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BUMED Medical Inspector General (MEDIG)

Mission: To assess the effectiveness and efficiency of Navy Medical Commands in support of Navy Medicine’s mission.  We serve as an extension of "the eyes, ears, and conscience" of the Chief, BUMED.

Vision: The Medical Inspector General's program will always be relevant and will add systemic value through demonstrated improvement with positive impact throughout the enterprise.

Guiding Principles: Integrity, Responsibility, Accountability, Transparency


  • Conducts professional and technical organizational assessments of MTFs and other BUMED activities.  Coordinates MTF inspections with the Joint Commission, and conducts applicable inspections of medical occupational health and safety.

  • Prepares organizational assessment reports on activities and reports issues to Chief, BUMED, NAVMED Region commanders, commanding officers, officers in charge, and chain of command as appropriate.

  • Implements the Navy Medicine Hotline Program for receiving allegations of fraud, waste, and mismanagement.  Provides assistance and referral for non-Inspector General (IG) matters and conducts preliminary inquiries and investigations into allegations as deemed appropriate.

  • Maintains liaison with the Naval Inspector General; Deputy Naval Inspector General for Marine Corps Matters/Inspector General of the Marine Corps; Echelon 2 and Responsible Line Commander (RLC) Inspector General; and civilian and government agency inspector offices.

Carey M. Sill
Medical Inspector General
 Bureau of Medicine and Surgery
Captain Sill was born in Edgerton, Wisconsin. She graduated from Eastern Washington University in 1985 with a Bachelor of Business Administration in Management and a Bachelor of Arts in Health Care Administration. She subsequently earned a Master of Arts in Health Care Management from Webster University in 1992.

Captain Sill was commissioned as a Medical Service Corps Officer in February 1986 and assigned to Naval Hospital, Long Beach, California where she served as the Public Affairs Officer and Special Assistant for Managed Care. In July 1989, she reported to Naval Medical Center San Diego to work in the newly formed Managed Care Office. Midway through her tour, she was selected to serve as the Branch Head for the Branch Medical Clinic, Naval Air Station Miramar. In 1991, she transferred to Marine Corps Air Station, Yuma, Arizona, and was assigned as the Officer in Charge of the Branch Medical Clinic.

Her next assignment was to the Naval Medical Clinics Command, Pearl Harbor, Hawaii in 1994. During this assignment, Captain Sill initially served as Department Head for Patient Administration and then as Performance Improvement Coordinator for the command. In 1997 she was selected for the position of Executive Assistant to MED-01 at the Bureau of Medicine and Surgery, Washington, D.C. Upon completion of this tour, she was selected to serve as the Staff Corps’ Technical Advisor to the Navy Promotion Selection Boards Branch, Navy Personnel Command, Millington, Tennessee. Following this tour she served as Director for Administration at Naval Hospital, Bremerton, Washington from August 2002 to August 2004. During this assignment she deployed as Director for Administration for Fleet Hospital Eight in support of Operation Enduring Freedom and Operation Iraqi Freedom.

In August 2004, Captain Sill returned to Navy Personnel Command as the Medical Service Corps Officer Community Manager and subsequently as Deputy Branch Head for PERS-4415 Medical Department Assignment and Distribution Branch. She reported to U.S. Naval Hospital, Naples, Italy, in March 2008 where she served as the Executive Officer. In August 2011, she was again assigned to Navy Personnel Command where she has assumed leadership for the Medical Department Assignments and Distribution Branch. In May 2013 she assumed command of the Navy Medicine Professional Development Center located in Bethesda, Maryland.  In October 2014, CAPT Sill was selected for and is currently serving as the Naval Medical Inspector General for the Bureau of Medicine and Surgery.


Navy Medicine Hotline Program

Navy Medicine's Hotline Program is designed to strengthen and focus efforts to combat fraud, waste and mismanagement.  The Medical Inspector General (MEDIG) process is of fundamental importance, it gives voice to all members of the Navy Medicine team and assures their concerns will be heard, considered and appropriately addressed.

The following questions and answers provide information about hotline policy and procedures that you should review before you file a complaint.

4-Step Hotline Complaint Procedures  


 Step 1:  Determine the best method to address your issue

You should first attempt to resolve problems using the chain of command and other local resources. 

Seek assistance from the legal staff, union representative, chaplain, human resource personnel, equal opportunity advisor, your immediate supervisor, or Commanding Officer (CO).

Refer to the Naval Inspector General (NAVINSGEN) Website:  then click on: 'Complaint Hotline' and 'Determiine the Best Method to Address Your Complaint'.

