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AFMS leaders discuss new integrated operational support guidance

Col. Travis Russell, Chief Medical Officer for the Air Force Surgeon General, Col. Amalia DiVittorio, Chief of Integrated Operational Support for the Air Force Surgeon General, and Col. James Shields, Chief of Integrated Operational Support for Air Force Medical Command, discuss new guidance on IOS teams outlined in Department of Air Force Manual 10-211. Air Force Medical Command IOS leaders at the Defense Health Headquarters, Falls Church, Virginia, fielded questions from about 430 virtual attendees during a virtual town hall meeting Jan. 23, 2026. (U.S. Air Force photo by Megan Hearst)
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251117-F-YH673-1217

U.S. Airmen transport simulated patients during a Theater Aeromedical Evacuation System exercise on Scott Air Force Base, Illinois, Nov. 19, 2025. Airmen coordinated patient pick-up at a simulated overseas hospital, transferred them through each TAES component and delivered them to a care facility. (U.S. Air Force photo by Senior Airman Violette Hosack)
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Medical to Logistics: Air Force lieutenant brings enlisted perspective forward

U.S. Air Force 2nd Lt. Alexandra R. Roque, left, vehicle maintenance flight commander of the 11th Logistics Readiness Squadron, oversees Airmen and Marines performing refueling checks at Joint Base Anacostia-Bolling, Washington, D.C., Jan. 9, 2026. Roque spent 10 years enlisted in the medical field doing various jobs such as aerospace medical and flight medicine before being selected for Officer Training School in August 2024. (U.S. Air Force photo by Senior Airman Geneva Nguyen)
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Medical to Logistics: Air Force lieutenant brings enlisted perspective forward

U.S. Air Force 2nd Lt. Alexandra R. Roque, right, vehicle maintenance flight commander of the 11th Logistics Readiness Squadron, oversees Airmen and Marines performing refueling checks at Joint Base Anacostia-Bolling, Washington, D.C., Jan. 9, 2026. Roque was the only selectee at Joint Base Lewis-McChord for Officer Training School in August 2024. (U.S. Air Force photo by Senior Airman Geneva Nguyen)
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Medical to Logistics: Air Force lieutenant brings enlisted perspective forward

U.S. Air Force 2nd Lt. Alexandra R. Roque, right, vehicle maintenance flight commander of the 11th Logistics Readiness Squadron, mentors an Airman at Joint Base Anacostia-Bolling, Washington, D.C., Jan. 9, 2026. Roque spent 10 years enlisted in the medical field doing various jobs such as aerospace medical and flight medicine before being selected for Officer Training School in August 2024. (U.S. Air Force photo by Senior Airman Geneva Nguyen) (This photo was altered for security purposes by blurring out identification information on the computer screen.)
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Medical to Logistics: Air Force lieutenant brings enlisted perspective forward

U.S. Air Force 2nd Lt. Alexandra R. Roque, right, vehicle maintenance flight commander of the 11th Logistics Readiness Squadron, supervises an Airman performing vehicle maintenance at Joint Base Anacostia-Bolling, Washington, D.C., Jan. 9, 2026. Roque was the only selectee at Joint Base Lewis-McChord for Officer Training School in August 2024. (U.S. Air Force photo by Senior Airman Geneva Nguyen)
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Medical to Logistics: Air Force lieutenant brings enlisted perspective forward

U.S. Air Force 2nd Lt. Alexandra R. Roque, vehicle maintenance flight commander of the 11th Logistics Readiness Squadron, poses for a photo in front of an aircraft refueler at Joint Base Anacostia-Bolling, Washington, D.C., Feb. 5, 2026. Roque spent 10 years enlisted in the medical field doing various jobs such as aerospace medical technician and flight medicine before being selected for Officer Training School in August 2024. (U.S. Air Force photo by Senior Airman Geneva Nguyen)
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Official Portrait

