OP RESPONSES TO THE CIVIL SERVICE COMMISSION'S 'SUPPLEMENTORY QUESTIONS' RELATIVE TO THE DRAFT COMPREHENSIVE PHYSICIANS PAY BILL AND COMMENTS ON THE BILL PROPER

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP81M00980R000800030062-3
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: December 15, 2016
• Document Release Date: August 6, 2004
• Sequence Number: 62
• Publication Date: April 13, 1978
• Content Type: MF

66
Approved For Re 009808000800030062-3
13 April 1978
l kmi FOR:
VIA
Phi
Office of Legislative Counsel
Deputy Director of Personnel
LMPUty rector o Personnel
for Plans and Control
SUBJECT OP Responses to the Civil Service Commission's
"Supplementary Questions" Relative to the
Draft Comprehensive Physicians Pay Bill and
Cmments on the Bill Proper
Since CIA has a very limited number of Physicians, and since
many of C 1B's questions are directed to organizations with large
medical conplements, we are responding only to those questions u, g_ich
we feel have significance for our organization.
Response to Question 1
The Agency has Eahysician positions. Patient care
responsibility would be at the overseas posts where the doctor
provides such services, however, it is suggested CM provide the
breakout of the number of doctors who have patient care responsi-
bilities, viz health care responsibilities such as physical
examinations, emergency treatment or administrative functions.
Response to Question 2
The Office of Medical Services indicates that they have beat
experiencing problem in the recruitment of physicians. We shat.
yield to them in articulating the specifics of the problem.
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i4asanse to testions 3 and 4
We defer to the Office of Medical Services for a coaFrehe ive
response to these questions.
Re ponse to stion S
Establishing a Federal coopmsation system for a s lc
occupation for which pay is based on the income in the private
sector for that occupation would certainly be precedent setting.
While the government s current problem is obtaining doctors to
provide patient care in VA hospitals and in the military services,
there could well be future problem with obtaining and retaininj t ho
services of lawyers, eineers, or whatever discipline or profession
comes up in short supply and consequent higher private sector
salaries or income.
Response to Question 6
To base compensation of salaried Federal physicians on the
compensation of non-Federal physicians would require evaluating the
benefits of Federal employment . . . retirement plans, paid leave,
security of position, specialized training,, sabbaticals, and meical
malpractice protection. HcxM would the salary level be decided . .
physician income varies from generalist to specialist field to other
specialist fields, geographic area, et al. To take the average might
well deprive the specialist; to take the high side would overpay the
non-specialist.
Response esponse to Question 7
A pay scale for a group of employees which could exceed the=
salary level of the head of the sub-organization responsible for
administration of the medical facilities and services should be
carefully considered. Granting the government may need to develop
a program to attract medical personnel for needed services, the bons
system would probably be less disruptive of the hierarchical
relationships within an agency. Either a different salary scale or
a bonus system would certainly set a precedent for subset
professions cloyed in the Federal Service.
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Resons tcs stion 8
We have no comment on the advantages or disadvantages of
including PHS cor rissioned corps in a Federal civilian c+xrpen atio`1
plan. If there is difficulty in obtaining the services of phyysici3- s
for other Goverrunent agencies, it would appear there would be equal
difficulty in obtaining them for the PITS corps.
If the same personnel systei' means agencies would obtain
their doctors through a central system, CIA would have the ustal
problems of security, and would undoubtedly have to request ar:
exemption from being included in such personnel system, albeit
"adopting" the salary scale or bonus system for the doctors ea >loyy-a -
here.
Response to Question 9
Annually adjusted "pay levels'` (bonuses) would be far less
disruptive than a statutory change in the basic pay systen and
should help alleviate the current recruitment and retention prDble
Comuents on the Bill
If all physicians employed by the Government are to be ir_clu
in the CoWrelensive Physicians Pay Bill, we would fully start
inclusion of CIA's Physicians in the coverage.
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ADIII?ISTRATI: INTERNAL USE OIL
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OUTING AND RECORD SHEET 01,c ,
susJecl *(oPha,a1) OP Responses to the Civil Service Commission's "Supplementary Questions"
Relative?: to the Draft. Comprehensive Physicians Pay Bill and Comments on the Sill
FROM:
D06AM1
for Pans and Control
Deputy Director of Personnel
TO: (Officer designation, room number, and
building)
i. , DD/Pegs
5E=:58, Hqs.
a. D/Pers
5E-58, Hasa
A~j 1978
attice o eggs a ive
Counsel
. 6D-15, Hqs.
1978
3383 DATE
13 April 1978 . 7i
OFFICER'S
INITIALS
COMMENTS (Number each comment to Au r from whom
to whom. Draw a line across column afte sxh comment.)
AT
STAT
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