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U.S. Air Force News

  • AF nuclear enterprise: 'the way forward'

    The Senate Armed Service Committee’s Subcommittee on Strategic Forces heard testimonies from key defense and military leaders on nuclear forces and policies in review of the Defense Authorization Request for Fiscal Year 2015 and the Future Years Defense Program during a hearing, March 5.

  • AF Nuclear Weapons Center improves tracking, monitoring of nuclear weapons

    Officials at the Air Force Nuclear Weapons Center have created a worldwide logistics function to monitor activities within the nuclear enterprise, tracking the location and status of all Air Force nuclear weapons and related material.Brig. Gen. Everett Thomas, the AFNWC commander, cut the ribbon

  • AF Nuclear Weapons Center reorganizes

    The Air Force Nuclear Weapons Center (AFNWC) reorganized its structure March 30, realigning responsibilities, authorities and accountability to better serve the nuclear enterprise.

  • AF nurse to serve in White House clinic

    One 81st Medical Group nurse will soon join an elite medical staff when he becomes a member of the White House clinic.Capt. Kyle Perry, a critical care nurse in the 81st Inpatient Operations Squadron intensive care unit, was notified of his selection for the post in February and reports there in

  • AF observes Sexual Assault Awareness Month

    At installations around the world Airmen are working together to increase awareness, prevent and care for the victims of sexual assault, with a variety of events underway in observance of Sexual Assault Awareness Month, Air Force Personnel Center officials said.From the commander in chief to the

  • AF offers multilingual thank you

    Airmen whose parents speak languages other than English can now order Air Force Parent Pins with accompanying cards translated into one of 100 languages.The new Your Guardians of Freedom initiative is an extension of the Parent-Pin program called “E Pluribus Unum.” The Latin term comes from the

  • AF offers new 2-year degree program for civilians

    The Air Force is expanding development opportunities for the civilian workforce by offering an associate degree at little to no cost.Graduates of the online program will be awarded an Associate of Applied Science in Air Force leadership and management studies. The 60-credit hour program is

  • AF offers short-term enlistments

    Beginning in October, 1 percent of new fiscal 2004 Air Force enlisted accessions, or about 370 recruits, will be able to sign up for a 15-month enlistment, as part of the National Call to Service program.The congressionally mandated program is designed to let people serve their country who might

  • AF offers WAPS testing materials online

    The Air Force now offers Career Development Course volumes online for use as promotion study material. The volumes offered online are those identified in the Enlisted Promotions References and Requirements Catalog as study references for Weighted Airman Promotion System testing.The online library

  • AF Office of Special Investigations named team of the year

    Air Force and Air Force Association officials have named Air Force Office of Special Investigations as the 2008 Team of the Year. Each year, the AFA, working with major command level command chief master sergeants and the Office of the Chief Master Sergeant of the Air Force, selects a specific Air

  • AF officer honored with space operations award

    Lt. Col. Samuel A. Little, director of operations, 45th Launch Support Squadron was recently named by the National Space Club as recipient of the prestigious General Bernard Schriever Award, honoring excellence in military space operations and acquisition.

  • AF officer named tops in her field

    A Lajes Field officer was recently awarded the 2012 Armed Forces Optometric Society Junior Officer of the Year.Maj. Tara Jayne, 65th Medical Operations Squadron optometrist, was surprised with the news when Col. Lorn Heyne, 65th Medical Group commander, and his wife visited her home Feb. 17 with a

  • AF officer turned athlete shows Olympic mettle

    Capt. Seth Kelsey stared in disbelief with his facemask in his hands as his South Korean opponent celebrated a last-touch victory in their bronze medal épée fencing match at the 2012 Summer Olympics. But while Kelsey's third Olympics competition ended in disappointment, he still left London with

  • AF officer, former Academy athlete killed in Afghanistan

    Former Air Force thrower Capt David (Lissy) Lyon was killed on Dec. 27, while conducting combat operations near Kabul, Afghanistan. Lyon, a 2008 Academy graduate, was a three-year letter winner for the Falcons' track and field team and a Mountain West champion in the shot put.

