Good observation. However, even if her earlier rater and senior rater comments are completely honest and substantive, the leadership environment for a med officer at Walter Reed is completely different than that for one serving at a detention facility in Iraq. Like many other combat vs non-combat, strategic vs tactical, etc. positions, an individual may serve with distinction in one, but fail miserably on the other side. Not everyone can make the switch - and attempting to live up to personal performance goals in such a completely different environment can be an incredible stressor upon the one who can't seem to make the adjustment.
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