List of Matters Appropriate for the (IG):

  • Abuse of Authority/Position
  • Bribes/Kickbacks/Acceptance of Gratuities
  • Conflicts of Interests
  • Ethics Violations
  • Fraud/Travel Fraud (TDY and TAD)
  • Gifts (Improper)
  • Improper Referral for Mental Health Evaluation
  • Mismanagement (Significant Cases)
  • Misuse of Official Time, Gov’t Property, Position and Public Office
  • Political Activities
  • Procurement Issues
  • Purchase Card/Travel Card Abuse
  • Reprisal (Military Whistleblower Protection)
  • Safety/Public Health (Substantial/Specific)
  • Systemic Problems
  • Time and Attendance (Significant Violations)
  • Waste (Gross)

Step 2:  Review the Frequently Asked Questions (FAQs)

Who may use the Hotline?
Anyone can file a hotline complaint.

Is there a time limit to file a complaint?
Generally, you should submit your complaint within 90 days of the date the alleged wrongdoing occurred. However, we will consider complaints over 90 days old if you can demonstrate you were unable to meet the time requirement due to extraordinary circumstances or unforeseen delays.

What issues should you report to the Hotline?
You should report any issue listed in the List of Matters Appropriate for the IG to your local IG or Naval Medical IG point of contact. Report minor violations to your chain of command. (Note: We reserve the right to decline to investigate any matter brought to our attention.)

What is reprisal?
A reprisal occurs when a Responsible Management Official takes or threatens to take an unfavorable personnel action, or withhold or threaten to withhold a favorable personnel action, because someone made or prepared to make a protected communication.

Who is a Responsible Management Official (RMO)?
Someone who took the action; reviewed, influenced one or recommended the action to be taken; or approved the action. (Note: The RMO must know about the PC before taking the unfavorable action.)

What is an unfavorable personnel action (UPA)?
Any action that unfavorably affects or has the potential to unfavorably affect a member’s position or career. (Note: Examples of UPAs include adverse fitness reports or evaluations, denial of training that is required of one’s position, changes to duties or responsibilities not commensurable with one’s rank.

What is a PC?
Any lawful communication to a member of Congress or IG. Communication with law enforcement agencies, Equal Opportunity Officials or someone in the chain of command may also be a PC if it was made to report a violation of law or regulation, including gross mismanagement, a gross waste of funds or other resources, abuse of authority, sexual harassment or unlawful discrimination, or a substantial and specific danger to public health or safety.

Step 3:  Prepare to submit your hotline complaint 

If you have determined the issue is appropriate for an IG investigation, gather the information you will need to submit your complaint.

An IG will ask you to provide following information:

Service member's or employee's full name, rank/grade, and duty station.

What...Specific wrongdoing and why you believe the activity was misconduct, to include the rule, regulation or law you think they violated.

Where...Location where the wrongdoing occurred.

When...Specific dates and times.

How much... Estimated dollar loss.

Why and how...Describe why and how you believe the individual perpetrated the offense.

What you have done to try to resolve the issue.

What you want the IG to do.
Remember, the more detailed information you provide the better we can assist you.

Step 4: What other avenues of redress are available to resolve complaints 

Contact your local IG for assistance or to file your complaint.

Many issues brought to the attention of the Medical Inspector General are not appropriate for an IG investigation.  The "How to Resolve a Complaint (A-Z)" list, found on the Naval Inspector General (NAVINSGEN) website at, was developed by IG personnel to assist complainants in determining the best method to address an issue.  Complainants are encouraged to review the list before filing a complaint with an IG.

We will evaluate your complaint and request more information, if necessary. Keep in mind, if we conduct an investigation, you will be interviewed and you will be able to provide additional information and documents at that time. Complete the Hotline Complaint form and forward it to the appropriate Navy Medicine office listed on the homepage. 

Annual Medical Housing and Holdover Inspection Reports

 Fiscal and Material Management Programs Reviewed


 Safety, Public Health, and Environmental Focus Areas


 Additional Safety areas which could be inspected (As Applicable)


MEDIG Official Postal Mailing Address:

Medical Inspector General

4650 Taylor Road, Suite-3162
Bethesda, MD 20889-5638

Administration/General Inquiries: (301) 295-9009/9010

Navy Medicine West (NMW)
Hotline phone number:(619) 767- 6068

Hotline e-mail address:

Mailing address:
NMW Regional Inspector General
4170 Norman Scott Road, Bldg. 3232
San Diego, CA 92136
Fax: (619) 767-6058

Navy Medicine East (NME)
Hotline phone number:(757) 953- 5565

Hotline e-mail address:

Mailing address:

Navy Medical East
Attn:  NME IG, Suite 1400,
620 John Paul Jones Circle
Portsmouth, VA 23708
Fax:  (757) 953-3053 (this is not a secure fax)

Complaints to the Office of the Medical Inspector General can be submitted to:


Medical Inspector General
Hotline phone number:
(800) 637-6175 or DSN 295-9019 

Hotline e-mail address:

Mailing address:
Office of the Medical Inspector General (M00IG) Attn:  Investigator
4650 Taylor Road, Suite-3162
Bethesda, MD  20889-5638

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