  • AF official praises Keesler recovery, emphasizes challenges ahead

    Having visited just days after Hurricane Katrina ravaged the base, the Air Force’s point man for installations returned here May 11 to assess Keesler’s overall progress toward full restoration. Lt. Gen. Donald Wetekam, Air Force deputy chief of staff for logistics, installations and mission support,

  • AF officials comment on GAO tanker bid decision

    Government Accountability Office officials announced their findings June 18 and sustained portions of the Boeing protest of the KC-45A aerial refueling tanker competition. The contract, originally awarded to Northrop Grumman, is for the development and procurement of up to 179 tanker aircraft for

  • AF officials agree to ship 18 cargo planes to Afghanistan

    The deal is done for the Air Force officials to ship 18 G-222 cargo planes to the Afghan National Air Corps. Officials signed the $287 million contract at Robins AFB Sept. 29. The Italian-built planes are being purchased from Alenia North America and will be refurbished, with 16 to serve as medium

  • AF officials announce candidate bases for TACP/ALO training

    Air Force officials announced Joint Base San Antonio -- Lackland, Texas, and Keesler Air Force Base, Miss., as candidate bases for the Tactical Air Control Party (TACP) and Air Liaison Officer (ALO) School. The candidate bases were approved by Secretary of the Air Force Michael B. Donley and Air

  • AF officials announce civilian early retirement, separation incentive options

    The Air Force is implementing civilian Voluntary Early Retirement Authority and Voluntary Separation Incentive Pay programs, Air Force officials announced today."Our goal with these programs is to mitigate the impact of reduced fiscal year 2012 funding on our permanent civilian workforce," said Maj.

  • AF officials announce civilian reduction in force

    In a continuing effort to meet Defense Department funding targets and rebalance the civilian workforce, some Air Force installations will implement civilian reduction in force authorities effective through April 4.

  • AF officials announce colonel, lieutenant colonel, major promotions

    Air Force officials announced Oct. 13 the 2011A Colonel Judge Advocate General Corps, Chaplains Corps and Biomedical Service Corps, 2011B Lieutenant Colonel and Major central selection boards selected 35 lieutenant colonels, 80 majors and 213 captains for promotion to the next higher rank.The entire

  • AF officials announce Combat Air Forces restructure plan

    Following the May 7 roll-out of the fiscal year 2010 budget proposal for the Department of Defense, Air Force officials announced plans to retire legacy fighters to fund a smaller and more capable force and redistribute people for higher priority missions. The Combat Air Forces restructuring plan

  • AF officials announce fiscal 2014 force management programs

    In ongoing efforts to size and shape the force to current and future requirements, Air Force officials announced the fiscal 2014 force management programs.The Air Force ended fiscal 2012 159 Airmen over end strength and anticipates ending fiscal 2013 at or marginally over end strength. The fiscal

  • AF officials announce FY14 civilian workforce shaping

    The Air Force will reduce the size of its civilian workforce by about 900 positions in addition to maintaining approximately 7,000 vacancies across the force to meet the demands of a constrained fiscal 2014 budget, officials announced.

  • AF officials announce Lance P. Sijan Award winners

    Air Force officials recently announced the winners of the 2011 Lance P. Sijan Air Force Leadership Award.The Lance P. Sijan Air Force Leadership Award recognizes Airmen who have demonstrated outstanding leadership abilities.The senior officer category winner is Maj. Laura Dejong, who is assigned to

  • AF officials announce manpower force structure changes

    Air Force officials released force structure changes and resulting manpower impacts from the new DoD strategic guidance and fiscal 2013 President's Budget Mar. 6.The fiscal 2013 President's Budget adjusts Air Force military end strength to 501,000, with net reductions of 3,900 Active Duty, 5,100 Air

  • AF officials announce marathon results

    Helped by cool temperatures and a sunny sky, more than 3,800 runners from 48 states and 10 foreign countries ran in the eighth annual U.S. Air Force Marathon here Sept. 17, with about 2,000 spectators and more than 1,800 volunteers assisting.Wheelchair competitors began the 26.2-mile race at 7 a.m.,

  • AF officials announce marathon results

    More than 3,300 runners from 49 states and eight foreign countries ran in the seventh Air Force Marathon here Sept. 20.Opening ceremonies took place at 6:30 a.m. Wheelchair competitors began the 26.2-mile race at 7 a.m.; individual runners started at 7:05 a.m.; relay teams and half-marathon (13.1

