U.S. Air Force Tech. Sgt. Pamela Jirsa, 355th Medical Operations Squadron noncommissioned officer in charge of the orthopedic clinic, applies a cast to a patients arm at the 355th Medical Group on Davis-Monthan Air Force Base, Ariz., June 27, 2013. Jirsa was accepted into the Nursing Enlisted Commissioning Program for the year of 2013. She will be released from regular duty for 24 months. During this time, they are required to obtain a Bachelor of Science degree in nursing, pass the National Council Licensure Examination and complete Commissioned Officer Training. (U.S. Air Force photo by Senior Airman Christine Griffiths/Released).