Senior Airman Tilli Ghale, 28th Medical Group unit deployment manager, updates a deployment checklist in a continuity binder at the 28th MDG on Ellsworth Air Force Base, S.D., March 4, 2013. Ghale received a 94 percent on his “Health Services Management” five-level Career Development Course – the highest score in the Air Force for that particular CDC in three years. (U.S. Air Force photo by Airman 1st Class Ashley J. Thum/Released)