  • AF officials announce new discrimination hotline number

    The Air Force Discrimination Hotline has a new toll free number that will serve all active-duty, Guard, Reserve and civilian Airmen. The hotline number will ensure all unlawful discrimination and sexual harassment concerns are quickly identified and addressed. "The Air Force is committed to ensuring

  • AF officials announce selections for civilian leadership program

    Air Force officials have selected 39 senior civilian leaders to participate in the 2018 Air Force Civilian Strategic Leader Program. CSLP, the Air Force’s senior corporate career broadening program, is designed to develop GS-14 and GS-15 multi-skilled leaders by placing them in experiential

  • AF officials award food transformation contract

    Air Force officials announced Aug. 7 the competitive award of a contract to conduct the second phase of food operations at seven Air Force installations as part of the Food Transformation Initiative.The new contractor, Sodexo, will begin FTI operations Oct. 1 at Beale Air Force Base, Calif.;

  • AF officials build partnerships in UAE

    The deputy undersecretary of the Air Force for International Affairs is at the Dubai Airshow here this week to build partnerships that strengthen peace and stability.

  • AF officials choose eight officers for DoD fellows program

    Air Force officials have selected eight active-duty officers for the Defense Advanced Research Projects Agency Service Chiefs’ Fellows Program. DARPA serves as the Department of Defense’s central research and development agency and makes pivotal investments in breakthrough technologies to support

  • AF officials cite quicker process for filling acquisition jobs

    In an effort to speed up hiring in the critically manned acquisition career fields, Air Force Personnel Center officials here announced a streamlined process to fill key civilian jobs in half the time. The growing shortage in acquisition positions resulted in Department of Defense officials

  • AF officials complete IT consolidation across manpower, personnel, services

    Air Force officials have completed consolidating information technology assets and resources in the Air Force's manpower, personnel and services community into the Air Force Personnel Operations Agency.About 450 positions from IT divisions across the Air Force Personnel Center, Air Force Manpower

  • AF officials delay MilPDS upgrade

    Air Force officials are delaying the upgrade of the Military Personnel Data System that was originally scheduled for December.Delaying the upgrade is necessary to ensure the new system is thoroughly tested by the Air Force Personnel Center and other Department of Defense and Air Force agencies that

  • AF officials eliminate civilian skill code requirements

    Air Force officials have rescinded the manual used to define civilian position skill codes in one of several ongoing administrative actions geared toward transforming civilian hiring, determining employee training and development needs, and selecting employees for training under competitive

  • AF officials implement AFMC's civilian orientation course

    When Air Force Chief of Staff Gen. T. Michael Moseley recently sought a way to provide initial training to new Air Force civilians, Gen. Bruce Carlson, the commander of Air Force Materiel Command, offered AFMC's existing, extensive training course created for that reason. As a result, the Air Force

  • AF officials launch 2018 Total Force Climate Survey

    Air Force leaders at all levels want to know, “How is my organization doing?” The 2018 Total Force Climate Survey, which runs from Aug. 27 to Oct. 30, helps answer that question and more with the help of Air Force active duty, Reserve, Guard and civilian personnel (appropriated and non-appropriated

  • AF officials launch fourth WGS satellite

    Air Force officials launched an United Launch Alliance Delta IV-Medium rocket carrying the fourth Wideband Global SATCOM satellite Jan. 19 from Space Launch Complex 37 here. WGS-04 is the first craft in the program's upgraded Block 2 series, which adds a radio frequency bypass capability designed to

  • AF officials launch online civilian retirement tool

    Air Force human resources officials added a new feature in May to the Employee Benefits Information System Web application that allows Air Force appropriated fund civilians to request benefits-related actions online. The HR Link module will help civilians prepare for retirement, request a retirement

  • AF officials launch Respite Care Program for families

    Air Force officials have teamed with the National Association of Child Care Resource and Referral Agencies to launch the Air Force Exceptional Family Member Program Respite Care Program. The program is built around providing a break for parents with special-needs children. It allows parents to

  • AF officials look at bigger role for small business

    The Air Force is looking to support small businesses in a big way, two top service officials said during a visit here April 2. David Van Buren, principal deputy assistant secretary of the Air Force for acquisition, and Ronald Poussard, director of Air Force small business programs, said during a

