Hospital corpsman | |
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Issued by | United States Navy |
Type | Enlisted rating |
Abbreviation | HM |
Specialty | Medical |
A hospital corpsman (HM) or corpsman (/ˈkɔːrmən/) is an enlisted medical specialist of the United States Navy, who may also serve in a U.S. Marine Corps unit. The corresponding rating within the United States Coast Guard is health services technician (HS).
Hospital corpsmen work in a wide variety of capacities and locations, including shore establishments such as naval hospitals and clinics, aboard ships, and as the primary medical caregivers for sailors while underway.[1] Hospital corpsmen are frequently the only medical care-giver available in many fleet or Marine units on extended deployment.[2] In addition, hospital corpsmen perform duties as assistants in the prevention and treatment of disease and injury and assist health care professionals in providing medical care to sailors and their families.[3]
They may function as clinical or specialty technicians, medical administrative personnel and health care providers at medical treatment facilities. They also serve as battlefield corpsmen with the Marine Corps, rendering emergency medical treatment to include initial treatment in a combat environment.[4] Qualified hospital corpsmen may be assigned the responsibility of independent duty aboard ships and submarines, Fleet Marine Force, SEAL and Seabee units, and at isolated duty stations where no medical officer is available.[5]
Hospital corpsmen were previously trained at Naval Hospital Corps School, Great Lakes, Illinois, and the U.S. Naval Hospital Corps School San Diego, California, until the 2011 Base Realignment and Closure Bill caused Hospital Corps School to be relocated to the Medical Education and Training Campus (METC) at Joint Base San Antonio, Texas.[6][7] Naval Hospital Corps School was also located at NRMC Balboa in San Diego, California.[8]
During the Vietnam War, many of the 16-week Naval Hospital Corps school graduates went directly to 8404 Field Medical Service School (FMSS) at Camp Lejeune, North Carolina, or Camp Pendleton, California, for nine weeks of field training, before deployment to a Marine Corps unit in South Vietnam.[9]
In the United States Marine Corps, the colloquial form of address for a Hospital Corpsman who rate to wear the Navy's Fleet Marine Force (FMF) warfare device (showing they were or are attached to an FMF Unit) is "Doc", which is generally used as a sign of respect.[10] Hospital Corpsman who are not authorized to wear the device would still be referred to by their rate and rank.
Prior to the establishment of the hospital corps, enlisted medical support in the U.S. Navy was limited in scope. In the Continental Navy and the early U.S. Navy, medical assistants were assigned at random out of the ship's company.[11] Their primary duties were to keep the irons hot and buckets of sand at the ready for the operating area. It was commonplace during battle for the surgeons to conduct amputations and irons were used to close lacerations and wounds. Sand was used to keep the surgeon from slipping on the bloody ship deck. Previously, corpsmen were commonly referred to as loblolly boys, a term borrowed from the Royal Navy, and a reference to the daily ration of porridge fed to the sick. The nickname was in common use for so many years that it was finally officially recognized by the Navy Regulations of 1814. In coming decades, the title of the enlisted medical assistant would change several times—from loblolly boy, to nurse (1861), and finally to bayman (1876). A senior enlisted medical rating, surgeon's steward, was introduced in 1841 and remained through the Civil War. Following the war, the title surgeon's steward was abolished in favor of apothecary, a position requiring completion of a course in pharmacy.
Still, there existed pressure to reform the enlisted component of the Navy's medical department—medicine as a science was advancing rapidly, foreign navies had begun training medically skilled sailors, and the U.S. Army had established an enlisted hospital corps in 1887. Navy Surgeon General J.R. Tryon and subordinate physicians lobbied the Navy administration to take action. With the Spanish–American War looming, Congress passed a bill authorizing establishment of the U.S. Navy Hospital Corps, signed into law by President William McKinley on 17 June 1898. Three ratings were created therein—hospital apprentice, hospital apprentice first class (a petty officer third class), and hospital steward, which was a chief petty officer.
A revision in 1916 established a new rate structure. With the introduction of a second junior rate there were now hospital apprentice second class (HA2c) and hospital apprentice first class (HA1c). The rating title for petty officers was established as pharmacist's mate (PhM), following the pattern of some of the Navy's other ratings (boatswain's mate, gunner's mate, etc.). Pharmacist's mate third class (PhM3c), second class (PhM2c), and first class (PhM1c) were now the petty officers, and chief pharmacist's mate (CPhM) was the chief petty officer. This structure remained in place until 1947.
A total of 684 personal awards were awarded to hospital corpsmen, including 23 Medals of Honor, 55 Navy Crosses, and 237 Silver Stars. During World War I, hospital corpsmen served throughout the fleet, earning particular distinction on the Western Front with the Marine Corps.
