E–5. Rating officials for U.S. Army Medical Command, subordinate Army Medical Commands, activities, and field operating agencies
The rules in this paragraph apply to MEDCOM and its field operating agencies, RHCs, DCS-Public Health, Dental Care Delivery, DCS-Warrior Care and Transition, and their respective subordinate activities.
a.
Major subordinate commanders, MEDCOM will be evaluated as follows:
(1)
The commanders of Atlantic, Central, and Pacific RHCs will be rated and senior rated by the CG, MEDCOM.
However, when the commander of an RHC also serves as the hospital commander, then a case of dual supervision exists and the commander, RHC/hospital will be rated by the senior mission commander and senior rated by the CG, MEDCOM, regardless of date of rank.
(2)
The Commander, RHC-Europe, will be rated by the Deputy Commander, U.S. Army Europe (USAREUR), and senior rated by the CG, MEDCOM, regardless of date of rank.
The Commander, USAREUR may serve as the intermediate rater at their option.
(3)
The Commander, RHC-Pacific, will be rated by Commander, U.S. Army Pacific and senior rated by CG MEDCOM, regardless of date of rank.
b.
When none of the rules in paragraph E–5a can be applied, the CG, MEDCOM, will be the rater and senior rater for the major subordinate commander concerned.
The senior mission commander will submit written comments concerning the rated officer’s duty performance to the CG, MEDCOM, in accordance with paragraph 2–21.
When serving as both rater and senior rater, the CG, MEDCOM, may delegate rater and/or senior rater responsibility to their deputy surgeon general (DSG) or deputy commanding general (DCG), provided the DSG or DCG meet the grade or date of rank requirements to serve as raters.
c.
The Commander, Health Facility Planning Agency will be rated by the G–9, MEDCOM, and senior rated by the DCG-Support, MEDCOM.
d.
The Commander, U.S. Army Health Care Acquisition Activity (HCAA) will be rated by the senior acquisition corps officer, as designated by DoD, and senior rated by the CG, MEDCOM.
HCAA officers will be rated by the Commander, HCAA, grade permitting, and senior rated by the senior acquisition corps officer in accordance with DoD policy.
e.
Commanders, U.S. Army Medical Centers (MEDCENs) and medical department activities (MEDDACs) are considered to be under dual supervision.
Under the provisions of paragraph 2–21, the rater and senior rater responsibilities will be shared between the senior mission commanders, and the commanders, RHC.
The senior commander will serve as the senior rater.
f.
The Director, Dental Care Delivery and subordinate dental units will be evaluated as follows:
(1)
The Director, Dental Care Delivery will be rated by the DCS, G–3/5/7, MEDCOM and senior rated by the DSG, MEDCOM.
(2)
The commanders, Dental Health Commands will be rated and senior rated by the CGs, RHCs.
(3)
The commanders, Dental Health Activity (DENTAC) will be rated by the commanders, Dental Health Commands, grade permitting, and senior rated by the senior mission commander.
(4)
Dental clinic commanders are considered to be under dual supervision.
The commanders, DENTAC and senior mission will serve as rater and senior rater.
The senior commander will senior rate.
g.
Commanders junior by grade to their subordinate commanders are not authorized to serve as rater or senior rater to those commanders senior by grade.
Accordingly, major subordinate commands will ensure that junior officers are not assigned to command positions whereby they will be junior in grade to their subordinate commanders.
h.
Deputy commanders for administration will be rated as follows:
(1)
General officer RHC commanders will rate and senior rate RHC deputy commanders for administration.
If the RHC commander is a field grade officer, the RHC deputy commander for administration will be rated by the RHC commander and senior rated by the deputy commanding general-operations (DCG–OPS), MEDCOM.
(2)
The MEDCEN and MEDDAC deputy commanders for administration will be rated by the MEDCEN/MEDDAC commander and senior rated by the RHC commander.
When applicable, the senior mission commander will serve as the intermediate rater under the dual supervision provisions of paragraph 2–21.
i.
Deputy commanders for clinical services (DCCSs) will be rated as follows:
(1)
General officer RHC commanders will rate and senior rate RHC DCCSs.
If the RHC commander is not a general officer, the RHC DCCS will be rated by the RHC commander and senior rated by the DCG–OPS, MEDCOM.
(2)
The MEDCEN/MEDDAC DCCSs will be rated by the MEDCEN/MEDDAC commander and senior rated by the RHC commander.
When applicable, the senior mission commander will serve as the intermediate rater under the dual supervision provisions of paragraph 2–21.
j.
The chief nurse will be rated as follows:
(1)
The senior nurse executive, MEDCOM will be rated by the Director, Patient Care Integration, grade or date of rank permitting.
If the DCS, G–3/5/7 is a general officer, they will senior rate; otherwise, the Chief of Staff, MEDCOM will serve as the senior rater.
