INSPECTOR GENERAL'S SURVEY OF THE OFFICE OF MEDICAL SERVICES, JULY 1968

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78-06180A000100110004-1
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 6
• Document Creation Date: November 11, 2016
• Document Release Date: April 21, 1999
• Sequence Number: 4
• Publication Date: August 16, 1968
• Content Type: MEMO

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16 Auc,
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1#7,MMAII Dcputy Director 'for Eupport
CUBJY,OT : Inspector GiTnerara Survey of the (race oi Medical
b:ervicts, jtx.V 1963
IUYLIWZCZ your oomorandun? dated 23 july 1963 t pa abov,
1%;.; rquested during our diccusaion 13 Au, t mition of the
(Y flee ox ,Wdical &a-vices on the recommendations of the subject report
in outlined
11.1mtandetipn Do. 1
u. Concur. Cince late 1967 we Immo bod0 fliept.wzperinced
Medical Officer eagned in the development of this concept. Ile L.
workingcleeely vith and le well received by WA011111and DO. It
is our opinion that his efforts wouldaIso he lielpfu3. to
as perhaps the greatest potential enatemilX for his nervicWIL
Wales). Officer in unslotted and /a married in our Devolopamt
Compleuent. For the proper forml designation intendod bf the IC:
recommondation, a position Ahould be provided f-. this officox arta
titc.., C.3 acoordingiy requOst
b. Comur provided o osition for thg flight sure:eon
made available.
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lieoma.mdation No.
area opoo...rwne.
ConK-.tur. This los been die:cussed with the DD/SA 1,0110 is in
screement.
11comoendnti4in No. 3
(Our present practices for grofessional staffing have evolved
over a pariod of almost tw.1 dectedea. The prOblens in recruiting,
utilizing and retaining a scarce category of profcsaional p:mcoaral
cwt.. es physt:inns have not been minor. These tonic problnlls arc
prbe14f grcatex becsuce oi the relative smell motor31 individwas
involved: tho ouatIon dhenco in the avallsbility or personal dtapsi-
tiono oz e physician can, for exemplop require a chain of parti:lamel
adjuatiolcoLs. 1U: niceties of conventional personnel plsnning
proctUms curt often be slightly eagormisol to =owe evaaptial
otarin6 0:ontinuity. We Shull, however, continue our efforts to
obtnin th appropriate eTiontstion training and uniformity 01 per-
tiot:001 praticeb, for thin unique group of pv.xsonnel.)
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tuLpector CievuraVa Surilpq of the Office of Medical EtViCer,
JU1,y
a. W ithellplan to discuss with e1 contract Rkdi.
eel Off c-cr ,rcer before expirationo hi, contract
.lantt far h subsequat utilization to the extent ouch
nlaul con be 4nolin at the time.
b. Con(iArs We shall consult with the Directar of TreininS
aryl flec to w:pand tbe er antation Wilma =leers receive on
1)01) and iapon return frxa merseas assignment. We oust, however,
invite sttentim, once azcal to the exigencies that art tote
expeQtc(i in vorkinc with mall number ed. highly trained pro-
'fees:Dna peruannal.
c. Concur. W,she4 post the aseistance of the Lirector
of Ika.nonnel in revicwin the existing contracts ulth profeseional
mediczd personnel and aetting the greatest uniformity pm:cable.
,lacomsroxletion Bo. 4
Concur. Punel C of our Career Service is being requested to
review the currant ausimments of W4ics1 Technicipne tna Wilma
Cervice officers. It is a fact, as Indiceted in the 10 report
that increasing covhistication end more complicated diagnostic
procedures in our clinical function hew required longer tenures
than prviowly. We shall strive for a bony mmdium.
gecolandation
The prerent arrangement wh(reby we use medic carecriats ia
the pocitiono of Personnel Officer (Posit.iese NUMber 0035) and
Adminirtrativc Officer (Position EUmber 0090) of the Office of
Wacal Brviccs has also evolved over snarly two &carless W hay
found, it to be the beet =resonant for our epode. We are convinced
that our P:rconnel Officer functiono better with a moat:411 background.
11.4 Administrative Officer position is not purely budget end/or
finance but involvaa the OMS cervices function which requires
fauillarity vith medical practices sod equialumro. Pvthape of seqms1
Laportene ir thc fact that thee* ponitione =prevent more senior
positioan to which the louermsn*Wiledical Technicians my
p fox cereer development. They ere in thin sense quite vital
earceI, proven. Althoush these positions have saliva been
-oakpctently aud effectively by D:OM personnel and we should
preSer t ontinu thia, we dial be hnppy to discuss thie recomwenOn
tion furthz?r.