  • AF officials offer property lease opportunities

    Air Force officials presented a proposal during two meetings held Jan. 30 and 31 to lease underutilized property at Malmstrom Air Force Base in Great Falls, Mont., to support national security energy goals. The first meeting, held Jan. 30 at the Great Falls Civic Center, gave state and local

  • AF officials plan for scheduled downtime to upgrade MilPDS

    The Air Force Personnel Operations Agency here is upgrading and transferring the Military Personnel Data System to the Defense Information Systems Agency's Defense Enterprise Computing Center later this year. During the scheduled 23-day upgrade project, MilPDS will not be available.Upgrades to

  • AF officials poll members on food service needs, expectations

    Air Force officials over the next eight weeks are distributing an online food services assessment survey to more than 260,000 active-duty Airmen and civilians to gather information about customers' food service needs and expectations. Air Force senior leaders chartered the survey to proactively

  • AF officials primed for officer qualifying test revamp

    Force Management officials will further refine the Air Force Officer Qualifying Test by conducting surveys that ensure the test content measures the most critical abilities and aptitudes tomorrow's officers need. Officials in the Air Staff Force Management Policy Division said the results of two Air

  • AF officials reestablish squadron commander support staffs

    Air Force officials reestablished squadron commander support staffs on Oct. 1 to help commanders manage administrative duties and other personnel and knowledge operations functions.The decision to recreate squadron CSSs was made by Air Force senior leaders during a Corona South conference in

  • AF officials release AFPERS video tutorials

    Air Force officials have created four video tutorials, or vodcasts, to educate people on some of the capabilities and features available on the Air Force Personnel Services, or AFPERS, website.A team of Air Force personnelists and contractors collaborated on the vodcasts to teach active duty Air

  • AF officials release captain promotion list

    More than a hundred first lieutenants were selected for promotion to captain during the 2011E Chaplains, Line of the Air Force Judge Advocate General Corps, Nurse Corps, Medical Service Corps and Biomedical Sciences Corps Quarterly Captain Selection Process, Air Force Personnel Center officials

  • AF officials release May supplemental promotion list

    Fifty-six Airmen have been selected for promotion as part of the May enlisted supplemental promotion process, Air Force Personnel Center officials announced.Go to here to see the list. Those on the supplemental promotion list are Airmen who tested outside of their required cycle because of an

  • AF officials release officer, civilian developmental education board results

    More than 860 officers and 90 civilians were selected for intermediate and senior developmental education opportunities during the 2010 Officer and Civilian Developmental Education boards conducted here.The officer and civilian selectee lists are available on the Air Force Personnel Center public

  • AF officials release video tutorial to educate civilians about AFPERS

    Air Force officials have created a video tutorial, or vodcast, to educate civil service employees, supervisors and human resources specialists about the information and resources available to civilians on the Air Force Personnel Services, or AFPERS, website.The five-minute vodcast teaches civilians

  • AF officials releasing enlisted quarterly assignment listing

    Air Force officials are releasing the enlisted quarterly assignment listing, or EQUAL, on Oct. 22 for the July to September 2013 overseas assignment cycle. Enlisted Airmen must update their assignment preferences by Nov. 1 and they will be notified of their assignment selections by Nov. 16."We are

  • AF officials reschedule MilPDS upgrade

    Originally slated for December 2012, Air Force officials will perform a major upgrade to the Military Personnel Data System, or MilPDS, March 2013.The Air Force Personnel Operations Agency here will upgrade and transfer MilPDS to the Defense Information Systems Agency Defense Enterprise Computing

  • AF officials reschedule MilPDS upgrade

    Originally slated for December of last year, Air Force officials will perform a major upgrade to the Military Personnel Data System, or MilPDS, in March.The Air Force Personnel Operations Agency here will upgrade and transfer MilPDS to the Defense Information Systems Agency Defense Enterprise

  • AF officials schedule downtime to upgrade myPers website

    Air Force officials are upgrading the myPers website and the Total Force Service Center's case management system from 9 p.m. Sept. 28 until 9 p.m., Sept. 29 CST. During this period, the myPers website and virtual Personnel Center-Guard Reserve, or vPC-GR, application will be unavailable and the TFSC

  • AF officials seek 2013 Verne Orr award nominees

    Air Force officials are seeking nominations for the 2013 Verne Orr Award.The Air Force Association established this award in honor of former Secretary of the Air Force Verne Orr to recognize mission-oriented unit accomplishments and achievements that used personnel to their full potential in order

