think of ourselves that way, but you have to do it and you have to have it ready. Describe your job responsibilities and your activities. List every activity. Have a little section for volunteer work. I don't care whether you work in the soup kitchen or you go and teach each residence. Every single thing you do has got to be written down. And then whenever you serve on a committee, work volunteer, add that position title and dates to your master's CV. This also includes like the safety committee at work. Write all that down and then have a professional picture ready, but you can't use that for your job. They don't let you, they say no pictures and your application will get rejected if you forget and you put a picture on there. That's become common even in corporate academia because even the military is thinking about doing away with this with the motion boards because of the implied bias you may have if you see a photograph. True, true. You got rid of it and then you put it back. It's currently on, but it's still on. Oh, okay. So check that on the application. Start and stop dates, day, month, year. I can say that again, day, month, year, because you are going to have to keep track of that for your whole life. If it means calling your past employer, I tell the residents, day, month, year. You got to know all that because you don't want to be caught lying. Because then you're signing saying, I attest to this. And most of the time, I don't remember if I started July 4th or July 5th, but you better believe I went back and I called my previous employer. So I would have that- You're just going to have trouble remembering when you left this first job back in 36. Right. A list of published articles and posters. Don't forget the posters. Contact information, name, phone number, address of every supervisor. Again, this is for that master CV I'm talking about. Keep a list of people you can use for references. So that means their name, address, phone number, email. And here's something nobody tells you. The day you met them. Okay, now, I don't remember when I met all my friends. I really don't. But before you write it in your CV or you're keeping track of it in your contacts, whatever it is, you decide, okay. You call your friend and say, when did we meet? I don't know. And then you decide, okay, we met in July of 1993. Because you might be asked this later and you want to be on the same page. So you really need to know when you met them. And the date is a little excessive, but I usually say at least the month or the time of year. I met in the spring or the fall, but they really want to know. All right, don't use acronyms on your master CV. Write everything out. And then consider the audience for the resume is not in the medical profession. This is a really big thing. The stuff that we talk about, they don't understand. And those are the first people that are reviewing it. Now, I think it's a computer reviewing it. And I think that they're looking for keywords. I don't even know the person that you want to hear this. All right, CV tips. Read the position description and consider where your qualifications match the position description. Adjust your CV verbiage so that it reflects the position description as much as realistically possible. So you look at the position, it says, must be able to read lead levels. You have to write in there, can take a blood test that checks lead levels. So you're getting the main words in there, but you're not cutting and pasting their exact words into your CV because they'll throw it out if they think that you're just copying the position description. So you say, okay, how can I connect what I actually do? And some, it's like, geez, it's basic hoc doc stuff. Like, why do I have to repeat this? But you do because the person is not a medical person. They're probably not even a nurse. And they're reviewing. Because the people who hired me were not medical at all. Nobody medical looked at my CV. I think they did it later, right? After they hired me. So again, take the position description and then put it into your CV. If, of course, if you're, you actually can do those things. Don't fabricate. And again, don't cut the position description. And then if certain experience is preferred, see if any or all of your qualifications match and then spell it out, right? I think I hit that pretty hard. And next. All right, and that's more tips. If your CV doesn't document it, that it didn't happen, just like medical notes. And even the most basic stuff. Gotta write where you went to college. Gotta write the basics. Put your most important information in the first five pages. So I know I just told you to have a master's CV. So you have the master's CV. But for each job, you put in a separate CV. And that's just, it sounds like it is a lot more work. You know, why don't you just send your CV? Well, the most important thing they want could be on the last page. And they're only, they will get, if you have a 15-page CV, they'll get all 15 pages, but they're only allowed to consider the first five. And I've seen that happen over and over. And check your font and make sure it's consistent. Because for some reason, the non-medical people really notice that. So I figured I'd put it over there. Check your font and check your spelling. Electronic copy of the credentials. This is key before you start. Have this in place. I think the residents should just be doing this as they go along. And this, you can tell this talk is targeting residents, but it's also people who are mid-career and wanna change. So keep an electronic file. So a PDF. So get a copy of your diploma. That's, you know, easy to read, preferably in color. Board certifications. And this is what's interesting. All unofficial transcripts. So basically, I mean, I went to University of Florida, you know, in 1988. And I mean, they changed computer systems multiple times. So I have to, you know, get another student