scope:

This instruction applies to Budget Submitting Office 18 activities and all ships and stations having Navy medical department personnel assigned. Within statutory, regulatory, and policy constraints, the Chief, Bureau of Medicine and Surgery (BUMED) through the Director, Hospital Corps (BUMED-M00C5) delegates the necessary authority to the ETLs to accomplish their mission. This authority is limited to providing advice and recommendations on enlisted technical, career, and training matters within their respective Navy enlisted classification (NEC) to decision-making entities within the Navy. Such decision-making entities include, but are not limited to, BUMED; Navy Personnel Command; Headquarters, U.S. Marine Corps; Interservice Training Review Organization; the Defense Medical Standardization Board; ad hoc policy formulation or execution work groups; and other higher echelon commands as necessary and related to function. Relative to this authority is access to information and direct liaison with commands and offices involved.