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The USPHS Commissioned Corps is committed to our mission to protect, promote, and advance the health and safety of the nation. Public Health Service officers are trained and equipped to provide crucial public health leadership, assist with policy development, advance innovation and science, provide essential care services and respond to national and global public health emergencies. Through our Active Duty Regular Corps, our Public Health Response Strike Team (PHERST) and our Ready Reserve Corps, we remain responsive and available to rapidly deploy in the service of health.
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Promotion Information
Failure of Promotion
Overview
Failure of Promotion occurs when an officer who is examined by a promotion board and is:
- Recommended by the promotion board but ranking by the board in the bottom 10 percent (if there are less than 10 officers eligible for a particular grade, then the lowest ranked officer who is not promoted is deemed to be in the bottom 10 percent)
- “Not recommend” by the promotion board
- Eliminated from the final promotion approval list (e.g., failed readiness, COER, adverse action checks)
Failure of promotion is not the same as being passed over because you were below the promotion success line but above the bottom 10%.
Consequences of Failure of Promotion
If an officer has twice failed promotion, the Director of Commissioned Corps Headquarters will evaluate the reasons why the officer failed promotion and may authorize the officer’s continued eligibility for promotion examination when such a determination is warranted and in the best interests of the USPHS.
After that time, section 6-8 of Commissioned Corps Instruction 331.01, “Permanent Promotions” includes specific situations based on the officer’s eligible grade, category, and reason for failure which are outlined here:
Eligible Grade
Failure of Promotion
Result
O-6 All Categories
And
O-5, O-4 All Categories except Medical & Dental
Any Combination of Two Failures of Promotion (bottom 10%, elimination from the list, “Non-Recommendation”)
Serve in current grade until separation or retirement
Two “Non-Recommendations”
Serve in current grade until separation or retirement
and may be referred to a disciplinary board
One “Non-Recommendation” and One Elimination from the List
Serve in current grade until separation or retirement
and may be referred to a disciplinary board
O-5 Medical and Dental
Two Failures of Promotion
Serve as an O-4 until retired with retire pay
O-4 Medical and Dental
Two Failures of Promotion
Commissioned terminated with 1 year of pay and allowances unless the officer has 18+ years of service
O-3 All Categories
Two Failures of Promotion
Commissioned terminated with 6 months of pay and allowances unless the officer has 18+ years of service
Promotion Instructions are available on the Commissioned Corps Issuance System (CCIS).
- Select "Commissioned Corps Issuance System" from the link bar at the top of this page.
- Click on "Table of Contents."
- Click on the "+" next to "Book 3: Personnel Management."
- Click on Chapter 3: Promotions and Reductions.
- Click the "+" next to the topic of interest related to promotions. The section title will turn blue.
- Double click the blue section title and refer to the policy governing this process.
Promotion Instructions are available on the Commissioned Corps Issuance System (CCIS).
- Select "Commissioned Corps Issuance System" from the link bar at the top of this page.
- Click on "Table of Contents."
- Click on the "+" next to "Book 3: Personnel Management."
- Click on Chapter 3: Promotions and Reductions.
- Click the "+" next to the topic of interest related to promotions. The section title will turn blue.
- Double click the blue section title and refer to the policy governing this process.
Last Updated: 8/1/2024
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COMMISSIONED CORPS NEWS
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Officer Spotlight
Practice Hours Opportunities
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2023 Temporary Grade Promotions
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Changes in Tattoo Policy in CCI 412.01, Uniforms and Appearance
Changes in Tattoo Policy in CCI 412.01, Uniforms and Appearance
Surgeon General Priorities
Surgeon General Priorities
January 2021: United States Public Health Commissioned Corps Doctrine
The link above will take you to the Noncompetitive Promotion Roster for Promotion Year 2020.
FAQs Practice Hours and Special Pay Changes
This is first in a series of FAQs, more FAQs will be forthcoming on Practice Hours and Special Pays.
Coronavirus Disease 2019 (COVID-19) Mission - Deployments Readiness Updates
As we position ourselves to assist with controlling the spread of the Coronavirus Disease 2019 (COVID-19), please note that we’re in an “all-hands on deck” status. Messaging has gone out from the Assistant Secretary for Health reminding Commissioned Corps officers of their deployment responsibilities...
Protecting, Promoting and Advancing the Health and Safety of Our Nation. Commissioned Corps Headquarters
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