number. And I have to, you know, they have to call me back. And that one didn't work. And then I had to pay money. And this is all for an unofficial copy, mind you. But you're gonna need that unofficial copy ready to go when you apply. Because your application would not be considered complete if they're asking for an unofficial copy of X, Y, and Z transcript, you have to have that ready to go. So that would be why I would get that in place before you even start applying. And then just keep it simple. Title each PDF with your last name, completion date, and what's in that PDF. You know, graduate, University of Florida, you know, 1993. It does take a long time. And then remember, if you don't have everything in place with the credentials, you have no credentials, no job. Sorry, sorry. All right, the interview process. This is totally different from any medical school, any other job I interviewed with. Bring a pen and paper. Write their question to you down. Ask them to repeat it. I do both. You must answer all parts of the question. And the question usually has multiple parts. So you can get really good at the first part. But if you don't answer the second part, you get three points out of five because you didn't answer the second part. So if you're fumbling with the question, just move on. Remember, each question stands alone. They won't hold it against you. Have a clock or a watch positioned so that you can see it without looking down. So picture your monitor and tape the watch there so you can keep excellent track of where you are, what question you're on. Because again, if you don't get the points, if you don't answer the question, you don't get the points. You don't get the points, you don't get the job. So knowing, you know, because we can, doctors can get long-winded and we get kind of involved explaining a case and we're thinking, oh, I'm doing such a good job on question five. If you don't get to eight to, you know, seven, eight, nine, you're done. It doesn't matter how good you were with five. So that's why that clock, it seems obvious, but keep that. And they will, they'll, they say, oh, I'll tell you. Well, if you've got five minutes left and you've got five questions to answer, that's pointless. Expect that they will be writing down everything you said. That is really creepy, super creepy, but they do it. I've had it done for all of my interviews. They write down everything I'm saying. Be prepared to wait. Expect that not every office will tell you what's happening. And some offices have never rejected me. I still have the applications open now going on three years. So, and I've called them and they're like, okay, you know, we're still we're still considering you, Dr. Broadman, you know, why? And I, and I tell them, well, take me off the list and accept another position. And then write a thank you note because that's good manners, but the people interviewing you cannot respond. So don't expect a response. I got two notes from one guy. I'm like, dude, I can't even respond. So, um, every department in the government is special. The interviewers are looking for doctors who can or learn to speak their language and be, and be in tune with medical issues. Do your research, look at the website, look for key words that you can use during the interview. Use their acronyms, use their acronyms. Despite being a Michigander, I was interviewing for a job in Georgia. So you better believe I was ready to talk about needleless. And I mean, I never saw that. I was, I was better off with chill veins in Michigan, but no, I, I definitely brushed up on my, on my rhabdo because that was what they wanted to know. I mean, I had the head of the, the director was asking me, what do you know about rhabdo? And I'm like, you can even spell it. I was, I was impressed that they know. So they knew so much. And, uh, do you know anybody with background in that industry? What is the, um, educational health of your patient population? I had no military background and, uh, that worked against me at interviews where the best candidates had law enforcement experience and I did the physicals for border protection and, uh, um, and who else are you doing for? I, and, and fire and the police, but that was that really, I wasn't, um, work, they expected me to treat, to do more. So I actually took a class on military deployment issues. So that'd be up on for the interview. And I could speak to those issues. Tips for government work, expect formality and paperwork as the boost. I tortured you guys with this PowerPoint. I'm really sorry. It took me a long time to get to you. Um, I started this three weeks before this, this lecture was approved for another group, you know, last for, in the fall, and they still made me go through the whole thing all over again. It just, it takes a really long time. Um, everybody says ma'am and sir, even if they're your same age and even in Georgia, anybody over 18, the women are ma'am regardless, it can be 19 year ma'am, but, um, I have women, my own age calling me ma'am, which is, I thought it was unusual. I wasn't expecting it, but now I call everybody ma'am too. And then, um, what's really fun are the site visits, um, expect them and ask to go see them. People are very proud to give you a tour. And then the titles it's very important. Um, learn them and use them. Um, so the upper management, they call me Melissa, but everybody else is Dr. Broadman or Dr. B. Um, so everybody, it's, it's a sign of respect and I use their titles too. I mean, they're my friends and I call them one of my friends is chief Dixon. And when I talk, refer to him in a group, he's chief Dixon. When we're talking one-on-one, I can call him Kelly, but in front of the group, everybody gets their title and they, that they earn. Government meetings. Um, when you go to the meeting, write down what they're talking about, even when the decision isn't made because your supervisor, your support, your