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onmenkist
a the Celiee et Stedleel Cerviocult
a. Concur An principle. Whorl the Ce tl3n ceaeinZ Center
(SPC) vas activated in October 1967 St vas our intent that there
vould eventuany be en organizational integre on of ell medical
selection activities in, th Roma" area. %Ida mains our planw
I. should be noto4, bovevert that at est ve not only do rot bave
tho approprUte staff poeitions Car CPC, ve do not have funds
to pay the rr 1969 galaxies of the galotine contreot personnel
itho are vorkina le tb,,1 CFC. It would seem that provision of the
necessary positiOno vould pm:cede the establishment of env Selection
ProceeeinS Divicion-
b and c. Whareex it is our intent that the NOM viii eventnallY
be reoponaible for all applicant screening* we baltsve that there
nay remain u role for Chief, Psychiatric. Steil, tar oxteple, in the
event the CPC recontando disqualification, fcsr psyclitatria reasons.
The .1=poricnce of the CAC in such natters is in our judgment too
valuable to Ignore. In auu therefore Wecommondatione 6b and c
incur opinion recinire additionel stu4y.
6. ite present WM 4 atilAyliarder cm the mission,
functions and - ion of the 040. We are therefore not
prepared at this time to any that the PAythistric Etat we Cliti
cal Division should be tothined into alledieel Cervical' Division.
Cnsta4n.4, this is one postabilAy. Other zeutbilitiosi however,
would conbinet
Clinical Division and Seleetlealtccessina Center
Pcychiatria Staff and Aseesanont and v3utton tett
ve oncost that any apanific re-remealzetionol action
until completion of our atudY.
b. The potation of Special Assistant for Clinical Act/ to
la alr,,o included in our present organisational etudy. It should
be stated, bovevro, that the CA/CA hne proven evtrecolyholpfal
to the DAIS, tied vbertaa the functions of the CA/CA can pc414Pa
be performed el.seshere, anal:est that +motion in this mutter be
deferred gendiog tYx reoulto of one Andy.
Concur. We ?bull vork on this We also believe tb OontUina
Function that ve have eed for consideration at Agency realuzenost
mold be helpful in area.
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a. %to intent of this recommandatie t but me should
mei= to avoid tha coercive element that tbte rexx1ction
implies and ray on our on protersionn1P=NWslva esPabilitlas
ta insure currencyof pholeal estestmetiono. It is also feet
of life that me ate marmalki confronted with the reverse vroblem:
more sAployeen vent exaninations Manioc =tertiary.
b. wz shall tau action to *grove this, but in our judemant
the responsibilitystmuld be thnt o tho emvloyve to provide
evidence of corrective action rather tbssithe CDID gpolicingn
hdx6 Iu some eases the role of the COB must nacacase.ty stop
at racommenaction.
5eaP341
CoWi iU cicx vitla tbaDixtoz oZ to
raw*
th pei t for medical
*macs. In such Q1E1 urr theAgeneespr 'c bavr en
moving very del/berately c saw proem* It In to be
noted, bouvr-v, that umger this proccutba tine required tor
a caw rave-cents the medical adjudieetion, proems as walla
the actual eottalmtian. Thlu mould =oily require more Aceney
tine than a ease thst iP Illark44 VP Lutist, Manny but sent to the
Civil fkrviee Commission ler adjudication.
Concur. We are certainly intereeted In a;iu the offioc of
PQrconnel informed eomeernini4 employee emergencies) and mill
dieenes more effective promdures mith that offioe. We shell also
include the =ice of oecurity in this dineussion.
no. 12
- We thall requmtt that Oaxeu2tioa be amended, Ttls
Perluze Palm itself states.
of the prediatable moms n for valid
mmnifectly impeactionble to require a =dicta
sumanation by ea Agency Medical Offincr, mu feel thet the u1tba
hould not estataiciven absolute raquire;ent, but slmuld set forth
the requirement that mill agply *maser feeeible.
0,
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Inspector Ocnerel'e EUrvey of the Office at Wdical Dervioes
July 1966
ROOOMMOWatiWa .xa
It is our julancat that the present regulatory provision for
determining gea5mphic areas requiring dependent physical euami- -
nations le adequatel Ind that the deficiency pointed out by the
IO report can bt be corrected hy updating and iTsping current
the system previdpd for in tho precont repletion. We abould likc
to cm:tit-lac to have the advice and assistance of tbe arta divisions
in dateraining those areas requiring dependent omminations ana plan
to loor uith them to bring our lists up to date.
heemwalidation No.
4
a. In our opinion G onsaotine assessment by ens ineividnel of
OVD operational support projects mould leave such to be desired.
As an alternatiw se mould propose sserrancoment tor * continuing
assessment by a broader repmentation trot the Clandestine Cervices,
suecifleally, ue suzgest thutt
(1) A seaior OND official attend DD/P staff mmtinot
uhcmever appropriate;
(2) A esnitw Clandestine Services officer bo detailad
duty with th Operations Division of the OW; end
() A penal of sr-I:dor representatives tram tbe PIA CI
and CA Sulfa, TED and the ONO be ectablotebed tor a oontimina
review an4 guidecao to th OMS on its operational mapport ?
prWects,
D. We belicwt that the recommendation that the DD/I male
a similar menesamant of OM intelligswe production mark should
bo considered tagetUzx vith tho statement In the Id report that
imwelititly precedes LecommcWation No. 14. This statement rends
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