Who is below the Major Command Surgeon?

• A. The Medical Group (MDG) Commander
• B. The Base Commander
• C. The Deputy Major Command Surgeon
• D. The Medical Treatment Facility Director

Answer: (A)

In this structure, the Major Command Surgeon sits at the top of the command’s medical leadership and sets the medical policy and priorities for the entire Major Command. The next tier down that actually leads medical operations at individual bases is the Medical Group Commander. This person commands the Medical Group on each base, directing clinical operations, readiness, and support to the base population in line with MAJCOM guidance. The Base Commander runs the installation as a whole, and while the medical group reports to or aligns with the base leadership, the Base Commander is not the direct medical supervisor under the MAJCOM Surgeon. The Deputy Major Command Surgeon works at the MAJCOM level as the second-in-command to the MAJCOM Surgeon, not at the base level. The Medical Treatment Facility Director handles the facility’s day-to-day operations but reports to the Medical Group Commander, not directly to the MAJCOM Surgeon. So the person who sits directly below the Major Command Surgeon in the medical command chain is the Medical Group Commander, who leads the base-level medical operations in support of the MAJCOM’s mission.