subordinates and your colleagues may want to report of what was discussed. Again, nothing happened. We just talked, but they still want to know what was said at the meeting and they really appreciate it. So, and I also keep track of the recommendations that I made because a lot of times, you know, it's a political decision, what to go, what to do. So it's not a medical decision. I I'm used to being the boss and you know, you're, you have this illness and you take this treatment and we can only make a suggestion as doctors who work for the government. So we make a suggestion, but it's, as somebody very wise told me, you write an email to your boss saying what you think and document that and keep track of that. One of the best benefits of the, is the insurance, the medical, dental and vision insurance. Um, excellent covers coverage. It's the, it's been the lowest copay I've ever had. And, um, this is also something to consider if you have a sick or disabled spouse or child that a lot of these things are covered. This is long-term care insurance. I just wanted to briefly mention this. This is a slide from one of the trainings. So they talk about if you have substantial assets, no assets, some assets, and this talks about the pluses and minuses. Um, one thing I just like, if people are applying for a government job, they will not do a physical, if this is your first job, so that you are, you will, if you ask for the insurance, if you sign up for it and start paying for it, you will get it. But if you, but if you wait six months and apply for it, you might not, because there's a lot of disqualifying conditions. So if you're thinking about it, just go ahead and sign up for it and pay the few months while you decide what you're doing and then decide whether to keep it or not. That would be my advice. Um, and then they talk about the daily benefit amounts. And this was a slide cause somebody had asked me to put this in. There's a 90 day waiting period. And it's just, there's, um, people have told me it just helps with all the other costs. It just, it's a, it's like a great big coupon that you pay into ahead of time. But is it going to, um, there used to be old plans where you would pay the first $10,000 and then the insurance will cover the rest. Those are gone. So this is just like a really good coupon. And then there's the federal employees retirement system, the FERS. And then retirement under FERS has three parts, the thrift savings plan, social security, and the FERS. And so there's an annual, there's an annuity with FERS. So that's your pension defined contribution plan. That's what you've put in over your working life. And then the social security. So they're, they're encouraging us all, but do not depend on social security. I'm sure people in this group know that too. We also get sick leave. So every pay period I earn four hours. So that's great. I get paid, um, for four hours of pay period. So that starts to get into the hundreds of hours very quickly. So I don't have to worry if I'm taking off the afternoon to get my eyes checked or go to the dentist or something. And that's something that I think really helps with balance life balance that you take care of yourself. Cause you have the time and your schedule to do that. Um, and then annual leave is really nice because it increases. As you stay working for the government. So the first three years of service, you get four hours of pay period. Then it goes to six hours, um, four through 14, three years, four through 14, and then eight hours of pay period beyond 15, two week pay periods. Correct. So I'm earning like, um, a day a month. So in the beginning, you're kind of short on leave time. Like you don't get that, uh, that block that you would get that I used to get when I started a job, okay. You have two weeks off, but, um, there's been some other bonuses because, uh, we call them S ones. Uh, secretary Mayorkas has been giving us admin time. So like the last one was 24 hours. So that was three days leave for me. So, um, you don't, this is true. This holds true, but then there's also, there's also holidays too. I want to, I don't think I put in the slide on holidays. So there's also the federal holidays and there's approximately one every month. If you think about Christmas day, Thanksgiving, um, Juneteenth now there's June 19th, we call it Juneteenth. So pretty much every month I get an extra day off too. That's not in my vacation time, which is also really nice. And then a new topic I'm changing. I'm pivoting, changing, changing, changing ideas. So this is a little bit about credentialing and licensing. I thought I'd mentioned this cause I just went through it. Uh, don't let it slow you down. So there's two, there's two groups that you need to think about the Federation of State Medical Boards slash, um, and then the IMLCC. So what are they? Federation Credentials Verification Service. Their primary source verification of an applicant's identity, medical education, postgraduate training, examination history, so NBOME, disciplinary history, and other core information required for licensure in this state must be provided through an independent credentialing verification organization approved by the board. So FCVS. So basically this is a place to put your credentials and you think, all right, well, why do I need this? I can just write my internship people and they'll send it over. Yes, they will. But during COVID, when they answered the phone every third Monday, that was rough. You know, I cannot imagine how calls could not be forwarded, but they somehow were not. So if you need your, your, your information sent, especially when you're about to be interviewed and they're verifying your credentials, that's pretty serious. So these guys, they send it pretty much overnight. So it's, so you're paying them to keep track of your stuff basically. And if your program is closed, that's another reason to have them hold