U.S. Army Surgeon General and Medical Command Commander Lt. Gen. Patricia D. Horoho, Europe Regional Medical Commanding General Brig. Gen. Jeffrey B. Clark and Col. John P. Collins take position during the Europe Regional Medical Command relinquishment of command and assumption of responsibility ceremony July 31, 2013, at the Sembach Kaserne in Rhineland-Palatinate, Germany. (U.S. Army photo by Elisabeth Paque/Released)