This is the official portrait of Col. (Dr.) Christopher E. Backus.
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Biomedical equipment technician upholds occupational safety excellence at Andersen AFB

U.S. Air Force Tech. Sgt. Robert Bickelhaupt, healthcare technology management section chief, 36th healthcare operations squadron, smiles with his wife, Tech. Sgt. Monica Bickelhaupt, a U.S. Air Force physical therapist technician, after his second reenlistment ceremony at the Andersen Air Force Base overlook, Yigo, Guam, April 2024. (Photo courtesy of Tech. Sgt. Robert Bickelhaupt)
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Biomedical equipment technician upholds occupational safety excellence at Andersen AFB

U.S. Air Force Tech. Sgt. Robert Bickelhaupt, section chief of Healthcare Technology Management, 36th Healthcare Operations Squadron, leads an occupational safety training session at Andersen Air Force Base, Guam, June 2025. (Photo courtesy of Col. Elizabeth Gibby)
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Official Portrait

This is the official portrait of Tech. Sgt. Robert Bickelhaupt.
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Official Portrait

This is the official portrait of Col. Jennifer Schmidt.
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SIM Demonstration

A demonstration of the AI-GUIDE system is done during a visit to VelocityTX in San Antonio, Texas, April 2025. The AI-enabled robotic ultrasound device recently received FDA Breakthrough Device Designation and is designed to help frontline medical personnel rapidly establish vascular access in austere combat environments. (Photo by Steven Galvan)
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AI-GUIDE system

Military medical personnel participate in a familiarization and validation demonstration of the AI-GUIDE system at the Fort Bliss Medical Simulation Center in El Paso, Texas. The AI-enabled technology supports rapid vascular access and is intended to improve treatment of noncompressible torso hemorrhage, a leading cause of preventable combat deaths. (U.S. Air Force photo by Capt. Olivia Cobiskey-Haftmann)
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Official Portrait

This is the official portrait of Col. Vito S. Smyth.
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All-female veteran honor flight visits Arlington National Cemetery and Women in Military Service for America Memorial

Assistant Secretary, VA Office of Policy and Planning Linda Spoonster Schwartz gives remarks during a ceremony in the Women for Military Service for America Memorial Sept. 22, 2015, in Arlington, Va. In attendance was the first all-female honor flight in the United States. The honor flight was comprised of 75 female veterans from World War II, Korean War and Vietnam War, as well as 75 escorts, who were also female veterans or active-duty military. (U.S. Army photo by Rachel Larue)
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Vietnam-era flight nurse champions veteran health advocacy

Military Women’s Memorial President Phyllis Wilson speaks with retired U.S. Air Force Maj. (Dr.) Linda Spoonster Schwartz during the Department of Veterans Affairs Center for Women Veterans Trailblazers ceremony at the Library of Congress in Washington, D.C., Sept. 25, 2025. (U.S. Air Force photo by Josh Mahler)
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Vietnam-era flight nurse champions veteran health advocacy

Center for Women Veterans Executive Director Jacquelyn Hayes-Byrd, left, presents retired U.S. Air Force Maj. (Dr.) Linda Spoonster Schwartz with a memento during the Department of Veterans Affairs CWV Trailblazers ceremony at the Library of Congress in Washington, D.C., Sept. 25, 2025. (U.S. Air Force photo by Josh Mahler)
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Vietnam-era flight nurse champions veteran health advocacy

Retired U.S. Air Force Maj. (Dr.) Linda Spoonster Schwartz smiles with then-Vice President Joe Biden and President Barack Obama at the White House on Memorial Day, before going to Arlington National Cemetery to place a wreath at the Tomb of the Unknown Soldier, May 30, 2016. (Photo courtesy of Yale School of Nursing)
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Vietnam-era flight nurse champions veteran health advocacy

U.S. Air Force Maj. (Dr.) Linda Spoonster Schwartz takes her oath upon joining the service at a recruitment center in Idaho, 1967. (Photo courtesy of Connecticut Veterans Affairs)
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