onto your credentials. Um, in the past, I, I remember I had friends who were, who were foreign medical grads and they would have like their, their, um, their diploma from India translated and they would have that verified and then these guys kept it. So they didn't have to write to India every time the camera, sorry. They didn't have to write to India every time they applied for a job. So this is actually pretty handy. The other thing is the interstate medical licensure compact, IMLC. It's another pathway for physicians wishing to practice in multiple states. So this focuses on getting the license. Uh, they do ask for your, your, um, credentials, but mostly this is licensing. So the benefits are more streamlined process and saving time for physicians managing multiple state applications. So this was very helpful when I was an MRO and I need to be licensed in multiple states. Um, the initial cost to participate of this compact is 700 plus the cost of the license. So I think the Georgia license was 500. So you do 700 plus 500. And then, um, then the renewal costs, you then get trans, um, then the, you don't have to renew with them every year. You have to renew with each state. So the IMLCC, IMLC is, um, it's pretty much the big one is Texas joined it. So, um, the blue is the, um, they process applications and issue licenses. They, um, the, the Royal like Oklahoma. Um, I think that's Vermont. Yeah, they are, they issue licenses and then you have to, you have to talk to them about it. But the big one is the big blue, the Royal blue or the electric blue. That's the ones that you can work with. So if I have a license in Michigan, I can apply for a Georgia license and it's just quicker. But here's the catch. Cause I, I can speak from experience with this. When I applied to Michigan, I had a regular old Michigan license, but in order to become part of the ILC, IMLC, they had me send fingerprints. So I had to go get my fingerprints because they wanted me to a certain standard for my Michigan license. When I apply for the Georgia license, Georgia likes, um, referrals. I'm sorry. They like, um, evaluations. So they would have, and they wanted it a specific way. They wanted it for, they wanted me to send them, send the person, the evaluator, a paper copy, and they would have to send it back to me in a sealed envelope that was signed on the back. And then I had to gather all those envelopes and send them to Georgia. So don't think that getting this IMLC for $700, it's going to be the end. Because each state has their own specific thing. I know when I got my Texas license, I had to take an exam. I don't know if they still have the jurisprudence exam. Yeah, it's still there. Okay. Yeah. So just joining the IMLC is not going to keep you from doing that exam, which really stinks. Um, applicate covers the core. Correct. Correct. The question from the audience was, does it covers the core requirements that the sh the state share, but then each state has its own little thing they like to do. Um, applications. So I just, I thought this was very interesting applications, March of 2022. There were four, four, 1,450. I wonder if that this related to COVID because so many people went into telehealth. And right now I think, um, I don't know. I don't want to speak to the rules about telehealth. Some states require that you are licensed in that state. Okay. I hear, I see nods from the audience. Okay. So that, that I think is the reason this way and other states don't write, right. So this is why it went up to 1,450 to 2020. And then between April, 2017 and March, uh, 2022, cumulative licenses issued were 32,252. So you see how they're applying once and then they're getting other licenses in multiple states. So medicine is completely changing. You don't just walk in and get one job and that's, you know, you buy the house. That's it. You're, you're working across states and you're, you're expecting to move jobs. So IMLC, they call this the state of principal licensure, the SPL state principal licensure eligibility. So you get a license through the compact. You must hold a full unrestricted medical license in a state. That's a member of the compact. And that's called your SPL. For me, I was still living in Michigan. I, so I, Michigan was mine. And then you have to have one of the requirements to maintain that state. As your SPL. So your primary residence has to be in the SPL. At least 25% of your practice of medicine occurs there. Some people live on the border. Your employer is in the SPL. You use the SPL as your state of residence for federal income tax purposes. So you may redesignate an SPL after you've received your initial qualification, if that state is a participant in the compact. So if it was one of those dark blue states. General eligibility eligibility requirements. You maintain your basic SPL. You've got to graduate from an accredited medical school or accredited medical school, that's sufficient, has successfully committed, completed the ACGME or AOA accredited graduate medical education. And then you have to hold a current, a current board certification. To remain active in the compact, you must not have a history of disciplinary actions towards your medical license, criminal history, the basic questions. So remember, if you do something wrong in one state, they talk. And you can get in trouble in another state and they will investigate you, which is very unfortunate. I had, I had a friend who was ER doc, who was writing for marijuana. And in, in one of the states out West, and when he came back to Ohio and the governor in that state decided that, you know, these doctors are all coming in and writing for marijuana, I'm going to go after them. So he went after him in that, in that Western state. And then you got investigated in Ohio, his home state. So, um, all they're, they're all talking. They never talk about what we do think, right. They're only concerned to punish. You