Lt. Megan Rieman, a medical augmentee embarked aboard the amphibious assault ship USS Kearsarge, conducts an eye exam for a Nicaraguan man at a medical clinic at Juan Comenius High School during a Continuing Promise 2008 humanitarian assistance project. Kearsarge is the primary platform for the Caribbean phase of Continuing Promise, an equal-partnership mission involving the United States, Canada, the Netherlands, Brazil, Nicaragua, Panama, Colombia, Dominican Republic, Trinidad and Tobago and Guyana.