  • AF officials select 37 Airmen for physician assistant training

    The Air Force officials selected 37 Airmen to attend the Tri-Service (Phase I) Physician Assistant training at Fort Sam Houston, Texas. The April 2008 Physician Assistant Board met at the Air Force Personnel Center in San Antonio to consider 61 applicants. In addition to those selected to attend

  • AF officials select Airmen for AFIT graduate program

    Air Force officials recently selected six enlisted Airmen to continue their education through the Enlisted to Air Force Institute of Technology Graduate Degree Program. "My congratulations go out to these fine Airmen," said Chief Master Sgt. of the Air Force Rodney J. McKinley. "We had a number of

  • AF officials select new fire chief

    The Air Force has a new top firefighter.Jim Podolske has been named chief of Fire Emergency Services, a division of the Air Force Civil Engineer Center's Readiness Directorate here. As the Air Force fire chief, Podolske will manage a force of more than 9,200 military and civilian firefighters as

  • AF officials set new course in future support operations

    When it comes to people programs, community support and quality of life, there will soon be one organization on base that will handle it all -- the Force Support Squadron. The new organization is the result of an ongoing Air Force-wide merger of Mission Support and Services Squadrons and is expected

  • AF officials standardize training for nuke inspectors

    Inspectors throughout the Air Force attended the first Nuclear Surety Inspector's Course from Feb. 2 to 6 at the Air Force Inspection Agency, Kirtland Air Force Base, N.M. As the Air Force reinvigorates its nuclear program, the implementation of this class was a top priority. The objective of the

  • AF officials testify regarding importance of space

    Air Force officials joined those from the U.S. Navy in congressional testimony March 25, speaking before a Senate Armed Services Committee’s subcommittee on strategic forces, about future plans for using space.Peter B. Teets, undersecretary of the Air Force and director of the National

  • AF officials to migrate civilian personnel records to OPM

    Officials at the Air Force Personnel Center project the migration of the Air Force version of each employee's electronic Official Personnel Folder to the Office of Personnel Management's government-wide eOPF version will take place in November.The eOPF is a digitized version of a hardcopy personnel

  • AF officials update enlisted constrained jobs list

    Air Force Specialty Codes on the fiscal 2012 career job reservation constrained list were updated effective Feb. 1, Air Force officials announced. Four AFSCs were added to the constrained list, and three were removed.The career job reservations program enables the Air Force to control the number of

  • AF officials, Ohio hospital to ready nurses for deployment

    University Hospital Cincinnati and the Air Force officials inaugurated a new program in October to provide newly graduated registered nurses the advanced clinical training and experience needed to become Air Force Nurse Corps officers and to prepare them for deployment. University Hospital is the

  • AF officials: Sexual assault has no place in the Air Force

    Secretary of the Air Force Michael Donley and Air Force Chief of Staff Gen. Mark A Welsh III presented the service's fiscal 2014 budget request to the Senate Armed Services Committee May 7, but much of the discussion focused on the recent sexual battery allegations involving Lt. Col. Jeff Krusinski,

  • AF only forward surgical team makes a difference in Afghanistan

    All over Afghanistan service members are deployed to forward operating bases as they continue their mission to train and assist Afghan forces. Currently, a team of twenty four Airmen with a range of medical specialties are deployed to FOB Ghazni as the only Air Force Forward Surgical Team in

  • AF opens additional TERA, VSP windows

    The Air Force will open two new fiscal year 2014 force management temporary early retirement authority application windows and a new voluntary separation pay application window.

  • AF opens enlisted RPA pilot program to all AFSCs

    Using a phased-application approach, Air Force senior leaders are casting a wider net to ensure more active-duty enlisted Airmen are eligible to apply for the service’s RQ-4 Global Hawk remotely piloted aircraft program, a Pentagon official said Aug. 29.

  • AF opens new nuclear training center

    Almost 10 years of joint effort and cooperation culminated in a ribbon-cutting ceremony at the new Nuclear Security Tactics Training Center in Guernsey, Wyo., Dec. 13.The $4.2 million facility boasts 14,500 square feet of functional space for training classrooms and cadre offices, and has been

  • AF opens retraining to second term, career Airmen

    The Air Force has announced the Noncommissioned Officer Retraining Program for fiscal year 2018 and will update the number of slots available on the retraining advisory on or about Aug. 2, 2017.