(2)
The RHC regional nurse executive will be rated and senior rated by the general officer RHC commander.
If the RHC commander is not a general officer, the RHC commander will rate and the DCG–OPS, MEDCOM will senior rate.
(3)
The MEDCEN/MEDDAC deputy commander for nursing/chief, nurse will be rated by the MEDCEN/MEDDAC commander and senior rated by the RHC commander.
(4)
The Commander, U.S. Army Health Clinic will rate the deputy commander for nursing/chief, nurse.
The senior rater will be the MEDDAC or RHC commander, depending on who is the medical treatment facilities next higher command.
k.
Certified registered nurse anesthetists serve under dual supervision.
Accordingly, the rater and senior rater role will be shared between the chiefs of the nursing and surgery departments.
Seniority will determine the rater and senior rater responsibilities.
l.
Commanders, chiefs, or officers-in-charge of health clinics or installations where there is no RHC or MEDDAC and who also serve as the senior mission commander’s director of health services will be rated as follows:
(1)
The senior mission commander will serve as rater when senior to the rated officer but junior by grade or date of rank to the MEDDAC or RHC commander exercising command and control over the health clinic.
The MEDDAC or RHC commander, whichever applies, will serve as the senior rater.
(2)
The deputy commander or member of the senior mission commander’s staff, as designated by the senior mission commander, will serve as the rater when the senior mission commander is senior to the RHC or MEDDAC commander that exercises command and control over the health clinic.
The MEDDAC or RHC commander, whichever applies, will serve as the senior rater.
(3)
In instances where the senior mission commander is junior by grade to the rated officer, the MEDDAC or RHC commander, whichever applies, will serve as the rater.
The senior mission commander will provide a memorandum of input for the rater’s use in preparing the OER.
If the RHC commander serving as the rater is a general officer, the RHC commander will also serve as the senior rater.
If a field grade RHC commander is the rater, the senior rater will be the DCG–OPS, MEDCOM.
If the MEDDAC commander is serving as the rater, the RHC commander will serve as the senior rater.
m.
The Director, U.S. Army Aeromedical Center, will be rated by the DCS, G–3/5/7, MEDCOM, grade or date of rank permitting, and senior rated by the Chief of Staff, MEDCOM.
n.
The chiefs, department of dentistry, MEDDAC will be rated as follows:
(1)
The MEDDAC DCCS will serve as rater, grade or date of rank permitting, and the DENTAC commander will serve as the senior rater.
The MEDDAC’s chief, department of surgery will serve as the intermediate rater, grade or date of rank permitting.
(2)
When neither the MEDDAC DCCS nor chief of surgery are qualified to serve in the rating chain, they will provide a letter of input to the DENTAC commander who will serve as the rater.
The Commander, Dental Health Command, will serve as the senior rater, grade permitting.
o.
Unless otherwise specified in this appendix, the rating schemes for DC officers will include only DC officers.
p.
Unless otherwise specified in this appendix, the rating chain for all MEDCOM personnel will be in MEDCOM channels.
q.
Where compliance with this paragraph cannot be accomplished because of grade or date of rank structure, or dual supervision is questionable, contact the Evaluations Branch, Military Human Resources Division, MEDCOM for assistance in obtaining the proper rating scheme.
E–6. Rating officials for Army Reserve and Army National Guard U.S. Army Medical Department officers
The following rules apply to USAR AMEDD IMA, DIMA, TPU, IRR, and Standby Reserve AMEDD officers assigned or attached to Regular Army AMEDD units for AT, ADT, IDT, ADOS–RC, ADOS, or CO–ADOS:
a.
An exception to the requirement for the rater to be senior to the rated officer by date of rank is granted; provided the rater is the immediate supervisor and they meet the minimum time requirements.
b.
The senior rater will be senior to the rated officer and the rater, except as indicated below:
(1)
COL commanders may serve as senior raters for COL USAR and ARNG AMEDD officers assigned or attached to their unit for duty.
(2)
In instances where the Veterinary Services or Dental Care Delivery Directors are serving as the rater, the senior rater will be the DCS, G–3/5/7.
c.
COL commanders serving as senior raters for COL USAR and ARNG AMEDD officers will cite this paragraph as authority to senior rate on DA Form 67–10 series (OER), part VI, block c.
Under no circumstances will a COL commander serve as both rater and senior rater.
See paragraph G–5k for USAR AMEDD officers who are attached to and managed by the APMC.
Referenced Paragraphs
2–21. Dual supervision (DA Form 67–10 series only)
Dual supervision exists when a rated officer is supervised by two chains of command or supervision throughout the entire rating period.
Under dual supervision, the designated rating officials from both chains of command may share rating responsibilities as prescribed by this regulation.
G–5k.
USAR AMEDD officers attached to and managed by the APMC will be evaluated in accordance with the provisions outlined for attachment, supervision, and management under appendix G.