In the United States Navy in World War II, hospital corpsmen assigned to Marine units made beach assaults with the marines in every battle in the Pacific. Corpsmen also served on thousands of ships and submarines.[12] Three unassisted emergency appendectomies were performed by hospital corpsmen serving undersea and beyond hope of medical evacuation. The hospital corps has the distinction of being the only corps in the U.S. Navy to be commended, in a famous speech by Secretary of the Navy James Forrestal after the conclusion of the war.[13]
Following the war, the hospital corps changed its rating title to the generic term it had used all along—hospital corpsman. The rates of hospital corpsman third class (HM3), second class (HM2), and first class (HM1), and chief hospital corpsman (HMC) were supplemented by senior chief hospital corpsman (HMCS) and master chief hospital corpsman (HMCM) in 1958.
Hospital corpsmen continued to serve at sea and ashore, and accompanied marines and Marine units into battle during the Korean and Vietnam wars. Fifteen hospital corpsmen were counted among the dead following the bombing of the Marine barracks in Beirut in 1983. Hospital corpsmen also served in the Iraq and Afghanistan wars providing corpsmen for convoys, patrols, and hospital or clinic treatment.
Whether they are assigned to hospital ships, reservist installations, recruiter offices, or Marine Corps combat units, the rating of hospital corpsman is the most decorated in the United States Navy and the most decorated job in the U.S. military, with 22 Medals of Honor, 179 Navy Crosses since World War I, 31 Navy Distinguished Service Medals, 959 Silver Stars, and more than 1,600 Bronze Star Medal's with combat V's for heroism since World War II (as of 2016).[14] Twenty naval ships have been named after hospital corpsmen. Prior to selection to the command master chief program, the 11th MCPON, Joe R. Campa, was a hospital corpsman.
On 29 September 2016, the Secretary of the Navy Ray Mabus terminated the corpsman rating along with all other U.S. Navy enlisted ratings. However, in late December 2016, the usage of ratings were restored by the Navy after much backlash by many in the enlisted naval ranks.
The first physician assistants were selected from Navy corpsmen who had combat experience in South Vietnam. They made up members of the first PA class at Duke University.[18] The Navy trained its own physician assistants drawing from the ranks of qualified petty officer second class corpsman, as well as independent duty hospital corpsmen at the Naval School of Health Sciences in Portsmouth, Virginia until 1985, then at San Diego, California and current the Interservice Physician Assistant Program (IPAP) with a university affiliation of the University of Nebraska Medical Center (UNMC). It is conducted in two phases the first phase at the Graduate School and Academy of Health Sciences at AMEDDC&S, Fort Sam Houston, Texas and the second phase at various medical facilities and specialties. When training completed they become officers in the Medical Service Corps (MSC). Former Navy hospital corpsmen are also represented in many medical disciplines, as physicians, nurses, medical administrators and other walks of life. After completing their training, a physician assistant is promoted to the rank of lieutenant junior grade (O-2). Previously after graduating from civilian PA school, they had only been given the rank of warrant officer 2 (CWO2).
Main article: List of United States Navy ratings |
Effective 2 April 1948 the Navy changed the names and insignia of the hospital corps. The new titles were Hospitalman Recruit, Hospitalman Apprentice, Hospitalman, Hospital Corpsman Third, Second, and First Class, and Chief Hospital Corpsman. The red Geneva cross, which had marked corpsmen for 50 years, was replaced in the rating badge with the misattributed mark of the winged caduceus.[19] The rates of Senior Chief and Master Chief Hospital Corpsman were added in 1958.
See also: Badges of the United States Navy § Warfare Qualifications, and Uniforms of the United States Navy § Navy personnel attached to Marine Corps units |
Reference: Dictionary of American Naval Fighting Ships
Pre-World War I
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During World War II, the United States Maritime Service created a Hospital Corps similar to the U.S. Navy's and sent pursers through this hospital corpsman training, to serve in a combined administrative and medical role on civilian tankers, freighters, and oilers. Prior to this, there were no competent trained personnel to perform first aid aboard these vessels. The purser-corpsman was trained in anatomy, physiology, pharmacy, clinical laboratory, hygiene and sanitation, emergency treatment, first aid, and nursing. They were taught how to administer injections, treat compound fractures, administer blood plasma, and suture wounds.
The Maritime Service's Hospital Corps School was founded at the Sheepshead Bay Maritime Service Training Station on 7 December 1942. Surgeon S.S. Heilwell (R), United States Uniformed Public Health Service, was placed in charge of training. The course was taught over four months, with a 12-week period of didactic classroom experience and four weeks of practical experience at a Marine hospital. The original class of 331 students resulted in 239 graduates on 12 March 1943, but demand saw an increase in the class to 600 students, to cycle in 50 student classes starting on a weekly basis. Training stations were instructed to provide careful scrutiny by examining boards for all candidates. Pursers on sea duty started arriving at the station on 10 August 1943. By 1 January 1944, there were 600 purser-corpsmen at sea, with 1,324 graduates in the Maritime Service. Selection required an above average mark on the General Classification Test and interest in both administration and health care.[20]