Ms. Nereyda Sevilla, Chief Management Official, Air Force Clinical Investigation Program, Office of the Surgeon General, provides an overview of the AF CIP program, its areas of support and foci, and the experience with Omnibus support.

1. I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Headquarters U.S. Air Force
Nereyda Sevilla
AFMSA/SG5M
AF Clinical Investigation Programs
(AF CIP)

2. I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Disclaimer
 The opinions expressed on this document are solely
those of the author(s) and do not represent an
endorsement by or the views of the United States Air
Force, the Department of Defense, or the United
States Government
2

3. I n t e g r i t y - S e r v i c e - E x c e l l e n c e
AF Clinical Investigations
Programs (AF CIP)
 DoDI 6000.08, Defense Health Program
Funding and Administration of Research
and Clinical Investigation Programs
 AF CIP Mission
 Promote, conduct, and support
clinical investigations and research that
provide academic experience and
training while meeting the
needs of the AFMS
 Support Graduate Health
Science Education
3

4. I n t e g r i t y - S e r v i c e - E x c e l l e n c e
David Grant MC
Travis AFB, CA
Wilford Hall ASC
Lackland AFB, TX
Keesler MTF
Keesler AFB, MS
USAF School of
Aerospace Medicine
WPAFB, OH
Wright
Patterson MC
WPAFB, OH
AF CIP Locations
4
Air Force Academy
USAFA, CO
Mike O’Callaghan Fed
MC
Nellis AFB, NV

5. I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Air Force CIP Sites and
Designations
LEVEL I Clinical Investigation Program
 Stand Alone Administrative and Laboratory Facility
 Active duty, civilian, and contract support staff
 ≥ 10 Graduate Health Sciences Education*
 ≥ 100 total students per year
 Institutional Review Board (IRB)
 Institutional Animal Care and Use Committee (IACUC)
LEVEL I CIP
 Wilford Hall, TX
 David Grant, CA
 Keesler, OH
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*Graduate Health Sciences Education is defined as programs of the AFMS such as Graduate Medical
Education, Graduate Dental Education, Graduate Nursing Education and Graduate Allied Health Science
Education

6. I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Air Force CIP Sites and
Designations
LEVEL II Clinical Investigation Program
 ≥ 5 Graduate Health Sciences Education
 ≥ 50 students per year
 Institutional Review Board (IRB)
 Institutional Animal Care and Use Committee (IACUC)
LEVEL II CIP
 Wright-Patterson, OH
 Nellis, NV
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7. I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Air Force CIP Sites and
Designations
LEVEL III Clinical Investigation Program
 ≤ 5 education and training programs
 Duty personnel to support local research and training
requirements
 No local IRB or IACUC capabilities or personnel
LEVEL III CIP
 USAFSAM, OH
 USAFA, CO
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8. I n t e g r i t y - S e r v i c e - E x c e l l e n c e
Omnibus Requirements
O&M & R&D Fund Types
Examples of FTE Types
 Clinical Research
Coordinator
 Clinical Research
Assistant
 Clinical Research
Biostatistician
 Clinical Research Med
Lab Tech
 Research Program
Coordinator
 Scientist
 Nurse
 QA
 Animal Research
Coordinator
 Animal Surgical Tech
 Human Research Subject
Protection Expert
 FDA Regulatory Expert
 Protocol Admin Tech
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9. 9
Wilford Hall Ambulatory Surgical Center
Lackland AFB, TX
Mission
 Level I Clinical Investigation Program
 Training
 Over 30 training programs,
including: Cytopathology, Sleep
Medicine, Surgical Critical Care,
Nutritional Medicine, Social Work,
Clinical Psychology, Pararescue
Training Protocol
 Trainees
 Residents/Fellows, Staff
Physicians, Nursing,
Physicians Assistant, and
Social Work
 Science & Technology Research
Support
Examples of Research
 Hemostasis and Thrombosis
 Cell Biology and Microbiology
 Simulation Research
 Chemistry and Toxicology
 Surgery

10. 10
David Grant Medical Center
Travis AFB, CA
Mission
 Level I Clinical Investigation Program
 Training programs
 General Surgery; Vascular Surgery;
Transitional; Internal Medicine;
Family Medicine; Radiology;
General Dentistry; Oral &
Maxillofacial Surgery; Pharmacy;
Physician Assistant; Orthopedic
Physician Assistant Fellowship;
Vascular Surgery, Mental Health
Nurse Practitioner, Nurse
Anesthesia
Examples of Research
 Catheter vs Chest Tube
 Aortic variable control
prototype device
development
 Novel vascular shunt
 Acute and chronic
complications related to
trauma

11. 11
Keesler MTF
Keesler AFB, MS
Mission
 Level I Clinical Investigation Program
 Training Programs
 Over 30 training programs,
including: Cytopathology, Sleep
Medicine, Surgical Critical Care,
Nutritional Medicine, Social Work,
Clinical Psychology, Pararescue
Training Protocol
 Trainees
 Residents/Fellows, Staff Physicians,
Nursing, Physicians Assistant, and
Social Work
 Science & Technology Research
Support
Examples of Research
 Readiness Training
 Telemedicine
 DoD wide CRA support for
Children’s Oncology Group
 Dental Research
 Obstetrical/Gynecological
Research

12. 12
Wright-Patterson Medical Center
WPAFB, OH
Mission
 Level II Clinical Investigation Program
 Training programs
 Internal Medicine, General Surgery,
Emergency Medicine, Psychiatry,
OB/GYN, Pediatrics, Social Work,
Clinical Psychology, Physician
Assistant (Orthopedics), Dental
Certified Registered Nurse
Anesthetists (CRNA)
Examples of Research
 Nursing Research
 Oncology Clinical Trials
 Biomedical
 Clinical Quality
Improvement

13. 13
Mike O'Callaghan
Federal Medical Center
Nellis Air Force Base, NV
Mission
 Level II Clinical Investigation Program
 Developing and testing alternative
treatment for pain and utilizing
nutraceuticals to treat and mitigate
disease and other conditions
 Training programs
 Family Medicine, General Surgery,
Emergency Med, General Dentistry,
Physician Assist
Examples of Research
 Acupuncture
 Aromatherapy
 Diabetes
 Pain
 Obesity

14. 14
USAF School of Aerospace Medicine
WPAFB, OH
Mission
 Level III Clinical Investigation Program
 Operationally oriented
 Unique AF mission
 Training Programs
 Aerospace Medicine, Undersea and
Hyperbaric Medicine
Examples of Research
 Hyperbarics
 Human performance
 Clinical and dental
investigations
 Environmental health
 Expeditionary medical
support
 Aeromedical evacuation

15. 15
US Air Force Academy
USAFA, CO
Mission
 Level III Clinical Investigation Program
 Faculty/GHSE development
 Medical Group Research support
 Training programs
 Cadet Research
 Preventative Medicine
Examples of Research
 Pre-Med Cadets
 Pre-Specialties for AFMS
 Preventative medicine
 Influenza Research
 Other Infectious Diseases
 Microbiology
 Traumatic Brain Injury & Post
Traumatic Stress Disorder

16. I n t e g r i t y - S e r v i c e - E x c e l l e n c e
QUESTIONS?