  • AF panel likens DOD acquisition to contact sport

    The Defense Department's journey to recapture acquisition excellence took a big step forward during two days of discussions and workforce training held at Sinclair Community College here April 20 and 21.That was the assessment made by several senior leaders at the DOD Acquisition Insight

  • AF participates in Exercise Kiwi Flag

    Two C-17 Globemaster IIIs and 70 Airmen from the U.S. Air Force participated in the Royal New Zealand Air Force's Exercise Kiwi Flag from March 26 through April 4 at RNZAF Base Whenuapa, New Zealand. Exercise Kiwi Flag is a multilateral, tactical air mobility exercise that aims to improve the

  • AF participates in first Israeli Blue Flag exercise

    The Air Force participated in the first Israeli Blue Flag exercise at Uvda Air Force Base, Israel, Nov. 24-28.Blue Flag is the largest multinational aerial warfare training exercise hosted by the Israeli air force. The exercise included forces from the U.S., Israel, Italy and Greece. Its objectives

  • AF participates in Veterans Day tribute at Redskins' game

    Thousands of sports fans and patriots were entertained here Nov. 14 by the Washington Redskins and Cincinnati Bengals football teams and the U.S. Air Force. The day's main attraction was the Redskins' battle against the Bengals, but as part of a tribute to American military veterans, the Air Force

  • AF partners with OSU for stress evaluation, recovery methods

    The Air Force Research Laboratory, 711th Human Performance Wing, has signed a cooperative research and development agreement with the Ohio State University. Special operations units in the Defense Department are physically and mentally elite due to the training they endure. Since special operations

  • AF partners with schools, universities to promote STEM

    Teachers from across the U.S. became students for a week during an Air Force-sponsored ASM International Materials Camp July 13 at Howard University, Washington, D.C.ASM started the camps for students in 2000 to make science, technology, engineering and math (STEM) fun. After much success, two years

  • AF Personnel Center news service keeps Airmen informed

    An electronic news service featuring the latest Air Force manpower, personnel and services information is available to help Airmen make informed decisions about their careers.More than 15,000 members subscribe to the Manpower, Personnel and Services News Service.  However, Air Force leaders

  • AF personnel chief talks family programs, tuition assistance

    A senior Air Force leader testified in front of Congress Mar. 13 on the impact sequestration has had on Airmen and family programs, to include military tuition assistance. Lt. Gen. Darrell D. Jones, deputy chief of staff for manpower, personnel and services, informed members of the House Armed

  • AF personnel chief: 'sequestration sends wrong signal to workforce'

    The Air Force's top personnel chief testified to Congress on the impact to military end strength in a budget constrained environment on Capitol Hill Feb. 27 during a House Armed Services Subcommittee military personnel hearing.Lt. Gen. Darrell D. Jones, the Air Force deputy chief of staff for

  • AF personnel leaders focus on Airmen, modernization

    As mission requirements continue to grow, Air Force personnel leaders said before the House Appropriations Defense Subcommittee in Washington March 17 that the service will refine priorities to win today's fight and prepare for tomorrow's challenges. The Honorable Craig Duehring, assistant Secretary

  • AF personnel news delivered via email

    For accurate, up to date news on Air Force personnel programs such as force management, retirements, education and development opportunities, special duty assignments, civilian careers and more, look to the Air Force Personnel Center public web, social media and news service.

  • AF pharmacies implement new formulary guidelines

    Air Force pharmacies will no longer distribute some high-use, but expensive medications. This was outlined in a memorandum recently sent out to all Air Force pharmacies by Maj. Gen. (Dr.) Joseph E. Kelley, assistant surgeon general for health-care operations.“It’s no secret that (fiscal 2004) has

  • AF phases in employees’ injury, illness compensation portal

    The Air Force, in conjunction with other Defense Department services, is phasing in the use of the Employees' Compensation Operations and Management Portal (ECOMP), which is intended to eventually replace the current system used to file injury and illness compensation claims.

  • AF physician assistant named ‘PA of Year’

    It was her first year working as a physician assistant, and a patient had just left her exam room when she heard a burst of gunshots in the distance. Within seconds, screams filled the hospital as people scrambled for cover. In the midst of the chaos, a piercing silence fell over the clinic and her