get punished in one state. It's possible to get punished in other states, which is very, very concerning. But it also is, you know, have you had anything in any state, in any state, as well as have you ever been denied a license? Right. Have you ever been denied a license? Right there? This is always true. Oh yeah. Yes, he was. Well, they said he didn't know the patients well enough. It was an investigation. This is a couple of years ago. I, the point was that, you know, states talk, report that was all. I mean, I know you guys know that, but the residents don't always know that. All right. Um, IMLCC, um, they may, again, I talked about this before. They might ask for additional information beyond what you did when you first got your license. And then this is the, um, jurisprudence exam and the recommendation letters by US mail. Any questions for me? Sure. I know you've heard this, I've heard Charlotte talk about it, but I'm scared to be a doctor. But with the COSTIs, because they have their dual hierarchy, at peace time, they're the OT, war time, they're the Department of Defense, that's the Navy, so when you do medical work on a COSTI trainee, you have to be a COSTI trainee, you have to be a COSTI trainee. When you do medical work on a COSTI trainee, what are your documentation, where do you document, do you have to hand that over to the Navy also so they have an additional military record in case they get otherwise? Okay. The summary was, uh, it was very specific about, um, the US Coast Guard and basically where do the medical records go with FLETC versus, um, the different, different, um, places they're stationed, I would say, or different, or different times in the, uh, their medical officers, uh, with some exceptions now, uh, are public health service officers, uh, detailed to the Coast Guard, uh, they have their own systems, they have their own records systems, but they use the same form, the same computer system as the DOD, so it's just like if, uh, a Navy guy gets detailed to the Air Force base as a liaison, their records will be transferred, they do the same thing. If there was a national crisis and they got mobilized, like World War III, um, then the whole organization would move en masse. When I was in, um, Norfolk, I had people that were in Southwest Asia and, um, they had a PA with them, but if they needed more extensive care, uh, they went to the Navy base, so it just, it depends, but they, they didn't have necessarily a Navy chart, they had a Coast Guard record. Right now, they have a FLETC medical record. Right, we do that for, for all 118 partner organizations. That's what my job is, I'm working on that. Not yet, we are, they're working on a, uh, overall, uh, medical record for, uh, DHS, so it should be pretty interesting. They're going to be able to trace people who are reporting symptoms at the border, so, because they're going to be coming in and who knows what they have or, um, how sick they are, so we're going to have a whole system. It's, it's, it's a health safety more than just a medical, it's more than going to be more than just a medical record, um, and you would be surprised that a lot of the government after they've acquired all these doctors, all of us, to go electronic for millions of dollars, they're still on paper, you know, all these years later, yeah. Right, everything is in flux, um, health and HHS, like you said, used to, uh, be detailed to FLETC and they would maintain everything, but that's going away and we're getting, we're getting a new record, um, yeah, it's, uh, exciting times, not having, we're still, you know, on paper some days, so, but most, we're going to, it's going to happen eventually, eventually. I want to share a comment. Sure. Going back to the CDs, yeah, it's really common to read computer algorithms. Oh. To identify keywords, right? Okay. So a suggestion, if you're playing on a CD, uh, what I've seen people doing is playing white fonts. You can't see all the keywords, so when the computer algorithm hits it, your resume comes up. Say that again? Yeah. So when you submit your resume online, uh, somebody doesn't want to do it, they don't just, um, they'll look for buzzwords, and a certain amount of buzzwords, they'll go to the printer and probably check it out. So if you write in white text all the buzzwords you want, the computer picks it up, but you want to get rid of the text. So you do it, like, at the end of the, of your... Any open text. Yeah. I've had, you know, I've seen people search for it without showing what you're doing. Yeah, yeah. I got it. Yeah, so white font, yeah. So... I used to do that to the kids when we were homeschooling, and I would do the answer to the white font, and if I forgot the answer, I'd have to highlight it. So for people online, they're suggesting to tag some of your resume with the code word, the keywords in white font in the space, the spaces in the resume. About nine months? And they were doing... I understand. Right. They were doing... I'm a little too old. They were doing the security check for me, and they wanted to talk to my old boss. And I had to say, can you wait till Monday? Because she doesn't know I'm leaving. I hadn't given notice yet. Yeah. Next question. I'll call it. Wow, yeah or when the program's closed. That was also tough for a lot of people to understand but it happens. You know I just decided I'm 50. I want a complete change and I got sick of sitting. I like the job at Sedgwick. I would manage claims and you know each part I never saw patients so but each person is is a paper patients I call them. I mean I still cared and read about them and talked to the docs about it but I wanted something that was just different. Yes. I'd like to ask if anybody in the chat want to remove themselves and ask a question. Are there any questions from our chat audience? Feel free to unmute. Okay thank you Dr. Roman.

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